This trial is an open-label, single-center, dose-escalation and cohort-expansion Phase I clinical study in patients with advanced solid tumors. The aim of this study is designed to evaluate the safety, tolerability, pharmacokinetics and preliminary antitumor activity of albumin-bound formulation of docetaxel for intravenous infusion in patients with advanced solid tumors.
This study was conducted in two stages. The first stage (Stage I) is a dose-escalation study. A classic 3+3 design will be used to determine the maximum tolerated dose (MTD) and the recommended Phase 2 dose (RP2D). Patients with advanced solid tumors will be assigned to receive sequentially higher doses of albumin-bound formulation of docetaxel once every three weeks (a Cycle) by intravenous infusion, starting at a dose of 50mg/m2. Patients will receive the albumin-bound formulation of docetaxel
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
208
Albumin-bound docetaxel by intravenous infusion.
West China Hospital of Sichuan University
Chengdu, Sichuan, China
RECRUITINGNumber of participants who experienced AE during cycle1.
AE was defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily have to have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product/protocol specified procedure, whether or not considered related to the medicinal product/protocol specified procedure. Any worsening of a preexisting condition temporally associated with the use of the product was also an AE.
Time frame: 21 days.
Number of participants who experienced DLT during cycle1.
A DLT was graded using the National Cancer Institute-Common Toxicity Criteria for Adverse Events (NCI-CTCAE) version 4.02 and defined as any of the following: grade 3 or 4 non-hematologic adverse events unless they were not optimally treated with supportive care; grade 3 or 4 asymptomatic laboratory abnormal values lasting \>7 days; prolonged grade 2 toxicity (lasting more than 2 weeks) leading to treatment interruption and/or dose reduction; pancytopenia with a hypocellular bone marrow and no marrow blasts lasting ≥6 weeks (AL participants); grade 3 neutropenia with fever or infection (OHM participants); grade 3 thrombocytopenia with bleeding (OHM participants); or grade 4 neutropenia or thrombocytopenia, regardless of symptoms and lasting ≥3 days (OHM participants).
Time frame: 21 days.
Classic 3+3 design to determine the maximum tolerated dose (MTD) and the recommended Phase 2 dose (RP2D)
The maximum tolerated dose (MTD) (if available) and recommended Phase 2 dose (RP2D) of Albumin-bound Docetaxel.
Time frame: Through study completion, an average of 1 year.
Area under the concentration-time curve of Albumin-bound Docetaxel from time 0 to last (AUC 0-∞)
The pharmacokinetic parameters AUC0-last of Albumin-bound Docetaxel.
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Time frame: 21 days.
Area under the concentration-time curve of Albumin-bound Docetaxel from time 0 to infinity (AUC 0-∞)
The pharmacokinetic parameters AUC0-∞ of Albumin-bound Docetaxel.
Time frame: 21 days.
Observed maximum concentration (Cmax )of Albumin-bound Docetaxel
The pharmacokinetic parameters Cmax of Albumin-bound Docetaxel.
Time frame: 21 days.
Time to maximum concentration (Tmax) of Albumin-bound Docetaxel
The pharmacokinetic parameters Tmax of Albumin-bound Docetaxel.
Time frame: 21 days.
Apparent terminal Half-Life (t1/2) of Albumin-bound Docetaxel
The pharmacokinetic parameters t½ of Albumin-bound Docetaxel.
Time frame: 21 days.
Apparent total body clearance (CL/F) of Albumin-bound Docetaxel
The pharmacokinetic parameters CL/F of Albumin-bound Docetaxel.
Time frame: 21 days.
Objective response rate (ORR)
Efficacy measures overall response rate (ORR) of Albumin-bound Docetaxel.
Time frame: Through study completion, an average of 1 year.
Progression free survival (PFS)
Efficacy measures progression-free survival (PFS) of Albumin-bound Docetaxel.
Time frame: Through study completion, an average of 1 year.
Disease control rate (DCR)
Efficacy measures disease control rate (DCR) of Albumin-bound Docetaxel.
Time frame: Through study completion, an average of 1 year.
Duration of response (DOR)
Efficacy measures duration of response (DOR) of Albumin-bound Docetaxel.
Time frame: Through study completion, an average of 1 year.