A Phase 1/1b Dose Escalation Study Evaluating BSI-201 as a Single Agent and in Combination With Irinotecan in Subjects With Advanced Solid Tumors
BSI-201 (iniparib)
+ irinotecan
Treatment Study
Summary
Study start date: March 1, 2006
Actual date on which the first participant was enrolled.The purpose of this study is to assess the safety, establish the maximum tolerated dose (MTD) and generate pharmacokinetic profiles of BSI-201 after IV administration in adult subjects with histologically documented advanced solid tumors that are refractory to standard therapy or for which no standard therapy is available. Additionally, the safety and tolerability and clinical response of BSI-201 + irinotecan will be investigated in patients with metastatic breast cancer in the phase 1b portion of the study. Based on data generated by BiPar/Sanofi, it is concluded that iniparib does not possess characteristics typical of the PARP inhibitor class. The exact mechanism has not yet been fully elucidated, however based on experiments on tumor cells performed in the laboratory, iniparib is a novel investigational anti-cancer agent that induces gamma-H2AX (a marker of DNA damage) in tumor cell lines, induces cell cycle arrest in the G2/M phase in tumor cell lines, and potentiates the cell cycle effects of DNA damaging modalities in tumor cell lines. Investigations into potential targets of iniparib and its metabolites are ongoing.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.59 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.Over 18 Years
Range of ages for which participants are eligible to join.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Criteria
Inclusion Criteria: * Pathologically documented, advanced solid tumor that is refractory to standard therapy or for which no standard therapy is available. * ECOG performance status of 0, 1, or 2 * Adequate hematological status * Any prior toxicity from prior chemotherapeutic treatment recovered to grade 1 or grade 0 * 18 years of age or older * Competent to comprehend, sign, and date an Institutional Review Board (IRB) approved informed consent form * For phase 1b portion only: metastatic breast cancer Exclusion Criteria: * Hematologic malignancies * Symptomatic or untreated brain metastases requiring concurrent treatment, inclusive of but not limited to surgery, radiation, and corticosteroids * Myocardial infarction within 6 months of study day 1, unstable angina, congestive heart failure with NYHA \> class II, uncontrolled hypertension * Known positive test for HIV or hepatitis C virus, or chronic active hepatitis * Major surgery within 1 month of study day 1 * History of second neoplasm, except for curatively treated non-melanoma skin cancer, carcinoma in situ of the cervix and other primary cancer with no known active disease present and no curative treatment administered for the last 3 years * History of seizure disorder or currently on anti-seizure medication * Systemic chemotherapy or radiation therapy within 28 days of study day 1 * Antibody therapy for treatment of underlying malignancy within 1 month of study day 1 * Evidence of liver disease shown by elevated enzymes * Evidence of renal disease shown by serum creatinine \> 1.5 x upper limit of normal * Currently receiving platelet of GCF support for any medical condition * Concurrent use of herbal medications taken with the intent to treat cancer * Enrolled in or not yet completed at least 30 days since ending other investigational device or drug study
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.2 intervention groups are designated in this study
This study does not include a placebo group
Treatment Groups
Group I
ExperimentalGroup II
ExperimentalStudy Objectives
Primary Objectives
Secondary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 3 locations
Research Site
Houston, United StatesResearch Site
San Antonio, United States