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| Name | Class |
|---|---|
| Quintiles, Inc. | INDUSTRY |
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The purpose of this exploratory study is to investigate the safety and determine the maximum tolerated dose (MTD) of TAS-114 in combination with capecitabine in patients with advanced solid tumors for which the patients have no available therapy likely to convey clinical benefit.
In animal models, co-administration of TAS 114 and capecitabine has shown antitumor effects exceeding the maximum efficacy obtained by capecitabine alone. Developing a novel chemotherapy based on the combined use of TAS-114 and capecitabine may fulfill the need for more efficacious treatment for patients with advanced solid tumors.
The study, evaluating the safety, tolerability, pharmacokinetics, and preliminary antitumor activity of the TAS-114/ capecitabine regimen in patients with advanced solid tumors, will be conducted in two parts: a Dose-Escalation Phase (Part 1) to determine the MTD; and an Expansion Phase (Part 2) to further evaluate the safety and preliminary efficacy with the MTD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TAS-114/capecitabine | Experimental | See intervention description |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TAS-114/capecitabine | Drug | Part 1 (dose-escalation phase): Treatment cycles of TAS-114 and capecitabine orally BID for 14 days followed by 7 days rest until at least one of the discontinuation criteria are met TAS-114 dose starting at 20mg/m2/day with capecitabine dose of 760 mg/m2/day. TAS-114 doses will be escalated for each cohort up to 480mg/m2/day. If MTD is not reached by TAS-114 dose of 480mg/m2/day, the capecitabine dose will be escalated Part 2 (expansion phase): TAS-114 and capecitabine MTD established in Part 1 administered BID for 14 days followed by 7-day recovery period (21-day cycle). |
| Measure | Description | Time Frame |
|---|---|---|
| The MTD of TAS-114/ capecitabine (defined as the highest dose level at which less than 33% of the patients experience a Dose Limiting Toxicity (DLT) during the first cycle of treatment); DLTs defined by protocol | Only drug-related toxicities during the first cycle are considered in the assessment of DLTs. | First cycle of treatment (ie. 21 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic profiles (peak plasma concentration (Cmax) and area under the plasma concentration versus time curve (AUC) of TAS-114, capecitabine and it's metabolite 5-FU) | First cycle of treatment (ie. 21 days) | |
| antitumor activity by tumor assessments according to RECIST criteria |
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Inclusion Criteria:
Provided written consent
Is 18 years of age or older
Has histologically or cytologically confirmed advanced, measurable or non-measurable metastatic solid tumors for which the patients have no available therapy to convey clinical benefit Expansion Phase only: The target population should include at least
May have received prior therapies for advanced or metastatic disease
Expansion Phase only: Has measurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) criteria (Version 1.1, 2009), ie, has at least one measurable lesion
Has ECOG performance status 0 or 1 on Cycle 1, Day 1
Is able to take medications orally
Has adequate organ function as defined by protocol
Women of childl-bearing potential must have a negative pregnancy test within 7 days prior to starting the study drug. Beth males and females must agree to adequate birth control if conception is possible during the study and for 6 months after the last dose
Is willing to and able to comply with scheduled visits and study procedures.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| USC/Norris Comprehensive Cancer Center | Los Angeles | California | 90033 | United States | ||
| IU Simon Cancer Center |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months |
| Indianapolis |
| Indiana |
| 46202 |
| United States |
| Karmanos Cancer Institute | Detroit | Michigan | 48201 | United States |