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The proposed initial trial is a Phase I, open label study to evaluate the safety and explore efficacy of MG005 in combination with sorafenib in patients with solid tumor. The eligible patients will receive 200 mg of sorafenib with 3 pre-defined dose levels of GW5074, escalated from 750 mg to 1500 mg (daily dose), to determine the Maximum Tolerated Dose (MTD) and dose limiting toxicities (DLT) (if any) at Phase I stage.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MG005 | Experimental | Cohort 1 :3 × 250 mgMG005+1 × 200 mgSorafenib[8:00 AM (±2 hours)] Cohort 2 :6 × 250 mgMG005+1 × 200 mgSorafenib[8:00 AM (±2 hours)] Cohort 3 :3 × 250 mgMG005+1 × 200 mgSorafenib; 3 × 250 mgMG005+1 × 200 mgSorafenib[8:00 AM (±2 hours); 8:00 PM (±2 hours)] |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MG005 | Drug | Phase I: Eligible patients will receive different dosages of GW5074 in 1 of the 3 dose cohorts plus 200 mg of sorafenib. Dose cohorts will be escalated sequentially from Cohort 1 at 750 mg QD GW5074 plus 200 mg QD sorafenib to Cohort 2 at 1500 mg QD GW5074 plus 200 mg QD sorafenib, and Cohort 3 at 750 mg BID GW5074 plus 200 mg QD sorafenib. Owing to the fact that there is no previous human experience for GW5074, Cohort 1 will include a monotherapy stage with 750 mg QD GW5074 prior to administration of the GW5074 and sorafenib combination to initially assess the safety of GW5074 monotherapy. |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Tolerated Dose(MTD)and Dose Limiting(DLT) -phase I | MTD by defining DLTs for MG005 and in combination with sorafenib. | DLTs will be assessed during the initial 8-week treatment periods for Cohort 1. |
| Maximum Tolerated Dose(MTD)and Dose Limiting(DLT) -phase I | MTD by defining DLTs for MG005 and in combination with sorafenib. | DLTs will be assessed during the initial 4-week treatment periods for Cohort 2/3 |
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Inclusion Criteria:
9.Patient has adequate hematopoietic, hepatic function and renal function as assessed by the following laboratory requirements to be conducted within 7 days prior to screening:
Hemoglobin ≥ 9.0 g/dL
Absolute neutrophil count (ANC) ≥ 1,500 cells/μL
Total white blood cell (WBC) ≥ 3,000 cells/μL
Platelet ≥ 100,000 counts/μL
Total bilirubin ≤ 1.5× upper limit of normal (ULN) and no sign of jaundice
ALT and AST ≤ 2.5× ULN (≤ 5× ULN for patients with liver involvement)
ALP ≤ 5× ULN
Creatinine ≤ 1.5× ULN
Potassium, total calcium and magnesium within normal limits or correctable with supplements 10.Patient is able to take food and drug orally. 11.Patient is able to correctly operate the provided digital sphygmomanometer. 12.Female patient with childbearing potential should be confirmed of not being pregnant or not lactating at the screening and during the study.
13.Patient is willing to comply with protocol-stated requirements, instructions and restrictions.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tri-Service General Hospital | Taipei | Nehu District | 114 | Taiwan |
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Phase I:
Eligible subjects will receive 1 of 3 different dosages of the combination therapy of GW5074 and sorafenib. The dose cohorts include:
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