Study of the Safety and Tolerability of PCI-24781 in Patients With Lymphoma
PCYC-0403
Phase I/II Dose-Escalation Study of the Pan-Histone Deacetylase (HDAC) Inhibitor PCI-24781 in Lymphoma
1 other identifier
interventional
55
1 country
8
Brief Summary
The first part of the study will determine the highest dose of study drug that can be taken without causing serious side effects in patients with lymphoma. The appropriate dose determined from the first part of the study will be used in the second part of the study to assess disease response in 2 different types of lymphoma patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 lymphoma
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2008
CompletedFirst Submitted
Initial submission to the registry
July 28, 2008
CompletedFirst Posted
Study publicly available on registry
July 30, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2012
CompletedResults Posted
Study results publicly available
April 7, 2014
CompletedApril 7, 2014
February 1, 2014
4.3 years
July 28, 2008
February 27, 2014
February 27, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Phase I (Dose Escalation Phase): MTD and DLTs of PCI-24781 Administered Twice Daily (BID) Measure: Disease Response
Number of patients experienced DLT in each cohort
From the Date of PCI-24781 first administration to Cycle 2 Day 1
Phase II: Overall Response Rate (CR+PR)
From first response assessment (day 22 to 28 of Cycle 2) to last response assessment on day 22-28 in even-numbered cycles
Study Arms (1)
1
EXPERIMENTALInterventions
Phase I Dose Escalation: Up to 5 cohorts will receive PCI-24781 orally at doses starting at 30mg/m2 two times a day approximately 4-6 hours apart ("BID"), up to 90mg/m2 administered 5 days/week during the first 21 days of each 28 day cycle until the maximum tolerated dose (MTD) is reached. If a dose limiting toxicity (DLT) occurs, then the next cohort will receive PCI-24781 BID for 7 days every other week (2 times in a 28 day cycle). Phase II Efficacy Evaluation: All patients will receive PCI-24781 orally at the dosage and regimen determined in Phase I.
Eligibility Criteria
You may qualify if:
- age ≥ 18 years
- Phase I: Any measurable, histologically confirmed, and previously treated lymphoma
- Phase II: Measurable, histologically confirmed, and previously treated lymphoma in one of the following categories:
- Follicular non-Hodgkin's Lymphoma
- Mantle cell lymphoma
- Ability to swallow oral capsules without difficulty
- Estimated life expectancy \> 12 weeks
- ECOG performance status ≤ 1
- Willing and able to sign a written informed consent
You may not qualify if:
- More than four prior systemic treatment regimens (not counting maintenance rituximab; salvage therapy/conditioning regimen preceding autologous bone marrow transplantation \[ABMT\] and ABMT count as one regimen)
- Allogeneic bone marrow transplant
- Immunotherapy, chemotherapy, radiotherapy or experimental therapy within 4 weeks before first day of study drug dosing
- Major surgery within 4 weeks before first day of study drug dosing
- CNS lymphoma or a history of meningeal carcinomatosis
- Prior treatment with an HDAC inhibitor (unless for treatment of Mycosis fungoides or Sézary syndrome)
- Creatinine \> 1.5 x institutional upper limit of normal (ULN) or creatinine clearance ≤ 50 mL/min
- Total bilirubin \> 1.5 x institutional ULN (unless elevated from documented Gilbert's syndrome)
- AST and ALT \> 2.5 x institutional ULN
- Platelet count \< 75,000/µL for Phase I and \<100,000\>µL for Phase II
- Absolute neutrophil count (ANC) \< 1500/µL
- Malabsorption
- Corticosteroids \> 20 mg prednisone equivalent per day (topical, inhaled, or nasal corticosteroids are permitted)
- Concurrent therapeutic anticoagulation (Phase I only)
- Uncontrolled illness including but not limited to: ongoing or active infection, symptomatic congestive heart failure (New York Heart Association Class III or IV heart failure), unstable angina pectoris, cardiac arrhythmia, and psychiatric illness that would limit compliance with study requirements
- +9 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (8)
University of California, San Francisco
San Francisco, California, 94143, United States
Northwestern University Medical School
Chicago, Illinois, 60611, United States
Horizon Oncology Center
Lafayette, Indiana, 47905, United States
University of Massachusetts Medical School
Worcester, Massachusetts, 01655, United States
Washington University School of Medicine
St Louis, Missouri, 63110, United States
Nebraska Methodist Hospital
Omaha, Nebraska, 68114, United States
University of Nebraska Medical Center
Omaha, Nebraska, 68198, United States
University of Vermont and Fletcher Allen Health Care
Burlington, Vermont, 05405, United States
Related Publications (1)
Buggy JJ, Cao ZA, Bass KE, Verner E, Balasubramanian S, Liu L, Schultz BE, Young PR, Dalrymple SA. CRA-024781: a novel synthetic inhibitor of histone deacetylase enzymes with antitumor activity in vitro and in vivo. Mol Cancer Ther. 2006 May;5(5):1309-17. doi: 10.1158/1535-7163.MCT-05-0442.
PMID: 16731764RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Thorsten Graef
- Organization
- Pharmacyclics
Study Officials
- STUDY DIRECTOR
Thorsten Graef, MD
Pharmacyclics LLC.
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 28, 2008
First Posted
July 30, 2008
Study Start
July 1, 2008
Primary Completion
November 1, 2012
Last Updated
April 7, 2014
Results First Posted
April 7, 2014
Record last verified: 2014-02