A Phase 1 Dose Escalation Study of ARQ 087 in Adult Subjects With Advanced Solid Tumors
Inclusion Criteria:
- Men or women ≥18 years of age
- Histologically or cytologically confirmed, locally advanced, inoperable, or
metastatic solid tumors
- Failure to respond to standard therapy, or for whom standard therapy does not exist.
- Evaluable or measurable disease
- Archival and/or fresh biopsy tissue samples must be available prior to the first dose
of the study drug
- Life expectancy greater than 12 weeks
- Eastern Cooperative Oncology Group (ECOG) performance status ≤2
- Hemoglobin (Hgb) ≥9.0 g/dl
- Absolute neutrophil count (ANC) ≥1.5 x 109/L
- Platelet count ≥100 x 109/L
- Total bilirubin ≤1.5 × upper limit of normal (ULN)
- Aspartate transaminase (AST) and alanine transaminase (ALT) ≤3 × ULN (≤5 for subjects
with liver metastases)
- Serum creatinine ≤1.5 x ULN or creatinine clearance > 60 mL/min/1.73 m2 for subjects
with creatinine levels above institutional normal
- Men or women of child-producing potential must agree to use double-barrier
contraceptive measures or avoid intercourse during the study and for 90 days after
the last dose of study drug
- Women of childbearing potential must have a negative serum pregnancy test during
Screening Period and within 48 hours of the first dose of ARQ 087.
Exclusion Criteria:
- Anti-cancer chemotherapy, immunotherapy, or investigational agents within four weeks
or five times of the drug half life, whichever is longer, of the first dose of ARQ
087
- Major surgery or radiation therapy within four weeks of the first dose of ARQ 087
- Previous treatment with FGFR inhibitors
- History of allergic reactions attributed to compounds of similar chemical or
biological composition as ARQ 087
- Unable or unwilling to swallow the complete daily dose of ARQ 087
- Clinically unstable central nervous system (CNS) metastasis
- History of myocardial infarction (MI) or New York Heart Association (NYHA) Class
II-IV congestive heart failure within 6 months of the administration of the first
dose of ARQ 087 (MI occurring >6 months of the first dose of ARQ 087 will be
permitted)
- Significant GI disorder(s) that could interfere with the absorption, metabolism, or
excretion of ARQ 087 (e.g. Crohn's disease, ulcerative colitis, extensive gastric
resection)
- History and/or current evidence of clinically relevant ectopic
mineralization/calcification
- Previous other malignancy within 2 years prior to the first dose of ARQ 087, with the
exception of curatively treated non-melanoma skin cancer, carcinoma in-situ of the
breast or cervix, or superficial bladder tumors
- Concurrent severe uncontrolled illness not related to cancer, including:
- Ongoing or active known infection, including human immunodeficiency virus (HIV)
infection or bleeding
- Psychiatric illness/substance abuse/social situation that would limit compliance
with study requirements.
- Uncontrolled diabetes mellitus
- Blood transfusion within 5 days prior to blood draw being used to confirm eligibility
- Pregnant or breastfeeding