Hsp90 is a chemical in the body that is involved int he promotion of cancer. SNX-5422 is an experimental drug that blocks Hsp90.
SNX-5422 is a prodrug for SNX-2112. Correlation has been observed between Hsp90 client protein level changes and functional effects in cells in in vitro studies of SNX-2112, supporting inhibition of Hsp90 as the mechanism of action for this compound. SNX-5422 has demonstrated significant antitumor activity in mouse xenograft models of human tumors, including breast (BT474, MX-1), colon (HT29), prostate (PC3), and melanoma (A375) with multiple oral dosing regimens. Pharmacokinetic (PK) studies in mice, rats, and dogs have shown high bioavailability of SNX-2112 following oral administration of SNX 5422. In mouse xenograft studies, SNX-2112 was selectively retained in tumor tissue compared with other tissues. This study will employ critical risk management features including the use of the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03, which provides a scale for consistently grading the severity of AEs, toxicity criteria analyses for dose escalation, frequent laboratory and clinical observations, correlation of AEs with plasma concentrations of SNX-5422 and SNX-2112, monitoring of the QTc interval at appropriate time points, and a conservative dose-escalation scheme.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
Capsule dosed every other day for 21 days out of 28 day cycle. Dose escalation based on safety
UC Davis Comprehensive Cancer Center
Sacramento, California, United States
Georgia Regents University Cancer Center
Augusta, Georgia, United States
Hackensack University Medical Center
Hackensack, New Jersey, United States
Wake Forest Baptist Health
Winston-Salem, North Carolina, United States
Number of patients with dose limiting toxicities
Number of patients with dose-limiting toxicities defined as AEs or laboratory abnormalities of Common Terminology Criteria for Adverse Events \[CTCAE\] version 4.03 ≥ Grade 3 that are not clearly related to disease progression
Time frame: First 28 day cycle
Number of patients with adverse events as a measure of tolerability
Frequency and severity of AEs, changes in vital signs, ECG, physical examination and clinical chemistry, hematology and urinalysis
Time frame: Day 28 of each cycle
Tumor progression
Hematological disease assessment of all known sites of disease using the appropriate hematological malignancy response criteria compared to baseline
Time frame: Completion of every two 28 day cycles
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Vanderbilt-Ingram Cancer Center
Nashville, Tennessee, United States