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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00881946
Registration number
NCT00881946
Ethics application status
Date submitted
20/03/2009
Date registered
15/04/2009
Date last updated
4/04/2012
Titles & IDs
Public title
Repeat Dose Safety Study for Compound to Treat Hematologic Cancer
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Scientific title
A Phase I, Open-Label, Two-Stage Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of the Oral AKT Inhibitor GSK2110183 in Subjects With Any Hematologic Malignancy
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Secondary ID [1]
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PKB112835
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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:
Hematologic Malignancies
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Condition category
Condition code
Cancer
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Leukaemia - Acute leukaemia
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Cancer
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Leukaemia - Chronic leukaemia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - GSK21110183
Experimental: GSK2119183 -
Treatment: Drugs: GSK21110183
Starting Dose = 25mg once daily with dose escalation until unacceptable toxicity develops
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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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Physical exam
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Assessment method [1]
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Timepoint [1]
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Screening, Days -3, 8, At the start of each additional Cycle
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Primary outcome [2]
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Electrocardiogram (ECG)
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Assessment method [2]
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Timepoint [2]
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Days -3, -2, -1, 8, 15, At the start of each additional Cycle
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Primary outcome [3]
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Vital signs
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Assessment method [3]
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Timepoint [3]
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Screening, Days -3, -2, -1, 8, 15, At the start of each additional Cycle
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Primary outcome [4]
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Transthoracic Echocardiogram (TTE)/Multiple Gated Acquisition (MUGA) Scans
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Assessment method [4]
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Timepoint [4]
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Screening, Additionally as needed
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Primary outcome [5]
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Clinical Laboratory assessments
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Assessment method [5]
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Timepoint [5]
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Screening, Days -3, 1, 8, 15, At the start of each additional Cycle
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Primary outcome [6]
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ECOG Peformance Status
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Assessment method [6]
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Timepoint [6]
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Screening, Days -3, 8, At the start of each additional Cycle
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Primary outcome [7]
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PK - Maximum observed plasma concentraion (Cmax)
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Assessment method [7]
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0
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Timepoint [7]
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Days -3, -2, -1, 8, 15
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Primary outcome [8]
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PK - time to Cmax [tmax] (Maximum observed plasma concentration)
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Assessment method [8]
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0
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Timepoint [8]
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Days -3, -2, -1, 8, 15
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Primary outcome [9]
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PK - Area under the plasma concentration-time curve (AUC(0-t))
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Assessment method [9]
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0
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Timepoint [9]
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Days -3, -2, -1, 8, 15
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Primary outcome [10]
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PK - Apparent terminal phase elimination rate constant
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Assessment method [10]
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Timepoint [10]
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Days -3, -2, -1, 8, 15
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Primary outcome [11]
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PK - Apparent terminal phase half-life (t1/2)
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Assessment method [11]
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0
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Timepoint [11]
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Days -3, -2, -1, 8, 15
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Primary outcome [12]
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PK - oral clearance (CL/F)
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Assessment method [12]
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Timepoint [12]
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Days -3, -2, -1, 8, 15
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Secondary outcome [1]
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Metabolite Profiling
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Assessment method [1]
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Timepoint [1]
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Days -3, 8
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Eligibility
Key inclusion criteria
1. Written informed consent is provided.
2. Male or female who is at least 18 years of age or older.
3. Histologically- or cytologically-confirmed diagnosis of a hematologic malignancy - that has relapsed or is refractory after standard therapy, AND that is not associated with human immunodeficiency virus (HIV) infection or solid organ transplant, including:
* chronic lymphocytic leukemia (CLL),
* chronic myelogenous leukemia (CML),
* multiple myeloma (MM),
* non-Hodgkin's lymphoma (NHL),
* Hodgkin's lymphoma, or
* Other hematologic malignancy excluding:
* acute leukemia of any type
* CML blast crisis
* myelodysplastic syndrome (MDS)
* myelofibrosis
4. Performance Status score of 0 and 1 according to the Eastern Cooperative Oncology Group (ECOG) scale
5. Able to swallow and retain oral medication.
6. Fasting serum glucose < 126 mg/dL (<7 mmol/L).
7. Male subjects with a female partner of childbearing potential must have had a prior vasectomy or agree to use adequate contraception from the time of the first dose of study drug until three months after the last dose of study drug.
