Phase 1
Completed N=36
A Study of Alisertib (MLN8237) in Adult East Asian Participants With Advanced Solid Tumors or Lymphomas
Source: ClinicalTrials.gov NCT01512758 ↗Enrolled (actual)
36
Serious AEs
52.8%
Results posted
Mar 2019
Primary outcomePrimary: Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D) — 30 mg
Summary
The purpose of this study was to determine the safety profile, maximum tolerated dose (MTD), recommended Phase 2 dose (RP2D), and to characterize the pharmacokinetic (PK) profile of alisertib twice daily (BID) dosing for 7 days in East Asian participants with advanced solid tumors or lymphomas. The secondary objective was to describe any antitumor activity that may have been observed with alisertib treatment.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D) |
30 | — |
| PRIMARY Number of Participants With Adverse Events and Serious Adverse Events |
30; 6; 15; 4 | — |
| PRIMARY Number of Participants With Abnormal Clinical Laboratory Values Reported as Adverse Events |
19; 5; 9; 4; 6; 1 | — |
| PRIMARY Number of Participants With Clinically Significant Changes in Vital Signs Reported as Adverse Events |
1; 0; 1; 0; 1; 0 | — |
| PRIMARY Cmax: Maximum Observed Concentration for Alisertib |
1442.5; 1871.7; 3000.0; 3686.7 | — |
| PRIMARY Tmax: Time to First Occurrence of Cmax for Alisertib |
3.0; 2.0; 2.9; 2.0 | — |
| PRIMARY AUCτ: Area Under the Concentration-Time Curve From Time 0 to End of Dosing Interval (τ) for Alisertib |
9549.0; 11811.7; 24377.9; 30683.3 | — |
| PRIMARY Dose Normalized AUCτ: Area Under the Concentration-Time Curve From Time 0 to Time t for Alisertib |
812.9; 766.8 | — |
| PRIMARY T1/2: Terminal Half-Life for Alisertib |
16.750; 14.795 | — |
| PRIMARY Rac: Accumulation Ratio for Alisertib |
2.830; 2.690 | — |
| PRIMARY PTR: Peak Trough Ratio During a Dosing Interval, at Steady State for Alisertib |
2.254; 2.207 | — |
| PRIMARY CLss/F: Apparent Clearance After Extravascular Administration, at Steady State, Calculated Using AUCτ for Alisertib |
2.9357; 2.8083 | — |
| SECONDARY Best Overall Response Rate Based on Investigator Assessment |
0; 0; 3; 0 | — |
| SECONDARY Duration of Response |
169 | — |
| SECONDARY Concentrations of Relevant Tumor Markers |
— | — |
Eligibility Criteria
Inclusion Criteria
- Male or female East Asian participants 18 years or older
- Histologically or cytologically confirmed metastatic and/or advanced solid tumors or lymphomas for which no effective standard treatment is available
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Expected survival longer than 3 months from study enrollment
- Radiographically or clinically evaluable tumor
- Female participants who are post menopausal for at least 1 year, surgically sterile, or agree to practice 2 effective methods of contraception through 30 days after the last dose of study drug or agree to abstain from heterosexual intercourse
- Male participants who agree to practice effective barrier contraception through 6 months after the last dose of alisertib or agree to abstain from heterosexual intercourse
- Voluntary written consent
Exclusion Criteria
- Female participants who are lactating or pregnant
- Treatment with any investigational products, systemic antineoplastic treatment, or antineoplastic treatment with glucocorticoids within 21 days preceding the first dose of alisertib
- Treatment with nitrosoureas, mitomycin C, rituximab, alemtuzumab, or other unconjugated antibody treatment within 42 days (21 days if clear evidence of progressive disease)
- Medical conditions requiring daily, chronic, or regular use of proton pump inhibitors or H2-receptor antagonists
- Treatment with radioimmunoconjugates such as ibritumomab tiuxetan or tositumomab within 56 days preceding first alisertib dose
- Major surgery within the 14 days preceding the first dose of alisertib
- Life-threatening or uncontrolled medical illness unrelated to cancer
- Known gastrointestinal (GI) disease or procedures that could interfere with the oral absorption or tolerance of alisertib
- Inability to swallow capsules
- Inadequate bone marrow or other organ function
- Diagnosed or treated for another malignancy within 2 years of first dose of alisertib, or previously diagnosed with another malignancy and have any radiographic or biochemical marker evidence of active disease. In the case of prior prostate cancer treated with radiotherapy, the prostate specific antigen (PSA) may be detectable, but must be < 1 ng/mL. Participants with completely resected basal cell carcinoma, squamous cell carcinoma of the skin, or in situ malignancy of any type are not excluded
- Other severe acute or chronic medical or psychiatric conditions, including uncontrolled diabetes, or laboratory abnormality
- Known or suspected human immunodeficiency virus (HIV) positive or hepatitis B surface antigen-positive status, or known or suspected active hepatitis C infection
Data sourced from ClinicalTrials.gov (NCT01512758). 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. Informational only — not medical advice.