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| ID | Type | Description | Link |
|---|---|---|---|
| CAN-NCIC-IND177 | Registry Identifier | NCI US - Physician Data Query | |
| CDR0000507621 | Other Identifier | PDQ |
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RATIONALE: AT7519M may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.
PURPOSE: This phase I trial is studying the side effects and best dose of AT7519M in treating patients with advanced or metastatic solid tumors or refractory non-Hodgkin's lymphoma.
OBJECTIVES:
Primary
Secondary
OUTLINE: This is an open-label, dose-escalation, multicenter study.
Patients receive AT7519M IV over 1-3 hours on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Cohorts of 3-6 patients receive escalating doses of AT7519M until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity during course 1. Once the MTD has been determined, up to 8 additional patients are treated at the MTD.
Patients undergo blood collection periodically for pharmacokinetic studies. Patients treated at the MTD also undergo tumor tissue biopsies or aspirates and blood collection periodically for additional pharmacodynamic and correlative biomarker studies.
After completion of study therapy, patients are followed at 4 weeks. Patients with complete response, partial response, or stable disease are followed every 3 months thereafter until relapse.
PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CDKI AT7519 | Experimental | AT7519M (1 hour IV) on days 1, 4, 8 and 11 every 5 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CDKI AT7519 | Drug | AT7519M (1 hour IV) on days 1, 4, 8 and 11 every 5 weeks. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum tolerated dose as assessed by NCI CTCAE v.30 | from time of 1st dose | |
| Safety, tolerability, toxicity profile, and dose-limiting toxicities as assessed by NCI CTCAE v.30 | from time of 1st dose | |
| Pharmacokinetic profile as measured on days 1, 2, and 4 in course 1 | during cycle 1 | one month |
| Correlation of toxicity profile with pharmacokinetics | after completion of each dose level |
| Measure | Description | Time Frame |
|---|---|---|
| Preliminary antitumor activity of treatment in patients with measurable disease | after every second cycle | Every 60 days |
| Overall response (complete and partial response) rate | after every second cycle |
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DISEASE CHARACTERISTICS:
Histologically or cytologically confirmed diagnosis of 1 of the following:
Advanced and/or metastatic solid tumor
Refractory non-Hodgkin's lymphoma
Clinically or radiologically documented disease
No untreated brain or meningeal metastases
PATIENT CHARACTERISTICS:
ECOG performance status 0-2
Absolute granulocyte count ≥ 1,500/mm³
Platelet count ≥ 100,000/mm³
Creatinine ≤ 1.25 times upper limit of normal (ULN) OR creatinine clearance ≥ 50 mL/min
Bilirubin normal
ALT and AST ≤ 2 times ULN (5 times ULN if patient has documented liver metastases)
Potassium normal
Calcium normal
Creatine kinase (CK or CPK) ≤ 2 times ULN
Not pregnant or nursing
Negative pregnancy test
Fertile patients must use effective contraception
No pre-existing cardiovascular conditions and/or symptomatic cardiac dysfunction, including any of the following:
No active or uncontrolled infections
No serious illness or medical condition that would preclude study compliance
No peripheral neuropathy > grade 1
PRIOR CONCURRENT THERAPY:
See Disease Characteristics
At least 21 days since prior cytotoxic chemotherapy and recovered (solid tumors)
At least 21 days since prior palliative radiotherapy and recovered
Prior hormonal, immunologic, biologic, or signal transduction inhibitor therapy allowed
At least 14 days since prior major surgery and recovered (no nonhealing wounds)
At least 4 weeks since prior steroids
No other concurrent medications which affect QT/QTc and cannot be discontinued
No other concurrent experimental drugs or anticancer therapy
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| Name | Affiliation | Role |
|---|---|---|
| Sebastien Hotte, MD | Margaret and Charles Juravinski Cancer Centre | Study Chair |
| Eric X. Chen, MD, PhD | Princess Margaret Hospital, Canada | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Juravinski Cancer Centre at Hamilton Health Sciences | Hamilton | Ontario | L8V 5C2 | Canada | ||
| Univ. Health Network-Princess Margaret Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25393368 | Result | Chen EX, Hotte S, Hirte H, Siu LL, Lyons J, Squires M, Lovell S, Turner S, McIntosh L, Seymour L. A Phase I study of cyclin-dependent kinase inhibitor, AT7519, in patients with advanced cancer: NCIC Clinical Trials Group IND 177. Br J Cancer. 2014 Dec 9;111(12):2262-7. doi: 10.1038/bjc.2014.565. Epub 2014 Nov 13. | |
| 19238148 | Derived |
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| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D002051 | Burkitt Lymphoma |
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| D008228 | Lymphoma, Non-Hodgkin |
| D016400 | Lymphoma, Large-Cell, Immunoblastic |
| D054198 | Precursor Cell Lymphoblastic Leukemia-Lymphoma |
| D008224 | Lymphoma, Follicular |
| D020522 | Lymphoma, Mantle-Cell |
| D018442 | Lymphoma, B-Cell, Marginal Zone |
| D015451 | Leukemia, Lymphocytic, Chronic, B-Cell |
| D008258 | Waldenstrom Macroglobulinemia |
| D054391 | Lymphoma, Extranodal NK-T-Cell |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
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| ID | Term |
|---|---|
| C531230 | 4-(2,6-dichlorobenzoylamino)-1H-pyrazole-3-carboxylic acid piperidin-4-ylamide |
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| laboratory biomarker analysis |
| Other |
Pharmacokinetic bioanalysis of the AT7519 plasma concentration data will be performed by BioDynamics Northhampton, U.K. The pharmacokinetic parameters for AT7519 will be determined by Astex Therapeutics as data permits. |
|
| Every 60 days |
| Response duration (median and range) | after progression |
| Toronto |
| Ontario |
| M5G 2M9 |
| Canada |
| Malumbres M, Barbacid M. Cell cycle, CDKs and cancer: a changing paradigm. Nat Rev Cancer. 2009 Mar;9(3):153-66. doi: 10.1038/nrc2602. |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D020031 | Epstein-Barr Virus Infections |
| D006566 | Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
| D014412 | Tumor Virus Infections |
| D016393 | Lymphoma, B-Cell |
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D006402 | Hematologic Diseases |
| D015448 | Leukemia, B-Cell |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D054219 | Neoplasms, Plasma Cell |
| D020141 | Hemostatic Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006474 | Hemorrhagic Disorders |
| D016399 | Lymphoma, T-Cell |