A Phase 1 interventional study of HM30181 methanesulfonate monohydrate plus oral paclitaxel capsules in Solid Tumor, sponsored by Athenex, Inc.. Completed at 7 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-04-13.
Sponsored by Athenex, Inc. · Phase 1, Interventional, and Treatment
This is a multicenter, open-label, 2-stage study with a 2-treatment period crossover design. Eligible participants are adults with cancer for whom weekly therapy with IV paclitaxel at a dose of 80 mg/m2 over 1 hour is indicated.
Stage 1 will consist of an initial cohort (Cohort 1) up to 6 evaluable participants who will receive a dosing regimen of Oraxol consisting of a 15-mg oral HM30181AK-US tablet plus an oral paclitaxel dose of 205 mg/m2, both administered once daily for 3 consecutive days. The stages and cohorts are further described in the "Study Design - Stages and Cohorts" table below. An interim analysis of pharmacokinetic (PK) data from Cohort 1 will be conducted to determine if the administered regimen would appear likely to achieve bioequivalence(BE) (AUC0-∞), if tested in a greater number of participants in Stage 2. If it appears unlikely that the selected regimen will meet the criteria for BE based on AUC0-∞ data, a second cohort (Cohort 2) of up to 6 evaluable participants may be enrolled in Stage 1, and the dose of paclitaxel in Oraxol may be adjusted by a maximum of +/- 25%. If Cohort 2 is enrolled, a second interim analysis will be conducted.
After the interim analysis/analyses (depending on the outcomes), a decision will be made by consensus of the Data Safety and Monitoring Board(DSMB), Kinex, Zenith Technology, and the Principal Investigator as to what dose should be administered in Stage 2. The DSMB will consist of a clinical oncologist, an ethicist, an independent statistician, and additional members, as deemed necessary. A DSMB charter will describe the planned evaluations and decision points used to determine the dose for Stage 2. An additional 18 to 42 evaluable participants will be enrolled into Stage 2 based on the Stage 1 results (AUC0-∞). Thus a total of up to 54 evaluable participants could potentially be enrolled in this study (6 each from Stage 1, Cohorts 1 and 2, and up to 42 participants in Stage 2).
Stage 1 will consist of an initial cohort (Cohort 1) up to 6 evaluable participants who will receive a dosing regimen of Oraxol consisting of a 15-mg oral HM30181AK-US tablet plus an oral paclitaxel dose of 205 mg/m2, both administered once daily for 3 consecutive days. The stages and cohorts are further described in the "Study Design - Stages and Cohorts" table below. An interim analysis of pharmacokinetic (PK) data from Cohort 1 will be conducted to determine if the administered regimen would appear likely to achieve bioequivalence (BE) (AUC0-∞), if tested in a greater number of participants in Stage 2. If it appears unlikely that the selected regimen will meet the criteria for BE based on AUC0-∞ data, a second cohort (Cohort 2) of up to 6 evaluable participants may be enrolled in Stage 1, and the dose of paclitaxel in Oraxol may be adjusted by a maximum of +/- 25%. If Cohort 2 is enrolled, a second interim analysis will be conducted.
After the interim analysis/analyses (depending on the outcomes), a decision will be made by consensus of the Data Safety and Monitoring Board(DSMB), Kinex, Zenith Technology, and the Principal Investigator as to what dose should be administered in Stage 2. The DSMB will consist of a clinical oncologist, an ethicist, an independent statistician, and additional members, as deemed necessary. A DSMB charter will describe the planned evaluations and decision points used to determine the dose for Stage 2. An additional 18 to 42 evaluable participants will be enrolled into Stage 2 based on the Stage 1 results (AUC0-∞). Thus a total of up to 54 evaluable participants could potentially be enrolled in this study (6 each from Stage 1, Cohorts 1 and 2, and up to 42 participants in Stage 2).
Athenex, Inc. is the lead sponsor of 21 studies on the registry; 1 is open to participants now.
Of its 7 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.
Counted across the registry records on this site, refreshed daily.
