The main purpose of this first human study with CC-115 is to assess the safety and action of a new class of experimental drug (dual DNA-PK and TOR kinase inhibitors) in patients with advanced tumors unresponsive to standard therapies and to determine the appropriate dose and tumor types for later-stage clinical trials. The bioavailability of tablet and capsule formulations under fasting and fed conditions will also be evaluated in some patients.
Latest amendment clarifies that Chronic Lymophocytic Leukemia (CLL) includes T-cell Prolymphocytic Leukemia (T-PLL). Prior treatment with some drugs targeting mTOR, P13K and related pathways is now permitted.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
118
Part A (actively recruiting): Dose level starts with 0.5mg daily by mouth in cycles of 28 days. Level increases for different patient cohorts in 100% or 50% increments until optimal dose schedule is established for further study. Treatment continues for as long as patient benefits (i.e., until disease progression or unacceptable toxicity). Part B: Optimal dose schedule is administered in 28-day cycles until disease progression.
Cedars-Sinai Medical Center
Los Angeles, California, United States
UCLA
Los Angeles, California, United States
University of California, San Francisco Comprehensive Cancer Center and Cancer Research Institiute
San Francisco, California, United States
Moffitt Cancer Center
Tampa, Florida, United States
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, United States
Henry Ford Medical Center - New Center One
Detroit, Michigan, United States
Memorial Sloan-Kettering Cancer Center
New York, New York, United States
Sarah Cannon Research Institute Drug Development Unit
Nashville, Tennessee, United States
Mary Crowley Medical Research Center
Dallas, Texas, United States
The University of Texas MD Anderson Cancer Center
Houston, Texas, United States
...and 7 more locations
Dose-Limiting Toxicity
Time frame: Continuously for 28 days after starting treatment
Non-Tolerated Dose
Time frame: Continuously for 28 days after starting treatment
Maximum Tolerated Dose
Time frame: Continuously for 28 days after starting treatment
Maximum Observed Concentration in Plasma of CC-115
Time frame: Days 1, 2, 15, 16 of treatment
Area Under the Concentration-Time Curve for CC-115
Time frame: Days 1, 2, 15 and 16 of treatment
Time to Maximum Concentration of CC-115
Time frame: Days 1, 2, 15, and 16 of treatment
Terminal Half-Life for CC-115
Time frame: Days 1, 2, 15, and 16 of treatment
Apparent Total Body Clearance of CC-115
Time frame: Days 1, 2, 15 and 16 of treatment
Apparent Volume of Distribution of CC-115
Time frame: Days 1, 2, 15, and 16 of treatment
Accumulation Index of CC-115
Time frame: Days 1, 2, 15 and 16 of treatment
Pharmacodynamics
Phosphorylation inhibition determined by changes in the levels of multiple biomarkers including S6 and, 4EBP (for mTORC1), AKT (for mTORC2) and other appropriate biomarkers in circulating granulocytes and tumor tissue (when available).
Time frame: Screening (within 28 days prior to first dose of study drug) and Days 1, 2, 8, 15, 22, 28, 155, and end of treatment
Anti-Tumor Efficacy
Tumor response rates using appropriate objective criteria for various malignancies
Time frame: Every 2-3 months until proof of tumor progression
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