This is a nonrandomized, open-label, dose escalation, safety, activity, and PK study to determine the MTD and optimal dosing regimen of Oradoxel. No control group has been included.
This is a multicenter, open-label, safety, tolerability, pharmacokinetic, and activity study. Eligible subjects will be adults with advanced solid malignancies. Groups of 3 to 6 subjects will receive a single dose of Oradoxel and will be followed for toxicity. If non linearity in PK is observed, additional subjects will receive Oradoxel as 2 single daily doses once every three weeks. Subjects who tolerate the drug and have stable disease or better response will be eligible to receive ongoing treatment.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
24
oral docetaxel will be supplied in capsules and oral HM30181A-UK tablets
Mayo Clinic
Phoenix, Arizona, United States
RECRUITINGMayo Clinic
Rochester, Minnesota, United States
RECRUITINGCancer Therapy & Research Center at UTHSCSA
San Antonio, Texas, United States
RECRUITINGThe maximum tolerated dose (MTD) of Oradoxel based on dose-limiting toxicity (DLT) in subjects with advanced malignancies
The MTD will be the highest dose at which no more than 1 of 6 subjects experience a DLT during treatment and Oradoxel pharmacokinetics are acceptable.
Time frame: 3 weeks
Safety assessment using AEs of Oradoxel
Time frame: Weekly, up to 24 months
Safety assessment using SAEs of Oradoxel
Time frame: Weekly, up to 24 months
Laboratory evaluation for hematology
Time frame: Weekly, up to 24 months
Blood chemistry
Time frame: Weekly, up to 24 months
Urine analysis
Time frame: Weekly, up to 24 months
Periodic measurements of ECGs
Time frame: Screening, Day 1, every 6 weeks thereafter up to 24 months
Periodic measurements of vital signs
Time frame: Weekly, up to 24 months
The incidence of unacceptable toxicity with Oradoxel
Unacceptable toxicity graded according to CTCAE v4.03
Time frame: 24 months
The recommended Phase 2 dose (RP2D) of Oradoxel
Upon determination of the overall MTD for Oradoxel, the safety and PK profile of the study treatment from all Treatment Periods will be reviewed to determine the recommended Phase 2 dose.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 24 months
The amount of docetaxel and HM30181A in blood stream by Area under the plasma concentration versus time curve (AUC)
Time frame: Part 1: 16 timepoints over 504 hours; Part 2: 26 timepoints over 480 hours
The peak plasma concentration (Cmax) and Minimum plasma concentration (Cmin)
Time frame: Part 1: 16 timepoints over 504 hours; Part 2: 26 timepoints over 480 hours
A biological half-life or elimination half-life (t1/2)
Time frame: Part 1: 16 timepoints over 504 hours; Part 2: 26 timepoints over 480 hours
The accumulation ratio (R)
Time frame: Part 1: 16 timepoints over 504 hours; Part 2: 26 timepoints over 480 hours
The apparent total clearance of the drug from plasma (CL/F)
Time frame: Part 1: 16 timepoints over 504 hours; Part 2: 26 timepoints over 480 hours
The apparent volume of distribution (Vd/F)
Time frame: Part 1: 16 timepoints over 504 hours; Part 2: 26 timepoints over 480 hours
To evaluate tumor response
Tumor response will be evaluated according to RECIST v1.1
Time frame: Every 12 weeks, up to 24 months