Adequate hematologic status at Screening/Baseline:
Adequate liver function at Screening/Baseline as demonstrated by:
Exclusion Criteria:
Currently taking a prohibited concomitant medication:
The treatment sequences will be: A Oraxol (paclitaxel + HM30181) on Days 1, 2, and 3 of Treatment Period 1 followed by IV paclitaxel on Day 1 of Treatment Period 2 B IV paclitaxel on Day 1 of Treatment Period 1 followed by Oraxol on Days 1, 2, and 3 of Treatment Period 2
Drug: HM30181 methanesulfonate monohydrate plus oral paclitaxel capsules
The treatment sequences will be: A IV paclitaxel on Day 1 of Treatment Period 1 followed by Oraxol on Days 1, 2, and 3 of Treatment Period 2 B Oraxol (paclitaxel + HM30181) on Days 1, 2, and 3 of Treatment Period 1 followed by IV paclitaxel on Day 1 of Treatment Period 2
Drug: HM30181 methanesulfonate monohydrate plus oral paclitaxel capsules
HM30181 methanesulfonate monohydrate plus oral paclitaxel capsules Oral paclitaxel capsules
Also known as: ORAXOL
Area Under the Concentration-Time Curve Zero Time Extrapolated to Infinite Time (AUC0-∞)
Paclitaxel plasma concentrations were normalized to 615 mg/m2 for Oraxol and 80 mg/m2 for IV paclitaxel. Pharmacokinetic and statistical analyses were based on normalized plasma concentrations. Plasma concentrations for paclitaxel were analyzed to determine AUC0-∞ by noncompartmental analysis using plasma concentration-time data for oral and IV paclitaxel
Time frame: Pharmacokinetic Sampling for IV Paclitaxel - Predose to 96 hours after infusion (Day 1-5). Pharmacokinetic Sampling for Oraxol- predose of Day1 to 144 hours after third dose of day 3 (Day 1-9)
Maximum Observed Concentration (Cmax)
Paclitaxel plasma concentrations were normalized to 615 mg/m2 for Oraxol and 80 mg/m2 for IV paclitaxel. Pharmacokinetic and statistical analyses were based on normalized plasma concentrations. Plasma concentrations for paclitaxel were analyzed to determine Cmax by noncompartmental analysis using plasma concentration-time data for oral and IV paclitaxel
Time frame: Pharmacokinetic Sampling for IV Paclitaxel - Predose to 96 hours after infusion (Day 1-5). Pharmacokinetic Sampling for Oraxol- predose of Day1 to 144 hours after third dose of day 3 (Day 1-9)
Area Under the Concentration-time Curve From Time 0 to Time of Last Quantifiable Concentration (AUC0-t)
Paclitaxel plasma concentrations were normalized to 615 mg/m2 for Oraxol and 80 mg/m2 for IV paclitaxel. Pharmacokinetic and statistical analyses were based on normalized plasma concentrations. Plasma concentrations for paclitaxel were analyzed to determine AUC0-t by noncompartmental analysis using plasma concentration-time data for oral and IV paclitaxel
Time frame: Pharmacokinetic Sampling for IV Paclitaxel - Predose to 96 hours after infusion (Day 1-5). Pharmacokinetic Sampling for Oraxol- predose of Day1 to 144 hours after third dose of day 3 (Day 1-9)
Time at Which the Highest Drug Concentration Occurs (Tmax)
Paclitaxel plasma concentrations were normalized to 615 mg/m2 for Oraxol and 80 mg/m2 for IV paclitaxel. Pharmacokinetic and statistical analyses were based on normalized plasma concentrations. Plasma concentrations for paclitaxel were analyzed to determine Tmax by noncompartmental analysis using plasma concentration-time data for oral and IV paclitaxel
Time frame: Pharmacokinetic Sampling for IV Paclitaxel - Predose to 96 hours after infusion (Day 1-5). Pharmacokinetic Sampling for Oraxol- predose of Day1 to 144 hours after third dose of day 3 (Day 1-9)
Terminal Elimination Phase Half-life (t½)
Paclitaxel plasma concentrations were normalized to 615 mg/m2 for Oraxol and 80 mg/m2 for IV paclitaxel. Pharmacokinetic and statistical analyses were based on normalized plasma concentrations. Plasma concentrations for paclitaxel were analyzed to determine t½ by noncompartmental analysis using plasma concentration-time data for oral and IV paclitaxel
Time frame: Pharmacokinetic Sampling for IV Paclitaxel - Predose to 96 hours after infusion (Day 1-5). Pharmacokinetic Sampling for Oraxol- predose of Day1 to 144 hours after third dose of day 3 (Day 1-9)
Safety and Tolerability of Oraxol Compared With IV Paclitaxel
