Primary Objectives: * To determine the maximum tolerated dose (MTD) and safety of Cabazitaxel when administered to advanced solid tumor patients with varying degrees of hepatic impairment * To determine the pharmacokinetics (PKs) of Cabazitaxel in patients with varying degrees of hepatic impairment * To correlate PK variables with pharmacodynamic (PD) safety parameters in order to guide prescribers with regard to dosing in this patient population * To assess the effect of cabazitaxel at recommended dose of 25mg/m\^2 on CYP3A enzyme activity using midazolam as probe in an additional cohort of cancer patients with normal hepatic function.
The study consists of: * a screening phase (maximum length of 21-day). * a treatment phase with 21-day study treatment cycles. Cycle lengths may be extended up to maximum of 12 additional days in case of unresolved toxicity. Patients continue to receive treatment until they experience, unacceptable toxicities/AEs, disease progression ,withdraw their consent, or the investigator decides to discontinue the patient, or study cut-off, whichever comes first. * a 30-day follow-up visit after the last dose of study medication. The cut off date is when the last patient treated has completed cycle 1 and the subsequent 30 days follow-up. Patients may continue to be treated as long as they are benefiting from study treatment and have not met study withdrawal criteria.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
56
Pharmaceutical form:solution for infusion Route of administration: intravenous
Investigational Site Number 840014
La Jolla, California, United States
Investigational Site Number 840013
Loma Linda, California, United States
Investigational Site Number 840020
Washington D.C., District of Columbia, United States
Investigational Site Number 840016
Jacksonville, Florida, United States
Investigational Site Number 840002
Tampa, Florida, United States
Investigational Site Number 840017
Decatur, Illinois, United States
Investigational Site Number 840003
Metairie, Louisiana, United States
Investigational Site Number 840019
Baltimore, Maryland, United States
Investigational Site Number 840012
Boston, Massachusetts, United States
Investigational Site Number 840001
St Louis, Missouri, United States
...and 4 more locations
Incidence of Dose Limiting Toxicities (DLT)
A clinical adverse event or a laboratory abnormality is defined as DLT when it is drug-related as assessed by the investigator and agreed upon by the study committee.
Time frame: cycle 1 (3 weeks)
Safety investigations (physical examination, vital signs and laboratory tests)
Physical examination includes Eastern Cooperative Oncology Group (ECOG) performance status and signs and symptoms. Vital signs includes weight, temperature, blood pressure and heart rate. Laboratory tests includes hematology, coagulation, biochemistry and urinalysis. Laboratory abnormalities are graded according to the NCI CTCAE v.4.0
Time frame: up to 30 days after the last dosing
Pharmacokinetic profile of Cabazitaxel (AUC, Cmax, t1/2, CL, and Vss) from plasma concentration
Time frame: cycle 1 (3 weeks)
Cabazitaxel effect on CYP3A enzyme activity
Time frame: single dosing on day -1 and day 1
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