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Safety Study of PLX4032 in Patients With Solid Tumors
This study is currently recruiting participants.
Verified by Plexxikon, June 2009
First Received: November 28, 2006   Last Updated: June 10, 2009   History of Changes
Sponsors and Collaborators: Plexxikon
Hoffmann-La Roche
Information provided by: Plexxikon
ClinicalTrials.gov Identifier: NCT00405587
  Purpose

Activating mutations of the BRAF gene have been observed in a variety of cancers, including 55-68% of malignant melanomas. In general, oncogenic mutations of BRAF correlate with a poor outcome. PLX4032 is a compound that selectively inhibits oncogenic B-Raf kinase.

The primary objective of this First in Human study is to assess the safety and pharmacokinetics of PLX4032 in patients with solid tumors. The secondary objective is to assess the pharmacodynamic activity in paired biopsy specimens obtained from patients with malignant melanoma who have the V600E BRAF oncogenic mutation.

Two extension cohorts of patients with confirmed V600E mutations will be recruited, consisting of advanced melanoma and metastatic colorectal carcinoma.


Condition Intervention Phase
Malignant Melanoma
Colorectal Carcinoma
Drug: PLX4032
Phase I

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety Study
Official Title: A Study to Assess Safety, Pharmacokinetics, and Pharmacodynamics of PLX4032 in Patients With Solid Tumors

Resource links provided by NLM:


Further study details as provided by Plexxikon:

Primary Outcome Measures:
  • Maximum tolerated dose, as determined by observation of dose-limiting toxicities during dose escalation [ Time Frame: At end of dose escalation phase ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Pharmacodynamic activity in tumor biopsy tissue [ Time Frame: Day 15 vs. Baseline ] [ Designated as safety issue: No ]

Estimated Enrollment: 75
Study Start Date: November 2006
Estimated Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: PLX4032
    Oral capsules administered BID
  Eligibility

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

Inclusion Criteria:

  • Solid tumors confirmed histologically whose tumors are refractory to standard therapy, or for whom standard or curative therapy does not exist
  • Patients from whom paired melanoma biopsies are planned must have a V600E+ BRAF mutation confirmed prior to the administration of PLX4032
  • Previous chemotherapy, immunotherapy, or radiation therapy must have been completed at least 2 weeks prior to starting PLX4032 therapy, and all associated toxicity must be resolved prior to administration of PLX4032
  • Patients in the Extension cohorts (melanoma or adenocarcinoma of the colon or rectum) must have both a V600E+ BRAF mutation and measurable disease (by RECIST V 1.0 criteria) prior to the administration of PLX4032.

All patients enrolled must provide archival or fresh melanoma tumor biopsy for confirmation of V600E+ BRAF mutation status by TaqMan assay

  • ECOG performance status 0 or 1
  • Life expectancy ≥ 3 months
  • Adequate hematologic, hepatic, and renal function

Exclusion Criteria:

  • Brain metastases that are progressing or have been documented to be stable for less than 3 months, or for which systemic corticosteroids are required
  • Investigational drug use within 28 days of the first dose of PLX4032
  • Uncontrolled intercurrent illness
  • Refractory nausea and vomiting, malabsorption, or significant bowel resection that would preclude adequate absorption
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00405587

Locations
United States, California
University of California Los Angeles Recruiting
Los Angeles, California, United States, 90095
Contact: Glaucia Vasquez, RN     310-825-0313     gavasquez@mednet.ucla.edu    
Principal Investigator: Antoni Ribas, MD            
Principal Investigator: Randy Hecht, MD            
United States, New York
Memorial Sloan-Kettering Cancer Center Recruiting
New York, New York, United States, 10021
Contact: Christine Ferrari, R.N.     646-497-9053        
Principal Investigator: Paul Chapman, M.D.            
Principal Investigator: Len Saltz, M.D.            
United States, Pennsylvania
University of Pennsylvania Recruiting
Philadelphia, Pennsylvania, United States, 19104
Contact: MaryAnn Redlinger, RN     215-662-7452     maryann.redlinger@uphs.upenn.edu    
Principal Investigator: Keith Flaherty, M.D.            
Principal Investigator: Peter O'Dwyer, MD            
United States, Tennessee
Vanderbilt Ingram Cancer Center Recruiting
Nashville, Tennessee, United States, 37232
Contact: Cancer Information Program     800-811-8480        
Principal Investigator: Igor Puzanov, MD            
Principal Investigator: Emily Chan, M.D.            
United States, Texas
MD Anderson Cancer Center Recruiting
Houston, Texas, United States, 77030
Contact: Laura Henry, RN     713-742-7317        
Principal Investigator: Kevin Kim, MD            
Principal Investigator: Scott Kopetz, M.D.            
Australia, Victoria
Peter MacCallum Cancer Centre Recruiting
East Melbourne, Victoria, Australia, 3002
Contact: Grant McArthur, MB BS     +61-3-9656-1954        
Principal Investigator: Grant McArthur, MB BS            
Royal Melbourne Hospital Recruiting
Parkville, Victoria, Australia
Contact: Jayesh Desai, MD     61-3-9342-7560        
Principal Investigator: Jayesh Desai, MD            
Sponsors and Collaborators
Plexxikon
Hoffmann-La Roche
  More Information

No publications provided

Responsible Party: Plexxikon Inc. ( Keith Nolop, MD )
Study ID Numbers: PLX06-02
Study First Received: November 28, 2006
Last Updated: June 10, 2009
ClinicalTrials.gov Identifier: NCT00405587     History of Changes
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Digestive System Neoplasms
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Intestinal Neoplasms
Melanoma
Carcinoma
Neuroendocrine Tumors
Neuroectodermal Tumors
Digestive System Diseases
Nevus, Pigmented
Neoplasms, Germ Cell and Embryonal
Neuroepithelioma
Gastrointestinal Neoplasms
Nevus
Colorectal Neoplasms
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
Neoplasms by Histologic Type
Digestive System Neoplasms
Gastrointestinal Diseases
Neoplasms, Nerve Tissue
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Intestinal Neoplasms
Neuroendocrine Tumors
Carcinoma
Melanoma
Neuroectodermal Tumors
Neoplasms
Neoplasms by Site
Digestive System Diseases
Neoplasms, Germ Cell and Embryonal
Gastrointestinal Neoplasms
Nevi and Melanomas
Colorectal Neoplasms
Neoplasms, Glandular and Epithelial

ClinicalTrials.gov processed this record on September 03, 2009