Phase I Study of Oral DFP-11207 in Solid Tumors



Status:Completed
Conditions:Cancer, Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:1/31/2019
Start Date:June 2014
End Date:September 13, 2018

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A Phase I Study of Once-Daily Oral DFP-11207 in Patients With Solid Tumors

This is a first-in-human, open label, single arm, sequential dose escalation and expansion
study of oral DFP-11207 in patients with advanced solid tumors.

The Phase I dose escalation portion of the study has been completed. The maximum tolerated
dose (MTD)/recommended phase 2 dose (RP2D) has been determined. The study will now evaluate
the effect of food on the pharmacokinetics of DFP-11207.

The food effect study is a two-step, two-way crossover design to evaluate the
pharmacokinetics and bioavailability of oral DFP-11207 capsules. During Cycle 1, oral
DFP-11207 capsules are to be taken daily (as a single dose or twice-daily [approximately 12
hours apart]) under fed/fasted conditions. After Cycle 1, the food effect study will be
completed and patients will continue to take oral DFP-11207 capsules twice-daily
(approximately 12 hours apart) for 28 days of a 28-day treatment cycle.

Inclusion Criteria:

1. Patients must have pathologically-confirmed solid tumors, refractory after standard
therapy for the disease or for which conventional systemic chemotherapy is not
reliably effective or no effective therapy is available.

2. Aged ≥ 18 years.

3. ECOG Performance Status of 0 or 1.

4. Adequate clinical laboratory values defined as:

- absolute neutrophil count ≥ 1.5 x 10^9/L

- platelets ≥ 100 x 10^9/L

- plasma creatinine ≤ 1.5 x upper limit of normal (ULN) for the institution

- bilirubin ≤ 1.5 x ULN

- alanine transaminase (ALT) and aspartate transaminase (AST) < 2.5 x ULN (< 5 x
ULN if documented hepatic metastases)

5. Absence of uncontrolled intercurrent illnesses, including uncontrolled infections,
cardiac conditions, or other organ dysfunctions.

6. Patients may have measurable or non-measurable disease as defined by RECIST 1.1.

7. Signed informed consent prior to the start of any study specific procedures.

8. Women of child-bearing potential must have a negative serum or urine pregnancy test.
Male and female patients must agree to use acceptable contraceptive methods for the
duration of the study and for at least one month after the last drug administration.

Exclusion Criteria:

1. Known allergy to fluoropyrimidines or known dihydropyrimidine dehydrogenase (DPD)
deficiency.

2. Patients will be excluded if they have received previous chemotherapy, immunotherapy,
radiotherapy or any other investigational therapy within 4 weeks (6 weeks for
nitrosoureas or mitomycin C) or 5 half-lives for non-cytotoxic agents prior to this
study entry.

3. Extensive prior radiotherapy, more than 30% of bone marrow reserves, or prior bone
marrow/stem cell transplantation.

4. Any concomitant condition that in the opinion of the Investigator could compromise the
objectives of this study and the patient's compliance.

5. Pregnant or lactating individuals.

6. Current malignancies of another type, with the exception of adequately treated in situ
cervical cancer, squamous cell and basal cell skin cancer or other malignancies with
no evidence of disease for 2 years or more.

7. Known history of HIV, HBV or HCV infection.

8. Documented or known bleeding disorder.

9. Requirement for anticoagulation treatment that increases international normalized
ratio (INR) or activated partial thromboplastin time (aPTT) above the normal range
(low dose deep vein thrombosis (DVT) or line prophylaxis is allowed).

10. Clinically evident central nervous system metastases or leptomeningeal disease not
controlled by prior surgery or radiotherapy; history of seizure disorder not
controlled by anti-seizure medication at the time of enrollment.

11. Cardiac dysfunction defined as myocardial infarction within 6 months of study entry,
New York Heart Association Class III or IV heart failure, uncontrolled dysrhythmias or
poorly controlled angina.

12. History of serious ventricular arrhythmia (VT or VF, ≥ 3 beats in a row), QTc ≥ 450
msec for men and 470 msec for women, or LVEF ≤ 40% by MUGA or ECHO.
We found this trial at
1
site
Houston, Texas 77030
Principal Investigator: Jaffer Ajani, M.D.
?
mi
from
Houston, TX
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