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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT00629473
Registration number
NCT00629473
Ethics application status
Date submitted
26/02/2008
Date registered
6/03/2008
Date last updated
22/11/2017
Titles & IDs
Public title
Phase 1 Clinical Trial of NPI-0052 in Patients With Advanced Malignancies
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Scientific title
A Phase 1 Clinical Trial of NPI-0052 in Patients With Advanced Malignancies
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Secondary ID [1]
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NPI-0052-102
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced Cancer
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - NPI-0052 on Days 1, 8, 15 every 28 days
Treatment: Drugs - NPI-0052 on Days 1, 4, 8, 11 every 21 days
Treatment: Drugs - Dexamethasone
Experimental: Arm AM: advanced malignancies - Dose Escalation - 9 dose cohorts NPI-0052 on Days 1, 8, 15 every 28 days NPI-0052 doses ranging from 0.1 to 0.9 mg/m2
Experimental: Arm MM: multiple myeloma - Dose Escalation - 8 dose cohorts NPI-0052 on Days 1, 4, 8, 11 every 21 days NPI-0052 doses ranging from 0.075 to 0.6 mg/m2 Dexamethasone 20 mg oral or IV day before and day after NPI-0052 dosing.
Treatment: Drugs: NPI-0052 on Days 1, 8, 15 every 28 days
NPI-0052 dose ranging from 0.1 to 0.9 mg/m2 NPI-0052 IV injection over 1 to 120 minutes on Days 1, 8, and 15 of 4-week cycles
Treatment: Drugs: NPI-0052 on Days 1, 4, 8, 11 every 21 days
NPI-0052 dose ranging from 0.075 to 0.6 mg/m2 NPI-0052 IV injection over 1 to 120 minutes on Days 1, 4, 8, and 11 of 3-week cycles
Treatment: Drugs: Dexamethasone
20 mg oral or IV day before and day after NPI-0052 dosing.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Determine Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) of NPI-0052
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Assessment method [1]
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Assess dose-limiting toxicities during Cycle 1 for each treatment arm
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Timepoint [1]
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Cycle 1 (Arm AM: 28-days, Arm MM: 21-days)
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Secondary outcome [1]
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To evaluate the pharmacokinetics activity of NPI-0052
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Assessment method [1]
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the assess the time course of NPI-0052 in the body
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Timepoint [1]
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Baseline, Days 1 and 15 (before injection and 1 hour post injection) of Cycle 1
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Secondary outcome [2]
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To evaluate the safety and tolerability of NPI-0052
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Assessment method [2]
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Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
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Timepoint [2]
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Treatment period through 28-days after the last dose of study drug
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Secondary outcome [3]
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To evaluate the pharmacodynamics of NPI-0052
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Assessment method [3]
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proteasome inhibition in blood samples
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Timepoint [3]
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Baseline, Days 1 and 15 (before injection and 1 hour post injection) of Cycles 1 and 2 and of every other cycle thereafter through study completion
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Eligibility
Key inclusion criteria
- Karnofsky Performance Status (KPS) > 70%.
- Histologically-confirmed advanced malignancy for which a standard, approved therapy is
not available.
- Adequate renal, liver, pancreatic and hematologic function
- Signed informed consent (sample IC form is provided in Appendix A).
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion Criteria
- Administration of chemotherapy, biological, immunotherapy or investigational agent
(therapeutic or diagnostic) within 28 days
- Patients that require G-CSF and/or platelet support during screening and are likely to
require G-CSF and/or platelet support for the duration of the clinical trial.
- Patients with ongoing coagulopathies and/or taking anticoagulants
- Patients receiving intrathecal therapy.
- Known brain metastases.
- Pre-existing adrenal insufficiency; concomitant therapy with replacement
corticosteroids. Pre-existing acute or chronic pancreatitis.
- Significant cardiac disease.
- Pregnant or breast-feeding women.
- Concurrent, active secondary malignancy for which the patient is receiving therapy.
(Lymphoma patients with a diagnosis of a potentially hormone-sensitive tumor who are
without evidence of disease for this second malignancy may continue to receive
hormonal therapy).
- Patients with proteinuria Grade 2 or greater
- Active uncontrolled bacterial or fungal infection requiring systemic therapy;
infection requiring parenteral antibiotics.
- Patients who are known to be HIV positive or have active Hepatitis A, B, or C
infection.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2007
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/04/2013
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Sample size
Target
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Accrual to date
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Final
86
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Recruitment in Australia
Recruitment state(s)
QLD,SA,VIC,WA
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Recruitment hospital [1]
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Mater Adult Hospital - South Brisbane
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Recruitment hospital [2]
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The Queen Elizabeth Hospital - Woodville South
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Recruitment hospital [3]
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Peter MacCallum Cancen Center - Melbourne
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Recruitment hospital [4]
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The Alfred Hospital - Melbourne
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Recruitment hospital [5]
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Border Medical Oncology - Wodonga
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Recruitment hospital [6]
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Sir Charles Gairdner Hospital and University of Western Australia - Nedlands
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Recruitment hospital [7]
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Royal Perth Hospital - Perth
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Recruitment postcode(s) [1]
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4101 - South Brisbane
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Recruitment postcode(s) [2]
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5001 - Woodville South
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Recruitment postcode(s) [3]
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3002 - Melbourne
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Recruitment postcode(s) [4]
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3168 - Melbourne
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Recruitment postcode(s) [5]
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3690 - Wodonga
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Recruitment postcode(s) [6]
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6009 - Nedlands
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Recruitment postcode(s) [7]
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6001 - Perth
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
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Name
Celgene
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase 1 clinical trial examining the safety, pharmacokinetics and pharmacodynamics
of escalating doses of the proteasome inhibitor NPI-0052 in patients with advanced
malignancies including solid tumors, lymphomas, leukemias and multiple myeloma. By inhibiting
proteasomes NPI-0052 prevents the breakdown of proteins involved in signal transduction,
which blocks growth and survival in cancer cells.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT00629473
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Steven D Reich, MD
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Address
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Triphase Research and Development I Corp
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Country
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Phone
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Fax
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Email
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Contact person for public queries
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Address
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Country
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Fax
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Email
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT00629473
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