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.
Patients were enrolled in 1 of 2 study arms. Arm AM (weekly doses of NPI-0052) consisted of patients with solid and hematological malignancies excluding multiple myeloma (MM), and these patients received NPI-0051 once weekly for 3 weeks of every 4 weeks. Arm MM (twice-weekly doses of NPI-0052) consisted of patients with MM and other hematological malignancies, and these patients received NPI-0052 twice weekly for 2 weeks of every 3 weeks. All patients received NPI-0052 administered IV over approximately 1 to 120 minutes. Patients with MM (Arm MM) also received 20 mg dexamethasone per orally or IV on the day before and the day of NPI-0052 dosing. Patients were initially enrolled in dose-escalating cohorts to determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of NPI-0052. Once the RP2D was determined for each arm of the study, the RP2D was evaluated in the dose-expansion stage of the study.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
86
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
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
20 mg oral or IV day before and day after NPI-0052 dosing.
Mater Adult Hospital
South Brisbane, Queensland, Australia
The Queen Elizabeth Hospital
Woodville South, South Australia, Australia
Peter MacCallum Cancen Center
Melbourne, Victoria, Australia
The Alfred Hospital
Melbourne, Victoria, Australia
Determine Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) of NPI-0052
Assess dose-limiting toxicities during Cycle 1 for each treatment arm
Time frame: Cycle 1 (Arm AM: 28-days, Arm MM: 21-days)
To evaluate the pharmacokinetics activity of NPI-0052
the assess the time course of NPI-0052 in the body
Time frame: Baseline, Days 1 and 15 (before injection and 1 hour post injection) of Cycle 1
To evaluate the safety and tolerability of NPI-0052
Incidence of Treatment-Emergent Adverse Events \[Safety and Tolerability\]
Time frame: Treatment period through 28-days after the last dose of study drug
To evaluate the pharmacodynamics of NPI-0052
proteasome inhibition in blood samples
Time frame: 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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Border Medical Oncology
Wodonga, Victoria, Australia
Sir Charles Gairdner Hospital and University of Western Australia
Nedlands, Western Australia, Australia
Royal Perth Hospital
Perth, Western Australia, Australia