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Clinical Trials Search at Vanderbilt-Ingram Cancer Center

9-ING-41 in Patients With Advanced Cancers

GSK-3 is a potentially important therapeutic target in human malignancies. The Actuate 1801
Phase 1/2 study is designed to evaluate the safety and efficacy of 9-ING-41, a potent GSK-3
inhibitor, as a single agent and in combination with cytotoxic agents, in patients with
refractory cancers.
Miscellaneous, Phase I
Phase I/II
Adults
Chemotherapy - cytotoxic, Mol. targeted/Immunotherapy/Biologics
9-ING-41, Carboplatin, Doxorubicin, Gemcitabine, Irinotecan, Lomustine, Nab-Paclitaxel, Paclitaxel, Pemetrexed
Davis, Elizabeth
International
Vanderbilt University
04-08-2020
Treatment
VICCPHI19127
NCT03678883

Eligibility

18 Years
BOTH
NO
Inclusion Criteria:

Patient -

Is able to understand and voluntarily sign a written informed consent and is willing and able to comply with the protocol requirements including scheduled visits, treatment plan, laboratory tests and other study procedures.

Is aged 18 years

Has pathologically confirmed advanced or metastatic malignancy characterized by one or more of the following:

Patient is intolerant of existing therapy(ies) known to provide clinical benefit for their condition

Malignancy is refractory to existing therapy(ies) known to potentially provide clinical benefit

Malignancy has relapsed after standard therapy

Malignancy for which there is no standard therapy that improves survival by at least 3 months

Has evaluable tumor(s) by standard radiological and/or laboratory assessments as applicable to their malignancy - in Part 3, patients with solid tumors must have least 1 measurable lesion per response evaluation criteria in solid tumors (RECIST) v1.1 criteria, measured preferably by computed tomography (CT) scan or magnetic resonance image (MRI). In the case of patients with glioblastoma multiforme (GBM) or other central nervous system (CNS) tumors, the tumor must be measurable, defined as a clearly enhancing tumor with at two perpendicular diameters at entry equal or superior to 1cm.

Has laboratory function within specified parameters (may be repeated):

Adequate bone marrow function: absolute neutrophil count (ANC) 500/mL; hemoglobin 8.5 g/dL, platelets 50,000/mL

Adequate liver function: transaminases (aspartate aminotransferase/ alanine aminotransferase, AST/ALT) and alkaline phosphatase 3 ( 5 X the upper limit of normal (ULN) in the setting of liver metastasis or infiltration with malignant cells) x ULN; bilirubin 1.5 x ULN

Adequate renal function: creatinine clearance 60 mL/min (Cockcroft and Gault)

Adequate blood coagulation: international normalized ratio (INR) 2.3

Serum amylase and lipase 1.5 x ULN

Has adequate performance status (PS): Eastern Co-operative Oncology Group (ECOG) PS 0-2

Has received the final dose of any of the following treatments/ procedures with the specified minimum intervals before first dose of study drug (unless in the opinion of the investigator and the study medical coordinator the treatments/ procedures will not compromise patient safety or interfere with study conduct and with IDMC agreement):

Chemotherapy, immunotherapy, or systemic radiation therapy - 14 days or 5 half-lives (whichever is shorter)

Focal radiation therapy - 7 days

Systemic and topical corticosteroids - 7 days

Surgery with general anesthesia - 7 days

Surgery with local anesthesia - 3 days

May continue endocrine therapies (e.g. for breast or prostate cancer) and/or anti-human epidermal growth factor (Her2) therapies while on this study

Women of childbearing potential must have a negative baseline blood or urine pregnancy test within 72 hours of first study therapy. Women may be neither breastfeeding nor intending to become pregnant during study participation and must agree to use effective contraceptive methods (hormonal or barrier method of birth control, or true abstinence) for the duration of study participation and in the following 90 days after discontinuation of study treatment

Male patients with partners of childbearing potential must take appropriate precautions to avoid fathering a child from screening until 90 days after discontinuation of study treatment and use appropriate barrier contraception or true abstinence

Must not be receiving any other investigational medicinal product



Exclusion Criteria:

Patient -

Is pregnant or lactating

Is known to be hypersensitive to any of the components of 9-ING-41 or to the excipients used in its formulation

Has not recovered from clinically significant toxicities as a result of prior anticancer therapy, except alopecia and infertility. Recovery is defined as Grade 2 CTCAE Version 4.03

Has significant cardiovascular impairment: history of congestive heart failure greater than New York Heart Association (NYHA) Class II, unstable angina, or stroke within 6 months of the first dose of 9-ING-41, or cardiac arrhythmia requiring medical treatment detected at screening

Has had a myocardial infarction within 12 weeks of the first dose of 9-ING-41 or has electrocardiogram (ECG) abnormalities that are deemed medically relevant by the investigator or study medical coordinator

Has known symptomatic rapidly progressive brain metastases or leptomeningeal involvement as assessed by CT scan or MRI. Patients with stable asymptomatic brain metastases or leptomeningeal disease or slowly progressive disease are eligible provided that they have not required new treatments for this disease in a 28-day period before the first dose of study drug, and anticonvulsants and steroids are at a stable dose for a period of 14 days prior to the first dose of study drug

