Dose Escalation, Combination Chemotherapy Safety Study of Birinapant (TL32711), in Subjects With Advanced or Metastatic Solid Tumors

The purpose of this study is to determine the safety and maximum tolerated dose of
birinapant (TL32711) as a 30 minute intravenous infusion once a week, for 2 consecutive
weeks, when combined with standard regimens of chemotherapy in subjects with advanced or
metastatic solid tumors. Additionally the study will assess anti-tumor activity,
pharmacokinetics, and exploratory biomarkers as a measurement of pharmacodynamic effects.

Inclusion Criteria:

- Confirmed advanced or metastatic malignancy for which the proposed chemotherapy
regimen is appropriate in the judgment of the Investigator.

- Prior therapy in dose-escalation and expansion cohorts:

- Dose-escalation cohorts: Subjects may be naïve or may have received prior
therapy with the specific chemotherapeutic agent(s) being recommended in the
combination arm, provided the subject did not experience life-threatening
toxicity attributed to the specific agent(s).

- Expansion cohorts: Subjects have advanced colorectal cancer that had been
previously determined to be KRAS mutant. Subjects naïve to irinotecan may be
enrolled, and the KRAS mutation status may be wild type or mutant. Subjects
previously treated with an irinotecan containing regimen may be enrolled only if
they have been previously determined to be KRAS wild type. The irinotecan
regimen must not have been associated with life threatening adverse events.

- Subjects evaluated for Arm 5 (liposomal doxorubicin) may not have received >300 mg/m2
cumulative dose of anthracycline.

- Life expectancy >3 months.

- Eastern Cooperative Oncology Group (ECOG) performance status of ≤2.

- Adequate renal function

- Adequate hepatic function

- Adequate bone marrow function

- Women of childbearing potential must have a negative serum pregnancy test.

- Women of childbearing potential must agree to use 2 methods of adequate contraception
(ie, hormonal and barrier method) prior to enrollment, during the study, and for a
period of 30 days following the last dose of TL32711. Males who are sexually active
must agree to use a condom during the study and for a period of 30 days following the
last dose of TL32711, and if their partner is of childbearing potential, she must
agree to use a secondary method of contraception (ie, hormonal, intrauterine device,
barrier) during the study and for a period of 30 days following the last dose of
TL32711.

Exclusion Criteria:

- Recent anti-cancer treatment defined as:

- Standard or investigational anti-cancer therapy within 4 weeks prior to first
dose of TL32711. Exception: continued hormonal interventions for prostate
cancer.

- Radiation therapy within 2 weeks prior to the first dose of TL32711.

- Major surgery within 4 weeks prior to the first dose of TL32711. Subjects must
be well recovered from acute effects of surgery prior to enrollment.

- Known or suspected diagnosis of human immunodeficiency virus or chronic active
Hepatitis B or C.

- Symptomatic or uncontrolled brain metastases requiring current treatment.

- Impaired cardiac function or clinically significant cardiac disease

- QT interval corrected for heart rate (QTcB) >480 msec (including subjects on
medication).

- Lack of recovery of prior adverse events to Grade ≤1 severity (NCI CTCAE v4) (except
alopecia) due to therapy administered prior to the initiation of study drug dosing.

- Nursing or pregnant women.

- Known allergy to any of the formulation components of TL32711.

- Any concurrent disease and/or medical condition that in the opinion of the
Investigator that would prevent the subject's participation, render the subject at
excessive risk (including excessive risks due to the toxicity profile of the planned
combination chemotherapeutic regimen), or limit the subject's compliance with the
protocol's required evaluations.