Trial Outcomes & Findings for Safety and Efficacy of SNX-5422 in Human Epidermal Growth Factor Receptor 2 (HER2) Positive Cancers (NCT NCT01848756)

NCT ID: NCT01848756

Last Updated: 2017-02-09

Results Overview

The effect of SNX-5422 on tumor progression. Objective tumor responses (complete remissions plus partial remissions) and clinical benefit rate (complete remissions plus partial remissions plus stable disease at 6 months) will be listed by subject. Tumor measurements made using Response Evaluation Criteria in Solid Tumors (RECIST).

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

15 participants

Primary outcome timeframe

Up to 24 months from last patient entry

Results posted on

2017-02-09

Participant Flow

Participant milestones

Participant milestones
Measure
SNX-5422
Open-label administration of SNX-5422 capsules to total 100 mg/m2 every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle. Subjects will continue treatment on a 28-day cycle at the discretion of the principal investigator based on safety. SNX-5422: Capsule(s) dosed every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle.
Overall Study
STARTED
15
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
SNX-5422
Open-label administration of SNX-5422 capsules to total 100 mg/m2 every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle. Subjects will continue treatment on a 28-day cycle at the discretion of the principal investigator based on safety. SNX-5422: Capsule(s) dosed every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle.
Overall Study
Adverse Event
1
Overall Study
Withdrawal by Subject
1
Overall Study
Enrolled in Error
1

Baseline Characteristics

Safety and Efficacy of SNX-5422 in Human Epidermal Growth Factor Receptor 2 (HER2) Positive Cancers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SNX-5422
n=15 Participants
Open-label administration of SNX-5422 capsules to total 100 mg/m2 every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle. Subjects will continue treatment on a 28-day cycle at the discretion of the principal investigator based on safety. SNX-5422: Capsule(s) dosed every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle.
Age, Continuous
58 years
STANDARD_DEVIATION 12.9 • n=99 Participants
Gender
Female
9 Participants
n=99 Participants
Gender
Male
6 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
13 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Up to 24 months from last patient entry

Population: Per protocol population including all enrolled evaluable subjects.Due to slow recruitment and availability newer targeted treatments the study was terminated for business reasons. No patient completed 6 months on study, the first analysis time point for this endpoint, at the time of study termination

The effect of SNX-5422 on tumor progression. Objective tumor responses (complete remissions plus partial remissions) and clinical benefit rate (complete remissions plus partial remissions plus stable disease at 6 months) will be listed by subject. Tumor measurements made using Response Evaluation Criteria in Solid Tumors (RECIST).

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Every 3 months until 24 months after the last subject has been enrolled

Population: Due to slow recruitment and availability newer targeted treatments the study was terminated for business reasons. No patient completed 3 months on study, the first analysis time point for this endpoint, at the time of study termination

Time on treatment with at worst stable disease.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Every 3 months until 24 months after the last subject has been enrolled

Population: Due to slow recruitment and availability newer targeted treatments the study was terminated for business reasons. No patient completed 3 months on study, the first analysis time point for this endpoint, at the time of study termination

Time from start of treatment that patients remain alive.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 28 of each cycle

Population: All Treated Subjects

Number of patients experiencing treatment emergent adverse events.

Outcome measures

Outcome measures
Measure
SNX-5422
n=15 Participants
Open-label administration of SNX-5422 capsules to total 100 mg/m2 every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle. Subjects will continue treatment on a 28-day cycle at the discretion of the principal investigator based on safety. SNX-5422: Capsule(s) dosed every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle.
Number of Patients With Adverse Events
15 participants

SECONDARY outcome

Timeframe: Day 28 of each cycle

Population: All Treated Subjects

Descriptive summaries of vital signs, physical examination and clinical laboratory changes will be presented by treatment received.

Outcome measures

Outcome measures
Measure
SNX-5422
n=15 Participants
Open-label administration of SNX-5422 capsules to total 100 mg/m2 every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle. Subjects will continue treatment on a 28-day cycle at the discretion of the principal investigator based on safety. SNX-5422: Capsule(s) dosed every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle.
Changes in Vital Signs, Physical Examination or Clinical Laboratory From Baseline
All laboratory abnormalities
8 participants
Changes in Vital Signs, Physical Examination or Clinical Laboratory From Baseline
ALT/AST increases
6 participants
Changes in Vital Signs, Physical Examination or Clinical Laboratory From Baseline
Alkaline phosphatase increase
3 participants
Changes in Vital Signs, Physical Examination or Clinical Laboratory From Baseline
Vital signs
0 participants
Changes in Vital Signs, Physical Examination or Clinical Laboratory From Baseline
Systolic/diastolic blood pressure
0 participants
Changes in Vital Signs, Physical Examination or Clinical Laboratory From Baseline
Respiratory rate
0 participants
Changes in Vital Signs, Physical Examination or Clinical Laboratory From Baseline
Temperature
0 participants
Changes in Vital Signs, Physical Examination or Clinical Laboratory From Baseline
ECG
0 participants

SECONDARY outcome

Timeframe: Screening, end of Cycle 1, final visit

Population: ll Treated Subjects

Ophthalmologic assessments will be presented by cohort, study visit and dose. Number of subjects experiencing clinically relevant changes from baseline in any of these examinations will be presented using descriptive summary