Safety was assessed by recording all adverse events (AEs) and serious adverse events (SAEs), including CTCAE grades (version 4.03); recording concomitant medications; clinical laboratory testing (including hematology, biochemistry, and urinalysis); measurement of vital signs (pulse rate, systolic and diastolic blood pressures, respiratory rate, and body temperature), weight, and body surface area (BSA); performance of electrocardiograms (ECGs); assessment of ECOG performance status; and performance of physical examinations
Time frame: From screening until final visit (within 28 days after the last dose of study drug was taken, and preferably before the participant receives any additional chemotherapy)
| Milestone | Sequence A (Oraxol, IV Paclitaxel) | Sequence B (IV Paclitaxel, Oraxol) |
|---|---|---|
| Started | 20 | 22 |
| Completed | 20 | 20 |
| Not completed | 0 | 2 |
| Withdrew: Death | 0 | 1 |
| Withdrew: Adverse event | 0 | 1 |
| Milestone | Sequence A (Oraxol, IV Paclitaxel) | Sequence B (IV Paclitaxel, Oraxol) |
|---|---|---|
| Started | 20 | 20 |
| Completed | 20 | 20 |
| Not completed | 0 | 0 |
| Milestone | Sequence A (Oraxol, IV Paclitaxel) | Sequence B (IV Paclitaxel, Oraxol) |
|---|---|---|
| Started | 18 | 19 |
| Completed | 18 | 19 |
| Not completed | 0 | 0 |
| Milestone | Sequence A (Oraxol, IV Paclitaxel) | Sequence B (IV Paclitaxel, Oraxol) |
|---|---|---|
| Started | 18 | 19 |
| Completed | 16 | 19 |
| Not completed | 2 | 0 |
| Withdrew: Adverse event | 2 | 0 |
Paclitaxel plasma concentrations were normalized to 615 mg/m2 for Oraxol and 80 mg/m2 for IV paclitaxel. Pharmacokinetic and statistical analyses were based on normalized plasma concentrations. Plasma concentrations for paclitaxel were analyzed to determine AUC0-∞ by noncompartmental analysis using plasma concentration-time data for oral and IV paclitaxel
| ng*h/mL | Oraxol | IV Paclitaxel |
|---|---|---|
| Area Under the Concentration-Time Curve Zero Time Extrapolated to Infinite Time (AUC0-∞) | 5033.5 ± 1401.1 | 5595.9 ± 264.1 |
Paclitaxel plasma concentrations were normalized to 615 mg/m2 for Oraxol and 80 mg/m2 for IV paclitaxel. Pharmacokinetic and statistical analyses were based on normalized plasma concentrations. Plasma concentrations for paclitaxel were analyzed to determine Cmax by noncompartmental analysis using plasma concentration-time data for oral and IV paclitaxel
| ng/mL | Oraxol | IV Paclitaxel |
|---|---|---|
| Maximum Observed Concentration (Cmax) | 397.2 ± 157.3 | 2732.8 ± 629.7 |
Paclitaxel plasma concentrations were normalized to 615 mg/m2 for Oraxol and 80 mg/m2 for IV paclitaxel. Pharmacokinetic and statistical analyses were based on normalized plasma concentrations. Plasma concentrations for paclitaxel were analyzed to determine AUC0-t by noncompartmental analysis using plasma concentration-time data for oral and IV paclitaxel
| ng*h/mL | Oraxol | IV Paclitaxel |
|---|---|---|
| Area Under the Concentration-time Curve From Time 0 to Time of Last Quantifiable Concentration (AUC0-t) | 4829.4 ± 1375.1 | 5431.8 ± 1200.3 |
Paclitaxel plasma concentrations were normalized to 615 mg/m2 for Oraxol and 80 mg/m2 for IV paclitaxel. Pharmacokinetic and statistical analyses were based on normalized plasma concentrations. Plasma concentrations for paclitaxel were analyzed to determine Tmax by noncompartmental analysis using plasma concentration-time data for oral and IV paclitaxel
| hours | Oraxol | IV Paclitaxel |
|---|---|---|
| Time at Which the Highest Drug Concentration Occurs (Tmax) | 1.4 ± 0.6 | 1.0 ± 0.2 |
Paclitaxel plasma concentrations were normalized to 615 mg/m2 for Oraxol and 80 mg/m2 for IV paclitaxel. Pharmacokinetic and statistical analyses were based on normalized plasma concentrations. Plasma concentrations for paclitaxel were analyzed to determine t½ by noncompartmental analysis using plasma concentration-time data for oral and IV paclitaxel
| hours | Oraxol | IV Paclitaxel |
|---|---|---|
| Terminal Elimination Phase Half-life (t½) | 42.8 ± 8.6 | 26.1 ± 4.3 |
