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Phase 1 N=125 Treatment

Dose Escalation Study of TAK-117 (MLN1117) in Subjects With Advanced Cancer

Metastatic Solid Tumors

Enrolled (actual)
125
Serious AEs
41.6%
Results posted
Mar 2017
Primary outcome: Primary: Maximum Tolerated Dose (MTD) of TAK-117 — 150; 900; 900; NA mg

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
TAK-117 (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Millennium Pharmaceuticals, Inc.
Primary completion
Jul 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Tolerated Dose (MTD) of TAK-117
150; 900; 900; NA; NA; 500
PRIMARY
Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Death, Adverse Events (AEs) Leading to Discontinuation of Study Drug, and DLTs in Cycle 1
6; 6; 8; 4; 3; 3
PRIMARY
Number of Participants With Highest Level of TEAEs Severity
1; 0; 0; 0; 2; 0
PRIMARY
Number of Participants With Clinically Meaningful Changes in Laboratory Values
0; 0; 0; 0; 0; 0
PRIMARY
Number of Participants With Clinically Meaningful Changes in Vital Signs
0; 0; 0; 0; 0; 0
PRIMARY
Number of Participants With Clinically Meaningful Changes in Electrocardiogram (ECG)
0; 0; 0; 0; 0; 0
SECONDARY
Overall Response Rate (ORR)
0; 0; 13; 100; 0; 0
SECONDARY
Duration of Objective Response
SECONDARY
Clinical Benefit Rate (CBR)
25; 17; 38; 100; 33; 33
SECONDARY
Cmax: Maximum Observed Plasma Concentration for TAK-117
1747.61; 1613.23; 2736.60; 2658.23; 4335.88; 4175.13
SECONDARY
Ctrough: Observed Concentration at the End of Dosing Interval for TAK-117
187.29; 177.70; 630.82; 627.62; NA; NA
SECONDARY
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-117
1.5; 1.5; 2.0; 2.1; 4.0; 3.1
SECONDARY
T 1/2z: Terminal Disposition Phase Half-life for TAK-117
8.74; 7.32; 11.17; 9.75; 12.24; 14.71
SECONDARY
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-117
18008; 13807; 44733; 42909; 93748; 75937
SECONDARY
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-117
SECONDARY
%AUC Extrapolated: Percentage of Area Under Concentration-extrapolated
SECONDARY
Percent Change From Baseline in Pharmacodynamic Markers
-27.94; -13.07; -61.41; -24.50; -100.00; NA

Summary

The purpose of this study is to determine the maximum tolerated dose (MTD) and/or optimal biologic dose(OBD), safety and tolerability, dose-limiting toxicity (DLT) of TAK-117 when administered orally in subjects with advanced solid malignancies.

Eligibility Criteria

Inclusion Criteria

  • Subjects have had their PIK3CA gene mutation status assessed prior to enrolling into the study
  • Subjects must have documented disease progression prior to enrolling into the study
  • locally advanced or metastatic solid tumors with the exception of primary brain tumor, and have failed or are not eligible for standard of care therapy.
  • Age greater than or equal to (>=) 18 years, including males and females;
  • Eastern cooperative oncology group (ECOG) performance status (PS) 0-1;
  • Adequate organ function;
  • Male subjects must be surgically sterile or must agree to use physician-approved contraception during the study and for 30 days following the last study drug administration;
  • Ability to swallow oral medications;
  • Ability to understand and willingness to sign informed consent prior to initiation of any study procedures;
  • For women of child-bearing potential, negative serum pregnancy test within 14 days prior to the first study drug administration and use of physician-approved method of birth control from 30 days prior to the first study drug administration to 30 days following the last study drug administration

Exclusion Criteria

  • Diagnosis of primary brain tumor; untreated brain metastasis or history of leptomeningeal disease or spinal cord compression;
  • Received prior cancer or other investigational therapy within 2 weeks prior to the first administration of study drug;
  • Have received a systemic corticosteroid within one week prior to the first administration of study drug;
  • Clinically significant cardiac disease;
  • Myocardial infarction or unstable angina within 6 months prior to the first administration of study drug;
  • Malabsorption ;
  • Poorly controlled diabetes mellitus;
  • Pregnancy (positive serum or urine pregnancy test) or breast feeding;
  • Untreated brain metastasis or history of leptomeningeal disease or spinal cord compression;
  • Failed to recover from the reversible effects of prior anticancer therapies;
  • Have received a selective phosphoinositide-3-kinase alpha isoform (PI3K-alpha) inhibitor
  • Other clinically significant co-morbidities, such as uncontrolled pulmonary disease, active central nervous system (CNS) disease, active infection, or any other condition that could compromise the subject's participation in the study
  • Known human immunodeficiency virus (HIV) infection
  • Have a secondary malignancy within the last 3 years prior to first dose of study drug, excluding treated non-melanoma skin cancer, carcinoma in situ, or locally-treated prostate cancer
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01449370). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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