Phase 1
N=81
A Study MLN2480 in Combination With MLN0128 or Alisertib, or Paclitaxel, or Cetuximab, or Irinotecan in Adult Participants With Advanced Nonhematologic Malignancies
Advanced Nonhematologic Malignancies
Bottom Line
View on ClinicalTrials.gov: NCT02327169 ↗Enrolled (actual)
81
Serious AEs
48.2%
Results posted
Feb 2020
Primary outcome: Primary: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) — 4; 3; 7; 3 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- MLN2480 (Drug); MLN0128 (Drug); Alisertib (Drug); Paclitaxel (Drug); Cetuximab (Drug); Irinotecan (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Millennium Pharmaceuticals, Inc.
- Primary completion
- Jul 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) |
4; 3; 7; 3; 8; 4 | — |
| PRIMARY Number of Participants With Dose-Limiting Toxicities (DLTs) |
1; 0; 0; 0; 1; 0 | — |
| PRIMARY Maximum Tolerated Dose (MTD) for MLN2480 |
NA; NA; NA; NA; NA; NA | — |
| PRIMARY Recommended Phase 2 Dose (RP2D) of MLN2480 |
NA; NA; NA; NA; NA; NA | — |
| SECONDARY Cmax : Maximum Observed Plasma Concentration for MLN2480 |
— | — |
| SECONDARY Cmax: Maximum Observed Plasma Concentration for MLN0128 |
— | — |
| SECONDARY Cmax: Maximum Observed Plasma Concentration for Alisertib |
— | — |
| SECONDARY Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for MLN2480 |
— | — |
| SECONDARY Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for MLN0128 |
— | — |
| SECONDARY Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Alisertib |
— | — |
| SECONDARY AUC(0-tau): Area Under the Plasma Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for MLN2480 |
— | — |
| SECONDARY AUC(0-tau): Area Under the Plasma Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for MLN0128 |
— | — |
| SECONDARY AUC(0-tau): Area Under the Plasma Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for Alisertib |
— | — |
| SECONDARY Cmax: Maximum Observed Plasma Concentration for Paclitaxel |
— | — |
| SECONDARY AUC(0-last): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Paclitaxel |
— | — |
| SECONDARY AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity, Calculated Using the Observed Value of the Last Quantifiable Concentration for Paclitaxel |
— | — |
| SECONDARY Terminal Elimination Half-life (T1/2) for Paclitaxel |
— | — |
| SECONDARY Objective Response Rate (ORR) Based on Response Evaluation Criteria in Solid Tumors (RECIST) |
0; 0; 0; 0; 17; 75 | — |
| SECONDARY Duration of Response |
NA; 3.7; 6.5; 3.5; 11.5 | — |
| SECONDARY Time to Response |
4.2; 3.7; 2.7; 1.8; 1.9 | — |
| SECONDARY Progression Free Survival (PFS) |
0.5; 1.9; 3.7; 1.9; 9.5; 5.3 | — |
Summary
The primary purpose of this study is to determine the safety profile and the maximum tolerated doses (MTDs)/ potential recommended phase 2 doses (RP2Ds) of the combination treatments of MLN2480 + MLN0128, MLN2480 + alisertib, MLN2480 + paclitaxel, MLN2480 + cetuximab, and MLN2480 + irinotecan in participants with advanced nonhematologic malignancies.
Eligibility Criteria
Inclusion Criteria
All Treatment Arms:
- Male or female participants 18 years or older.
- Participants who, in the opinion of the treating physician, have failed standard therapies and for whom a phase 1 trial is an appropriate option.
- Radiographically or clinically evaluable tumor. For expansion phase: Tumors must be measurable and of the protocol specified genetic mutational status, where applicable.
- Recovered (ie, less than or equal to [ =) 10 unstained slides. Participants who satisfy all other eligibility criteria but do not have banked tissue/slides may be asked to consent to baseline biopsy.
- Suitable vein access for the study-required blood sampling.
- Thyroid function tests consistent with stable thyroid function. Note: Participants on a stable dose of thyroid replacement therapy for a suggested minimum of 12 weeks before Cycle 1, Day 1 are eligible.
- Left ventricular ejection fraction (LVEF) of 50 percent (%) or greater, as measured by echocardiogram (ECHO) or multiple-gated acquisition scan (MUGA), within 28 days before the first dose of MLN2480
- Female participants who are post-menopausal for at least 1 year, surgically sterile, or agree to practice 2 effective methods of contraception through 120 days (4 months) after the last dose of study drug for participants in Arms 1, 2, and 5, and through 6 months for participants in Arms 3 and 4, or agree to practice true abstinence.
- Male participants who, even if surgically sterilized, agree to practice effective barrier contraception through 120 days (4 months) after the last dose of study drug for participants in Arms 1, 2, and 5, and through 6 months for participants in Arms 3, and 4, or agree to practice true abstinence.
- Additional inclusion criteria for arm 3 expansion only (MLN2480 + paclitaxel):
a. Participants with Kirsten rat sarcoma viral oncogene homolog (KRAS) exon 2 or BRAF non-V600 mutation-positive non-small cell lung cancer (NSCLC) who have received a minimum of 1 but not more than 2 prior cytotoxic-approved regimens.
- Additional inclusion criteria for arms 4 and 5 expansion only (MLN2480 + cetuximab; MLN2480 + irinotecan):
- Participants with CRC who have received a minimum of 1 but not more than 2 prior cytotoxic-approved regimens.
Exclusion Criteria
All treatment arms:
- Female participants who are pregnant or currently breastfeeding.
- History of any serious medical or psychiatric illness that could, in the investigator's opinion, potentially interfere with safe protocol completion.
- History of uncontrolled brain metastasis unless: previously treated with surgery, whole-brain radiation, or stereotactic radiosurgery; stable disease for >= 60 days without steroid use (or stable steroid dose established for >= 28 days before the first dose of MLN2480).
- Ongoing seizure disorder or a requirement for antiepileptics.
- Recent prior therapies, including: chemotherapy and hormonal therapy <= 4 weeks or 4 half lives, whichever occurs first, before administration of study drug; immunotherapy/monoclonal antibody use <= 4 weeks before administration of MLN2480; or radiation therapy <= 3 weeks before administration of study drug.
- Chronic therapeutic corticosteroid use with the exception of replacement therapy for adrenal insufficiency or corticosteroid inhalers.
- Known history of human immunodeficiency virus infection, hepatitis B, or hepatitis C; Prior allogeneic bone marrow or organ transplantation, or active condition of chronic immune suppression is not allowed.
- Concomitant use, or administration <= 14 days before first dose of study drug(s), of clinically significant enzyme inducers.
- Treatment with gemfibrozil (strong Cytochrome P4502C8 [CYP2C8] inhibitor) within 14 days before the first dose of MLN2480.
- History of or current illicit drug use, drug abuse, or alcohol abuse.
- Major surgery within 14 days before the first dose of study drug.
- Inability to comply with study requirements.
- Other un
Data sourced from ClinicalTrials.gov (NCT02327169). 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.