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Open-label Phase 1 sequential dose-escalation study of 10 increasing doses (3 to 6 patients each)to determine and characterize the DLTs and MTD of gemcitabine HCl oral formulation (D07001-F4). Patients will be assigned to receive oral D07001-F4 on Days 1, 3, 5, 8, 10, and 12 of 4 21-day cycles each to further characterize safety and tolerability.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gemcitabine HCl Oral Formulation (D07001-F4) | Experimental | Subjects will receive a single 5-mg (nontherapeutic) dose of gemcitabine (Gemzar®) via an IV push and then treated with Gemcitabine HCl Oral Formulation (D07001-F4)according to assigned cohort (2 mg to 80 mg) on Day 1, 3, 5, 8, 10, and 12 of 4 21-day cycles study treatment period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gemcitabine HCl Oral Formulation | Drug |
|
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| Measure | Description | Time Frame |
|---|---|---|
| To determine MTD and DLT of Gemcitabine Oral formulation | MTD will be determined by study structure and DLT will be determined by definition | During the 21-day cycle 1 treatment |
| Measure | Description | Time Frame |
|---|---|---|
| AE/SAE incidences | AEs will be assessed via the CTCAE version 4.03 | Throughout treatment and 30-day follow-up (estimated average of 5 months) |
| Changes from baseline in clinical laboratory test (hematology, biochemistry, coagulation factors and urinalysis) results, vital sign measurements, physical examination findings, and ECG and 2D echocardiogram/multiple-gated acquisition (MUGA) scan results |
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Inclusion Criteria:
Male or female patients aged 20 years and older
Signed and dated informed consent form
Patients with advanced solid malignancies and malignant lymphomas with histological or pathologic confirmation who have failed standard therapies or for which no standard therapy exists
Both measurable and non-measurable disease allowed (measurable disease per RECIST, version 1.1, or Revised Response Criteria for Malignant Lymphoma [Cheson criteria])
World Health Organization (WHO) performance status 0 to 2
At least 28 days have elapsed (before screening) since the patient's prior systemic therapy, radiotherapy, or any major surgery (excluding diagnostic biopsy or venous access device placement)
Patient has
Patient has adequate liver function, demonstrated by:
Patient has adequate renal function:
Patient has a life expectancy > 12 weeks.
If a woman of child-bearing potential, patient has a negative pregnancy test and is not breast feeding.
If a woman of child-bearing potential, patient is using a medically acceptable form as two barrier methods (e.g., combination of condom, diaphragm, intrauterine device), hormonal contraception (estrogen or progesterone agents) or one barrier method in combination with spermicide. Birth control is required 1 month prior to screening, for the duration of their study participation, and for 1 month after the end of the study; female partners of male patients will also adhere to similar birth control methods
Patient is willing to comply with protocol-required visit schedule and visit requirements
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Chia-Chi Lin, MD | National Taiwan University Hospital | Principal Investigator |
| Wu-Chou Su, MD | National Cheng-Kung University Hospital | Principal Investigator |
| Yee Chao, MD | Taipei Veterans General Hospital, Taiwan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Cheng Kung University Hospital | Tainan | 704 | Taiwan | |||
| National Taiwan University Hospital |
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| Throughout treatment and 30-day follow-up (estimated average of 5 months) |
| characterize the PK of D07001-F4 | cycle 0 and cycle 1 (Day -7~Day 19) |
| ORR(Objective Response Rate) and tumor response | After cycle 2 and cycle 4 treatments (estimated average of 2 months and 4 months) |
| Taipei |
| 100 |
| Taiwan |
| Taipei Veterans General Hospital | Taipei | 112 | Taiwan |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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