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Safety and PK Study of CC-90003 in Relapsed/Refractory Solid Tumors


2015-01-05


2016-05-03


2016-05-03


19

Study Overview

Safety and PK Study of CC-90003 in Relapsed/Refractory Solid Tumors

The CC-90003-ST -001 trial is a first-in-man, open-label study in subjects with locally-advanced or wide spread cancers to determine if CC-90003 (an oral medication) can be adequately tolerated with minimal side effects.

CC-90003-ST -001 is an open-label, multicenter, Phase 1a study in subjects with locally-advanced or metastatic, solid tumors who are intolerant of, resistant to, or have relapsed after at least one line of therapy and for whom no standard therapy exists. The study will be conducted in two parts: Dose Escalation (Part 1) and Cohort Expansion (Part 2). Subjects may continue CC-90003 until progression of their underlying malignancy, the occurrence of intolerable toxicity, or physician/subject decision to discontinue CC-90003. In Part 1, cohorts of subjects with relapsed or refractory solid tumors will receive increasing doses of CC-90003 in order to assess its safety and tolerability, the maximum tolerated dose (MTD), and PK profile. In Part 2, cohorts of subjects with specific tumors that harbor mutations involving the Mitogen -Activated Protein Kinase (MAPK) pathway will receive CC-90003 at or below the MTD until progression of disease, intolerable toxicity, or physician/subject decision to discontinue CC-90003.

  • Neoplasm Metastasis
  • DRUG: CC-90003
  • CC-90003-ST-001

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2014-12-05  

N/A  

2019-11-14  

2014-12-05  

N/A  

2019-11-18  

2014-12-09  

N/A  

2019-11  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Dose Level 1 CC-90003

CC-90003 by mouth (PO) daily on days 1 -21 of every 28 day cycle; Cycle 1, Days 1 to 28 will constitute the dose limiting toxicity (DLT) assessment period for purposes of non-tolerated dose (NTD) and Maximum Tolerated Dose determination.

DRUG: CC-90003

  • CC-90003 PO once daily
Primary Outcome MeasuresMeasure DescriptionTime Frame
Summary of the adverse events (type, severity, and incidence) related to CC-An AE is any noxious, unintended, or untoward medical occurrence that may appear or worsen in a subject during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the subject's health, including laboratory test values regardless of etiology.Up to 36 months
Dose Limiting Toxicities of CC-90003Number of participants with dose limiting toxicities during the Dose Escalation PhaseUp to 18 months
Maximum Tolerated Dose (MTD) of CC-90003The MTD is defined as the highest dose level at which no more than 1 in 6 participants experiences a dose- limiting toxicity (DLT) during the first 28 day cycle of treatmentUp to 36 months
Pharmacokinetics (PK) observed maximum concentration (Cmax)The maximally observed plasma concentration of CC-90003 (Cmax)Cycle 1, Day 1, 2, 3 (predose), 8, 11 (predose), 15, 16, , Cycle 2, Day 1, Cycle 3, Day 1 and at discontinuation
PK-Area under the plasma concentration time curve (AUC)Area under the plasma concentration -time curve of CC-90003Cycle 1, Day 1, 2, 3, (predose) 8, 11 (predose), 15, 16, Cycle 2, Day 1, Cycle 3, Day 1 and at discontinuation
PK-Time to maximal plasma concentration (Tmax)The time to reach CmaxCycle 1, Day 1, 2, 3 (predose) 8, 11 (predose), 15, 16, Cycle 2, Day 1, Cycle 3, Day 1 and at discontinuation
PK- terminal half-life; t1/2Terminal phase elimination half-life (t1/2) is calculated as follows: t1/2 =ln(2)/λz, where λz is the first order rate constant associated with the terminal portion of the CC-90003 plasma concentration curveCycle 1, Day 1, 2, 3 (predose) 8, 11 (predose), 15, 16, Cycle 2, Day 1, Cycle 3, Day 1 and at discontinuation
PK-Apparent total body clearance (CL/F)The apparent total body clearance of CC-90003 from plasmaCycle 1, Day 1, 2, 3 (predose) 8, 11 (predose) 15, 16, , Cycle 2, Day 1, Cycle 3, Day 1 and at discontinuation
PK- Apparent Total Volume of Distribution (Vz/F)PK- Apparent Total Volume of Distribution (Vz/F) During the terminal phase for CC- 90003Cycle 1, Day 1, 2, 3 (predose) 8, 11 (predose), 15,16, Cycle 2, Day 1, Cycle 3, Day 1 and at discontinuation
Accumulation index of CC-90003Accumulation represents the relationship between the dosing interval and the rate of elimination for the drugCycle 1, Day 1, 2, 3 (predose) 8, 11 (predose), 15, 16, Cycle 2, Day 1, Cycle 3, Day 1 and at discontinuation
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Response Rate based on RECIST 1.1The proportion of subjects who achieve a best response of CR or PR.Up to 36 months
Duration of ResponseDuration of response is the time from the start of study treatment until the first documentation of an objective response (either CR or PR).Up to 36 months
Disease ControlThe proportion of subjects who achieve a best response of SD (documented at least 56 days after the start of study treatment) PR, or CRUp to 36 Months
Progression Free SurvivalPFS is defined as the time from the start of study treatment until progression (PD) or patient death (any cause), whichever occurs firstUp to 36 months
Overall SurvivalOverall survival is defined as the time from start of study treatment until the date of death from any cause.Up to 36 months

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Eligible study subjects in Part 1 and Part 2 must be 18 years or older 2. Eligible study subjects must have histologic or cytologic confirmation of advanced, unresectable or metastatic solid tumors, and have at least one measurable lesion per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 3. Eligible study subjects must have Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1 4. Eligible study subjects must exhibit acceptable liver, bone marrow, renal and cardiac functions as assessed by laboratory tests, ECG and ECHO or MUGA scan.
    Exclusion Criteria:
    1. Subjects with symptomatic or unstable CNS metastases 2. Subjects with a history of recent (within 28 days) systemic therapy for their underlying malignancy 3. Subjects who have had surgery/radiotherapy within 2 weeks prior to start of study

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • STUDY_DIRECTOR: Gordon Bray, MD, Celgene

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available