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Phase 1 Completed N=101 Treatment

A Safety and Pharmacokinetic Study of TAK-228 in Combination With TAK-117 in Adult Participants With Advanced Nonhematologic Malignancies

Advanced Nonhematologic Malignancies
Source: ClinicalTrials.gov NCT01899053 ↗
Enrolled (actual)
101
Serious AEs
31.7%
Results posted
Oct 2019
Primary outcomePrimary: Number of Participants Who Experienced at Least One or More Treatment-Emergent Adverse Event (TEAEs) and Serious Adverse Events (SAEs) — 7; 3; 7; 3 Participants

Summary

The purpose of this study was to evaluate the safety and to determine dose-limiting toxicities (DLTs), maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D), and dosing schedules of oral TAK-228+TAK-117. It also evaluated the single- and multiple-dose plasma pharmacokinetics (PK) of TAK-228+TAK-117 in participants with advanced nonhematologic malignancies.

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants Who Experienced at Least One or More Treatment-Emergent Adverse Event (TEAEs) and Serious Adverse Events (SAEs)
7; 3; 7; 3; 5; 3
PRIMARY
Tmax: Time to Reach the Maximum Observed Plasma Concentration After Single-dose and Multiple-dose of TAK-228 in the Dose Escalation Cohort
1.000; 1.000; 1.000; 2.050; 1.033; 2.083
PRIMARY
Cmax: Maximum Observed Plasma Concentration After Single-dose and Multiple-dose of TAK-228 in the Dose Escalation Cohort
24.63; 39.73; 25.80; 28.67; 18.26; 21.69
PRIMARY
AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Observed Quantifiable Concentration After Single-dose and Multiple-dose of TAK-228 in the Dose Escalation Cohort
120.888; 247.361; 138.929; 230.983; 109.622; 126.062
PRIMARY
Terminal Phase Elimination Half-life (T1/2) After Single-dose and Multiple-dose of TAK-228 in the Dose Escalation Cohort
5.090; 5.783; 6.214; 7.450; 6.975; 4.65
PRIMARY
CL/F: Apparent Clearance After Extravascular Administration, Calculated Using the Observed Value of the Last Quantifiable Concentration After Single-dose and Multiple-dose of TAK-228 in the Dose Escalation Cohort
16.534; 19.049; 14.419; 7.694; 15.311; 11.38
PRIMARY
RAC: Accumulation Ratio for TAK-228 in the Dose Escalation Cohort
2.225; 1.25; 1.495; 1.219; 1.569; 1.712
PRIMARY
Peak to Trough Ratio for TAK-228 After Single-dose and Multiple-dose of TAK-228 in the Dose Escalation Cohort
16.546; 13.588; 14.553; 10.420; 13.983; 23.757
PRIMARY
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) After Single-dose and Multiple-dose of TAK-117 in the Dose Escalation Cohort
0.800; 2.000; 2.050; 2.050; 3.017; 1.97
PRIMARY
Cmax: Maximum Observed Plasma Concentration After Single-dose and Multiple-dose of TAK-117 in the Dose Escalation Cohort
1800.0; 988.7; 3067.1; 4950.0; 4136.7; 2420
PRIMARY
AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Observed Quantifiable Concentration After Single-dose and Multiple-dose of TAK-117 in Dose Escalation Cohort
14586.139; 11550.908; 43948.190; 69617.994; 54993.211; 26746.78
PRIMARY
Terminal Phase Elimination Half-life (T1/2) After Single-dose and Multiple-dose of TAK-117 in Dose Escalation Cohort
6.590; 4.92; 3.839; 7.465; 4.858; 6.379
PRIMARY
CL/F: Apparent Clearance After Extravascular Administration, Calculated Using the Observed Value of the Last Quantifiable Concentration After Single-dose and Multiple-dose of TAK-117 in Dose Escalation Cohort
16.993; 9.79; 194.998; 20.944; 17.879; 21.075
PRIMARY
RAC: Accumulation Ratio for TAK-117 in the Dose Escalation Cohort
0.965; 1.33; 1.161; 1.049; 1.18; 2.007
PRIMARY
Peak to Trough Ratio After Single-dose and Multiple-dose of TAK-117 in Dose Escalation Cohort
20.138; 8.845; 2.551; 2.676; 4.373; 3.93
PRIMARY
Tmax: Time to Reach the Maximum Observed Plasma Concentration for TAK-228 in DDI Expansion Cohort
1.000; 0.983
PRIMARY
Cmax: Maximum Observed Plasma Concentration for TAK-228 in DDI Expansion Cohort
60.02; 71.99
PRIMARY
AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Observed Quantifiable Concentration for TAK-228 in DDI Expansion Cohort
301.613; 390.307
PRIMARY
Terminal Phase Elimination Half-life (T1/2) for TAK-228 in DDI Expansion Cohort
6.823; 6.546
PRIMARY
CL/F: Apparent Clearance After Extravascular Administration, Calculated Using the Observed Value of the Last Quantifiable Concentration for TAK-228 in DDI Expansion Cohort
15.368; 13.359
PRIMARY
Peak to Trough Ratio for TAK-228 in DDI Expansion Cohort
22.982; 23.931
PRIMARY
Tmax: Time to Reach the Maximum Observed Plasma Concentration for TAK-117 in DDI Expansion Cohort
1.033; 1.983
PRIMARY
Cmax: Maximum Observed Plasma Concentration for TAK-117 in DDI Expansion Cohort
5357.3; 5332.6
PRIMARY
AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Observed Quantifiable Concentration for TAK-117 in DDI Expansion Cohort
61148.949; 63975.156
PRIMARY
Terminal Phase Elimination Half-life (T1/2) for TAK-117 in DDI Expansion Cohort
6.420; 5.717
PRIMARY
CL/F: Apparent Clearance After Extravascular Administration, Calculated Using the Observed Value of the Last Quantifiable Concentration for TAK-117 in DDI Expansion Cohort
11.797; 9.134
PRIMARY
Peak to Trough Ratio for TAK-117 in DDI Expansion Cohort
7.423; 21.357
SECONDARY
Objective Response Rate (ORR) Based on Investigator's Assessment According to the Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
0.0; 0.0; 0.0; 0.0; 0.0; 0.0
SECONDARY
Duration of Response (DOR)
92

