Solid TumorPhase 1/2NCT02030067
Dose-Finding and Safety Study for Oral Single-Agent to Treat Advanced Malignancies
A Phase 1/2 study testing RX-3117 in people with Solid Tumor and Metastatic Bladder Cancer, run by Processa Pharmaceuticals at 12 sites in United States.
Trial summary
The purpose of this study is to determine the maximum tolerated dose of RX-3117 in subjects with advanced or metastatic solid tumors (Phase 1). The purpose of the Phase 2 portion is to estimate anti-tumor activity in subjects with advanced malignancies (relapsed or refractory pancreatic or advanced bladder cancer). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Solid Tumor, Metastatic Bladder Cancer
- What is being tested?
- RX-3117
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 127 participants
- Where
- 12 sitesUnited States
- Study dates
- Dec 2013to Dec 2019
- Phase
- Phase 1/2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
- Males or females who are 18 years or older
- Able to swallow capsules
- Histological or cytological evidence of confirmed metastatic pancreatic or advanced bladder cancer
- Able to discontinue all anticancer therapies 2 weeks prior to study start
- Measurable or evaluable disease using Response Evaluation Criteria in Solid Tumors
- Life expectancy of at least 3 months
- ECOG performance status of 0 or 1
- Provide written informed consent
Who cannot join
- Primary brain tumors or clinical evidence of active brain metastasis
- Systemic corticosteroid use within 7 days before planned start of study therapy
- Active infection requiring parenteral or oral antibiotics within 2 weeks before planned start of study therapy
- Uncontrolled diabetes as assessed by the investigator
- Prior or current history of hepatitis B, hepatitis C or human immunodeficiency virus
- History of bone marrow of solid organ transplantation
Show all 11Show fewer
- History of congestive heart failure, arrhythmias, acute coronary syndrome or torsades de pointes
- Any other medical, psychiatric, or social condition, which in the opinion of the investigator, would preclude participation in the study, pose an undue medical hazard, interfere with the conduct of the study, or interfere with interpretation of the study results
- Known hypersensitivity to gemcitabine, azacytidine or cytosine arabinoside
- Pregnant, planning a pregnancy or breast feeding during the study
- Concurrent participation in another therapeutic clinical trial
Trial locations and contacts
12 sites in 1 country.
12 sites in 1 country
United States12 sites
Rexahn Site
Birmingham, Alabama, 35294
Rexahn Site
Duarte, California, 91010
Rexahn Site
Fairfax, Virginia, 22031
Rexahn Site
Las Vegas, Nevada, 89119
Rexahn Site
Miami, Florida, 33136
Rexahn Site
Miami Lakes, Florida, 33014
Rexahn Site
New York, New York, 10021
Rexahn Site
Salt Lake City, Utah, 84112
Rexahn Site
San Antonio, Texas, 78229
Rexahn Site
Skokie, Illinois, 60077
Rexahn Site
St Louis, Missouri, 63110
Rexahn Site
Tucson, Arizona, 85724
About this study
Official title: A Phase 1, Open-Label, Dose-Ranging, Safety and Pharmacokinetic Study to Determine the Maximum Tolerated Dose of RX-3117 Administered Orally as a Single-Agent to Subjects With Advanced Malignancies
The purpose of this study is to determine the maximum tolerated dose of RX-3117 in subjects with advanced or metastatic solid tumors (Phase 1). The purpose of the Phase 2 portion is to estimate anti-tumor activity in subjects with advanced malignancies (relapsed or refractory pancreatic or advanced bladder cancer).
Read the detailed description
This is a dose-finding, open-label, single agent study of RX-3117. Once the maximum tolerated dose is identified additional subjects will be treated in a dose expansion followed by a 2-stage Phase 2 study. Subjects will be treated for up to 8 cycles of therapy. A cycle will be 4 weeks. RX-3117 dosing will be 3 times each week for 3 weeks follow by 1 week off treatment. All subjects will be followed for at least 30 days after the last dose of RX-3117.
- Conditions
- Solid Tumor, Metastatic Bladder Cancer
- Being tested
- RX-3117
- Keywords
- oncology, tumor, metastatic, bladder
- Medical subject headings
- Urinary Bladder Neoplasms, Neoplasms, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RX-3117Drug
| Study group | Role | What they receive |
|---|---|---|
| RX-3117 | Experimental | All subjects will receive RX-3117. Receives: Drug: RX-3117 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Safety Profile Characterized by # of Subjects With Dose-limiting Toxicities (DLTs) in Phase 1
Number of subjects participating in Phase 1 that experienced a DLT during the first cycle of treatment (28 days)
Measured: 28 days
Overall Safety Profile Characterized by Number of Subjects Experiencing Serious Adverse Events in Phase 1
Number of subjects participating in Phase 1 that experience any SAEs
Measured: through study completion, up to 224 days (8 cycles of treatment)
Overall Safety Profile Characterized by the Number of Subjects That Discontinue Study Treatment - Phase 1
Number of subjects participating in Phase 1 of study that discontinued study treatment due to a treatment emergent adverse event.
Measured: through study completion, up to 224 days (8 cycles of treatment)
Overall Safety Profile Characterized by Number of Subjects Experiencing a Treatment Emergent Adverse Event- Phase 1
Number of subjects that experience any treatment-related adverse event.