8. A female subject is eligible to participate if she is of:
* Non-childbearing potential
* Child-bearing potential, has a negative serum pregnancy test during the screening period, and agrees to use adequate contraception from screening until four weeks after the last dose of study drug.
9. Adequate organ system function
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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
1. Chemotherapy, radiotherapy, or immunotherapy within 28 days (or 42 days for prior nitrosoureas or mitomycin C) prior to the first dose of study drug.
2. Use of an investigational anti-cancer drug within 28 days or five half-lives, whichever is longer, preceding the first dose of study drug.
3. Current use of a prohibited medication or requires any of these medications during treatment with study drug.
4. Current use of anticoagulants at therapeutic levels within seven days prior to the first dose of study drug, including warfarin, low molecular weight heparin and direct thrombin inhibitors. Low dose (prophylactic) anticoagulants are permitted provided that subject's PT and PTT meet entry criteria.
5. Current use of any anti-platelet agent (e.g. dipyridamole, clopidogrel) other than aspirin (81 mg daily).
6. Presence of active gastrointestinal disease or other condition that could affect gastrointestinal absorption (e.g. malabsorption syndrome) or predispose subject to gastrointestinal ulceration.
7. Any major surgery within the last four weeks.
8. Unresolved toxicity (except alopecia) Grade 2 from previous anti-cancer therapy unless agreed to by a Medical Monitor and the Investigator
9. Previously diagnosed diabetes mellitus (Type 1 or 2).
10. Current use of oral corticosteroids, with the exception of inhaled or topical corticosteroids.
11. Any serious or unstable pre-existing medical, psychiatric, or other condition (including lab abnormalities) that could interfere with subject safety or with obtaining informed consent.
12. Symptomatic or untreated central nervous system (CNS) involvement by the hematologic malignancy (including primary CNS lymphoma).
13. Evidence of severe or uncontrolled systemic diseases
14. Known infection with HIV, HBV or HCV.
15. QTc interval = 470 msecs.
16. Other clinically significant ECG abnormalities including 2nd degree (Type II) or 3rd degree atrioventricular (AV) block.
17. History of myocardial infarction, acute coronary syndromes (including unstable angina), coronary angioplasty, or stenting or bypass grafting within the past six months.
18. Class III or IV heart failure as defined by the New York Heart Association (NYHA) functional classification system.
19. Pregnant or lactating female.
20. Active drug or alcohol abuse.
21. History of sensitivity to heparin or heparin-induced thrombocytopenia.
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Study design
Purpose of the study
Other
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Allocation to intervention
NA
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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
1/07/2009
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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
1/03/2012
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Sample size
Target
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Accrual to date
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Final
73
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Prince of Wales Hospital - Sydney
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Recruitment hospital [2]
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The Alfred Hospital - Melbourne
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Recruitment postcode(s) [1]
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2031 - Sydney
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Recruitment postcode(s) [2]
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3004 - Melbourne
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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Ontario
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Country [2]
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Korea, Republic of
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State/province [2]
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Seoul
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Accenture
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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
The purpose of this study is to characterize the safety and tolerability of repeat doses of compound GSK2110183 in subjects with hematologic cancer.
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Trial website
https://clinicaltrials.gov/study/NCT00881946
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Trial related presentations / publications
Spencer A, Yoon SS, Harrison SJ, Morris SR, Smith DA, Brigandi RA, Gauvin J, Kumar R, Opalinska JB, Chen C. The novel AKT inhibitor afuresertib shows favorable safety, pharmacokinetics, and clinical activity in multiple myeloma. Blood. 2014 Oct 2;124(14):2190-5. doi: 10.1182/blood-2014-03-559963. Epub 2014 Jul 29.
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Public notes
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Contacts
Principal investigator
Name
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S. Jamie Freedman, MD, PhD
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Address
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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
Name
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Address
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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 scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00881946
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