An Open-Label, Phase 1, Dose Escalation Study of MLN2480 in Patients With Relapsed or Refractory Solid Tumors Followed by a Dose Expansion Phase in Patients With Metastatic Melanoma
Inclusion Criteria:
- Informed consent
- Male or female patients 18 years or older
- Dose Escalation phase: Patients with solid tumors (including melanoma) who have
failed or are not candidates for standard therapies of for whom no approved therapy
is available
- Dose Expansion phase: Metastatic melanoma (locally advanced or metastatic melanoma)
- Dose Expansion phase: At least 1 measurable lesion which has not been treated
previously with radiotherapy. A newly arising lesion in a previously irradiated
field is acceptable
- For patients undergoing biopsy procedures: Prothrombin time (PT) and activated
partial thromboplastin time (aPTT) must be within the normal range
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
- Adequate tissue sample from either archival formalin-fixed paraffin-embedded (FFPE)
tumor tissue or new biopsy of tumor
- Previous chemotherapy, immunotherapy, and hormone therapy must be completed at least
4 weeks prior to the administration of MLN2480 and radiation must be completed at
least 3 weeks prior to the administration of MLN2480; all associated toxicity must be
resolved to ≤ Grade 1
- Expected survival time of at least 3 months in the opinion of the investigator
- Patients who do not have hypo- or hyperthyroidism
- Ability to swallow and retain oral medication
- Female patients who are post menopausal for at least 1 year, surgically sterile, or
agree to practice 2 effective methods of contraception through 3 months after the
last dose of study drug or agree to practice true abstinence
- Male patients who, even if surgically sterilized, agree to practice effective
barrier contraception through 3 months after the last dose of alisertib or agree to
practice true abstinence
Exclusion Criteria
- History of any major disease that might interfere with safe protocol participation
- Dose Expansion phase: Previous treatment with RAF or MEK inhibitors
- Laboratory values as specified in study protocol
- Current enrollment in any other investigational treatment study
- Evidence of current uncontrolled cardiovascular conditions within the past 6 months
- Prior investigational agents for malignant or non-malignant disease within 4 weeks
prior to Day 1
- Active hepatitis or human immunodeficiency virus (HIV) infection
- Active bacterial or viral infection
- Female patients who are pregnant or currently breastfeeding
- Major surgery within 28 days of Day 1
- Refractory nausea and vomiting, malabsorption, or significant bowel or stomach
resection
- Inability to comply with study requirements
- Other unspecified reasons that, in the opinion of the investigator or Millennium,
make the patient unsuitable for enrollment