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Completed

NCT Number: NCT01286467

A Study Of PF-04449913 Administered Alone In Select Solid Tumors

This study examines the effect of a small molecule inhibitor to the Sonic Hedgehog pathway on select solid tumors.

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Key information

Conditions

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Keck Hospital of University of Southern California, Los Angeles, California, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Histological or cytological diagnosis of advanced/metastatic solid tumor
  • Adequate Bone Marrow Function
  • Adequate Renal Function
  • Adequate Liver Function

Exclusion criteria

  • Patients with known symptomatic brain metastases requiring steroids
  • Current active treatment on another clinical trial
  • Major surgery or radiation therapy within 4-weeks of starting study treatment

Treatment and study plan

PF-04449913

Drug

Escalating dose of PF-04449913 administered as tablets PO QD in 28-day cycles

Primary outcomes

  1. Number of Participants With First Cycle Dose Limiting Toxicities (DLTs)

    Time frame: Baseline up to end of Cycle 1 (Study Day 28)

    Any DLT event in Cycle 1: (1) Grade 4 neutropenia lasting more than 7 days; (2) Febrile neutropenia; (3) Grade >=3 neutropenic infection; (4) Grade >=3 thrombocytopenia with bleeding; (5) Grade 4 thrombocytopenia lasting more than 7 days; (6) Grade >=3 non-hematologic toxicity; (7) Failure to deliver at least 80% of the planned doses due to toxicities attributable to PF-04449913

Secondary outcomes

  1. Percentage of Participants With Treatment-emergent Adverse Events (AEs), by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) (Version 4.0) Grade

    Time frame: Baseline up to 28 days post last dose of study medication (maximum duration: 14 cycles [each cycle of 28 days])

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent AEs are events occurred between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. If the same participant in a given treatment had more than one occurrence in the same preferred term event category, only the worst CTCAE grade was reported. Grades as per NCI CTCAE, v4.0 were classified as: Grade 1- mild, Grade 2- moderate, Grade 3- severe, Grade 4- life threatening, and Grade 5- death.

  2. Percentage of Participants With Treatment-related AEs, by NCI CTCAE (Version 4.0) Grade

    Time frame: Baseline up to 28 days post last dose of study medication (maximum duration: 14 cycles [each cycle of 28 days])

    An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. Treatment-related AEs are events that were assessed by the investigator as related to study medication. If the same participant in a given treatment had more than one occurrence in the same preferred term event category, only the worst CTCAE grade was reported. Grades as per NCI CTCAE, v4.0 were classified as: Grade 1- mild, Grade 2- moderate, Grade 3- severe, Grade 4- life threatening, and Grade 5- death.

  3. Hedgehog Biomarker Modulation: Relative GLI1 Gene Expression (Ratio) to Baseline for Normal Skin on Cycle 1/Day 15

    Time frame: Baseline and Cycle 1/Day 15

    Ribonucleic acid (RNA) was extracted from skin samples and complementary deoxyribonucleic acid (cDNA) was prepared. Gene expression was measured using custom Taqman low density array (TLDA) cards run on the Applied Biosystems ViiATM 7 system. The ratio for each participant at each dosing level was calculated at C1D15 to baseline assay readout (C1D1), and the mean of it is reported in this outcome measure.

  4. Maximum Observed Plasma Concentration (Cmax) on Cycle 1/Day 1

    Time frame: Pre dose, 1, 2, 4, 6, 10 and 24 hours post dose on Cycle 1/Day 1

    Cmax of PF-04449913 on Cycle 1/Day 1 has been reported.

  5. Maximum Observed Plasma Concentration (Cmax) on Cycle 1/Day 25

    Time frame: Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25

    Cmax of PF-04449913 on Cycle 1/Day 25 has been reported.

  6. Time to Reach Maximum Observed Plasma Concentration (Tmax) on Cycle 1/Day 1

    Time frame: Pre dose, 1, 2, 4, 6, 10 and 24 hours post dose on Cycle 1/Day 1

    Tmax of PF-04449913 on Cycle 1/Day 1 has been reported.

  7. Time to Reach Maximum Observed Plasma Concentration (Tmax) on Cycle 1/Day 25

    Time frame: Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25

    Tmax of PF-04449913 on Cycle 1/Day 25 has been reported.

  8. Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) on Cycle 1/Day 1

    Time frame: Pre dose, 1, 2, 4, 6, 10 and 24 hours post dose on Cycle 1/Day 1

    AUCtau of PF-04449913 on Cycle 1/Day 1 has been reported. AUCtau is defined as area under the curve from time 0 to tau, where tau is the dosing interval of 24 hours.

