This is a phase I/IIa, Open label, Dose-escalation Study Investigating the Safety, Tolerability, and Pharmacokinetics of Intravenous Liposomal Vinorelbine Tartrate Injection in Patients with Advanced Malignancy.
Protocol No: TLC178A1001 Name of Finished Product: LipoVNB (Liposomal Vinorelbine Tartrate) Title of Study: Phase I/IIa, Open label, Dose-escalation Study Investigating the Safety, Tolerability, and Pharmacokinetics of Intravenous Liposomal Vinorelbine Tartrate Injection in Patients with Advanced Malignancy. Study duration: Every patient will have a treatment period of 4-week cycles until completion of 6 cycles, progression of disease or intolerance, withdrawal of consent or Investigator's judgment, whichever occurs first.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
46
TLC178
Karmanos Cancer Center
Detroit, Michigan, United States
Montefiore Medical Center
The Bronx, New York, United States
Taipei Veterans General Hospital
Taipei, Taiwan
Maximum tolerated dose (MTD) determination
To determine the maximum tolerated dose (MTD) and recommended phase II dose (RP2D) ofintravenous LipoVNB given every 4 weeks (Q4W) in patients with advanced malignancies.
Time frame: 4 weeks
Pharmacokinetics (PK) parameters of AUC (0-inf) calculated by plasma concentration of vinorelbine[
Area under the plasma concentration time curve from zero (predose) extrapolated to infinity
Time frame: from day 1 to day 29
Pharmacokinetics (PK) parameters of AUC (0-inf) calculated by plasma concentration of majormetabolite, 4-O-deacetylvinorelbine
Area under the plasma concentration time curve from zero (predose) extrapolated to infinity
Time frame: from day 1 to day 29
Pharmacokinetics (PK) parameters of AUC(0 - last) calculated by plasma concentration ofvinorelbine
Area under the plasma concentration time curve from zero (predose) to the time of the lastquantifiable concentration
Time frame: from day 1 to day 29
Pharmacokinetics (PK) parameters of AUC(0 - last) calculated by plasma concentration of majormetabolite, 4-O-deacetylvinorelbine
Area under the plasma concentration time curve from zero (predose) to the time of the lastquantifiable concentration
Time frame: from day 1 to day 29
Pharmacokinetics (PK) parameters of Cmax calculated by plasma concentration of vinorelbine
Maximum plasma concentration observed
Time frame: from day 1 to day 29
Pharmacokinetics (PK) parameters of tmax calculated by plasma concentration of vinorelbine
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Time of Cmax
Time frame: from day 1 to day 29
Pharmacokinetics (PK) parameters of tmax calculated by plasma concentration of major metabolite,4-O-deacetylvinorelbine
Time of Cmax
Time frame: from day 1 to day 29
Pharmacokinetics (PK) parameters of t1/2 calculated by plasma concentration of vinorelbine
Apparent terminal half life
Time frame: from day 1 to day 29
Pharmacokinetics (PK) parameters of t1/2 calculated by plasma concentration of 4-O-deacetylvinorelbine
Apparent terminal half life
Time frame: from day 1 to day 29
Pharmacokinetics (PK) parameters of MRT(0-inf) calculated by plasma concentration of vinorelbine
Mean residence time extrapolated to infinity
Time frame: from day 1 to day 29
Pharmacokinetics (PK) parameters of MRT(0-inf) calculated by plasma concentration of 4-O-deacetylvinorelbine
Mean residence time extrapolated to infinity
Time frame: from day 1 to day 29
Dose exposure relationship in patients with advanced malignancies treated with single and multipledoses of LipoVNB
single and multiple dose effect
Time frame: up to 6 months
Number of participants with treatment-related adverse events as assessed by CTCAE v4.03
treatment related AE
Time frame: up to 6 months
Incidence of Treatment-Emergent Adverse Events
TEAE percentage
Time frame: up to 6 months
LipoVNB antitumor activity assessed by response rate
antitumor response rate
Time frame: up to 6 months
LipoVNB antitumor activity assessed by duration of response
antitumor efficacy
Time frame: up to 6 months
Progression free survival (PFS) of patients with advanced malignancies treated with LipoVNB
PFS
Time frame: up to 6 months