NCT01154816

Brief Summary

This phase II trial is studying the side effects of and how well alisertib works in treating young patients with relapsed or refractory solid tumors or leukemia. Alisertib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
118

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Feb 2011

Longer than P75 for phase_2

Geographic Reach
2 countries

105 active sites

Status
completed

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

First Submitted

Initial submission to the registry

June 30, 2010

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 1, 2010

Completed
7 months until next milestone

Study Start

First participant enrolled

February 1, 2011

Completed
4.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2015

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

June 5, 2017

Completed
2.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2019

Completed
Last Updated

May 13, 2020

Status Verified

September 1, 2017

Enrollment Period

4.9 years

First QC Date

June 30, 2010

Results QC Date

July 28, 2016

Last Update Submit

April 29, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With Overall Response

    For patients with recurrent solid tumors a patient who experienced a complete or partial response according to RECIST version 1.1 criteria is considered a responder. For patients with recurrent acute lymphoblastic leukemia a patient who experiences a bone marrow evaluation with \< 5% blast cells on morphological evaluation of bone marrow will be considered a responder. For patients with recurrent acute myelogenous leukemia a patient who experiences a complete remission or complete remission with partial recovery of platelet count according to the AML International Working Group Criteria will be considered a responder.

    From first dose of alisertib through 6 cycles of protocol therapy or until removal from protocol therapy whichever occurred first.

Secondary Outcomes (7)

  • Number of Patients Cycles With Grade 3 or Higher Adverse Event

    Up to 24 months

  • Serum Concentration of Alisertib Prior to the First Day of Administration

    day 1 of protocol therapy

  • Serum Concentration of Alisertib on the First Day of Administration One Hour After Administration

    day 1 of protocol therapy

  • Serum Concentration of Alisertib on the First Day of Administration Three Hours After Administration

    day 1 of protocol therapy

  • Serum Concentration of Alisertib on the First Day of Administration Six Hours After Administration

    day 1 of protocol therapy

  • +2 more secondary outcomes

Study Arms (12)

Arm I (neuroblastoma- measurable)

EXPERIMENTAL

Patients with measurable neuroblastoma receive alisertib PO QD on days 1-7. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.

Drug: AlisertibOther: Laboratory Biomarker AnalysisOther: Pharmacological Study

Arm II (Neuroblastoma- MIBG evaluable)

EXPERIMENTAL

Patients MIBG evaluable neuroblastoma receive alisertib PO QD on days 1-7. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.

Drug: AlisertibOther: Laboratory Biomarker AnalysisOther: Pharmacological Study

Arm III (rhabdomyosarcoma)

EXPERIMENTAL

Patients with rhabdomyosarcoma receive alisertib PO QD on days 1-7. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.

Drug: AlisertibOther: Laboratory Biomarker AnalysisOther: Pharmacological Study

Arm IV (osteosarcoma)

EXPERIMENTAL

Patients with osteosarcoma receive alisertib PO QD on days 1-7. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.

Drug: AlisertibOther: Laboratory Biomarker AnalysisOther: Pharmacological Study

Arm V (Ewing sarcoma/peripheral PNET)

EXPERIMENTAL

Patients with Ewing sarcoma/peripheral PNET receive alisertib PO QD on days 1-7. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.

Drug: AlisertibOther: Laboratory Biomarker AnalysisOther: Pharmacological Study

Arm VI (non-RMS soft tissue sarcoma)

EXPERIMENTAL

Patients with non-RMS soft tissue sarcoma receive alisertib PO QD on days 1-7. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.

Drug: AlisertibOther: Laboratory Biomarker AnalysisOther: Pharmacological Study

Arm VII (hepatoblastoma)

EXPERIMENTAL

Patients hepatoblastoma receive alisertib PO QD on days 1-7. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.

Drug: AlisertibOther: Laboratory Biomarker AnalysisOther: Pharmacological Study

Arm VIII (malignant germ cell tumor)

EXPERIMENTAL

Patients with malignant germ cell tumor receive alisertib PO QD on days 1-7. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.

