Selinexor in Combination With Irinotecan in Adenocarcinoma of Stomach and Distal Esophagus

Stopped early · Phase 1

Conditions studied: Esophageal Cancer, Gastric Cancer

In brief

The main purpose of this study is to see whether the combination of selinexor (KPT-330) and irinotecan can help people with esophageal or stomach cancer. Researchers also want to find out if the combination of selinexor (KPT-330) and irinotecan is safe and tolerable.

Key facts

Study ID

NCT02283359

Run by

H. Lee Moffitt Cancer Center and Research Institute

People needed

3

Starts

2014-12-01

Expected to finish

2016-01-01

Last updated by the study team

2016-01-15

Who can join

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

You may qualify if…

• Must have histologically confirmed gastric, gastro-esophageal junction or distal esophageal adenocarcinoma (predominant histology) that is recurrent, metastatic or unresectable
• Must have measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) criteria 1.1
• Must have received at least one line but less than three lines of prior systemic therapies and have either progressed or intolerant to prior therapies. Patients who have received adjuvant/neoadjuvant therapy within last one year will be eligible as well.
• Eastern Cooperative Oncology Group (ECOG) performance status ≤1
• Life expectancy of greater than 3 months
• Must have normal organ and marrow function
• Women of child-bearing potential (WOCBP) must agree to use dual methods of contraception and have a negative serum pregnancy test at screening. Male participants must use an effective barrier method of contraception if sexually active with a WOCBP. For both male and female participants, effective methods of contraception must be used throughout the study and for three months following the last dose.
• Ability to understand and the willingness to sign a written informed consent document

You may not qualify if…

• Have had chemotherapy, biologic therapy or radiotherapy within 3 weeks prior to entering the study
• Are receiving any other investigational agents for anti-cancer treatment within 3 weeks of starting study medication
• Symptomatic central nervous system (CNS) metastases
• Progression on irinotecan containing regimen
• History of allergic reactions attributed to compounds of similar chemical or biologic composition to irinotecan
• Major surgery within 2 weeks before cycle 1 Day 1 (C1D1)
• Unstable cardiovascular function
• Patients who are pregnant or lactating
• Uncontrolled infection requiring parenteral antibiotics, antivirals, or antifungals within one week prior to first dose; patients with controlled infection or on prophylactic antibiotics are permitted in the study.
• Known active hepatitis A, B, or C infection; or known to be positive for HCV RNA or HBsAg (HBV surface antigen)
• Any underlying condition that would significantly interfere with the absorption of an oral medication
• > Grade 2 peripheral neuropathy at baseline
• Serious psychiatric or medical conditions that could interfere with treatment
• Concurrent therapy with approved or investigational anticancer therapeutic other than steroids
• History of gastrointestinal perforation and/or fistulae within 6 months prior to C1D1
• Use of strong CYP3A4 inducers or inhibitors within 2 weeks of starting study medication

Where it is running

• H. Lee Moffitt Cancer Center and Research Institute — Tampa, Florida, United States

Full record on ClinicalTrials.gov

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