Full Text View
Tabular View
No Study Results Posted
Related Studies
SB939 in Treating Patients With Locally Advanced or Metastatic Solid Tumors
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), August 2008
First Received: July 17, 2007   Last Updated: February 6, 2009   History of Changes
Sponsored by: NCIC Clinical Trials Group
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00504296
  Purpose

RATIONALE: SB939 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase I trial is studying the side effects and best dose of SB939 in treating patients with locally advanced or metastatic solid tumors.


Condition Intervention Phase
Unspecified Adult Solid Tumor, Protocol Specific
Drug: HDAC inhibitor SB939
Other: immunoenzyme technique
Other: immunohistochemistry staining method
Other: immunologic technique
Other: laboratory biomarker analysis
Other: liquid chromatography
Other: mass spectrometry
Other: pharmacological study
Phase I

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label
Official Title: A Phase I Clinical and Pharmacokinetic Study of SB939 in Patients With Advanced Cancer

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Recommended phase II dose [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Safety [ Designated as safety issue: Yes ]
  • Tolerability [ Designated as safety issue: Yes ]
  • Dose-limiting toxicities [ Designated as safety issue: Yes ]
  • Pharmacokinetic profile [ Designated as safety issue: No ]
  • Correlation between the toxicity profile and pharmacokinetics [ Designated as safety issue: Yes ]
  • SB939 effects on histone H3 acetylation [ Designated as safety issue: No ]

Estimated Enrollment: 30
Study Start Date: June 2007
Estimated Primary Completion Date: July 2009 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • To determine the recommended phase II dose of oral SB939 in patients with solid tumors.

Secondary

  • To determine the toxic effects of SB939 and its association with dose and pharmacokinetics.
  • To assess the pharmacokinetic profile of SB939.
  • To assess preliminary evidence of antitumor effects of SB939 in patients with measurable disease as documented by objective response.
  • To establish proof-of-principle for SB939 effects on histone acetylation by evaluation of histone acetylation and other biomarkers in peripheral blood mononuclear cells (PBMCs) at all dose levels.

OUTLINE: Patients receive oral SB939 once daily on days 1-5 and 15-19. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.

Patients undergo blood sample collection periodically during course 1 for pharmacokinetic and pharmacodynamic studies. Samples are analyzed for levels of SB939 via LC-MS/MS method and levels of acetylated histone 3 (AcH3), target effect, downstream consequences, and tumor response via western blot, immunohistochemistry, or ELISA methods.

After completion of study treatment, patients are followed at 4 weeks and then every 3 months thereafter.

  Eligibility

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

DISEASE CHARACTERISTICS:

Inclusion criteria:

  • Histologically or cytologically confirmed locally advanced or metastatic solid tumor

    • Refractory to standard therapy or for which conventional therapy is not reliably effective

Exclusion criteria:

  • Patients with documented CNS metastases

PATIENT CHARACTERISTICS:

Inclusion criteria:

  • ECOG performance status of 0, 1, or 2
  • Must have a life expectancy of ≥ 12 weeks
  • Granulocytes (AGC) ≥ 1.5 x 10^9/L
  • Platelets ≥ 100 x 10^9/L
  • Bilirubin ≤ upper limit of normal (ULN)
  • AST and ALT ≤ 2.5 x ULN (< 5 x ULN if liver metastases are present)
  • Serum creatinine ≤ 1.2 x ULN OR creatinine clearance ≥ 60 mL/min
  • QTc ≤ 450 msec
  • LVEF ≥ 50% by ECHO or MUGA
  • Troponin I or T ≤ ULN
  • Must be within 1½ hour's driving distance

Exclusion criteria:

  • Pathologic cardiac arrhythmia requiring active treatment

    • Patients with a history of arrhythmia must be > 12 months since last treatment with no recurrence of arrhythmia in the interval
  • Inability to take oral medication

    • Patients must be able to swallow SB939 capsules and have no gastrointestinal abnormalities (e.g., bowel obstruction or previous gastric resection) which would lead to inadequate absorption of SB939
  • Pregnant or lactating women

    • Urine or serum B-HCG must be negative
  • Women or men of child-bearing potential unless using effective contraception
  • Presence of any clinically significant co-morbidities (i.e., pulmonary disease, active CNS disease, or active infection)
  • Presence of any other significant CNS disorder that would hamper the patient's compliance
  • Presence of any significant psychiatric disorder that would hamper the patient's compliance
  • Other acute or chronic medical condition, psychiatric condition, or laboratory abnormality that may increase the risks associated with study participation/study drug administration or may interfere with the interpretation of study results
  • Pre-existing peripheral neuropathy ≥ grade 2
  • Known HIV or hepatitis B or C infection

PRIOR CONCURRENT THERAPY:

Inclusion criteria:

  • Previous anticancer treatment must be discontinued at least 28 days prior to the first dose of study treatment (42 days [6 weeks] for nitrosoureas or mitomycin C)
  • At least 28 days since prior radiation therapy restricted to ≤ 30% of the bone marrow and recovered from toxic effects

    • Exceptions may be made for low-dose nonmyelosuppressive radiotherapy
  • Must be ≥ 14 days since any major surgery
  • Pre-existing bisphosphonate or luteinizing hormone-releasing hormone (LHRH) analog therapy (for men with hormone refractory prostate cancer) may be continued during study participation

Exclusion criteria:

  • Previous treatment with a histone deacetylase (HDAC) inhibitor
  • Treatment with another investigational therapy within 28 days prior to study entry
  • Other concurrent anticancer treatment or investigational therapy
  • Concurrent agents with a known risk of Torsade de Pointes
  • Concurrent G-CSF, GM-CSF, or other hematopoietic growth factors may not be used as a substitute for a scheduled dose reduction (may be used in the management of acute toxicity)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00504296

Locations
Canada, Ontario
Margaret and Charles Juravinski Cancer Centre Recruiting
Hamilton, Ontario, Canada, L8V 5C2
Contact: Sebastien Hotte     905-387-9495        
Princess Margaret Hospital Recruiting
Toronto, Ontario, Canada, M5G 2M9
Contact: Lillian Siu     416-946-2911        
Sponsors and Collaborators
NCIC Clinical Trials Group
Investigators
Study Chair: Lillian L. Siu, MD, FRCPC Princess Margaret Hospital, Canada
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000558934, CAN-NCIC-IND188, S*BIO-SB939-2007-002
Study First Received: July 17, 2007
Last Updated: February 6, 2009
ClinicalTrials.gov Identifier: NCT00504296     History of Changes
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
unspecified adult solid tumor, protocol specific

ClinicalTrials.gov processed this record on September 11, 2009