Measured: through study completion, up to 224 days (8 cycles of treatment)
Progression Free Survival (Phase 2)
Progression Free Survival in Phase 2 of the study for pancreatic and bladder cancer subjects.
Measured: 4 months
Secondary outcomes (2)
Area Under the Plasma Concentration Time Curve (AUC) (Phase 1)
Measured: Pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 24 and 48 hours after oral administration in Cycle 1 Days 1 and 15
Best Overall Response Rate (Phase 2)
Best Overall Response Rate (includes Complete Response, Partial Response, and Stable Disease)
Measured: Baseline and at 4, 8, 12, 16 and 32 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jan 2014 (estimated)
- Study startDec 2013
- Primary completionJul 2019
- Study completionDec 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Solid TumorStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 127 participants (actual)
Sponsor and investigators
- Lead sponsor
- Processa Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Ely Benaim, MD, Study director, Rexahn Pharmaceuticals, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02030067
- Sponsor's protocol ID
- RX-3117-P1-01
- Status last verified
- Nov 2023
- First submitted
- 24 Dec 2013
- Last updated
- 6 Dec 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 6 Dec 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1, Open-Label, Dose-Ranging, Safety and Pharmacokinetic Study to Determine the Maximum Tolerated Dose of RX-3117 Administered Orally as a Single-Agent to Subjects With Advanced Malignancies
- ClinicalTrials.gov ID
- NCT02030067
- Acronym / sponsor ID
- RX-3117-P1-01
- Conditions
- Solid Tumor, Metastatic Bladder Cancer
- Keywords
- oncology, tumor, metastatic, bladder
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 127 participants (actual)
- Lead sponsor
- Processa PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Dec 2013
- Primary completion
- Jul 2019 (actual)
- Study completion
- Dec 2019 (actual)
- First posted
- 8 Jan 2014 (estimated)
- Results
- Posted 6 Dec 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the maximum tolerated dose of RX-3117 in subjects with advanced or metastatic solid tumors (Phase 1). The purpose of the Phase 2 portion is to estimate anti-tumor activity in subjects with advanced malignancies (relapsed or refractory pancreatic or advanced bladder cancer).
Detailed description
This is a dose-finding, open-label, single agent study of RX-3117. Once the maximum tolerated dose is identified additional subjects will be treated in a dose expansion followed by a 2-stage Phase 2 study. Subjects will be treated for up to 8 cycles of therapy. A cycle will be 4 weeks. RX-3117 dosing will be 3 times each week for 3 weeks follow by 1 week off treatment. All subjects will be followed for at least 30 days after the last dose of RX-3117.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| RX-3117 | Experimental | Drug: RX-3117All subjects will receive RX-3117. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Males or females who are 18 years or older
- Able to swallow capsules
- Histological or cytological evidence of confirmed metastatic pancreatic or advanced bladder cancer
- Able to discontinue all anticancer therapies 2 weeks prior to study start
- Measurable or evaluable disease using Response Evaluation Criteria in Solid Tumors
Key exclusion criteria (11 listed)
- Primary brain tumors or clinical evidence of active brain metastasis
- Systemic corticosteroid use within 7 days before planned start of study therapy
- Active infection requiring parenteral or oral antibiotics within 2 weeks before planned start of study therapy
- Uncontrolled diabetes as assessed by the investigator
- Prior or current history of hepatitis B, hepatitis C or human immunodeficiency virus
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RX-3117 | Drug | RX-3117 |
Primary outcome
Overall Safety Profile Characterized by # of Subjects With Dose-limiting Toxicities (DLTs) in Phase 1
Time frame: 28 days
Number of subjects participating in Phase 1 that experienced a DLT during the first cycle of treatment (28 days)
Overall Safety Profile Characterized by Number of Subjects Experiencing Serious Adverse Events in Phase 1
Time frame: through study completion, up to 224 days (8 cycles of treatment)
Number of subjects participating in Phase 1 that experience any SAEs
Overall Safety Profile Characterized by the Number of Subjects That Discontinue Study Treatment - Phase 1
Time frame: through study completion, up to 224 days (8 cycles of treatment)
Number of subjects participating in Phase 1 of study that discontinued study treatment due to a treatment emergent adverse event.
Overall Safety Profile Characterized by Number of Subjects Experiencing a Treatment Emergent Adverse Event- Phase 1
Time frame: through study completion, up to 224 days (8 cycles of treatment)
Number of subjects that experience any treatment-related adverse event.
Progression Free Survival (Phase 2)
Time frame: 4 months
Progression Free Survival in Phase 2 of the study for pancreatic and bladder cancer subjects.
2 secondary outcomes
Area Under the Plasma Concentration Time Curve (AUC) (Phase 1)
Time frame: Pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 24 and 48 hours after oral administration in Cycle 1 Days 1 and 15
Best Overall Response Rate (Phase 2)
Time frame: Baseline and at 4, 8, 12, 16 and 32 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Dec 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ely Benaim, MD study director
Rexahn Pharmaceuticals, Inc.
12 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing RX-3117 in people with Solid Tumor and Metastatic Bladder Cancer, run by Processa Pharmaceuticals at 12 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 8 inclusion and 11 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 6 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 12 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 combined 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.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 6 Dec 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Overall Safety Profile Characterized by # of Subjects With Dose-limiting Toxicities (DLTs) in Phase 1 (time frame: 28 days). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 6 Dec 2023.