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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 hepatic function defined by the NCI classification for hepatic impairment. Patients will be stratified into 4 Cohorts- Normal, Mild, Moderate or Severe.
Six patients will be enrolled inot each cohort and receive S-1.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| S-1/Cisplatin | Drug | PK Phase (Part 1), Beginning on Day 1 of the Pharmacokinetic Phase, 30 mg/m2 S-1 will be administered orally BID for 14 days (Days 1 through 14), followed by a 1-week recovery period. On Day -2 and Day 14 of the Pharmacokinetic Phase, all patients will receive a single dose of 30 mg/m2 S-1 administered orally. Extension Phase, Patients will receive S-1 at the dose that they tolerated in the PK Phase. S-1 will be administered orally BID 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 hepatic impairment based on the PK of S-1 and its components after single dose and during steady state condition | The Pharmacokinetic Phase (Part 1) of the study will last 24 days. |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the antitumor activity and safety profile of S-1 in patients with impaired hepatic 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.
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:
4. Has known sensitivity to 5-FU. 5. Is a pregnant or lactating female. 6. Is a patient with reproductive potential who refuses to use an adequate means of contraception (including male patients).
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Premiere Oncology of Arizona | Scottsdale | Arizona | 85260 | United States | ||
| Yale Cancer Center |
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| ID | Term |
|---|---|
| C000711476 | S-1 plus cisplatin |
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| 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 |
| The Institute for Drug Development | San Antonio | Texas | 78245 | United States |