Outcome measures

Outcome measures
Measure
SNX-5422
n=15 Participants
Open-label administration of SNX-5422 capsules to total 100 mg/m2 every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle. Subjects will continue treatment on a 28-day cycle at the discretion of the principal investigator based on safety. SNX-5422: Capsule(s) dosed every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle.
Ophthalmologic Changes From Baseline
1 participants

SECONDARY outcome

Timeframe: Every 28 day cycle

Population: All treated subjects

Number of patients experiencing adverse events by highest recorded severity and relationship to study tretament

Outcome measures

Outcome measures
Measure
SNX-5422
n=15 Participants
Open-label administration of SNX-5422 capsules to total 100 mg/m2 every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle. Subjects will continue treatment on a 28-day cycle at the discretion of the principal investigator based on safety. SNX-5422: Capsule(s) dosed every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle.
Adverse Events by Severity and Relationship to Treatment
Subjects with adverse events
15 participants
Adverse Events by Severity and Relationship to Treatment
Subjects with Grade 3 or 4 adverse events
8 participants
Adverse Events by Severity and Relationship to Treatment
Subjects with Grade 5 adverse events
2 participants
Adverse Events by Severity and Relationship to Treatment
Subjects with treatment related adverse events
15 participants
Adverse Events by Severity and Relationship to Treatment
Subjects with Grade 3 or 4 AEs related to treatmen
7 participants
Adverse Events by Severity and Relationship to Treatment
Subjects with Grade 5 AEs related to treatment
0 participants

Adverse Events

SNX-5422

Serious events: 8 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
SNX-5422
n=15 participants at risk
Open-label administration of SNX-5422 capsules to total 100 mg/m2 every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle. Subjects will continue treatment on a 28-day cycle at the discretion of the principal investigator based on safety. SNX-5422: Capsule(s) dosed every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle.
Gastrointestinal disorders
Abdominal Pain Upper
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Cardiac disorders
Atrial Fibrillation
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Renal and urinary disorders
Renal Failure Acute
13.3%
2/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Gastrointestinal disorders
Diarrhoea
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Gastrointestinal disorders
Haematemesis
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Gastrointestinal disorders
Nausea
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Gastrointestinal disorders
Vomiting
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Cardiac disorders
Cardiac Tamponade
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Cardiac disorders
Pericardial Effusion
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Infections and infestations
Pneumonia
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Infections and infestations
Wound Infection
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
General disorders
Asthenia
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Hepatobiliary disorders
Jaundice
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Metabolism and nutrition disorders
Dehydration
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Nervous system disorders
Dizziness
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports

Other adverse events

Other adverse events
Measure
SNX-5422
n=15 participants at risk
Open-label administration of SNX-5422 capsules to total 100 mg/m2 every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle. Subjects will continue treatment on a 28-day cycle at the discretion of the principal investigator based on safety. SNX-5422: Capsule(s) dosed every other day for 21 days (total = 11 doses), out of a 28-day treatment cycle.
Gastrointestinal disorders
Diarrhoea
86.7%
13/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Gastrointestinal disorders
Nausea
53.3%
8/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Gastrointestinal disorders
Vomiting
53.3%
8/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Gastrointestinal disorders
Abdominal Pain
20.0%
3/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Gastrointestinal disorders
Constipation
13.3%
2/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Gastrointestinal disorders
Dry Mouth
13.3%
2/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Gastrointestinal disorders
Abdominal Pain Upper
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Metabolism and nutrition disorders
Decreased Appetite
20.0%
3/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Metabolism and nutrition disorders
Hyperglycaemia
13.3%
2/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Metabolism and nutrition disorders
Hypoalbuminaemia
13.3%
2/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Metabolism and nutrition disorders
Dehydration
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Metabolism and nutrition disorders
Hyperphosphataemia
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Metabolism and nutrition disorders
Hypocalcaemia
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Metabolism and nutrition disorders
Hypomagnesaemia
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Metabolism and nutrition disorders
hyponatraemia
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
General disorders
Fatigue
40.0%
6/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
General disorders
Chills
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
General disorders
Mucosal Inflammation
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Investigations
Aspartate Aminotransferase increased
33.3%
5/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Investigations
Alanine Aminotransferase Increased
20.0%
3/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Investigations
Blood Alkaline Phosphatase Increased
13.3%
2/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Investigations
Activated Partial Thromboplastin Time Prolonged
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Investigations
Blood Cholesterol Increased
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Investigations
Blood Creatinine Increased
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Investigations
Lymphocyte Count Decreased
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Investigations
White Blood Cell Count Decreased
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Blood and lymphatic system disorders
Anaemia
26.7%
4/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Musculoskeletal and connective tissue disorders
Arthralgia
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Musculoskeletal and connective tissue disorders
Back pain
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Nervous system disorders
Dizziness
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Nervous system disorders
Headache
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Eye disorders
Vision Blurred
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Renal and urinary disorders
Renal Failure Acute
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports
Skin and subcutaneous tissue disorders
Rash Maculo-papular
6.7%
1/15 • From patient screening to removal from study, average time on study 49+/-16 days
Regular Investigator Assessment including patient volunteered reports

Additional Information

Eric Orlemans, Chief Scientific Officer

Esanex Inc

Phone: 919-338-2019

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60