RATIONALE: SB939 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. PURPOSE: This phase I trial is studying the side effects and best dose of SB939 in treating patients with locally advanced or metastatic solid tumors.
OBJECTIVES: Primary * To determine the recommended phase II dose of oral SB939 in patients with solid tumors. Secondary * To determine the toxic effects of SB939 and its association with dose and pharmacokinetics. * To assess the pharmacokinetic profile of SB939. * To assess preliminary evidence of antitumor effects of SB939 in patients with measurable disease as documented by objective response. * To establish proof-of-principle for SB939 effects on histone acetylation by evaluation of histone acetylation and other biomarkers in peripheral blood mononuclear cells (PBMCs) at all dose levels. OUTLINE: Patients receive oral SB939 once daily on days 1-5 and 15-19. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients undergo blood sample collection periodically during course 1 for pharmacokinetic and pharmacodynamic studies. Samples are analyzed for levels of SB939 via LC-MS/MS method and levels of acetylated histone 3 (AcH3), target effect, downstream consequences, and tumor response via western blot, immunohistochemistry, or ELISA methods. After completion of study treatment, patients are followed at 4 weeks and then every 3 months thereafter.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
39
SB939 will be administered initially for 3 consecutive days every other week at the first dose level and then for 5 consecutive days every other week at escalating doses.
Juravinski Cancer Centre at Hamilton Health Sciences
Hamilton, Ontario, Canada
Univ. Health Network-Princess Margaret Hospital
Toronto, Ontario, Canada
Recommended phase II dose
Assess for safety, tolerability, toxicity profile and dose limiting toxicities
Time frame: Each dose level
Safety
Safety, tolerability, toxicity profile, dose limiting toxicities of SB939.
Time frame: Each dose level
Pharmacokinetic profile
Samples collected over multiple timepoints
Time frame: Cycle 1 day 1 and 15
SB939 effects on histone H3 acetylation
Levels of AcH3 will be determined using wetern Blot, immunohistochemistry or Elisa method.
Time frame: Cycle 1 days 1 and 15
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