Phase I Study of the Hsp90 Inhibitor, PU-H71, in Patients With Refractory Solid Tumors and Low-Grade Non-Hodgkin's Lymphoma
Background:
-PU-H71 is a synthetic HSP90 inhibitor which can bind both open and closed conformations of
HSP90. It demonstrates extended tumor retention and client protein degradation, while being
rapidly cleared from normal tissues. It has shown complete tumor responses and retained
sensitivity to retreatment in vivo.
Primary Objectives:
- To establish the safety and tolerability of PU-H71 administered on a once weekly, 2
weeks out of 3 schedule, in patients with refractory solid tumors and low-grade
non-Hodgkin s lymphoma (NHL).
- To establish the MTD and the RP2D of PU-H71 administered on a once weekly, 2 weeks out
of 3 schedule, in patients with refractory solid tumors and low-grade NHL.
- To determine the pharmacokinetics of PU-H71 administered on a once weekly, 2 weeks out
of 3 schedule, in patients with refractory solid tumors and low-grade NHL.
Secondary Objectives:
- To perform pharmacodynamic studies to ascertain PU-H71 effect on HSP70 in tumor tissue,
serum, and PBMCs at the MTD.
- To perform pharmacodynamic studies to ascertain PU-H71 effect on HSP90 client proteins
in tumor tissue at the MTD.
Eligibility:
-Study participants must have histologically confirmed solid tumor malignancy or low-grade
non-Hodgkin s lymphoma that has progressed or recurred after at least one line of
chemotherapy or for which no standard treatment option exists; no therapy within 4 weeks
prior to entering the study; age greater than or equal to 18 years; ECOG less than or equal
to 2; life expectancy > 3 months; and adequate organ and marrow function. Patients entering
on the expansion cohort at the MTD must have disease amenable to biopsy with willingness to
undergo pre- and post-treatment biopsies.
Study Design:
- This study will follow a modified accelerated titration design (Simon et al., 1997).
- The accelerated phase ends when 1 patient experiences a dose-limiting toxicity or 2
patients experience Grade 2 drug-related toxicity during the first cycle; after which
the study will follow the standard 3 + 3 design.
- PU-H71 will be administered intravenously over one hour, once weekly, 2 weeks out of 3,
(i.e., on days 1 and 8) every 21 days.
- PK and PD studies will be conducted during cycle 1. Up to 10 additional patients will
be entered at the MTD to further define toxicity and perform PD studies at this dose;
pre- and post-treatment tumor biopsies will be mandatory for these patients.
- CT scans will be performed at baseline and every 2 cycles (6 weeks) for restaging.
- Up to 100 patients may be treated.
Interventional
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
To establish the safety and tolerability of PU-H71 administered on a once weekly, 2 weeks out of 3 schedule.
Shivaani Kummar, M.D.
Principal Investigator
National Cancer Institute (NCI)
United States: Federal Government
110150
NCT01581541
April 2011
April 2014
Name | Location |
---|---|
National Institutes of Health Clinical Center, 9000 Rockville Pike | Bethesda, Maryland 20892 |