Study of Afuresertib Monotherapy in Japanese Relapsed Multiple Myeloma Patients

NCT02177682 | Terminated Phase 1

• 1 other identifier: 115960
• Study Type: interventional
• Target: 9
• Locations: 1 country
• Sites: 5

Brief Summary

Afuresertib, an AKT inhibitor, has shown in vitro and in vivo activity in multiple myeloma models. AKT inhibitor has also demonstrated encouraging clinical activity in multiple myeloma. This study is designed to determine the tolerability, safety, pharmacokinetics and efficacy of afuresertib as monotherapy in Japanese relapsed multiple myeloma patients. This is an open label, dose-escalating, phase I study. Afuresertib will be given daily until the subjects meet any study treatment withdrawal criteria including disease progression. A total of up to 24 subjects will be enrolled in the study.

Conditions

Neoplasms, Haematologic

Keywords

AKT inhibitor; Afuresertib; multiple myeloma

Outcome Measures

Primary Outcomes (1)

• Number of subjects with Dose-limiting toxicities (DLTs) when afuresertib is given as monotherapy

  DLT is defined as an adverse event which is applicable to any of the criteria specified in the protocol and judged to have a reasonable causal relationship with afuresertib. The DLT evaluation period will be from the day of the first dosing in Cycle 1 to Day 21 of Cycle 1 or the day of DLT occurrence if any DLT occurred before Day 21 of Cycle 1.

  Day 1 to 21 of Cycle 1

Secondary Outcomes (8)

• Eastern Cooperative Oncology Group (ECOG) performance status (PS)

  From Day -3 until 30 days after the last dose of afuresertib

• Vital signs assessment

  From Day -3 until 30 days after the last dose of afuresertib

• Number of participants with adverse events (AEs)

  From Day -3 until 30 days after the last dose of afuresertib

• Laboratory assessments

  From Day -3 until 30 days after the last dose of afuresertib

• 12-lead electrocardiogram (ECG) assessment

  From Day -3 until 30 days after the last dose of afuresertib

Study Arms (1)

Afuresertib

EXPERIMENTAL

Three subjects will be enrolled and given afuresertib 125 mg orally and monitored for toxicity. After completion of PK sampling in 3 days (Cycle 0), daily repeated dose of 125 mg will be given for 21 days (Cycle 1). If no DLT event is found after 21 days of repeated dosing, up to 6 subjects will be enrolled and given afuresertib 150 mg. If afuresertib 150 mg is assessed to be tolerable, up to 6 subjects can be enrolled and given afuresertib 200 mg. If afuresertib 200 mg is assessed to be intolerable, up to 6 subjects will be enrolled and given afuresertib 150mg or 175 mg. In any Dose levels, if DLT occurs in more than 2 subjects, that Dose level will be considered as intolerable."

Drug: Afuresertib

Interventions

Afuresertib DRUG

Size 4 and Size 1 opaque white capsules containing 25 mg and 100 mg of afuresertib, respectively, to be administered orally.

Afuresertib

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Written informed consent is provided.
• Japanese females or males aged 20 years or older (at the time consent is obtained).
• Histologically confirmed diagnosis of relapsed multiple myeloma.
• Performance score of 0 and 1 according to the ECOG scale.
• Relapsed after at least 1 line of systemic therapy. The preparative regimen (with or without total body irradiation) and subsequent autologous stem cell rescue used for an autologous stem cell transplant are considered as one line of therapy.
• Able to swallow and retain oral medication.
• Male subjects with a female partner of childbearing potential must have had a prior vasectomy or agree to use adequate contraception from the time of the first dose of study drug until three months after the last dose of study drug.
• A female subject is eligible to participate if she is of: (A) Non-childbearing potential (i.e. physiologically incapable of becoming pregnant): Pre-menopausal females with a documented tubal ligation or hysterectomy; Postmenopausal defined as 12 months of spontaneous amenorrhea \[if unclear, simultaneous follicle stimulating hormone \>40 milli-international units (MIU)/milliliter (mL) and oestradiol \<40 picograms (pg)/mL (\<140 picomoles \[pmol\]/L) is required as confirmation\]. (B) Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt must discontinue HRT to confirm post-menopausal status prior to study enrolment. Following confirmation, they can resume HRT during the study without use of a contraceptive method. (C) Child-bearing potential, has a negative serum pregnancy test within 7 days prior to enrolment, and agrees to use adequate contraception from screening until four weeks after the last dose of study drug. Note: The recommended contraceptive methods are abstinence of sexual intercourse, use of intrauterine device/system, vasectomy, and use of condom with spermicidal agent. An oral contraceptive drug does not offer a reliable contraceptive method as a drug-drug interaction may occur.
• Adequate organ system functions as defined in the protocol
• Subjects with a history of autologous stem cell transplant are eligible provided the following criteria are met: transplant completed \>180 days prior to enrolment; no active infection (e.g. cytomegalovirus, varicella-zoster virus); meets the remainder of the eligibility criteria outlined in this protocol.

