Bioequivalence & Food Effect Study in Patients With Solid Tumor or Hematologic Malignancies

Completed · Phase 1

Conditions studied: Hematological Neoplasms, Non-Hodgkin's Lymphoma, Hodgkin's Lymphoma, Lymphoma, Multiple Myeloma, Acute Myeloid Leukemia, Leukemia, Myelodysplastic Syndromes, Neoplasms, Melanoma, Breast Cancer, Metastatic Breast Cancer, Non-Small Cell Lung Cancer, Small Cell Lung Cancer, Renal Cell Carcinoma, Glioblastoma Multiforme, Osteosarcoma, Sarcoma, Thyroid Cancer, Genitourinary

In brief

This is a Phase 1, open-label, multicenter, randomized, 2-stage crossover study consisting of 2 phases: Stage I - Pharmacokinetics (Bioequivalence), with an Extension Stage II - Pharmacokinetics (Food Effect) with an Extension This study will enroll approximately 60 subjects in stage I and 60 subjects in stage II with hematologic or solid tumor malignancies, excluding gastrointestinal tumors and tumors that have originated or metastasized to the liver for which no standard treatment exists or have progressed or recurred following prior therapy. Subjects must not be eligible for therapy of higher curative potential where an alternative treatment has been shown to prolong survival in an analogous population. Approximately 23 sites in the US and 2 in Canada will participate in this study.

Key facts

Study ID

NCT02223052

Run by

Celgene

People needed

89

Starts

2014-10-27

Expected to finish

2018-12-18

Last updated by the study team

2020-05-12

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Subjects must satisfy the following criteria to be enrolled in the study:
• Age ≥ 18 years of age at the time of signing the informed consent document.
• Understand and voluntarily sign an informed consent document prior to any study related assessments/procedures are conducted.
• Documented diagnosis of any of the following:
• Myelodysplastic Syndrome (MDS) according to the World Health Organization (WHO) 2008 classification
• Acute myeloid leukemia (AML)
• Multiple myeloma (MM), limited to those patients for whom standard curative or palliative treatments do not exist or are no longer effective
• Non-Hodgkin's lymphoma (NHL), limited to those patients for whom standard curative or palliative treatment do not exist or are no longer effective,
• Hodgkin's lymphoma (HL), limited to those patients for whom standard curative or palliative treatment do not exist or are no longer effective
• Metastatic or inoperable solid tumors* (except gastrointestinal tumors or tumors that originated or metastasized to the liver) for which no standard treatment exists, or have progressed or recurred following prior therapy.
• Subjects must not be eligible for therapy of higher curative potential where an alternative treatment has been shown to prolong survival in an analogous population.
• Patients with a history of treated brain metastases should be clinically stable for ≥ 4 weeks prior to signing the informed consent. Glucocorticoid therapy for central nervous system (CNS) edema is permitted if ≤ 20 mg of prednisolone (or equivalent).
• Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
• Have a life expectancy of ≥ 3 months.
• Have stable renal function without dialysis for at least 2 months prior to Investigational Product (IP) administration defined by:
• Serum creatinine < 2.5 x the upper limit of normal (ULN)
• An average calculated creatinine clearance > 30 mL/min/1.73 m\^2
• Have organ and marrow function at the screening and pre-dose visits as defined by:
• Hemoglobin ≥ 8 g/dL
• Absolute neutrophil count (ANC) ≥ 0.75 x 10\^3/uL without treatment with a myeloid growth factor within 3 days prior to first dose of IP
• Platelets ≥ 30 x 10\^3/uL
• Total bilirubin ≤ 1.5 x Upper Limits of Normal (ULN)
• Aspartate aminotransferase (AST) ≤ 2 x ULN
• Alanine aminotransferase (ALT) ≤ 2 x ULN
• Have a 12-lead Electrocardiogram (ECG) that is not clinically significant at screening, as determined by the investigator

You may not qualify if…

• Women who are pregnant or nursing (lactating).
• Gastrointestinal tumors, tumors that have originated or metastasized to the liver, or other tumors known to interfere with the absorption, distribution, metabolism, or excretion of drugs.
• Had chemotherapy or radiotherapy within 4 weeks prior to the first day of Investigational Product (IP) administration.
• Have been treated with an investigational agent within 4 weeks prior to the first day of IP administration.
• Have ongoing clinically significant adverse event(s) due to prior treatments administered as determined by the investigator.
• Significant active cardiac disease within the previous 6 months, including:
• New York Heart Association (NYHA) class IV congestive heart failure
• Significant cardiac arrhythmia or unstable angina or angina requiring surgical or medical intervention; and/or
• Myocardial infarction
• Have known or suspected hypersensitivity to azacitidine or any other ingredient used in the manufacturing of Azacitidine.
• Uncontrolled systemic fungal, bacterial, or viral infection (defined as ongoing signs/symptoms related to the infection without improvement despite appropriate antibiotics, antiviral therapy, and/or other treatment)
• History of inflammatory bowel disease (e.g. Crohn's disease, ulcerative colitis), celiac disease, prior gastrectomy, gastric bypass, upper bowel removal, or any other gastrointestinal disorder or defect that would interfere with the absorption of the study drug and/or predispose the subject to an increased risk of gastrointestinal toxicity.
• Any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study.
• Any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study
• Any condition that confounds the ability to interpret data from the study
• Impaired ability to swallow oral medication
• Any condition that confounds the ability to interpret data from the study

Where it is running

• Scottsdale Healthcare Research Institute — Scottsdale, Arizona, United States
• Mayo Clinic - Arizona — Scottsdale, Arizona, United States
• University of Arizona Cancer Center — Tucson, Arizona, United States
• University of Iowa — Iowa City, Iowa, United States
• Henry Ford Health System — Detroit, Michigan, United States
• Cancer Institute of New Jersey — New Brunswick, New Jersey, United States
• Cleveland Clinic Foundation — Cleveland, Ohio, United States
• Greenville Hospital System — Greenville, South Carolina, United States
• Vanderbilt- Ingram Cancer Center — Nashville, Tennessee, United States
• The Methodist Hospital Research Institute l — Houston, Texas, United States

Full record on ClinicalTrials.gov

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