Safety/Tolerance Study of PPI-2458 in Subjects With Non-Hodgkin's Lymphoma and Solid Tumors

NCT00100347 | Terminated Phase 1

• 1 other identifier: 2458-04-01
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 8

Brief Summary

The purpose of this multi-center, open-label, escalating dose study is to assess the safety and tolerability of PPI-2458 in subjects with Non-Hodgkin's Lymphoma (NHL)and solid tumors. Subjects will be treated every other day (QOD) with PPI-2458 while being monitored closely for adverse events.

Conditions

Non-Hodgkin's Lymphoma,; Solid Tumors

Keywords

non-Hodgkin lymphoma; non-Hodgkin's lymphoma; NHL; MetAP2; Solid Tumors

Outcome Measures

Primary Outcomes (1)

• Safety will be determined by clinical adverse events, laboratory abnormalities, withdrawals due to adverse events, and drug-related neurotoxicities.

Secondary Outcomes (2)

• Pharmacokinetic assessment of PPI-2458

• Pharmacodynamic assessment of PPI-2458

Interventions

PPI-2458 DRUG

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Subject has the ability to understand the requirements of the study, provide written informed consent, and abide by the requirements of the study
• Male or female ≥ 18 years of age
• NHL subjects must have histologically confirmed (by the investigator) diffuse large B cell lymphoma (DLBCL) or follicular lymphoma (FL)- Grade I-III non-Hodgkin's lymphoma (including transformed subjects) with confirmed failure of prior treatment, defined as: a) Progression following other chemotherapy regimens, radiation therapy, monoclonal antibody therapy, or high dose therapy and autologous stem cell transplantation OR b) Not a candidate for or unwilling to undergo high dose therapy with autologous cell transplantation for DLBCL subjects, OR c) Received at least two previous treatment regimens for FL or relapsed, or progressed, while on or following cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) or anthracycline-based regimen for DLBCL subjects Solid tumor subjects must have histologically or cytologically confirmed solid tumor that is either measurable or evaluable and refractory to standard treatment or fow which no curative treatment exists.
• Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 or Karnofsky performance status of 60 - 100%
• Life expectancy ≥ 2 months
• Laboratory values: \*Absolute neutrophil count (ANC) ≥ 1,500/mm3; \*Platelets ≥ 90,000/mm3; \*Aspartate aminotransferase (AST) ≤ 2x upper limit of normal (ULN); \*Alanine aminotransferase (ALT) ≤ 2x ULN; \*Total bilirubin ≤ 1.5x ULN; \*Serum creatinine \< 1.5x ULN
• ≥ 3 weeks since chemotherapy, radiation therapy, monoclonal antibody therapy (e.g. rituximab, etc.) or major surgery, and ≥ 12 weeks since radioimmune therapy
• Results of the two baseline neurodiagnostic nerve conduction velocities (taken at least one week apart) may not vary more than 10%. Response must be well formed and clearl measurable, as judged by the electrophysiology core lab
• Women of childbearing potential must not be breastfeeding or lactating and must have a negative serum pregnancy test within 72 hours of starting the study
• Fertile males and females of child-bearing potential must practice medically acceptable contraception
• Confirmed HIV negative
• Tumor tissue cohorts only: Subjects must have accessible tumor tissue and be willing to undergo tumor tissue biopsies (2-4 core biopsies)
• For subjects entering Continuous Treatment Phase: Subjects must have received some benefit from the Initial Treatment Phase of PPI-2458 treatment (e.g., stable disease) as assessed by the Investigator.

You may not qualify if:

• Active central nervous system (CNS) lymphoma or brain metastases as evidenced by clinical symptoms or by computed tomography (CT) scan or magnetic resonance imaging (MRI), or progression from prior imaging
• A neuropathy ≥ Grade 2
• Baseline nerve conduction velocities, which vary by more than 10% and are inconsistent and/or poorly formed, as judged by the electrophysiology core lab
• Requirement for corticosteroids
• History of allogeneic stem cell transplantation
• History of seizures
• Active colitis, peptic ulcers, or Irritable Bowel Disease
• Any uncontrolled serious medical or psychiatric illness
• Electrocardiogram (ECG) showing clinically significant atrial or ventricular arrhythmias, 2nd degree or 3rd degree heart block or prolonged QTc interval \> 480 msec
• Subjects taking any drug that is a known clinically relevant inhibitor or inducer of cytochrome P450 3A4.
• Has received an investigational drug within 21 days of study entry, is currently participating in another study, or is planning to participate in another study during this clinical trial
• Receiving ongoing pharmacological or radiological treatments for NHL
• History of mucositis, not related to prior NHL therapy, \> Grade 1 within the last year

Sponsors & Collaborators

• PRAECIS Pharmaceuticals Inc.: lead

Study Sites (8)

Universtiy of Maryland Marlene and Stewart Greenebaum Cancer Center

Baltimore, Maryland, 21201, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Dana Farber Cancer Institute

Boston, Massachusetts, 02115, United States

Location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Location

University of New Mexico

Albuquerque, New Mexico, 87131, United States

Location

Columbia University Medical Center

New York, New York, 10032, United States

Location

University of Texas, M.D. Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Virginia Oncology Associates

Norfolk, Virginia, 23502, United States

Location

MeSH Terms

Conditions

Lymphoma, Non-Hodgkin

Interventions

PPI 2458

Condition Hierarchy (Ancestors)

Lymphoma; Neoplasms by Histologic Type; Neoplasms; Lymphoproliferative Disorders; Lymphatic Diseases; Hemic and Lymphatic Diseases; Immunoproliferative Disorders; Immune System Diseases

Study Officials

• Paul Eder, MD

  Dana-Farber Cancer Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY

Study Record Dates

• First Submitted: December 29, 2004
• First Posted: December 30, 2004
• Study Start: December 1, 2004
• Study Completion: July 1, 2007
• Last Updated: July 25, 2007

Record last verified: 2007-07

Locations

US (8)