Drug: AlisertibOther: Laboratory Biomarker AnalysisOther: Pharmacological Study

Arm IX (Wilms tumor)

EXPERIMENTAL

Patients with Wilms tumor receive alisertib PO QD on days 1-7. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.

Drug: AlisertibOther: Laboratory Biomarker AnalysisOther: Pharmacological Study

Arm X (acute lymphoblastic leukemia)

EXPERIMENTAL

Patients with acute lymphoblastic leukemia receive alisertib PO QD on days 1-7. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.

Drug: AlisertibOther: Laboratory Biomarker AnalysisOther: Pharmacological Study

Arm XI (acute myelogenous leukemia)

EXPERIMENTAL

Patients acute myelogenous leukemia receive alisertib PO QD on days 1-7. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.

Drug: AlisertibOther: Laboratory Biomarker AnalysisOther: Pharmacological Study

Arm XII (rhabdoid malignancy)

EXPERIMENTAL

Patients with rhabdoid malignancy receive alisertib PO QD on days 1-7. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.

Drug: AlisertibOther: Laboratory Biomarker AnalysisOther: Pharmacological Study

Interventions

Given orally

Also known as: Aurora A Kinase Inhibitor MLN8237, MLN-8237, MLN8237
Arm I (neuroblastoma- measurable)Arm II (Neuroblastoma- MIBG evaluable)Arm III (rhabdomyosarcoma)Arm IV (osteosarcoma)Arm IX (Wilms tumor)Arm V (Ewing sarcoma/peripheral PNET)Arm VI (non-RMS soft tissue sarcoma)Arm VII (hepatoblastoma)Arm VIII (malignant germ cell tumor)Arm X (acute lymphoblastic leukemia)Arm XI (acute myelogenous leukemia)Arm XII (rhabdoid malignancy)

Correlative studies

Arm I (neuroblastoma- measurable)Arm II (Neuroblastoma- MIBG evaluable)Arm III (rhabdomyosarcoma)Arm IV (osteosarcoma)Arm IX (Wilms tumor)Arm V (Ewing sarcoma/peripheral PNET)Arm VI (non-RMS soft tissue sarcoma)Arm VII (hepatoblastoma)Arm VIII (malignant germ cell tumor)Arm X (acute lymphoblastic leukemia)Arm XI (acute myelogenous leukemia)Arm XII (rhabdoid malignancy)

Correlative studies

Arm I (neuroblastoma- measurable)Arm II (Neuroblastoma- MIBG evaluable)Arm III (rhabdomyosarcoma)Arm IV (osteosarcoma)Arm IX (Wilms tumor)Arm V (Ewing sarcoma/peripheral PNET)Arm VI (non-RMS soft tissue sarcoma)Arm VII (hepatoblastoma)Arm VIII (malignant germ cell tumor)Arm X (acute lymphoblastic leukemia)Arm XI (acute myelogenous leukemia)Arm XII (rhabdoid malignancy)

Eligibility Criteria

Age1 Year - 21 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Patients must have had histologic verification of malignancy at original diagnosis or at relapse, to include any of the following malignancies (no other histology is eligible):
  • Neuroblastoma- measurable
  • Neuroblastoma- MIBG evaluable
  • Rhabdomyosarcoma
  • Osteosarcoma
  • Ewing sarcoma/Peripheral PNET
  • Non-RMS soft tissue sarcoma
  • Hepatoblastoma
  • Malignant germ cell tumor
  • Wilms tumor
  • Acute lymphoblastic leukemia
  • Acute myelogenous leukemia
  • Rhabdoid malignancy
  • Disease status for solid tumor patients:
  • Patients must have radiographically measurable disease (with the exception of neuroblastoma)
  • +54 more criteria

You may not qualify if:

