A Phase I Study to Assess the Safety, Pharmacokinetics, and Potential Effects of Amrubicin on the QT/QTc Interval in Cancer Patients With Advanced Solid Tumors.

Completed · Phase 1

Conditions studied: Advanced Solid Tumors

In brief

The purpose of the study is to determine whether amrubicin is safe and effective in the treatment of patients with advanced solid tumors. The study will assess the pharmacokinetics of the amrubicin and if it has an effect on the heart.

Key facts

Study ID

NCT00915083

Run by

Celgene

People needed

24

Starts

2009-06-01

Expected to finish

2011-05-01

Last updated by the study team

2019-11-01

Who can join

Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patients meeting all of the following criteria will be considered for enrollment into the study:
• Males or females, aged 18-65 years;
• Histological or cytological diagnosis of solid malignancy for which no acceptable standard therapy exists or for which approved standard therapy has failed;
• Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1;
• Life expectancy greater than 3 months;
• Nonsmoker or not smoked or used tobacco products for at least 3 months before the screening visit and agree to abstain from smoking/using tobacco products throughout the formal study and until the End of Study visit;
• Capable of giving informed consent, has signed the informed consent form, and is willing to comply with scheduled visits, dose administration, and other study procedures;
• Women of childbearing potential may participate, providing they have a negative serum pregnancy test (β-HCG) at screening, and a negative urine pregnancy test prior to dosing on Day 1 of each cycle;
• Males and females of childbearing potential must agree to the use of at least 2 effective contraceptive methods until at least 28 days following the last dose of study drug;
• Serum potassium, magnesium and corrected calcium that is within institutional normal range at screening;
• Adequate organ function including the following:
• Adequate bone marrow reserve: absolute neutrophil count (segmented and bands) (ANC) ≥1.5 x 109/L, platelet count ≥100 x 109/L, and hemoglobin ≥90 g/L,
• Hepatic: bilirubin ≤1.5 x the upper limit of normal (ULN), ALT and AST ≤2.0 x ULN,
• Renal: serum creatinine ≤1.5 x ULN or calculated creatinine clearance >80 mL/min.

You may not qualify if…

• Patients meeting any of the following criteria will be excluded from the study:
• Hypersensitivity to amrubicin or related compounds;
• Radiotherapy with curative intent to a primary disease complex ≤ 28 days before first dose; cranial radiotherapy ≤ 21 days before first dose; radiotherapy to all other areas ≤ 7 days before first dose of amrubicin;
• History or presence of clinically significant abnormal 12-lead ECG or triplicate ECGs with a mean QT interval corrected for heart rate (HR) using Fridericia's method (QTcF) of >450 msec (males) or >470 msec (females), a PR interval >240 msec or a QRS interval >110 msec (within 3 months of screening visit);
• Left ventricular ejection fraction (LVEF) <50%;
• Recent history (within 3 months of screening visit) of pericarditis and pericardial effusion;
• History within 6 months of the screening visit of one of the following:
• cardiac disease including congenital long-QT syndrome,
• angina, congestive heart failure,
• myocardial ischemia or infarction,
• myocarditis, chest pain or dyspnea on exertion of cardiac origin,,
• idiopathic or hypertrophic cardiomyopathy,
• sarcoidosis,
• syncope,
• epilepsy,
• or other clinically significant cardiac disease;
• Family history of long QT syndrome;
• Use of implantable pacemaker or implantable cardioverter defibrillator;
• Clinically significant bradycardia (<50 beats per minute);
• Systolic blood pressure >150 mmHg or diastolic blood pressure >100 mmHg;
• Previous treatment with an investigational agent or any anticancer therapy within 4 weeks prior to the 'off-drug' visit;
• Previous treatment with anticancer therapy and has not fully recovered (Common Terminology Criteria Adverse Event [CTCAE] Grade 1, except alopecia) from the toxic effects of that treatment;
• Treatment with any medication known to produce QT prolongation enzyme-inducing anticonvulsants, non-prescription medications including topical medications, all vitamins, minerals, herbs or dietary supplements/remedies (e.g., Saint John's Wort or Milk Thistle) for at least 7 days before the start of the off-drug visit;
• Previous treatment with any anthracycline;
• Any condition that would put the patient at undue risk or discomfort as a result of adherence to study procedures;

Where it is running

• University of California San Diego — La Jolla, California, United States
• Sarcoma Oncology Center — Santa Monica, California, United States
• Indiana University Cancer Pavilion — Indianapolis, Indiana, United States
• James Graham Brown Cancer Center — Louisville, Kentucky, United States
• Sinai Hospital of Baltimore- Alvin and Lois Lapidus Cancer Institute — Baltimore, Maryland, United States
• Montefiore Medical Center — The Bronx, New York, United States
• UT Health Science Center at San Antonio- Cancer Therapy and Research Center — San Antonio, Texas, United States
• Hunstman Cancer Institute — Salt Lake City, Utah, United States

Full record on ClinicalTrials.gov

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