Safety was assessed by recording all adverse events (AEs) and serious adverse events (SAEs), including CTCAE grades (version 4.03); recording concomitant medications; clinical laboratory testing (including hematology, biochemistry, and urinalysis); measurement of vital signs (pulse rate, systolic and diastolic blood pressures, respiratory rate, and body temperature), weight, and body surface area (BSA); performance of electrocardiograms (ECGs); assessment of ECOG performance status; and performance of physical examinations
| Participants | Oraxol | IV Paclitaxel |
|---|---|---|
| TEAE | 36 | 29 |
| Treatment-related TEAE | 30 | 20 |
| Grade 3 TEAE | 7 | 2 |
| TEAE leading to study drug discontinuation | 1 | 2 |
| TEAE leading to study discontinuation | 0 | 2 |
| TEAE resulting in death | 0 | 1 |
Collected over up to 7 weeks. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Oraxol | 0/39 (0%) | 4/39 (10.3%) | 36/39 (92.3%) |
| IV Paclitaxel | 1/38 (2.6%) | 2/38 (5.3%) | 29/38 (76.3%) |
| Event | Oraxol | IV Paclitaxel |
|---|---|---|
| Septic shockInfections and infestations | 0/39 | 1/38 |
| VomitingGastrointestinal disorders | 0/39 | 1/38 |
| Altered state of consciousnessNervous system disorders | 0/39 | 1/38 |
| Atrial fibrillationCardiac disorders | 1/39 | 0/38 |
| Cardiac tamponadeCardiac disorders | 1/39 | 0/38 |
| TachycardiaCardiac disorders | 1/39 | 0/38 |
| Lower respiratory tract infectionInfections and infestations | 1/39 | 0/38 |
| NeutropeniaBlood and lymphatic system disorders | 1/39 | 0/38 |
| HaematuriaRenal and urinary disorders | 1/39 | 0/38 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 1/39 | 0/38 |
| Event | Oraxol | IV Paclitaxel |
|---|---|---|
| DiarrhoeaGastrointestinal disorders | 11/39 | 7/38 |
| NauseaGastrointestinal disorders | 11/39 | 3/38 |
| FatigueGeneral disorders | 6/39 | 2/38 |
| FlushingVascular disorders | 0/39 | 5/38 |
| VomitingGastrointestinal disorders | 5/39 | 1/38 |
| HeadacheNervous system disorders | 3/39 | 2/38 |
| CoughRespiratory, thoracic and mediastinal disorders | 3/39 | 1/38 |
| DyspepsiaGastrointestinal disorders | 2/39 | 2/38 |
| Abdominal pain upperGastrointestinal disorders | 0/39 | 2/38 |
| HypoaesthesiaNervous system disorders | 1/39 | 2/38 |
Of the 42 randomized subjects, 2 discontinued study participation due to an AE prior to receiving study drug
| Age, Continuous(years) | Sequence A (Oraxol, IV Paclitaxel) | Sequence B (IV Paclitaxel, Oraxol) | Total |
|---|---|---|---|
| Mean | 60.8 ± 10.12 | 59.85 ± 12.14 | 60.33 ± 11.04 |
| Sex: Female, Male(Participants) | Sequence A (Oraxol, IV Paclitaxel) | Sequence B (IV Paclitaxel, Oraxol) | Total |
|---|---|---|---|
| Female | 13 | 13 | 26 |
| Male | 7 | 7 | 14 |
| Race (NIH/OMB)(Participants) | Sequence A (Oraxol, IV Paclitaxel) | Sequence B (IV Paclitaxel, Oraxol) | Total |
|---|---|---|---|
| American Indian or Alaska Native | 1 | 0 | 1 |
| Asian | 4 | 6 | 10 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 |
| White | 15 | 14 | 29 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(participants) | Sequence A (Oraxol, IV Paclitaxel) | Sequence B (IV Paclitaxel, Oraxol) | Total |
|---|---|---|---|
| New Zealand | 15 | 15 | 30 |
| Taiwan | 3 | 5 | 8 |
| Australia | 2 | 0 | 2 |
| Weight(kg) | Sequence A (Oraxol, IV Paclitaxel) | Sequence B (IV Paclitaxel, Oraxol) | Total |
|---|---|---|---|
| Mean | 70.89 ± 15.45 | 75.42 ± 15.32 | 73.16 ± 15.36 |
| Height(cm) | Sequence A (Oraxol, IV Paclitaxel) | Sequence B (IV Paclitaxel, Oraxol) | Total |
|---|---|---|---|
| Mean | 166.13 ± 8.50 | 166.05 ± 7.82 | 166.09 ± 8.06 |
| Body Surface Area(m^2) | Sequence A (Oraxol, IV Paclitaxel) | Sequence B (IV Paclitaxel, Oraxol) | Total |
|---|---|---|---|
| Mean | 1.78 ± 0.20 | 1.84 ± 0.20 | 1.81 ± 0.20 |
| ECOG(Participants) | Sequence A (Oraxol, IV Paclitaxel) | Sequence B (IV Paclitaxel, Oraxol) | Total |
|---|---|---|---|
| 0 | 8 | 12 | 20 |
| 1 | 12 | 8 | 20 |
| 2 | 0 | 0 | 0 |
| 3 | 0 | 0 | 0 |
| 4 | 0 | 0 | 0 |
| 5 | 0 | 0 | 0 |
2 further baseline measures are reported on the registry.
Documents are hosted by the registry — open the source record to download them.
This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.
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Athenex, Inc.