Has had major surgery (not including placement of central lines) within 7 days prior to study entry or is planned to have major surgery during the course of the study (major surgery may be defined as any invasive operative procedure in which an extensive resection is performed, e.g. a body cavity is entered, organs are removed, or normal anatomy is altered. In general, if a mesenchymal barrier is opened (pleural cavity, peritoneum, meninges), the surgery is considered major)

Has any medical and/or social condition which, in the opinion of the investigator or study medical coordinator would preclude study participation

Has received an investigational anti-cancer drug in the 14-day period before the first dose of study drug (or within 5 half-lives if longer) or is currently participating in another interventional clinical trial

Has a current active malignancy other than the target cancer

Is considered to be a member of a vulnerable population (for example, prisoners) Part 3 ARMB Inclusion Criteria: Patient -

Is able to understand and voluntarily sign a written informed consent and is willing and able to comply with the protocol requirements including scheduled visits, treatment plan, laboratory tests and other study procedures

Is aged 18 years

Has pathologically confirmed metastatic pancreatic cancer AND is previously untreated with systemic agents in the recurrence/metastatic setting.

Must have at least 1 measurable lesion per RECIST v1.1, measured preferably by computed tomography (CT) scan or magnetic resonance image (MRI)

Has laboratory function within specified parameters (may be repeated): e. Adequate bone marrow function: absolute neutrophil count (ANC) 500/mL; hemoglobin 8.5 g/dL, platelets 75,000/mL f. Adequate liver function: transaminases (aspartate aminotransferase/ alanine aminotransferase, AST/ALT) and alkaline phosphatase 3 ( 10 X the upper limit of normal (ULN) in the setting of liver metastasis or infiltration with malignant cells) x ULN; bilirubin 1.5 x ULN Adequate renal function: creatinine clearance 30 mL/min (Cockcroft and Gault)

Has Eastern Co-operative Oncology Group (ECOG) PS 0 or 1

Has received the final dose of any of the following treatments/ procedures with the specified minimum intervals before first dose of study drug:

Focal radiation therapy - 7 days

Surgery with general anesthesia - 7 days

Surgery with local anesthesia - 3 days

May have received treatment with fluorouracil or gemcitabine as a radiation sensitizer in the adjuvant setting if the treatment was received at least 6 months before study enrollment

May have received neoadjuvant chemotherapy with FOLFIRINOX if last dose given at least 6 months before study enrollment

May have received prior cytotoxic doses of systemic chemotherapy in the adjuvant setting if last dose given at least 6 months before study enrollment

Women of childbearing potential must have a negative baseline blood or urine pregnancy test within 72 hours of first study therapy. Women may be neither breastfeeding nor intending to become pregnant during study participation and must agree to use effective contraceptive methods (hormonal or barrier method of birth control, or true abstinence) for the duration of study participation and in the following 90 days after discontinuation of study treatment

Male patients with partners of childbearing potential must take appropriate precautions to avoid fathering a child from screening until 90 days after discontinuation of study treatment and use appropriate barrier contraception or true abstinence

Must not be receiving any other investigational medicinal product Patient who meets ANY of the following criteria is not eligible for this Part 3 study Arm B: Exclusion Criteria:

Is pregnant or lactating

Is known to be hypersensitive to any of the components of 9-ING-41 or to the excipients used in its formulation

Has endocrine or acinar pancreatic carcinoma

Has not recovered from clinically significant toxicities as a result of prior anticancer therapy, except alopecia and/or infertility. Recovery is defined as Grade 2 severity per CTCAE, v5.0

Has significant cardiovascular impairment: history of congestive heart failure greater than New York Heart Association (NYHA) Class II, unstable angina, or stroke within 6 months of the first dose of study therapy, or uncontrolled cardiac arrhythmia

Has had a myocardial infarction within 12 weeks of the first dose of study therapy or has electrocardiogram (ECG) abnormalities that are deemed medically relevant by the investigator

Has symptomatic rapidly progressive brain metastases or leptomeningeal involvement as assessed by CT scan or MRI. Patients with stable brain metastases or leptomeningeal disease or slowly progressive disease are eligible provided that they have not required new treatments for this disease in a 28-day period before the first dose of study drug, and anticonvulsants and steroids are at a stable dose for a period of 14 days prior to the first dose of study drug

Has had major surgery (not including placement of central lines) within 7 days prior to study entry or is planned to have major surgery during the course of the study (major surgery may be defined as any invasive operative procedure in which an extensive resection is performed, e.g., a body cavity is entered, organs are removed, or normal anatomy is altered. In general, if a mesenchymal barrier is opened (pleural cavity, peritoneum, meninges), the surgery is considered major)

Has any medical and/or social condition which, in the opinion of the investigator or study medical coordinator would preclude study participation.

Has received an investigational anti-cancer drug in the 14-day period before the first dose of study drug (or within 5 half-lives if longer) or is currently participating in another interventional clinical trial.

Has a current active malignancy other than pancreatic cancer

Is considered to be a member of a vulnerable population (for example, prisoners).

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