A Phase 1/2 Dose-Escalation Study of the Safety, Efficacy and Pharmacokinetics of Glufosfamide in Combination With Gemcitabine in Advanced Solid Tumors and Pancreatic Adenocarcinoma
Inclusion Criteria:
- At least 18 years of age
- Histologically or cytologically confirmed, locally advanced or metastatic solid
malignancy; previously treated with at least one chemotherapy regimen for advanced or
metastatic disease or no effective standard treatment is available OR
- Metastatic and/or locally advanced, inoperable pancreatic adenocarcinoma proven
either by histology (surgical biopsy) or cytology (CT- or endoscopic-guided)
- Measurable or nonmeasurable disease by RECIST criteria (at least one target or
nontarget lesion)
- Recovered from reversible toxicities of prior therapy
- Karnofsky performance status ≥70
- Women of childbearing potential and men to use effective means of contraception from
entry into the study through 6 months after the last dose
- Ability to understand the purposes and risks of the study and provide written
informed consent.
Exclusion Criteria:
- Prior chemotherapy for metastatic/locally advanced pancreatic cancer
- Prior administration of gemcitabine
- Radiation therapy within 28 days prior to study start
- Hormonal therapy, biologic therapy, chemotherapy or other systemic anti-tumor therapy
for cancer within 21 days prior to study start
- Symptomatic brain metastases (baseline CT scan is not required in asymptomatic
subjects)
- Active, clinically significant infection requiring antibiotics
- Known HIV positive or active hepatitis B or C
- History or symptoms of cardiovascular disease (NYHA Class 3 or 4)
- Other primary malignancies (other than treated non-melanoma skin cancer or treated in
situ cancer) within the past 5 years
- Major surgery within 3 weeks of the start of study treatment, without complete
recovery
- Clinically significant abnormalities in laboratory test results (including complete
blood count, chemistry panel including electrolytes, and urinalysis)
- Hemoglobin <9 g/dL (may receive transfusion or erythropoietin to maintain),
- ANC <1500/μL,
- Platelet count <100,000/μL,
- Total bilirubin > 1.5 ×ULN,
- AST/ALT > 2.5-fold above ULN (>5-fold above ULN if liver metastases),
- Serum creatinine > 2 mg/dL,
- Creatinine clearance < 60 mL/min (calculated)
- Females who are pregnant or breast-feeding
- Participation in an investigational drug or device study within 28 days of the first
day of dosing on this study
- Concomitant disease or condition that could interfere with the conduct of the study
- Unwillingness or inability to comply with the study protocol for any other reason