The intravenously administered taxanes, docetaxel and paclitaxel, alone and in combination with other chemotherapy agents are active in patients with advanced and metastatic bladder cancer, and agents of this class are a promising treatment option for some patients. Tesetaxel is an orally administered taxane that is in development as treatment for subjects with advanced cancers. This study is being conducted to determine the efficacy and safety of tesetaxel administered to patients previously treated with chemotherapy for progressive metastatic transitional cell carcinoma of the urothelium.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
33
Tesetaxel capsules orally once every 21 days; duration of therapy not to exceed 12 months In Cycle 1, a dose of 27 mg/m2 will be administered. In subsequent cycles, * the dose will be increased to 35 mg/m2 in Cycle 2 for subjects who did not have an ANC \< 1,500/mm3, a platelet count \< 100,000/mm3, or a Grade 3 (or higher grade) nonhematologic adverse event considered by the Investigator to be related to protocol therapy (excluding alopecia, nausea, and vomiting) in Cycle 1. The dose is not to exceed the dose of 35 mg/m2 in any cycle subsequent to Cycle 2. * for all other subjects, the dose administered in Cycle 1 (27 mg/m2) will be administered in all subsequent cycles.
Memorial Sloan-Kettering Cancer Center
New York, New York, United States
RECRUITINGThomas Jefferson University Hospital
Philadelphia, Pennsylvania, United States
RECRUITINGSan Camillo Forlanini Hospital
Rome, Italy
RECRUITINGResponse rate (revised RECIST)
Proportion of patients with a confirmed complete or partial response
Time frame: 12 months from date of first dose of study medication for last patient enrolled
≥ 3-month response rate
Proportion of patients with a confirmed complete or partial response ≥ 3 months in duration
Time frame: 12 months from date of first dose of study medication for last patient enrolled
Disease control rate
Proportion of patients with a confirmed complete or partial response of any duration or stable disease ≥ 3 months in duration
Time frame: 12 months from date of first dose of study medication for last patient enrolled
Durable response rate
Proportion of subjects with a confirmed complete or partial response ≥ 6 months in duration
Time frame: 12 months from date of first dose of study medication for last patient enrolled
Duration of response
Date when response criteria are first met to the date when progression is first documented
Time frame: 12 months from date of first dose of study medication for last patient enrolled
Time to progression
Date of first dose of study medication to the date when progression is first documented
Time frame: 12 months from date of first dose of study medication for last patient enrolled
Safety
Adverse events and clinical laboratory tests
Time frame: Up to 30 days after the last dose of study medication for a specific patient
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