This study is a trial of dexanabinol in patients with advanced tumours. The purposes of the protocol are to study different doses of the study drug to determine the maximum safe dose of the drug given in combination with standard chemotherapies and to further understand the safety of the study drug and to measure any reduction in size of patients' cancer tumour(s). Dexanabinol is a synthetic cannabinoid which has previously undergone clinical trials for traumatic brain injury (TBI) and in subjects undergoing coronary artery bypass surgery. Currently dexanabinol is under investigation for potential anti-tumour activity in patients with advanced tumours.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
112
Patients will receive dexanabinol given once a week, as a slow intravenous infusion (i.v.) over a 3 hour period
Patients will receive Sorafenib at a dose of 400 mg bid (oral administration)
Patients will receive Nab-paclitaxel at a dose of 125mg/m2 intravenous infusion
Patients will receive Gemcitabine at a dose of 1000mg/m2 intravenous infusion
University Hospital Bonn, Study Center Bonn (SZB) Clinical Study Core Unit Institute of Clinical Chemistry and Clinical Pharmacology University Hospital Bonn, Sigmund-Freud-Str. 25
Bonn, Germany
Universitätsklinikum Hamburg-Eppendorf II. Medizinischen Klinik Martinistr. 52
Hamburg, Germany
Klinikum der Ruhr-Universitaet Bochum, Medizinische Klinik III - Hämatologie/Onkologie Marien Hospital Herne Universitätsklinikum der Ruhr-Universität Bochum Hölkeskampring 40
Herne, Germany
Klinikum der Universität München, Universitätsklinikum Großhadern Medizinische Klinik und Poliklinik III AG Onkologie Marchioninistr. 15
München, Germany
UNIFONTIS Praxis fur Integrative Onkologie, Hoppe-Seyler-Straße 6,
Tübingen, Germany
Osrodek Medyczny SAMARYTANIN, ul. Kazimierza Pużaka 11
Opole, Poland
Wojewodzki Szpital Zespolony w Toruniu, ul. Św. Józefa 53-59
Torun, Poland
Hospital Universitario Virgen de la Victoria, Servicio de Oncología Médica Campus de Teatinos,
Málaga, Malaga, Spain
START MADRID-FJD, Hospital Fundación Jiménez Díaz, Av Reyes Católicos 2, Floor 1 28040
Madrid, Spain
Hospital Universitario Virgen del Rocio, Hospital Universitario Virgen del Rocío Oncología Médica Avda. Manuel Siurot,
Seville, Spain
...and 3 more locations
Maximum Tolerated Dose (MTD) of dexanabinol given in combination with standard chemotherapies
Patients will be sequentially assigned to increasing doses of dexanabinol to establish the MTD (or maximum administered dose (MAD)). 3 patients will be enrolled to a cohort to assess each dose level. Dose escalation to a cohort of 3 new patients will occur when all patients in the previous cohort have completed the first cycle i.e. the first four doses followed by observation through to day 29 and no dose limiting toxicity (DLT) has occurred.
Time frame: For 29 days from the day of first dose
Number of adverse events (AEs) in patients receiving dexanabinol monotherapy
AEs will be graded according to the NCI CTCAE v4.03 for cancer clinical trials.
Time frame: From start of dosing until 30 days ± 3 days post last dose of dexanbinol
Number of adverse events (AEs) in patients receiving dexanabinol in combination with standard chemotherapies
AEs will be graded according to the NCI CTCAE v4.03 for cancer clinical trials.
Time frame: From start of dosing until 30 days ± 3 days post last dose of IMP
Area under curve (AUC) of dexanabinol and (where applicable) combination chemotherapy
Time frame: Cycle 1 Day 1 and Day 8 pre-dose (0h); 1, 2, 3h (i.e. immediately prior to end infusion) post start of infusion; 5, 10, 15, 30 min post-end infusion; 1, 2, 3, 4, 6, 8, 10 and 24h post-end infusion; day 15 immediately prior to and at end of IMP infusion
Maximum concentration (Cmax) of dexanabinol and (where applicable) combination chemotherapy
Time frame: Cycle 1 Day 1 and Day 8 pre-dose (0h); 1, 2, 3h (i.e. immediately prior to end infusion) post start of infusion; 5, 10, 15, 30 min post-end infusion; 1, 2, 3, 4, 6, 8, 10 and 24h post-end infusion day 15 immediately prior to and at end of IMP infusion
Minimum concentration (Cmin) of dexanabinol and (where applicable) combination chemotherapy
Time frame: Cycle 1 Day 1 and Day 8 pre-dose (0h); 1, 2, 3h (i.e. immediately prior to end infusion) post start of infusion; 5, 10, 15, 30 min post-end infusion; 1, 2, 3, 4, 6, 8, 10 and 24h post-end infusion day 15 immediately prior to and at end of IMP infusion
Tumour response ( RECIST 1.1, assessment by CT or MRI)
Tumour response evaluation using RECIST 1.1 (assessment by CT or MRI).
Time frame: Participants will be followed until objective disease progression as per the RECIST v1.1 criteria, an expected average of four months
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