AN OPEN-LABEL, PHASE I, DOSE-ESCALATION STUDY EVALUATING THE SAFETY, TOLERABILITY, AND PHARMACOKINETICS OF GDC-0575 ADMINISTERED ALONE AND IN COMBINATION WITH GEMCITABINE IN PATIENTS WITH REFRACTORY SOLID TUMORS OR LYMPHOMA
Trial Description
This open-label, multicenter, Phase I, dose-escalation study will evaluate the safety,
tolerability, and pharmacokinetics (PK) of GDC-0575 administered alone or in combination
with gemcitabine in participants with refractory solid tumors or lymphoma. In Stage 1,
cohorts of participants will receive multiple ascending oral doses of GDC-0575 alone or
in combination with intravenous gemcitabine. In Stage 2, participants will receive
GDC-0575 orally in combination with intravenous gemcitabine at or below the maximum
tolerated dose determined in Stage 1. Anticipated time on study treatment is until
disease progression or unacceptable toxicity occurs, up to approximately 5 years.
Eligibility Requirements
Inclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1
- Histologically or cytologically documented, locally advanced or metastatic solid
tumors or lymphoma for which standard therapy either does not exist or has proven
ineffective or intolerable
- Life expectancy greater than or equal to (>=) 12 weeks, in the opinion of the
investigator
- Adequate hematologic, liver, and renal function
- For Stage 2: Participants with human epidermal growth factor receptor 2 (HER2)
negative, estrogen-receptor (ER) negative, and progesterone-receptor (PR) negative
breast cancer
- For Stage 2: Participants with non-mucinous, platinum-resistant ovarian cancer with
documented radiographic progression or relapse according to RECIST within 6 months
of receiving platinum-based chemotherapy
- For Stage 2: Participants with histologically or cytologically confirmed diagnosis
of squamous non-small cell lung cancer (NSCLC); mixed histology that is
predominantly squamous is acceptable
Exclusion Criteria:
- History of prior significant toxicity from a same class of agents as GDC-0575 or
gemcitabine requiring discontinuation of treatment
- All acute toxicities related to prior therapy must have resolved prior to study
entry, except for alopecia and mild neuropathy
- Current severe, uncontrolled systemic disease (including but not limited to
clinically significant cardiovascular, pulmonary, or renal disease or ongoing or
active infection) excluding the cancer under study
- History of significant cardiac dysfunction
- History of malabsorption or other condition that would interfere with enteral
absorption
- Known human immunodeficiency virus (HIV) infection
- Pregnancy, lactation or breastfeeding
- Known brain metastases that are untreated, symptomatic, or require therapy to
control symptoms
- Current use of alpha-adrenergic receptor blockers
For Combination Arm only:
- Any contraindication to gemcitabine therapy
- More than two regimens of cytotoxic chemotherapy for the treatment of locally
advanced or metastatic cancer
- History of receiving high-dose chemotherapy requiring bone marrow or stem cell
support
- Irradiation to more than 25% of bone marrow-bearing areas