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Completed

NCT Number: NCT02925000

Dose-escalation Study of Intravenous Liposomal Vinorelbine Tartrate Injection in Patients With Advanced Malignancy

This is a phase I/IIa, Open label, Dose-escalation Study Investigating the Safety, Tolerability, and Pharmacokinetics of Intravenous Liposomal Vinorelbine Tartrate Injection in Patients with Advanced Malignancy.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Taipei Veterans General Hospital, Taipei, Taiwan

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About this study

Protocol No: TLC178A1001

Name of Finished Product: LipoVNB (Liposomal Vinorelbine Tartrate)

Title of Study:

Phase I/IIa, Open label, Dose-escalation Study Investigating the Safety, Tolerability, and Pharmacokinetics of Intravenous Liposomal Vinorelbine Tartrate Injection in Patients with Advanced Malignancy.

Study duration:

Every patient will have a treatment period of 4-week cycles until completion of 6 cycles, progression of disease or intolerance, withdrawal of consent or Investigator's judgment, whichever occurs first.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female, ≥18 years of age (≥20 years of age in Taiwan)
  • Patients with histologically/cytologically confirmed solid tumor, or lymphoma including PTCL or CTCL.
  • Malignancies for which there is no standard therapy, or previously treated locally advanced, refractory/relapsed or metastatic disease for which local curative surgery, curable radiotherapy, or satisfactory systemic anticancer therapy is no longer available
  • Having at least one measurable tumor
  • ECOG Performance Status of ≤2
  • Women of childbearing potential must have a negative pregnancy test.

Exclusion criteria

  • Patient with untreated or inadequate controlled brain metastases.
  • Prior systemic standard or investigational anticancer therapy, including target therapy, chemotherapy, immunotherapy within 28 days prior to the first dose of study drug. The above mentioned conditions which the Investigator considers there is no more drug effect, such as ≥5 half-lives are permitted
  • Prior radiotherapy within 4 weeks before screening
  • Prior autologous stem cell transplantation within 3 months of screening and allogeneic stem cell transplantation within 6 months of screening
  • More than 5 lines of previous cytotoxic therapies. For patients of CTCL who failed romidepsin, more than 4 lines of previous therapies
  • Major surgery within 4 weeks prior to first administration of study drug
  • History of myocardial infarction, unstable angina or severe congestive heart failure (New York Heart Classification Class IV) or major stroke within 3 months prior to screening period
  • Medical history of uncontrolled but clinically significant abnormal cardiac conduction abnormalities at electrocardiogram (ECG) at screening, any history or evidence of long QT syndrome or QTcF interval >450 msec for males and >470 msec for females (according to Fridericia's correction) at screening
  • Known HIV infection; active hepatitis B or C without concurrent treatment
  • Coexistence of any active and uncontrolled infection
  • Poor vital organ function defined
  • Uncontrolled and unstable concurrent medical condition including psychiatric disorders and alcohol/substance dependence/abuse that will jeopardize the safety of the patient, interfere with the objectives of the study, or affect the patient compliance with study requirements, as determined by the Investigator
  • Known allergy or hypersensitivity to the study drug or its components
  • Use of strong inhibitors or inducers of cytochrome P450 enzymes CYP3A4
  • Pregnant or breast feeding women.

Treatment and study plan

TLC178

Drug

TLC178

Other names: Liposomal Vinorelbine

Primary outcomes

  1. Maximum tolerated dose (MTD) determination

    Time frame: 4 weeks

    To determine the maximum tolerated dose (MTD) and recommended phase II dose (RP2D) ofintravenous LipoVNB given every 4 weeks (Q4W) in patients with advanced malignancies.

Secondary outcomes

  1. Pharmacokinetics (PK) parameters of AUC (0-inf) calculated by plasma concentration of vinorelbine[

    Time frame: from day 1 to day 29

    Area under the plasma concentration time curve from zero (predose) extrapolated to infinity

  2. Pharmacokinetics (PK) parameters of AUC (0-inf) calculated by plasma concentration of majormetabolite, 4-O-deacetylvinorelbine

    Time frame: from day 1 to day 29

    Area under the plasma concentration time curve from zero (predose) extrapolated to infinity

  3. Pharmacokinetics (PK) parameters of AUC(0 - last) calculated by plasma concentration ofvinorelbine

    Time frame: from day 1 to day 29

    Area under the plasma concentration time curve from zero (predose) to the time of the lastquantifiable concentration

  4. Pharmacokinetics (PK) parameters of AUC(0 - last) calculated by plasma concentration of majormetabolite, 4-O-deacetylvinorelbine

    Time frame: from day 1 to day 29

    Area under the plasma concentration time curve from zero (predose) to the time of the lastquantifiable concentration

  5. Pharmacokinetics (PK) parameters of Cmax calculated by plasma concentration of vinorelbine

    Time frame: from day 1 to day 29

    Maximum plasma concentration observed

  6. Pharmacokinetics (PK) parameters of tmax calculated by plasma concentration of vinorelbine

    Time frame: from day 1 to day 29

    Time of Cmax

  7. Pharmacokinetics (PK) parameters of tmax calculated by plasma concentration of major metabolite,4-O-deacetylvinorelbine

    Time frame: from day 1 to day 29

    Time of Cmax

  8. Pharmacokinetics (PK) parameters of t1/2 calculated by plasma concentration of vinorelbine

    Time frame: from day 1 to day 29

    Apparent terminal half life

  9. Pharmacokinetics (PK) parameters of t1/2 calculated by plasma concentration of 4-O-deacetylvinorelbine

    Time frame: from day 1 to day 29

    Apparent terminal half life

  10. Pharmacokinetics (PK) parameters of MRT(0-inf) calculated by plasma concentration of vinorelbine

    Time frame: from day 1 to day 29

    Mean residence time extrapolated to infinity

  11. Pharmacokinetics (PK) parameters of MRT(0-inf) calculated by plasma concentration of 4-O-deacetylvinorelbine

    Time frame: from day 1 to day 29

    Mean residence time extrapolated to infinity

  12. Dose exposure relationship in patients with advanced malignancies treated with single and multipledoses of LipoVNB

    Time frame: up to 6 months

    single and multiple dose effect

  13. Number of participants with treatment-related adverse events as assessed by CTCAE v4.03

    Time frame: up to 6 months

    treatment related AE

  14. Incidence of Treatment-Emergent Adverse Events

    Time frame: up to 6 months

    TEAE percentage

  15. LipoVNB antitumor activity assessed by response rate

    Time frame: up to 6 months

    antitumor response rate

  16. LipoVNB antitumor activity assessed by duration of response

    Time frame: up to 6 months

    antitumor efficacy

  17. Progression free survival (PFS) of patients with advanced malignancies treated with LipoVNB

    Time frame: up to 6 months

    PFS

Sponsors and collaborators

Lead sponsor

Taiwan Liposome Company

Industry

Registry information

Official study title

A Phase I/IIa, Open Label, Dose-escalation Study Investigating the Safety, Tolerability, and Pharmacokinetics of Intravenous Liposomal Vinorelbine Tartrate Injection in Patients With Advanced Malignancy

Important dates

Study start
2017
Primary completion
2020
Study completion
2020
First posted
Oct 5, 2016
Registry last updated
Jul 23, 2021

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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