Clinical study of oral PI3K/mTOR inhibitor P7170 in patients with advanced refractory solid tumors. The primary objective is to determine the maximum tolerated dose and dose limiting toxicity of oral PI3K/mTOR inhibitor P7170 in patients with advanced refractory solid tumors
An open label multicentric Phase 1 study of oral PI3K/mTOR inhibitor P7170 in patients with advanced refractory solid tumors.The study will follow an Accelerated Titration Design (ATD) with 100% dose increments until significant toxicity as described below; followed by standard dose titration with 40% dose increments. Dose and schedule (alternate dosing regimen eg. OD, BID, intermittent) will be determined by the dose escalation outlined in the protocol and considering pharmacokinetics of the study drug determined from earlier cohorts.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Patients will receive study drug on a daily basis for twenty-one days according to the dose and schedule specified for a particular cohort of therapy. This 21 day administration will define a treatment cycle. Patients may receive consecutive treatment cycles until evidence of disease progression, intolerance of therapy, death or withdrawal from the protocol as specified.
USC Norris Comprehensive Cancer Center
Los Angeles, California, United States
Medanta Duke Research Institute (MDRI)
Gurgaon, Haryana, India
Central India Cancer Research Institute
Nagpur, Maharashtra, India
Meenakshi Mission Hospital & Research Centre
Madurai, Tamil Nadu, India
Maximum tolerated dose
Patients will receive study drug on a daily basis for twenty-one days according to the dose and schedule specified for a particular cohort of therapy. Toxicities observed in Cycle 1 will be considered for dose limiting toxicity (DLT) and Maximum tolerated dose (MTD)determination.
Time frame: End of Cycle 1 (i.e. 21 Days)
Number of subject with adverse events
The toxic effects of the drug would be assessed from adverse events, vital signs and by clinically significant changes in the laboratory evaluations.
Time frame: Until disease progression or unacceptable toxicity (expected to be 4-6 months)
Pharmacokinetic profile(Cmax,Tmax and AUC)
The effect of dose for AUC0-t, AUC0-inf and Cmax. Tmax and T1/2 will be given as patient-wise narratives at each dose level.
Time frame: Until disease progression or unacceptable toxicity (expected to be 4-6 months)
Activity of P7170 based on selected biomarkers
Plasma samples will be used for analysis of exploratory biomarkers that are found in plasma and levels of which are likely to change in response to P7170 administration
Time frame: Until disease progression or unacceptable toxicity (expected to be 4-6 months)
Objective response
Evaluation of Response: Clinical responses will be presented patient wise for different dose levels.
Time frame: Until disease progression or unacceptable toxicity (expected to be 4-6 months)
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