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

Brief Summary
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.
Brief Title
Dose-escalation Study of Intravenous Liposomal Vinorelbine Tartrate Injection in Patients With Advanced Malignancy
Detailed Description
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.
Completion Date
Completion Date Type
Actual
Conditions
Cancer
Eligibility Criteria
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.
Inclusion Criteria
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.

Gender
All
Gender Based
false
Keywords
Advanced Malignancy
lymphoma
TLC178
Healthy Volunteers
No
Last Update Submit Date
Minimum Age
18 Years
NCT Id
NCT02925000
Org Class
Industry
Org Full Name
Taiwan Liposome Company
Org Study Id
TLC178A1001
Overall Status
Completed
Phases
Phase 1
Phase 2
Primary Completion Date
Primary Completion Date Type
Actual
Official 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
Primary Outcomes
Outcome Description
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.
Outcome Measure
Maximum tolerated dose (MTD) determination
Outcome Time Frame
4 weeks
Secondary Outcomes
Outcome Description
Area under the plasma concentration time curve from zero (predose) extrapolated to infinity
Outcome Time Frame
from day 1 to day 29
Outcome Measure
Pharmacokinetics (PK) parameters of AUC (0-inf) calculated by plasma concentration of vinorelbine[
Outcome Description
Area under the plasma concentration time curve from zero (predose) extrapolated to infinity
Outcome Time Frame
from day 1 to day 29
Outcome Measure
Pharmacokinetics (PK) parameters of AUC (0-inf) calculated by plasma concentration of majormetabolite, 4-O-deacetylvinorelbine
Outcome Description
Area under the plasma concentration time curve from zero (predose) to the time of the lastquantifiable concentration
Outcome Time Frame
from day 1 to day 29
Outcome Measure
Pharmacokinetics (PK) parameters of AUC(0 - last) calculated by plasma concentration ofvinorelbine
Outcome Description
Area under the plasma concentration time curve from zero (predose) to the time of the lastquantifiable concentration
Outcome Time Frame
from day 1 to day 29
Outcome Measure
Pharmacokinetics (PK) parameters of AUC(0 - last) calculated by plasma concentration of majormetabolite, 4-O-deacetylvinorelbine
Outcome Description
Maximum plasma concentration observed
Outcome Time Frame
from day 1 to day 29
Outcome Measure
Pharmacokinetics (PK) parameters of Cmax calculated by plasma concentration of vinorelbine
Outcome Description
Time of Cmax
Outcome Time Frame
from day 1 to day 29
Outcome Measure
Pharmacokinetics (PK) parameters of tmax calculated by plasma concentration of vinorelbine
Outcome Description
Time of Cmax
Outcome Time Frame
from day 1 to day 29
Outcome Measure
Pharmacokinetics (PK) parameters of tmax calculated by plasma concentration of major metabolite,4-O-deacetylvinorelbine
Outcome Description
Apparent terminal half life
Outcome Time Frame
from day 1 to day 29
Outcome Measure
Pharmacokinetics (PK) parameters of t1/2 calculated by plasma concentration of vinorelbine
Outcome Description
Apparent terminal half life
Outcome Time Frame
from day 1 to day 29
Outcome Measure
Pharmacokinetics (PK) parameters of t1/2 calculated by plasma concentration of 4-O-deacetylvinorelbine
Outcome Description
Mean residence time extrapolated to infinity
Outcome Time Frame
from day 1 to day 29
Outcome Measure
Pharmacokinetics (PK) parameters of MRT(0-inf) calculated by plasma concentration of vinorelbine
Outcome Description
Mean residence time extrapolated to infinity
Outcome Time Frame
from day 1 to day 29
Outcome Measure
Pharmacokinetics (PK) parameters of MRT(0-inf) calculated by plasma concentration of 4-O-deacetylvinorelbine
Outcome Description
single and multiple dose effect
Outcome Time Frame
up to 6 months
Outcome Measure
Dose exposure relationship in patients with advanced malignancies treated with single and multipledoses of LipoVNB
Outcome Description
treatment related AE
Outcome Time Frame
up to 6 months
Outcome Measure
Number of participants with treatment-related adverse events as assessed by CTCAE v4.03
Outcome Description
TEAE percentage
Outcome Time Frame
up to 6 months
Outcome Measure
Incidence of Treatment-Emergent Adverse Events
Outcome Description
antitumor response rate
Outcome Time Frame
up to 6 months
Outcome Measure
LipoVNB antitumor activity assessed by response rate
Outcome Description
antitumor efficacy
Outcome Time Frame
up to 6 months
Outcome Measure
LipoVNB antitumor activity assessed by duration of response
Outcome Description
PFS
Outcome Time Frame
up to 6 months
Outcome Measure
Progression free survival (PFS) of patients with advanced malignancies treated with LipoVNB
Start Date
Start Date Type
Actual
Status Verified Date
First Submit Date
First Submit QC Date
Std Ages
Adult
Older Adult
Maximum Age Number (converted to Years and rounded down)
999
Minimum Age Number (converted to Years and rounded down)
18
Investigators
Investigator Type
Principal Investigator
Investigator Name
Sanjay Goel
Investigator Email
sgoel@montefiore.org
Investigator Phone
718-405-8404 
Categories Mesh Debug
Cancer --- NEOPLASMS
Blood & Bone Marrow Cancers --- LYMPHOPROLIFERATIVE DISORDERS
Blood & Bone Marrow Cancers --- LYMPHATIC DISEASES
Blood & Bone Marrow Cancers --- IMMUNOPROLIFERATIVE DISORDERS
Infectious Disease --- IMMUNE SYSTEM DISEASES
Lung --- IMMUNE SYSTEM DISEASES
MeSH Terms
NEOPLASMS
LYMPHOMA
NEOPLASMS BY HISTOLOGIC TYPE
LYMPHOPROLIFERATIVE DISORDERS
LYMPHATIC DISEASES
HEMIC AND LYMPHATIC DISEASES
IMMUNOPROLIFERATIVE DISORDERS
IMMUNE SYSTEM DISEASES