You may not qualify if:

• Chemotherapy, radiotherapy, immunotherapy or other anti-myeloma therapy within 28 days prior to enrolment. In addition, any toxicity (except alopecia) should be recovered to \<=Grade 1 by National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 4.0.
• Use of an investigational drug within 30 days or five half-lives, whichever is longer.
• History of PI3K/AKT inhibitors.
• Current use of prohibited medication or subject who requires any of these medications during treatment of afuresertib, as well as subject who cannot meet the protocol specified meals and dietary restrictions
• Current use of oral corticosteroids, except inhaled or topical use.
• Uncontrolled diabetes mellitus by diet, exercise or medicinal therapies including insulin, and with fasting serum glucose \>=130 mg/dL (\>=7.28 millimoles \[mmol\]/L).
• Use of anticoagulants other than low dose (prophylactic) anticoagulants for subject whose Prothrombin time (PT)/international normalization ratio (INR) and activated partial thromboplastin time (APTT) is \<=1.5 x upper limit of normal (ULN).
• Presence of active Gastro-intestinal (GI) disease or other condition that could affect GI absorption (e.g. malabsorption syndrome) or predispose subject to GI ulceration.
• Any major surgery that required hospitalization within last four weeks.
• Any serious or unstable pre-existing medical, psychiatric, or other conditions (including lab abnormalities) that could interfere with subject safety or obtaining informed consent.
• Active infection requiring parenteral or oral anti-infective treatment.
• Evidence of severe or uncontrolled systemic diseases (e.g., unstable or uncompensated respiratory, hepatic, renal, or cardiac disease).
• Central nervous system malignancies, primary or metastatic.
• Diagnosis of or treatment history for another malignancy within 2 years, with the exception of complete resection of basal cell carcinoma or squamous cell carcinoma of the skin, an in situ malignancy, or low-risk prostate cancer after curative therapy.
• History of known infection with human immunodeficiency virus (HIV).

Sponsors & Collaborators

• Novartis Pharmaceuticals: lead

Study Sites (5)

Novartis Investigative Site

Aichi, 467-8602, Japan

Location

Novartis Investigative Site

Fukuoka, 811-1395, Japan

Location

Novartis Investigative Site

Miyagi, 980-8574, Japan

Location

Novartis Investigative Site

Niigata, 951-8566, Japan

Location

Novartis Investigative Site

Tokyo, 104-0045, Japan

Location

Related Links

• Novartis results database

MeSH Terms

Conditions

Neoplasms; Multiple Myeloma

Interventions

afuresertib

Condition Hierarchy (Ancestors)

Neoplasms, Plasma Cell; Neoplasms by Histologic Type; Hemostatic Disorders; Vascular Diseases; Cardiovascular Diseases; Paraproteinemias; Blood Protein Disorders; Hematologic Diseases; Hemic and Lymphatic Diseases; Hemorrhagic Disorders; Lymphoproliferative Disorders; Immunoproliferative Disorders; Immune System Diseases

Study Officials

• Novartis Pharmaceuticals

  Novartis Pharmaceuticals

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 29, 2014
• First Posted: June 30, 2014
• Study Start: August 13, 2014
• Primary Completion: February 9, 2017
• Study Completion: August 14, 2019
• Last Updated: August 11, 2021

Record last verified: 2021-08

Data Sharing

• IPD Sharing: Will not share

Locations

JP (5)