Eligibility Criteria

Inclusion Criteria

  • Male or female participants 18 years or older
  • Participants must have a diagnosis and documented disease progression of a solid tumor malignancy, excluding primary brain tumor, for which standard, curative, or life prolonging treatment does not exist or is no longer effective
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • Female participants who are postmenopausal for at least 1 year prior to screening. For women of child-bearing potential agree to practice 2 effective methods of contraception or agree to practice true abstinence
  • Male participants must agree to practice effective barrier contraception during the entire study treatment period and through 30 days after last dose of study drug or practice true abstinence
  • Voluntary written consent
  • Suitable venous access
  • Participants must have a block of banked tumor tissue and/or fresh tumor tissue or at least 10 unstained slides available to be sent to the central laboratory
  • Clinical laboratory values as specified in the protocol
  • Participants must have radiographically or clinically evaluable tumor

Exclusion Criteria

  • Female participants who are lactating and breastfeeding or have a positive serum pregnancy test during the Screening period or a positive urine pregnancy test on Day 1 before first dose of study drug
  • Any serious medical or psychiatric illness that could, in the investigator's opinion, potentially interfere with the completion of treatment
  • Treatment with any investigational products within 30 days before the first dose of study drug
  • Previous treatment with TAK-117 and/or TAK-228; previous treatment with dual mTORC1/2 or dual PI3K-mTOR inhibitors
  • Failed to have recovered from the reversible effects of previous anticancer therapies
  • Have received systemic corticosteroid (inhalers are allowed) within 7 days before the first administration of study drug
  • Known gastrointestinal (GI) disease or GI procedure that could interfere with the oral absorption or tolerance of study drug
  • Diagnosis of diabetes mellitus
  • Other clinically significant co-morbidities, such as uncontrolled pulmonary disease, active CNS disease, active infection
  • Known human immunodeficiency virus (HIV) infection
  • Cardiovascular conditions as defined in the protocol
  • A requirement for positive inotropic support (excluding digoxin) or serious uncontrolled cardiac arrhythmia (including atrial flutter/fibrillation) within 1 year before screening
  • Participants who are taking proton pump inhibitors within 7 days of the first dose or who require treatment with proton pump inhibitors during the trial or those who are taking histamine-2 (H2) receptor antagonists within 24 hours of the first dose
  • Participants who received previous therapy with PI3K inhibitors or rapalogs will be allowed in the study if all other inclusion/exclusion criteria are met
  • Diagnosis of primary brain tumor or symptomatic brain metastasis. Participants with brain metastases must be without neurologic dysfunction that would confound the evaluation of neurologic and other adverse events (AEs)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01899053). 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.

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