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Study of MLN8237 in Patients With Advanced Hematological Malignancies
This study is currently recruiting participants.
Verified by Millennium Pharmaceuticals, Inc., June 2008
Sponsored by: Millennium Pharmaceuticals, Inc.
Information provided by: Millennium Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier: NCT00697346
  Purpose

This is an open-label, multicenter, phase 1 study of MLN8237 in subjects with advanced hematological malignancies for whom there are limited standard treatment options.


Condition Intervention Phase
B-Cell Follicular Lymphoma
B-Cell Marginal Zone Lymphoma
Diffuse Large B-Cell Lymphoma
B-Cell Mantle Cell Lymphoma
B-Cell Small Lymphocytic Lymphoma (SLL)
B-Cell Chronic Lymphocytic Leukemia (B-CLL)
Multiple Myeloma
Waldenstrom's Macroglobulinemia
Drug: MLN8237
Phase I

Genetics Home Reference related topics: aceruloplasminemia hemophilia
MedlinePlus related topics: Cancer Leukemia, Adult Acute Leukemia, Adult Chronic Lymphoma Multiple Myeloma
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label, Single Group Assignment
Official Title: An Open-Label, Phase 1 Study of MLN8237, a Novel Aurora A Kinase Inhibitor, in Patients With Advanced Hematological Malignancies

Further study details as provided by Millennium Pharmaceuticals, Inc.:

Primary Outcome Measures:
  • Determine dose-limiting toxicity (DLT) and maximum tolerated dose (MTD) of orally administered MLN8237, evaluate pharmacokinetics and potential effect of MLN8237 exposure on Aurora A kinase inhibition in blood leukocytes. [ Time Frame: Duration of therapy ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • To determine if MLN8237 has antitumor activity as measured by tumor response. [ Time Frame: Evaluations will be repeated after every 2 cycles of MLN8237 have been completed for up to 12 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 57
Study Start Date: June 2008
Estimated Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
MLN8237
Drug: MLN8237

The starting dosage will be 25 mg twice daily (BID) on Day 1 of each cycle followed by 25 mg once daily (QD) on Day 2-21. The planned rest period is 7 days in length.

Number of Cycles: until progression or unacceptable toxicity develops.


  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Relapsed or refractory disease and a histologically or cytologically confirmed hematological malignancy of the following type for which standard curative treatment does not exist or is no longer effective:

    • B-Cell Non-Hodgkins Lymphoma: diffuse large cell lymphoma, follicular lymphoma, marginal zone lymphoma, mantle cell lymphoma
    • B-Cell Chronic lymphocytic leukemia (CLL)/ small lymphocytic leukemia (SLL)
    • Multiple myeloma
    • Waldenstrom's macroglobulinemia
  • Subjects with diffuse large B-cell lymphoma must have failed, be ineligible for, or have refused an autologous stem cell transplant. There is no restriction regarding the maximum number of prior regimens.
  • Aged 18 years or older
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
  • Radiographically or clinically evaluable disease for Part 1 of this study and measurable disease for Part 2 of this study
  • Suitable venous access for the conduct of blood sampling for MLN8237 PK
  • Recovered from the reversible effects of prior antineoplastic treatment (with the exception of alopecia and Grade 1 neuropathy)

Exclusion Criteria:

  • Prior allogeneic bone marrow (or other organ) transplantation
  • Newly diagnosed or uncontrolled cancer-related CNS disease
  • Systemic antineoplastic treatment within 21 days preceding the first dose of study treatment. Exceptions requiring a 42-day recovery period from last treatment include: Nitrosoureas, mitomycin C or Rituximab, alemtuzumab (Campath®), or other unconjugated therapeutic antibody (21 days if clear evidence of progressive disease)
  • Treatment with radioimmunoconjugates or toxin immunoconjugates such as ibritumomab tiuxetan (Zevalin™), or tositumomab (Bexxar®) within 56 days preceding the first dose of study treatment
  • Antineoplastic treatment with glucocorticoids within 21 days preceding the first dose of study treatment
  • Radiotherapy involving <25% of the hematopoietically active bone marrow within 21 days preceding first dose of study treatment
  • Radiotherapy involving ≥25% of the hematopoietically active bone marrow within 42 days preceding first dose of study treatment
  • Inability to swallow capsules or known GI disease or GI procedures that could interfere with the oral absorption or tolerance of MLN8237. Examples include, but are not limited to, partial gastrectomy, history of small intestine surgery, and celiac disease.
  • History of uncontrolled sleep apnea syndrome and other conditions that could result in excessive daytime sleepiness such as severe chronic obstructive pulmonary disease
  • Known or suspected human immunodeficiency virus (HIV) positive or hepatitis B surface antigen-positive status, or known or suspected active hepatitis C infection. Testing is not required in the absence of clinical findings or suspicion.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00697346

Contacts
Contact: Christine Colby, Pharm.D. 1-866-835-2233 medical@mlnm.com

Locations
United States, Tennessee
Sarah Cannon Research Institute Recruiting
Nashville, Tennessee, United States, 37203
Contact: Daniel R. Couriel,, M.D.            
Sponsors and Collaborators
Millennium Pharmaceuticals, Inc.
  More Information

Responsible Party: Millennium Pharmaceuticals, Inc. ( Clinical Study Medical Monitor )
Study ID Numbers: C14003
Study First Received: June 11, 2008
Last Updated: June 12, 2008
ClinicalTrials.gov Identifier: NCT00697346  
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Leukemia, Lymphoid
Hematologic Neoplasms
Blood Protein Disorders
Lymphoma, Mantle-Cell
Lymphoma, Follicular
Paraproteinemias
Hemostatic Disorders
Lymphoma, large-cell
Lymphoma, B-Cell
Leukemia
Hemorrhagic Disorders
Multiple myeloma
Leukemia, Lymphocytic, Chronic, B-Cell
Waldenstrom macroglobulinemia
Lymphoma
Chronic lymphocytic leukemia
Lymphoma, Large B-Cell, Diffuse
Immunoproliferative Disorders
Hematologic Diseases
Leukemia, B-cell, chronic
Blood Coagulation Disorders
Vascular Diseases
Mantle cell lymphoma
Multiple Myeloma
Lymphatic Diseases
Waldenstrom Macroglobulinemia
B-cell lymphomas
Leukemia, B-Cell
Lymphoproliferative Disorders
Lymphoma, Non-Hodgkin

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Neoplasms by Histologic Type
Immune System Diseases
Cardiovascular Diseases

ClinicalTrials.gov processed this record on January 15, 2009