Study of SAR125844 Single Agent Administered as Slow Intravenous Infusion in Adult Patients With Advanced Malignant Solid Tumors
SARMET
Dose Escalation, Safety, Pharmacokinetic and Pharmacodynamic, First in Man Study, of SAR125844 Single Agent Administered as Slow Intravenous Infusion in Adult Patients With Advanced Malignant Solid Tumors
3 other identifiers
interventional
72
4 countries
8
Brief Summary
Primary Objectives: To determine the maximum tolerated dose (MTD) of SAR125844. To confirm safety profile of SAR125844 when administered as single agent at the MTD. To evaluate the preliminary anti-tumoral effect of SAR125844 in patients with MET-gene amplified solid tumors (including sub-group of MET-amplified non-small cell lung cancer \[NSCLC\] patients) and in patients with Phospho-MET positive tumors without MET-gene amplification. Secondary Objectives: To characterize the global safety profile including cumulative toxicities. To evaluate the pharmacokinetic profile of SAR125844 in the proposed dosing schedule(s). To assess preliminary antitumor activity in patients with measurable/evaluable disease, according to RECIST 1.1 criteria. To explore the pharmacodynamic effects (PD) of SAR125844. To explore MET gene amplification status in Circulating Tumoral Cells (CTCs) and on tumor biopsies collected during the study, in the escalation part only. To evaluate other pharmacodynamic biomarkers and help selection of patients who could benefit from SAR125844. To explore MET-gene amplification status in circulating DNA.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Jul 2011
Longer than P75 for phase_1
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, 2011
CompletedFirst Submitted
Initial submission to the registry
July 6, 2011
CompletedFirst Posted
Study publicly available on registry
July 12, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2016
CompletedApril 13, 2016
April 1, 2016
4.8 years
July 6, 2011
April 12, 2016
Conditions
Outcome Measures
Primary Outcomes (2)
Dose Escalation To determine the maximum tolerated dose (MTD) of SAR125844
At day 28 of Cycle 1 of each treated patient, DLT is assessed
Expansion Cohorts To evaluate the preliminary anti-tumoral effect of SAR125844
Anticancer activity is assessed at Day 28 and then every 8 weeks thereafter up to an expected maximum of 2 years
Secondary Outcomes (6)
Number of patients with treatment emergent events
Up to 2 years
Assessment of PK parameter Cmax
Up to 2 years
Assessment of PK parameter AUCs
Up to 2 years
Assessment of PK parameter CL
Up to 2 years
Assessment of PD parameter ShedMET
Up to 2 years
- +1 more secondary outcomes
Study Arms (1)
Dose Escalation
EXPERIMENTALDose escalation phase: The starting dose of SAR125844 will be 50 mg/m\^2 up to 960 mg/m\^2
Interventions
Eligibility Criteria
You may qualify if:
- In the dose escalation part: patients with high MET tumor expression, evaluable or measurable solid tumors for which no standard therapy is available.
- In the expansion cohorts: in the first cohort, patients with diagnosed MET gene amplified including NSCLC patients and measurable tumors for which no standard therapy is available will be eligible. In the second cohort, patients with advanced P-MET positive measurable solid tumor without MET- gene amplification for which no standard therapy is available will be eligible.
You may not qualify if:
- Patient less than 18 years old. ECOG performance status \>2. Any serious active disease or co-morbid condition, which, in the opinion of the Investigator, may interfere with the safety or the compliance with the study.
- Poor bone marrow reserve as defined by absolute neutrophil count \<1.5 x 10\^9/L or platelets \<100 x 10\^9/L.
- Poor organ function as defined by one of the following:
- Total bilirubin \>1.5 x ULN
- AST, ALT, alkaline phosphatase \>2.5 x ULN or \>5 x ULN in case of documented liver metastasis. Alkaline phosphatase up to 5 x ULN in case of osteolytic bone metastasis without liver metastases is allowed
- Serum creatinine \>1.5 x ULN or
- Serum creatinine between 1.0 and 1.5 x ULN associated with calculated creatinine clearance \<60 mL/min
- Proteinuria \>500 mg/24H Pregnant or breast-feeding women. No use of effective birth control methods, when applicable. No measurable or evaluable tumor lesion in the Dose Escalation part, and no measurable lesions in the expansion cohorts.
- Brain metastasis (other than totally resected or previously pre-irradiated and no progressive/relapsing) or lepto-meningeal carcinomatosis.
- No resolution of any specific toxicities (excluding alopecia) related to any prior anti-cancer therapy to grade ≤1 according to the NCI CTCAE v.4.03.
- Wash out period of less than 3 weeks from previous antitumor therapy or any investigational treatment (and less than 6 weeks in case of prior nitroso-urea and or mitomycin C treatment).
- Any surgery with major risk of bleeding performed less than 10 days prior to study treatment administration.
- Any other severe underlying medical conditions, which could impair the ability to participate in the study or the interpretation of its results.
- Patients treated with potent CYP3A inhibitor unless it can be discontinued at least 2 weeks prior to study treatment or 5 elimination half-life, whichever is the longest.
- Patients treated with potent and moderate CYP3A inducers unless it can be discontinued at least 2 weeks prior to study treatment or 5 elimination half-life, whichever is the longest. Patients treated with weak CYP3A inducers such as dexamethasone are eligible.
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sanofilead
Study Sites (8)
Investigational Site Number 840001
Boston, Massachusetts, 02114, United States
Investigational Site Number 250002
Dijon, 21079, France
Investigational Site Number 250001
Villejuif, 94805, France
Investigational Site Number 380004
Bologna, 40138, Italy
Investigational Site Number 380002
Milan, 20133, Italy
Investigational Site Number 380001
Milan, 20141, Italy
Investigational Site Number 724001
Barcelona, 08035, Spain
Investigational Site Number 724003
Madrid, 28040, Spain
Related Publications (1)
Angevin E, Spitaleri G, Rodon J, Dotti K, Isambert N, Salvagni S, Moreno V, Assadourian S, Gomez C, Harnois M, Hollebecque A, Azaro A, Hervieu A, Rihawi K, De Marinis F. A first-in-human phase I study of SAR125844, a selective MET tyrosine kinase inhibitor, in patients with advanced solid tumours with MET amplification. Eur J Cancer. 2017 Dec;87:131-139. doi: 10.1016/j.ejca.2017.10.016. Epub 2017 Nov 14.
PMID: 29145039DERIVED
MeSH Terms
Interventions
Study Officials
- STUDY DIRECTOR
Clinical Sciences & Operations
Sanofi
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 6, 2011
First Posted
July 12, 2011
Study Start
July 1, 2011
Primary Completion
April 1, 2016
Study Completion
April 1, 2016
Last Updated
April 13, 2016
Record last verified: 2016-04