A Phase 1 Dose-Escalation Study of the Safety and Pharmacokinetics of XL281 Administered Orally to Subjects With Solid Tumors

Key

Inclusion Criteria:

- The subject has a histologically confirmed solid tumor that is metastatic or
unresectable, and for which standard curative or palliative measures do not exist or
are no longer effective, and there are no therapies known to prolong survival.
Subjects treated at the MTD (once- or twice- daily) must have a diagnosis of
colorectal cancer, non-small-cell lung cancer (no longer recruiting), melanoma, or
papillary thyroid cancer. Certain other eligibility requirements must also be met.

- The subject is ≥18 years old.

- The subject has an Eastern Cooperative Oncology Group (ECOG) performance status ≤2.

- The subject has adequate organ and marrow function.

- The subject is capable of understanding the protocol and has signed the informed
consent document.

- Sexually active subjects (male and female) must use medically acceptable methods of
contraception during the course of the study and for 3 months after study drug
discontinuation.

- Female subjects of childbearing potential must have a negative pregnancy test at
screening.

- The subject has had no other diagnosis of malignancy (unless non-melanoma skin
cancer, carcinoma in situ of the cervix, or a malignancy diagnosed ≥5 years ago, and
has had no evidence of disease for 5 years prior to screening for this study).

- The subject must meet certain other eligibility requirements.

Key Exclusion Criteria:

- The subject has received anticancer treatment (eg, chemotherapy, radiotherapy,
cytokines, or hormones) within 28 days (6 weeks for nitrosoureas or mitomycin C)
before the first dose of study drug.

- The subject has received treatment with a small molecule kinase inhibitor or a
hormonal therapy (including investigational kinase inhibitors or hormones) within a
certain amount of time before the first dose of study drug.

- The subject has received any other investigational agent within 28 days of first dose
of XL281.

- The subject has not recovered to Grade ≤1 from adverse events (AEs) or to within 10%
of baseline values due to investigational or other agents administered more than 30
days prior to study enrollment. Some irreversible toxicities from previous treatment
may be allowed.

- The subject requires treatment with antacids (continual treatment), proton pump
inhibitors, or H2 receptor antagonists.

- The subject has a primary brain tumor or known brain metastases.

- The subject has an uncontrolled intercurrent illness including, but not limited to,
ongoing or active infection, symptomatic congestive heart failure, unstable angina
pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would
limit compliance with study requirements.

- The subject is pregnant or breastfeeding.

- The subject is known to be positive for the human immunodeficiency virus (HIV).

- The subject has an allergy or hypersensitivity to components of the XL281 formulation
or to famotidine.

- The subject is unable or unwilling to abide by the study protocol or cooperate fully
with the investigator or designee.

- The subject is receiving anticoagulation with warfarin or coumarin-related compounds
(low-dose warfarin ≤ 1 mg/day, heparin, and low-molecular weight heparin are
permitted)

- The subject must meet certain other eligibility requirements.