Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of GS-5829 in Adults With Advanced Solid Tumors and Lymphomas



Status:Completed
Conditions:Cancer, Lymphoma
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:10/22/2017
Start Date:March 16, 2015
End Date:October 11, 2017

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A Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of GS-5829 as a Monotherapy in Subjects With Advanced Solid Tumors and Lymphomas and in Combination With Exemestane or Fulvestrant in Subjects With Estrogen Receptor Positive Breast Cancer

This study will evaluate the safety, tolerability, pharmacokinetics (PK), and
pharmacodynamics (PD) of GS-5829 in adults with advanced solid tumors and lymphomas and in
combination with exemestane or fulvestrant in adults with estrogen receptor positive breast
cancer.


Key Inclusion Criteria:

- Group 1: Histologically or cytologically confirmed advanced malignant solid tumor or
lymphoma (any subtype) that is refractory to or intolerant of standard therapy or for
which no standard therapy is available

- Group 2: Post-menopausal women with advanced stage estrogen receptor positive breast
cancer who are candidates for exemestane or fulvestrant

- Group 3: Individuals with lymphoma are limited to diffuse large B-cell lymphoma and
peripheral T-cell lymphoma that are refractory to or intolerant of standard therapy or
for which no standard therapy is available

- Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 1

- Adequate organ function defined as follows:

- Hematologic: Platelets ≥ 100 x 10^9/L; Hemoglobin ≥ 9.0 g/ dL; Absolute
neutrophil count (ANC) ≥ 1.5 x 10^9/L (without platelet transfusion or any growth
factors within previous 7 days of the hematologic laboratory values obtained at
screening visit). Patients in the Group 3 lymphoma expansion may be enrolled with
an ANC of ≥ 1.0 x 10^9 /L; Platelets ≥ 75 x 10^9 /L.

- Hepatic: Aspartate transaminase (AST) / Alanine transaminase (ALT) ≤ 2.5 x upper
limit of normal (ULN) (if liver metastases are present, ≤ 5 x ULN); Total or
conjugated bilirubin ≤ 1.5 x ULN

- Renal: Serum creatinine ≤ 1.5 x ULN or creatinine clearance (CrCl) ≥ 60 ml/min as
calculated by the cockcroft-gault method

- Coagulation: International Normalized Ratio (INR) ≤ 1.2

Key Exclusion Criteria:

- Known brain metastasis or leptomeningeal disease

- Myocardial infarction, symptomatic congestive heart failure (New York Heart
Association Classification > Class II), unstable angina, or serious uncontrolled
cardiac arrhythmia within the last 6 months of study Day 1

- Major surgery, defined as any surgical procedure that involves general anesthesia and
a significant incision (ie, larger than what is required for placement of central
venous access, percutaneous feeding tube, or biopsy) within 28 days of first dose of
study drug

- History of long QT syndrome or whose corrected QT interval (QTc) measured (Fridericia
method) at screening is prolonged (> 450 ms for males and > 470 ms for females).
Individuals who screen-fail due to this criterion are not eligible to be re-screened

- Clinically significant bleeding within 28 days of study Day 1

- Known human immunodeficiency virus (HIV) infection

- HBsAG positive

- Hepatitis C virus (HCV) antibody positive

- No active anticoagulation within 7 days of study Day 1; including acetylsalicylic
acid, low molecular weight heparin, or warfarin.

Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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