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An Open-Label Study of QD Oral Administration of AV-951 in Subjects With Non-Small Cell Lung Cancer (NSCLC)
This study is currently recruiting participants.
Verified by AVEO Pharmaceuticals, Inc., February 2009
First Received: January 21, 2009   Last Updated: February 13, 2009   History of Changes
Sponsored by: AVEO Pharmaceuticals, Inc.
Information provided by: AVEO Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier: NCT00826878
  Purpose

This is a standard Phase 1b and 2a, multi-center, study design that will examine the safety, tolerability, and maximum tolerated dose of AV-951 with this dosing schedule, as well as overall response rate of AV-951 administration in NSCLC.


Condition Intervention Phase
Carcinoma, Non-Small-Cell Lung
Drug: AV-951
Phase I
Phase II

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title: A Phase 1b/2a Open-Label Study to Evaluate the Safety and Activity of Once Daily Oral Administration of AV-951 in Subjects With Non-Small Cell Lung Cancer

Resource links provided by NLM:


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

Primary Outcome Measures:
  • Ph1b: To determine the safety, tolerability, and MTD of AV-951 administered orally QD in subjects with NSCLC [ Time Frame: 4 weeks (1 cycle) ] [ Designated as safety issue: Yes ]
  • Ph2a: To determine the ORR of AV-951 administered orally once daily in subjects with NSCLC with no prior anti-angiogenic therapy [ Time Frame: 8 weeks (2 cycles) ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Ph1b: To evaluate the PK of AV-951 administered orally QD [ Time Frame: 8 weeks (2 cycles) ] [ Designated as safety issue: No ]
  • Ph1b: To evaluate the preliminary antineoplastic activity of AV-951 administered orally QD [ Time Frame: 8 weeks (2 cycles) ] [ Designated as safety issue: No ]
  • Ph2a: To determine the duration of complete and partial responses and time to disease progression (TTP) for subjects treated with AV-951 [ Time Frame: 8 weeks (2 cycles) ] [ Designated as safety issue: No ]
  • Ph2a: To determine the safety and tolerability of AV-951 administered orally once a day [ Time Frame: 4 weeks (1 cycle) ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 53
Study Start Date: January 2009
Estimated Study Completion Date: November 2010
Estimated Primary Completion Date: November 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
AV-951: Experimental Drug: AV-951

Subjects will receive 1.0 or 1.5 mg AV-951 once daily continuously beginning on Day 1 for 4 weeks. One cycle will be defined as 4 weeks of treatment. Cycles will be repeated every 4 weeks in the absence of disease progression or unacceptable toxicity.

Minimum of 8 weeks (2 consecutive dosing cycles), if tolerated.


Detailed Description:

This is a standard Phase 1b and 2a, multi-center, study design that will examine the safety, tolerability, and maximum tolerated dose of AV-951 with this dosing schedule, as well as overall response rate of AV-951 administration in NSCLC. There are no curative therapies for patients with advanced NSCLC, and therefore these patients represent an unmet medical need. Agents targeting the VEGF pathway, such as bevacizumab and Axitinib, have demonstrated clinical activity in NSCLC. Since AV-951 is a potent inhibitor of VEGFR tyrosine kinase, this study has been designed to test the clinical activity of AV-951 in NSCLC (in the phase 2a portion).

In the Phase 1b study, the dose of AV-951 administered will be escalated from 1.0 mg/day to 1.5 mg /day. Once the MTD of AV-951 and safety profile has been determined in the Phase 1b study, the Phase 2a study will be initiated to evaluate clinical activity. The Phase 2a study is a standard Simon 2-stage design. Twenty-one (21) subjects will be enrolled in Stage 1. If more than 1 confirmed response (CR + PR) is observed, the trial will proceed to Stage 2 and an additional 20 subjects will be enrolled. The MTD of AV-951 from the Phase 1b study will be used for all subjects treated in the Phase 2a study.

  Eligibility

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

Inclusion Criteria:

  1. Age 18 years or older, of either sex and of any race.
  2. Histologically or cytologically confirmed NSCL.
  3. Stage IIIB (with malignant pleural effusion) or stage IV or recurrent disease.
  4. Subjects that have recurred or progressed following standard therapy or failed standard therapy; or subjects that are not candidates for or unwilling to undergo standard therapy.
  5. Disease that is currently not amenable to curative surgical intervention, due to either non-resectability of the tumor or medical contraindications.
  6. Prior VEGF directed therapy
  7. Prior chemotherapy
  8. At least 4 weeks since prior immunotherapy (eg, IL-2, IFN, etc.) or biological therapy (eg, MABs) prior to the first dose of study drug.
  9. At least 1 week since prior treatment with warfarin, acenocoumarol, fenprocoumon, or similar agents.
  10. At least 4 weeks since prior systemic hormonal therapy.
  11. At least 2 weeks since prior use of herbal preparations/supplements.
  12. At least 2 weeks since prior treatment with CYP3A4 inducers or inhibitors.
  13. At least 2 weeks since prior radiotherapy to ≤25% of bone marrow, or at least 4 weeks since prior radiotherapy to > 25% of bone marrow.
  14. Measurable or evaluable disease; subjects enrolled in the Phase 2a study must have measurable disease by RECIST criteria.
  15. ECOG performance 0-1 and life expectancy ≥ 3 months.
  16. Ability to give written informed consent.

