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This study is designed as a phase 1, multicenter, open-label, single arm, dose-escalation, study of Cabazitaxel in combination with cisplatin, to determine safety, pharmacokinetics (PK), and efficacy in solid tumors (parts 1 and 2) and single sequence, two-treatment, crossover studies to determine the effect of strong CYP3A4 inhibition and induction on the PK of Cabazitaxel in patients with solid tumors (part 3 and part 4, respectively).
There are 4 parts to the study:
Part 1: Determine the Dose Limiting Toxicities (DLT)'s and Maximum Tolerated Dose (MTD) based on safety.
Part 2: Determine the anti-tumor activity of the combination regimen at the Maximum Tolerated Dose (MTD) in an extended cohort of patients.
Part 3: Determine the effect of a strong CYP3A4 inhibitor (ketoconazole) on the pharmacokinetic (PK) of Cabazitaxel.
Part 4: Determine the effect of a strong CYP3A4 inducer (rifampin) on the pharmacokinetic (PK) of Cabazitaxel.
The total duration on the study per subject will be about 26 weeks broken down as follows:
Patients still receiving treatment at the cut-off date may continue to receive treatment beyond the cut-off date at investigator's discretion if benefiting.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cabazitaxel (XRP6258) | Drug |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose Limiting Toxicities (DLT)'s of the combination of cabazitaxel and cisplatin (part 1) | first cycle (i.e.3 weeks) | |
| Objective response ratio (Complete response (CR) and partial response (PR)) (part 2) | up to 6 cycles, ie 18 weeks | |
| Pharmacokinetics (PK) of cabazitaxel (part 3 and 4) | up to 6 cycles, ie 18 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Time to progression (TTP) (part 1 and 2) | up to 6 cycles, ie 18 weeks | |
| Duration of response (DR) (Part 1 and 2) | up to 6 cycles, ie 18 weeks | |
| Cabazitaxel pharmacokinetic (part 1 and 2) |
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Inclusion criteria:
Exclusion criteria
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Sciences & Operations | Sanofi | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational Site Number 840008 | Los Angeles | California | 90048 | United States | ||
| Investigational Site Number 840003 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25117475 | Derived | Lockhart AC, Sundaram S, Sarantopoulos J, Mita MM, Wang-Gillam A, Moseley JL, Barber SL, Lane AR, Wack C, Kassalow L, Dedieu JF, Mita AC. Phase I dose-escalation study of cabazitaxel administered in combination with cisplatin in patients with advanced solid tumors. Invest New Drugs. 2014 Dec;32(6):1236-45. doi: 10.1007/s10637-014-0145-y. Epub 2014 Aug 13. |
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| up to 6 cycles, ie 18 weeks |
| San Diego |
| California |
| 92123 |
| United States |
| Investigational Site Number 840010 | Decatur | Illinois | 62526 | United States |
| Investigational Site Number 840002 | Baltimore | Maryland | 21201 | United States |
| Investigational Site Number 840006 | St Louis | Missouri | 63110 | United States |
| Investigational Site Number 840007 | Cincinnati | Ohio | 45267-0542 | United States |
| Investigational Site Number 840005 | San Antonio | Texas | 78229 | United States |
| ID | Term |
|---|---|
| C552428 | cabazitaxel |
| C532412 | XRP6258 |
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