  • Patients who are pregnant or breast-feeding are not eligible for this study; negative pregnancy tests must be obtained in girls who are post-menarchal; males or females of reproductive potential may not participate unless they have agreed to use an effective contraceptive method for the duration of study therapy; breastfeeding women are excluded
  • Growth factors that support platelet or white cell number or function must not have been administered within the 7 days prior to enrollment (14 days if pegfilgrastim)
  • Patients requiring corticosteroids who have not been on a stable or decreasing dose of corticosteroid for the 7 days prior to enrollment are not eligible
  • Patients who are currently receiving another investigational drug are not eligible
  • Patients who are currently receiving other anti-cancer agents are not eligible
  • Use of daily benzodiazepine therapy excludes a patient from being eligible because of the potential benzodiazepine-like effects of MLN8237
  • Patients who are currently receiving digoxin, cyclosporine, tacrolimus, or sirolimus are not eligible
  • Patients who are unable to swallow tablets are not eligible
  • Patients who have an uncontrolled infection are not eligible
  • Leukemia patients with CNS disease are not eligible
  • Patients who in the opinion of the investigator may not be able to comply with the safety monitoring requirements of the study are not eligible

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (105)

Children's Hospital of Alabama

Birmingham, Alabama, 35233, United States

Location

University of Alabama at Birmingham Cancer Center

Birmingham, Alabama, 35233, United States

Location

University of Arkansas for Medical Sciences

Little Rock, Arkansas, 72205, United States

Location

Southern California Permanente Medical Group

Downey, California, 90242, United States

Location

Miller Children's and Women's Hospital Long Beach

Long Beach, California, 90806, United States

Location

Children's Hospital Los Angeles

Los Angeles, California, 90027, United States

Location

Cedars-Sinai Medical Center

Los Angeles, California, 90048, United States

Location

Children's Hospital Central California

Madera, California, 93636-8762, United States

Location

Children's Hospital of Orange County

Orange, California, 92868, United States

Location

Lucile Packard Children's Hospital Stanford University

Palo Alto, California, 94304, United States

Location

Rady Children's Hospital - San Diego

San Diego, California, 92123, United States

Location

UCSF Medical Center-Parnassus

San Francisco, California, 94143, United States

Location

Connecticut Children's Medical Center

Hartford, Connecticut, 06106, United States

Location

Yale University

New Haven, Connecticut, 06520, United States

Location

Alfred I duPont Hospital for Children

Wilmington, Delaware, 19803, United States

Location

Children's National Medical Center

Washington D.C., District of Columbia, 20010, United States

Location

Lee Memorial Health System

Fort Myers, Florida, 33901, United States

Location

Nemours Children's Clinic-Jacksonville

Jacksonville, Florida, 32207, United States

Location

University of Miami Miller School of Medicine-Sylvester Cancer Center

Miami, Florida, 33136, United States

Location

Florida Hospital Orlando

Orlando, Florida, 32803, United States

Location

Nemours Children's Clinic - Orlando

Orlando, Florida, 32806, United States

Location

UF Cancer Center at Orlando Health

Orlando, Florida, 32806, United States

Location

Nemours Children's Clinic - Pensacola

Pensacola, Florida, 32504, United States

Location

All Children's Hospital

St. Petersburg, Florida, 33701, United States

Location

Saint Joseph's Hospital/Children's Hospital-Tampa

Tampa, Florida, 33607, United States

Location

Children's Healthcare of Atlanta - Egleston

Atlanta, Georgia, 30322, United States

Location

University of Hawaii Cancer Center

Honolulu, Hawaii, 96813, United States

Location

Lurie Children's Hospital-Chicago

Chicago, Illinois, 60611, United States

Location

University of Illinois

Chicago, Illinois, 60612, United States

Location

University of Chicago Comprehensive Cancer Center

Chicago, Illinois, 60637, United States

Location

Saint Jude Midwest Affiliate

Peoria, Illinois, 61637, United States

Location

