This is a Phase I, open-label, multicenter, dose-escalation study designed to assess the safety and tolerability of Genz-644282, administered as an intravenous (IV) infusion, to patients with advanced malignant solid tumors. Each 28 day cycle of treatment will consist of 3 consecutive weeks of treatment every 28 days(i.e., treatment will be administered on Days 1, 8, and 15 every 28 days). Each 21 day cycle of treatment will consist of 2 consecutive weeks of treatment every 21 days(i.e., treatment will be administered on Days 1 and 8 every 21 days). Treatment with Genz-644282 will continue until disease progression or unacceptable toxicity is observed. Approximately 110 patients will be enrolled in this study. Patients will be enrolled in escalating dose cohorts until the Maximum Tolerated Doses (MTDs) for the 2 dosing schedules are established. To further evaluate safety, approximately 40 additional patients with advanced malignant solid tumors will be enrolled and treated at the MTDs (20 for each dosing schedule) during an expansion phase.
This is a Phase I, open-label, multicenter, dose-escalation study designed to assess the safety and tolerability of Genz-644282, administered as an IV infusion, to patients with advanced malignant solid tumors. Drug will be administered as a 60-minute IV infusion on days 1, 8, and 15 of the 28 day treatment cycle, or on days 1 and 8 of the 21 day treatment cycle. Treatment with Genz-644282 will continue until disease progression or unacceptable toxicity is observed. Patients will be enrolled in escalating dose cohorts until the Maximum Tolerated Doses (MTDs) are established. Safety will be evaluated throughout the study.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
87
Genz-644282 will be administered as a 60-minute IV infusion. The initial dose of Genz-644282 will be 0.5 mg/m2 and will be administered once weekly for 3 consecutive weeks on Day 1, Day 8, and Day 15 of the 28 day cycle. Each 28-day period will represent one treatment cycle. Study drug will continue to be given until disease progression or unacceptable toxicity is observed.
The starting dose of Genz-644282 for the 21-day schedule will be prescriptive and will be based on review of available safety data from the 28-day dosing schedule by the Investigator and Sponsor. Patients will receive Genz-644282 once-weekly for 2 consecutive weeks on Day 1 and Day 8 of a 21 day cycle. Each 21-day period will represent 1 treatment cycle. Patients enrolled in subsequent cohorts will receive higher doses until the MTD is established.
TGen Clinical Research Services at Scottsdale Healthcare
Scottsdale, Arizona, United States
Moffitt Cancer Center
Tampa, Florida, United States
Wayne State University, Division of Hematology/Oncology, Karmanos Cancer Institute
Detroit, Michigan, United States
Cancer Institute of New Jersey
New Brunswick, New Jersey, United States
Determine the Maximum Tolerated Doses for the 28-day and 21-day dosing schedules
Time frame: 24 Months
Determine the recommended Phase 2 doses for the 28-day and 21-day dosing schedules
Time frame: 36 Months
Establish the pharmacokinetic (PK) profile through calculation of area under the curve of blood and urine concentrations.
Time frame: 36 Months
Pharmacokinetics (PK) as measured by maximal observed concentration (Cmax)
Time frame: 36 months
Pharmacokinetics (PK) as measured by time to maximal observed concentration (Tmax)
Time frame: 36 months
Pharmacokinetics (PK) as measured by half-life (T1/2)
Time frame: 36 months
Pharmacokinetics (PK) as measured by the amount and fraction of drug excreted in urine
Time frame: 36 months
Assess evidence of antitumor activity
Time frame: 36 months
Evaluate ongoing benefit as determined by the investigator and defined as an improvement in performance status
Time frame: 36 months
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