  9. Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) on Cycle 1/Day 25

    Time frame: Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25

    AUCtau of PF-04449913 on Cycle 1/Day 25 has been reported. AUCtau is defined as area under the curve from time 0 to tau, where tau is the dosing interval of 24 hours.

  10. Plasma Decay Half-life (t1/2) on Cycle 1/Day 25

    Time frame: Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25

    Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

  11. Apparent Oral Clearance (CL/F) on Cycle 1/Day 25

    Time frame: Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25

    Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes.

  12. Apparent Volume of Distribution (Vz/F) on Cycle 1/Day 25

    Time frame: Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25

    Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug.

  13. Accumulation Ratio (Rac) on Cycle 1/Day 25

    Time frame: Pre dose, 1, 2, 4, 6, 10 and 24 hours post dose on Cycle 1/Day 1, and pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25

    Accumulation ratio was calculated as AUCtau at steady state (Cycle 1/Day 25)/AUCtau on Study Day 1

  14. Average Concentration at Steady State (Cavg) on Cycle 1/Day 25

    Time frame: Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25

  15. Number of Participants With Increase From Baseline in Corrected QT Using Fridericia's Formula (QTcF) Interval

    Time frame: Baseline up to Cycle 14 (each cycle 28 days)

    Triplicate 12-lead electrocardiogram (ECG) measurements (each recording separated by approximately 2 minutes) were performed and average was calculated. The time from electrocardiogram Q wave to the end of the T wave corresponding to electrical systole (QT) was corrected for heart rate (QTc). QTc using Fridericia's formula (QTcF) was calculated. Participants with maximum increase from baseline of less than (<) 30 millisecond (msec), 30 to <60 msec and >=60 msec were summarized.

  16. Number of Participants With Decrease From Baseline in QTcF Interval

    Time frame: Baseline up to Cycle 14 (each cycle 28 days)

    Triplicate 12-lead ECG measurements (each recording separated by approximately 2 minutes) were performed and average was calculated. QTcF was calculated. Participants with maximum decrease from baseline of <30 msec, 30 to <60 msec and >=60 msec were summarized.

  17. Number of Participants With Post-baseline QTcF Interval Greater Than or Equal to 500 Msec

    Time frame: Baseline up to Cycle 14 (each cycle 28 days)

    Triplicate 12-lead ECG measurements (each recording separated by approximately 2 minutes) were performed and average was calculated. Participants with post-baseline absolute QTcF values >=500 msec were summarized.

  18. Percentage of Participants With Objective Response

    Time frame: Baseline up to Cycle 14 (each cycle 28 days)

    Percentage of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. Confirmed responses were those that persisted on repeat imaging study at least 4 weeks after initial documentation of response. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. PR was defined as >=30% decrease under baseline of the sum of diameters of all target measurable lesions.

  19. Progression-Free Survival (PFS)

    Time frame: Baseline up to Cycle 14 (each cycle 28 days)

    Time from Cycle 1/Day 1 to first documentation of disease progression or to death due to any cause, whichever occurred first. Progression was defined using RECIST 1.1 as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm. PFS (days) was calculated as (first event date minus the date of first dose of study medication plus 1).

  20. Time to Progression (TTP)

    Time frame: Baseline up to Cycle 14 (each cycle 28 days)

    Time from Cycle 1/Day 1 to first documentation of disease progression. Progression was defined using RECIST 1.1 as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm. TTP (days) was calculated as (first event date minus the date of first dose of study medication plus 1).

  21. Duration of Response (DR)

    Time frame: Baseline up to Cycle 14 (each cycle 28 days)

    Duration from date of first documentation of objective response to date of first documentation of disease progression or death. Progression was defined using RECIST 1.1 as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm. DR was calculated as (the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first objective response that was subsequently confirmed plus 1).

Sponsors and collaborators

Lead sponsor

Pfizer

Industry

Registry information

Official study title

A PHASE 1 STUDY TO EVALUATE THE SAFETY, PHARMACOKINETICS, AND PHARMACODYNAMICS OF PF 04449913, AN ORAL HEDGEHOG INHIBITOR, ADMINISTERED AS SINGLE AGENT IN SELECT SOLID TUMORS

Important dates

Study start
2011
Primary completion
2012
Study completion
2012
First posted
Jan 31, 2011
Registry last updated
Mar 6, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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