Southern Illinois University School of Medicine

Springfield, Illinois, 62702, United States

Location

Indiana University/Melvin and Bren Simon Cancer Center

Indianapolis, Indiana, 46202, United States

Location

Riley Hospital for Children

Indianapolis, Indiana, 46202, United States

Location

University of Iowa/Holden Comprehensive Cancer Center

Iowa City, Iowa, 52242, United States

Location

University of Kentucky/Markey Cancer Center

Lexington, Kentucky, 40536, United States

Location

Tulane University Health Sciences Center

New Orleans, Louisiana, 70112, United States

Location

Sinai Hospital of Baltimore

Baltimore, Maryland, 21215, United States

Location

Johns Hopkins University/Sidney Kimmel Cancer Center

Baltimore, Maryland, 21287, United States

Location

Dana-Farber Cancer Institute

Boston, Massachusetts, 02115, United States

Location

Wayne State University/Karmanos Cancer Institute

Detroit, Michigan, 48201, United States

Location

Children's Hospitals and Clinics of Minnesota - Minneapolis

Minneapolis, Minnesota, 55404, United States

Location

University of Minnesota/Masonic Cancer Center

Minneapolis, Minnesota, 55455, United States

Location

Mayo Clinic

Rochester, Minnesota, 55905, United States

Location

University of Mississippi Medical Center

Jackson, Mississippi, 39216, United States

Location

The Childrens Mercy Hospital

Kansas City, Missouri, 64108, United States

Location

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Location

Mercy Hospital Saint Louis

St Louis, Missouri, 63141, United States

Location

Children's Hospital and Medical Center of Omaha

Omaha, Nebraska, 68114, United States

Location

Hackensack University Medical Center

Hackensack, New Jersey, 07601, United States

Location

Rutgers Cancer Institute of New Jersey-Robert Wood Johnson University Hospital

New Brunswick, New Jersey, 08903, United States

Location

Overlook Hospital

Summit, New Jersey, 07902, United States

Location

University of New Mexico Cancer Center

Albuquerque, New Mexico, 87102, United States

Location

Roswell Park Cancer Institute

Buffalo, New York, 14263, United States

Location

Winthrop University Hospital

Mineola, New York, 11501, United States

Location

Columbia University/Herbert Irving Cancer Center

New York, New York, 10032, United States

Location

State University of New York Upstate Medical University

Syracuse, New York, 13210, United States

Location

Montefiore Medical Center - Moses Campus

The Bronx, New York, 10467-2490, United States

Location

New York Medical College

Valhalla, New York, 10595, United States

Location

UNC Lineberger Comprehensive Cancer Center

Chapel Hill, North Carolina, 27599, United States

Location

Carolinas Medical Center/Levine Cancer Institute

Charlotte, North Carolina, 28203, United States

Location

Novant Health Presbyterian Medical Center

Charlotte, North Carolina, 28204, United States

Location

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157, United States

Location

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

Rainbow Babies and Childrens Hospital

Cleveland, Ohio, 44106, United States

Location

Nationwide Children's Hospital

Columbus, Ohio, 43205, United States

Location

Dayton Children's Hospital

Dayton, Ohio, 45404, United States

Location

Mercy Children's Hospital

Toledo, Ohio, 43608, United States

Location

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73104, United States

Location

Natalie Warren Bryant Cancer Center at Saint Francis

Tulsa, Oklahoma, 74136, United States

Location

Legacy Emanuel Children's Hospital

Portland, Oregon, 97227, United States

Location

Legacy Emanuel Hospital and Health Center

Portland, Oregon, 97227, United States

Location

Oregon Health and Science University

Portland, Oregon, 97239, United States

Location

Penn State Hershey Children's Hospital

Hershey, Pennsylvania, 17033, United States

Location

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

Location

Childrens Oncology Group

Philadelphia, Pennsylvania, 19104, United States

Location

Saint Christopher's Hospital for Children

Philadelphia, Pennsylvania, 19134, United States

Location

Children's Hospital of Pittsburgh of UPMC

Pittsburgh, Pennsylvania, 15224, United States

Location

Palmetto Health Richland

