A Phase 1, Open-Label, Multi-Center, Parallel Group Study to the Pharmacokinetics and Safety of Subcutaneous Azacitidine in Adult Cancer Patients With and Without Impaired Renal Function
Inclusion Criteria:
Diagnosis of one of the following:
- MDS according to the FAB classification system (RA, RARS, RAEB, RAEB-T, CMML), AML in
remission, malignant solid tumor, MM, NHL, or HD
- Patients with a history of treated brain metastases should be clinically stable for
greater than 4 weeks prior to signing the informed consent form and off
glucocorticoid therapy for CNS edema for at least 4 weeks
- Be capable of giving informed consent
- Have an ECOG Performance Status of 0-2
- Have a life expectancy ≥ 3 months
- Have stable renal function for at least 2 months
- Have average calculated creatinine clearance of:
- >80 mL/min/1.73m2 for Cohorts 1, 2, 3, and 4
- <30 mL/min/1.73m2 for Cohort 5 - Severe renal impairment,
- 50-80 mL/min/1.73m2 for Cohort 6 - Mild renal impairment,
- 30 to <50 mL/min/1.73m2 for Cohort 7 - Moderate renal impairment
- Have organ and marrow function at the screening and pre-dose visits as defined below:
- Hemoglobin ≥8 g/dL,
- Absolute neutrophil count ≥0.75 x 10^3/µL,
- Platelets ≥30 x 10^3/µL,
- Total bilirubin ≤1.5 times the upper limit of normal (ULN),
- Aspartate aminotransferase (AST) ≤2 times the ULN, and
- Alanine transaminase (ALT) ≤2 times the ULN;
- Have a 12-lead electrocardiogram (ECG) that is not clinically significant, as
determined by the Investigator, at screening
- Have serum bicarbonate:
- 20 mEq/L for patients with normal renal function (cohorts 1, 2, 3 and 4),
- 16 mEq/L for patients with impaired renal function (cohorts 5, 6 and 7)
- Women of childbearing potential may participate, providing are not pregnant and agree
to use at least 2 effective contraceptive methods throughout the study
- Males with a female partner of childbearing potential must agree to use at least 2
effective contraceptive methods throughout the study and to avoid fathering a child
for 6 months following the date of the last dose of study medication
- Be a nonsmoker or must not have smoked for at least 30 days before the screening
visit and agree to abstain from smoking during study participation
Exclusion Criteria:
- Women who are pregnant or nursing;
- Had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or
mitomycin C) prior to signing informed consent
- Have been treated with an investigational agent within 4 weeks prior to signing the
informed consent form
- Have ongoing clinically significant adverse event(s) due to chemotherapy,
radiotherapy or investigational agents administered more than 4 weeks prior to
signing the informed consent as determined by the Investigator
- Have known or suspected hypersensitivity to azacitidine or mannitol
- Have an uncontrolled intercurrent illness including, but not limited to, ongoing or
active infection, symptomatic congestive heart failure, unstable angina pectoris,
cardiac arrhythmia
- Have low blood pressure (supine blood pressure <90/60 mmHg)
- Have HIV, or active hepatitis virus B or C
- Have advanced malignant hepatic tumors
- Have end stage renal disease requiring dialysis