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This is a Phase I, open-label study evaluating the PK of S-1 components and their metabolites in patients with advanced solid tumors and varying degrees of renal function. Patients will be stratified by baseline 24-hour creatinine clearance(CrCL) into 4 cohorts using the normal clearance formula:
Group A: Control Group B:Mild renal dysfunction Group C:Moderate renal function and Group D: Severe renal dysfunction. Six patients will be enrolled into each cohort.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| S-1/Cisplatin | Drug | S-1 administration will be determined by degree of renal impairment as follows: Group A (Control): 30 mg/m2 BID Group B (Mild renal dysfunction): 30 mg/m2 BID Group C (Moderate renal dysfunction): 20 mg/m2 BID Group D (Severe renal dysfunction): 20 mg/m2 QD Pharmacokinetic Phase (Part 1): On Days -2 and 14 of the Pharmacokinetic Phase, patients will receive a single dose of S-1 administered orally in the morning. Treatment will be followed by 1 week of recovery (Days 15 through 21). Extension Phase (Part 2): S-1 will be administered orally for 2 weeks (Day 1 through Day 14) followed by a 1-week recovery period (Day 15 through Day 21). This cycle will be repeated every 3 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| To provide specific dosing recommendations for S-1 in patients with renal impairment based on the PK of S-1 and its components after single dose and steady state conditions. | The Pharmacokinetic Phase (Part 1) of the study will last 24 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Assess Anti-tumor activity, and safety profile of S-1 in patients with impaired renal function | Each cycle of the Extension Phase (Part 2) will be 21 days (14 days of S-1 treatment, 7 days recovery). The end of study for the Extension Phase will be 30 days after the last dose of S-1. |
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Inclusion Criteria:
A patient must meet all of the following inclusion criteria to be eligible for enrollment in this study:
Has histologically or cytologically proven advanced solid tumors for which no standard therapy exists.
Has provided written informed consent.
Is 18 years of age or older.
Is able to take medications orally.
Has Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to ≤ 2 Appendix A,ECOG Performance Status).
Has adequate organ function as defined by the following criteria:
Is willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
3.3.2 Exclusion Criteria
Exclude a patient from this study if he/she does not fulfill the inclusion criteria, or if any of the following conditions are observed:
Has had treatment with any of the following within the specified time frame prior to study drug administration:
Has a serious illness or medical condition(s) including, but not limited to, the following:
Is receiving a concomitant treatment with drugs interacting with S-1. The following drugs are prohibited because there may be an interaction with S-1:
Has known sensitivity to 5-FU.
Is a pregnant or lactating female.
Is a patient with reproductive potential who refuses to use an adequate means of contraception
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Premiere Oncology of Arizona | Scottsdale | Arizona | 85260 | United States | ||
| LAC/USC Medical Center |
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| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| C000711476 | S-1 plus cisplatin |
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| Los Angeles |
| California |
| 90033 |
| United States |
| Premiere Oncology | Santa Monica | California | 90404 | United States |
| Yale Cancer Center | New Haven | Connecticut | 06520 | United States |
| University of Kentucky/Division of Hematology/Oncology and Blood Marrow Transplantation | Lexington | Kentucky | 40536 | United States |
| University of Maryland/Greenebaum Cancer Center | Baltimore | Maryland | 21201 | United States |
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
| Cancer Research & Treatment Center/University of New Mexico | Albuquerque | New Mexico | 87131 | United States |
| The Institute for Drug Development | San Antonio | Texas | 78245 | United States |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |