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Advanced Nonhematologic MalignanciesPhase 1NCT00677170

Study of MLN4924 in Adult Patients With Nonhematologic Malignancies

A Phase 1 study testing MLN4924 in people with Advanced Nonhematologic Malignancies, run by Millennium Pharmaceuticals, Inc. at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is an open-label, multicenter, Phase 1, dose escalation study of MLN4924 in adult patients with nonhematologic malignancies. This study will be the first to administer MLN4924 in humans. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Nonhematologic Malignancies
What is being tested?
MLN4924
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
62 participants
Where
3 sitesUnited States
Study dates
Apr 2008to Dec 2012
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female patients 18 years or older
  • Eastern Cooperative Oncology Group performance status 0-2
  • Patients must have a diagnosis of a nonhematologic malignancy for which standard curative, life-prolonging, or palliative treatment does not exist or is no longer effective.
  • Expected survival longer than 6 weeks from enrollment in the study
  • Radiographically or clinically evaluable tumor
  • Suitable venous access for the conduct of blood sampling for MLN4924
Show all 10Show fewer
  • Tumor tissue that, in the opinion of the investigator, can be safely biopsied using a core needle
  • Male patients must use an appropriate method of barrier contraception
  • Female patients must be postmenopausal, surgically sterilized, or willing to use reliable methods of birth control
  • Voluntary written consent

Who cannot join

  • Pregnant or lactating
  • Major surgery within 14 days prior to the first dose of study treatment
  • Serious infection within 14 days prior to the first dose of study treatment
  • Receiving antibiotic therapy within 14 days prior to the first dose of study treatment
  • Life-threatening illness unrelated to cancer
  • Diarrhea that is greater than Grade 1 in severity
Show all 20Show fewer
  • Systemic antineoplastic therapy within 21 days preceding first dose of study treatment
  • Radiotherapy within 21 days preceding first dose of study treatment
  • Prior treatment with radiation therapy involving ≥25% of the hematopoietically active bone marrow
  • CYP3A inducers within 14 days before the first dose of MLN4924. Moderate and strong CYP3A inhibitors and CYP3A inducers are not permitted during the study.
  • Clinically significant central nervous system metastases
  • Absolute neutrophil count <1,500/mm3; platelet count <100,000/mm3
  • Patients with a prothrombin time or aPTT > 1.5 x the upper limit of the normal range, or with a history of a coagulopathy or bleeding disorder
  • Ongoing anti-coagulant therapy that can not be held to permit tumor biopsy
  • Calculated creatinine clearance <50 mL/minute
  • Bilirubin >1.5 times the upper limit of normal; aspartate aminotransferase, alanine aminotransferase, or alkaline phosphatase >2.5 times the upper limit of normal.
  • Uncontrolled cardiovascular conditions, including cardiac arrhythmias, congestive heart failure, angina, or myocardial infarction within the past 6 months
  • Abnormalities on 12-lead electrocardiogram including, but not limited to, changes in rhythm and intervals that in the opinion of the investigator are considered to be clinically significant
  • Known human immunodeficiency virus positive or hepatitis B surface antigen-positive status, or known or suspected active hepatitis C infection
  • Treatment with any investigational products within 28 days preceding the first dose of study treatment

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Emory University Hospital

    Atlanta, Georgia, 30322

  • Cancer Therapy & Research Center at the UT Health Science Center

    San Antonio, Texas, 78229

  • Institute for Drug Development

    San Antonio, Texas, 78229

Other trials in United States

About this study

Official title: An Open-Label, Dose Escalation, Phase I Study of MLN4924, a Novel Inhibitor of Nedd8-Activating Enzyme, in Adult Patients With Nonhematologic Malignancies

This study is an open-label, multicenter, Phase 1, dose escalation study of MLN4924 in adult patients with nonhematologic malignancies. This study will be the first to administer MLN4924 in humans. The patient population will consist of adults with any form of nonhematologic malignancy for which standard, curative, life prolonging, or palliative treatment does not exist or is no longer effective.

Being tested
MLN4924

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MLN4924Drug

    IV dose escalation for 5 consecutive days followed by a rest period of 16 days for a 21 day cycle. Treated may continue until disease progression or unacceptable toxicity develops.

Study groups in NCT00677170
Study groupRoleWhat they receive
1ExperimentalMLN4924
Receives: Drug: MLN4924

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Determine the safety profile, MTD and PK/pharmacodynamics of MLN4924

    Measured: Maximum duration of therapy for 12 months

Secondary outcomes (1)
  1. Disease response

    Measured: Day 21, every other cycle and end of study

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 May 2008 (estimated)
  2. Study startApr 2008
  3. Primary completionFeb 2012
  4. Study completionDec 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
62 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00677170
Sponsor's protocol ID
C15001
Status last verified
Jul 2013
First submitted
9 May 2008
Last updated
16 Jul 2013
Results posted
No

Publications

  • Fu DJ, Wu YJ, Chen C, Zhang C, Su ZQ, Wang T. Pevonedistat targeting NEDDylation activating enzyme for human diseases: Underlying mechanisms, clinical studies, and future directions. Pharmacol Res. 2026 Mar;225:108134. doi: 10.1016/j.phrs.2026.108134. Epub 2026 Feb 11.

    PubMed 41687727
  • Faessel HM, Mould DR, Zhou X, Faller DV, Sedarati F, Venkatakrishnan K. Population pharmacokinetics of pevonedistat alone or in combination with standard of care in patients with solid tumours or haematological malignancies. Br J Clin Pharmacol. 2019 Nov;85(11):2568-2579. doi: 10.1111/bcp.14078. Epub 2019 Sep 4.

    PubMed 31355467
  • Swords RT, Watts J, Erba HP, Altman JK, Maris M, Anwer F, Hua Z, Stein H, Faessel H, Sedarati F, Dezube BJ, Giles FJ, Medeiros BC, DeAngelo DJ. Expanded safety analysis of pevonedistat, a first-in-class NEDD8-activating enzyme inhibitor, in patients with acute myeloid leukemia and myelodysplastic syndromes. Blood Cancer J. 2017 Feb 3;7(2):e520. doi: 10.1038/bcj.2017.1. No abstract available.

    PubMed 28157218

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MLN4924 in people with Advanced Nonhematologic Malignancies, run by Millennium Pharmaceuticals, Inc. at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 16 Jul 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Determine the safety profile, MTD and PK/pharmacodynamics of MLN4924 (time frame: Maximum duration of therapy for 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00677170, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jul 2013; AzTrials last refreshed its copy on 8 Nov 2026.

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