Columbia, South Carolina, 29203, United States

Location

East Tennessee Childrens Hospital

Knoxville, Tennessee, 37916, United States

Location

St. Jude Children's Research Hospital

Memphis, Tennessee, 38105, United States

Location

Vanderbilt University/Ingram Cancer Center

Nashville, Tennessee, 37232, United States

Location

Driscoll Children's Hospital

Corpus Christi, Texas, 78411, United States

Location

Medical City Dallas Hospital

Dallas, Texas, 75230, United States

Location

UT Southwestern/Simmons Cancer Center-Dallas

Dallas, Texas, 75390, United States

Location

Cook Children's Medical Center

Fort Worth, Texas, 76104, United States

Location

Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center

Houston, Texas, 77030, United States

Location

Methodist Children's Hospital of South Texas

San Antonio, Texas, 78229, United States

Location

University of Vermont College of Medicine

Burlington, Vermont, 05405, United States

Location

Childrens Hospital-King's Daughters

Norfolk, Virginia, 23507, United States

Location

Virginia Commonwealth University/Massey Cancer Center

Richmond, Virginia, 23298, United States

Location

Carilion Clinic Children's Hospital

Roanoke, Virginia, 24014, United States

Location

Seattle Children's Hospital

Seattle, Washington, 98105, United States

Location

Providence Sacred Heart Medical Center and Children's Hospital

Spokane, Washington, 99204, United States

Location

Saint Vincent Hospital

Green Bay, Wisconsin, 54301, United States

Location

University of Wisconsin Hospital and Clinics

Madison, Wisconsin, 53792, United States

Location

Children¿s Hospital of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

Alberta Children's Hospital

Calgary, Alberta, T3B 6A8, Canada

Location

British Columbia Children's Hospital

Vancouver, British Columbia, V6H 3V4, Canada

Location

CancerCare Manitoba

Winnipeg, Manitoba, R3E 0V9, Canada

Location

IWK Health Centre

Halifax, Nova Scotia, B3K 6R8, Canada

Location

Cancer Centre of Southeastern Ontario at Kingston General Hospital

Kingston, Ontario, K7L 5P9, Canada

Location

Hospital for Sick Children

Toronto, Ontario, M5G 1X8, Canada

Location

The Montreal Children's Hospital of the MUHC

Montreal, Quebec, H3H 1P3, Canada

Location

Centre Hospitalier Universitaire Sainte-Justine

Montreal, Quebec, H3T 1C5, Canada

Location

Related Publications (2)

  • Zhou X, Mould DR, Yuan Y, Fox E, Greengard E, Faller DV, Venkatakrishnan K. Population Pharmacokinetics and Exposure-Safety Relationships of Alisertib in Children and Adolescents With Advanced Malignancies. J Clin Pharmacol. 2022 Feb;62(2):206-219. doi: 10.1002/jcph.1958. Epub 2022 Jan 15.

  • Mosse YP, Fox E, Teachey DT, Reid JM, Safgren SL, Carol H, Lock RB, Houghton PJ, Smith MA, Hall D, Barkauskas DA, Krailo M, Voss SD, Berg SL, Blaney SM, Weigel BJ. A Phase II Study of Alisertib in Children with Recurrent/Refractory Solid Tumors or Leukemia: Children's Oncology Group Phase I and Pilot Consortium (ADVL0921). Clin Cancer Res. 2019 Jun 1;25(11):3229-3238. doi: 10.1158/1078-0432.CCR-18-2675. Epub 2019 Feb 18.

MeSH Terms

Conditions

HepatoblastomaPrecursor Cell Lymphoblastic Leukemia-LymphomaNeuroectodermal Tumors, Primitive, PeripheralNeuroblastomaOsteosarcoma

Interventions

MLN 8237

Condition Hierarchy (Ancestors)

Neoplasms, Complex and MixedNeoplasms by Histologic TypeNeoplasmsLeukemia, LymphoidLeukemiaHematologic DiseasesHemic and Lymphatic DiseasesLymphoproliferative DisordersLymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesNeuroectodermal Tumors, PrimitiveNeoplasms, NeuroepithelialNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms, Glandular and EpithelialNeoplasms, Nerve TissueNeoplasms, Bone TissueNeoplasms, Connective TissueNeoplasms, Connective and Soft TissueSarcoma

Results Point of Contact

Title
Results Reporting Coordinator
Organization
Children's Oncology Group

Study Officials

  • Yael Mosse

    Children's Oncology Group

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
NETWORK
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 30, 2010

First Posted

July 1, 2010

Study Start

February 1, 2011

Primary Completion

December 31, 2015

Study Completion

June 30, 2019

Last Updated

May 13, 2020

Results First Posted

June 5, 2017

Record last verified: 2017-09

Locations