Exclusion Criteria:

  1. Subjects with central lung lesions involving major blood vessels.
  2. Primary CNS malignancies or symptomatic CNS metastases; subjects with previously treated brain metastasis will be allowed if the brain metastasis have been stable without steroid treatment for at least 3 months following prior treatment (radiotherapy or surgery).
  3. Hematologic malignancies (including leukemia in any form, lymphoma, and multiple myeloma).
  4. Hematologic abnormalities:
  5. Serum chemistry abnormalities:
  6. Significant cardiovascular disease
  7. Subjects with delayed healing of wounds, active gastric ulcers, or unhealed bone fractures.
  8. Serious/active infection or infection requiring parenteral antibiotics.
  9. Inadequate recovery from any prior surgical procedure or major surgical procedure within 6 weeks prior to administration of first dose of study drug.
  10. Inability to comply with protocol requirements.
  11. History of ≥ Grade 2 hemoptysis within 6 months prior to administration of first dose of study drug; ongoing bleeding (hemoptysis, hematemesis, hematochezia or melena) or history of clinically significant bleeding within 6 months prior to administration of first dose of study drug.
  12. Cerebrovascular accident within 12 months prior to administration of first dose of study drug, or peripheral vascular disease with claudication on walking less than 1 block.
  13. Deep venous thrombosis or pulmonary embolus within 6 months prior to administration of first dose of study drug.
  14. Subjects with a "currently active" second primary malignancy other than non-melanoma skin cancers or nonmetastatic prostate cancer. Subjects are not considered to have a "currently active" malignancy if they have completed anti-cancer therapy and have been disease free for >2 years.
  15. If female, pregnant or lactating.
  16. No childbearing potential or the use of effective contraception by all fertile male and female subjects during the study and for 30 days after the last dose of study drug. All subjects must agree to use a highly effective method of contraception (including their partner).
  17. Known concomitant genetic or acquired immune suppression disease such as HIV.
  18. Inadequate recovery from prior antineoplastic therapy.
  19. Life-threatening illness or organ system dysfunction compromising safety evaluation.
  20. Psychiatric disorder, altered mental status precluding informed consent or necessary testing.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00826878

Locations
United States, District of Columbia
Georgetown University Recruiting
Washington, District of Columbia, United States, 20007
Contact: Patricia Dunn, RN     202-687-1569        
Principal Investigator: Jimmy Hwang, MD            
United States, Kansas
Kansas University Medical Center Not yet recruiting
Kansas City, Kansas, United States, 66160
Contact: Cinda Lyon     913-588-2567     clyon@kumc.edu    
Principal Investigator: Karen Kelly, MD            
United States, New York
Memorial Sloan-Kettering Recruiting
New York, New York, United States, 10021
Contact: Valerie Baez     646-227-2183     baezv@mskcc.org    
Principal Investigator: Naiyer Rizvi, MD            
Sponsors and Collaborators
AVEO Pharmaceuticals, Inc.
Investigators
Study Director: Pankaj Bhargava, M.D. AVEO Pharmaceuticals, Inc.
Principal Investigator: Jimmy Hwang, MD Georgetown University
Principal Investigator: Karen Kelly, MD University of Kansas
Principal Investigator: Naiyer Rizvi, MD Memorial Sloan-Kettering Cancer Center
  More Information

No publications provided

Responsible Party: AVEO Pharmaceuticals, Inc. ( Margaret M. Taleff, Senior Director, Regulatory Affairs )
Study ID Numbers: AV-951-08-105
Study First Received: January 21, 2009
Last Updated: February 13, 2009
ClinicalTrials.gov Identifier: NCT00826878     History of Changes
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Thoracic Neoplasms
Respiratory Tract Diseases
Lung Neoplasms
Lung Diseases
Non-small Cell Lung Cancer
Carcinoma, Non-Small-Cell Lung
Neoplasms, Glandular and Epithelial
Carcinoma

Additional relevant MeSH terms:
Thoracic Neoplasms
Respiratory Tract Neoplasms
Neoplasms
Neoplasms by Site
Neoplasms by Histologic Type
Respiratory Tract Diseases
Lung Neoplasms
Lung Diseases
Carcinoma, Non-Small-Cell Lung
Neoplasms, Glandular and Epithelial
Carcinoma

ClinicalTrials.gov processed this record on September 11, 2009