Study to Assess Food Effect on Pharmacokinetics of Entinostat in Subjects With Breast Cancer or Non-Small Cell Lung Cancer



Status:Completed
Conditions:Breast Cancer, Lung Cancer, Cancer, Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - 90
Updated:7/1/2016
Start Date:May 2012
End Date:May 2014

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A Phase I Study to Assess the Food Effect on the Pharmacokinetics of Entinostat in Postmenopausal Women With Locally Recurrent or Metastatic ER+ Breast Cancer and Men and Women With Progressive Non-Small Cell Lung Cancer

The purpose of this study is to evaluate the effect of food on the pharmacokinetics (PK) of
the experimental drug, entinostat, in women with breast cancer and men and women with
non-small cell lung cancer. The safety and tolerability of entinostat will also be evaluated
when entinostat is given by itself as well as with the approved drugs, exemestane
(Aromasin®) or erlotinib (Tarceva®). A biomarker (chemical "marker" in the blood/tissue that
may be related to your response to the study drug) will also be tested.

This is Phase 1, randomized, open-label, study of entinostat. The study is designed to
evaluate any food effect on the pharmacokinetics of entinostat.

Patients will be randomized to receive entinostat with or without food on Cycle 1 Day 1
(C1D1). Patients randomized to receive entinostat with food on C1D1 will receive a second
dose of entinostat without food on Cycle 1 Day 15 (C1D15). Patients randomized to receive
entinostat without food on C1D1 will receive a second dose of entinostat with food on C1D15.
Each cycle in the study will be for 28 days duration. Blood samples will be obtained
pre-dose and serial blood samples will be taken after each dose to assess pharmacokinetics.
For Cycle 2 and all subsequent cycles, all patients will continue to receive entinostat on
Days 1 and 15 of each cycle. Those with breast cancer will also receive exemestane orally
once daily starting on Cycle 2 Day 1. Those with NSCLC will also receive erlotinib starting
on Cycle 2 Day 1.

Patients will be assessed at screening and at pre-prescribed times during study enrollment
using standard assessments. Patients will also be assessed for tumor response after each 2
cycles. Patients will continue receiving study treatment until tumor progression or adverse
events occur which necessitate discontinuing therapy as determined by the Investigator.

Inclusion Criteria:

Breast Cancer Patients Only

- Postmenopausal female patients

- Histologically or cytologically confirmed ER+ breast cancer at initial diagnosis and
now has current disease progression and is a candidate to receive exemestane

NSCLC Patients Only:

- Cytologically or histologically confirmed NSCLC of stage IIIb or IV

- Received 1 to 2 prior chemotherapy or chemoradiotherapy regimens for advanced NSCLC
(excluding erlotinib and valproic acid) and now has disease progression and is a
candidate to receive erlotinib

All Patients:

- Age ≥ 18 years

- Patient must have the following laboratory parameters at study screening: Hemoglobin
≥ 9.0 g/dL; unsupported platelets ≥ 100.0 10-9/L; ANC ≥ 2.0 x 10-9/L; Creatinine less
than 2.5 times the upper limit of normal for the institution; AST and alanine
transaminase (ALT) < 2.5 times the upper limit of normal for the institution

- Patients may have a history of brain metastasis as long as certain criteria are met

Exclusion Criteria:

- Pregnant or lactating women

- Patient has rapidly progressive or life-threatening metastases.

- Patient has had previous treatment with entinostat or any other HDAC inhibitor
including valproic acid

- Patient has a concomitant medical condition that precludes adequate study treatment
compliance or assessment, or increases patient risk in the opinion of the
investigator, such as but not limited to:

MI or arterial thromboembolic events within 6 months, or experiencing severe or unstable
angina, New York Heart Association (NYHA) Class III or IV disease and a QTc interval >
0.47 seconds.

Uncontrolled heart failure or hypertension, uncontrolled diabetes mellitus, uncontrolled
systemic infection.

- Patients with another active cancer (excluding adequately treated basal cell
carcinoma or cervical intraepithelial neoplasia [CIN / cervical carcinoma in situ] or
melanoma in situ). Prior history of other cancer is allowed, as long as there is no
active disease within the prior 5 years.
We found this trial at
3
sites
Oklahoma City, Oklahoma 73104
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Oklahoma City, OK
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3322 West End Avenue
Nashville, Tennessee 37203
(615)329-SCRI (7274)
Sarah Cannon Research Institute Sarah Cannon Research Institute (SCRI) is a global strategic research organization...
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Sarasota, Florida 34232
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Sarasota, FL
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