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NCT03057366

A Study of [14 C]-Pevonedistat in Participants With Advanced Solid Tumors

Completed Phase 1 Results posted Last updated 18 November 2019
What this trial tests

Phase 1 trial testing Pevonedistat in Advanced Solid Tumors, Neoplasms, Advanced Solid in 8 participants. Completed in 5 November 2018.

Timeline
11 May 2017
Primary endpoint
8 February 2018
5 November 2018

Quick facts

Lead sponsorMillennium Pharmaceuticals, Inc.
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Designsequential
Maskingnone
Primary purposeother
Enrollment8
Start date11 May 2017
Primary completion8 February 2018
Estimated completion5 November 2018
Sites2 locations across Hungary

Drugs / interventions tested

Conditions studied

Sponsor

Millennium Pharmaceuticals, Inc. — full company profile →

Who can join

18 and older, any sex, with Advanced Solid Tumors, Neoplasms, Advanced Solid. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Part A: Cmax: Maximum Observed Plasma and Whole Blood Concentration for Pevonedistat Primary · Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose
Plasma
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^2234.3± 99.52
Whole blood
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^26862.9± 1595.22
Part A: Tmax: Time to Reach the Maximum Plasma and Whole Blood Concentration (Cmax) for Pevonedistat Primary · Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose
Plasma
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^20.9800.95 – 1.50
Whole Blood
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^21.0000.98 – 1.53
Part A: AUClast: Area Under the Plasma and Whole Blood Concentration-time Curve From Time 0 to Time of the Last Quantifiable Concentration for Pevonedistat Primary · Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose
Plasma
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^21446.9± 374.46
Whole Blood
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^259284.0± 10035.58
Part A: Cmax: Maximum Observed Plasma and Whole Blood TRA Concentration for [14C]-Pevonedistat Drug-related Material Primary · Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose
Plasma
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^2293.6± 113.17
Whole Blood
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^27336.6± 1270.99
Part A: Tmax: Time to Reach the Maximum Plasma and Whole Blood TRA Concentration (Cmax) for [14C]-Pevonedistat Drug-related Material Primary · Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose
Plasma
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^20.9800.95 – 1.50
Whole Blood
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^20.9800.98 – 2.00
Part A: AUClast: Area Under the Plasma and Whole Blood TRA Concentration Curve From Time 0 to Time of the Last Quantifiable Concentration for [14C]-Pevonedistat Drug-related Material Primary · Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose
Plasma
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^23547.3± 1106.56
Whole Blood
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^2133259.0± 32678.72
Part A: Aeurine,14C: Cumulative Amount of [14C]-Pevonedistat Excreted in Urine up to the Last Sampling Interval Primary · Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^219661.05± 4099.981
Part A: Aefeces,14C: Cumulative Amount of [14C]-Pevonedistat Excreted in Feces up to the Last Sampling Interval Primary · Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^225029.45± 4333.04
Part A: Aetotal,14C: Total Cumulative Excretion of [14C]-Pevonedistat From the Body Primary · Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^244690.50± 2090.833
Part A: Aeurine: Cumulative Amount of Pevonedistat Dose Excreted in Urine at 144-168 Hours Post-dose Primary · Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^21161.47± 266.413
Part A: Feurine: Cumulative Percentage of Pevonedistat Dose Excreted in Urine at 144-168 Hours Post-dose Primary · Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^22.45± 0.548
Part A: Renal Clearance (CLR) for Pevonedistat Primary · Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose
GroupValue95% CI
Part A: [14C]-Pevonedistat 25 mg/m^20.8343± 0.27889

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment-emergent adverse events are adverse events that started after the first dose of study drug and no more than 30 days after the last dose of study drug (From first dose of study drug in Part A up to Day 31; From first dose of study drug in Part B up to Cycle 11 Day 35). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part A: [14C]-Pevonedistat 25 mg/m^2
Serious: 1/8 (13%)
Deaths: 1/8
Part B: Pevonedistat + Paclitaxel and Carboplatin
Serious: 2/5 (40%)
Deaths: 1/5
Part B: Pevonedistat + Docetaxel
Serious: 1/2 (50%)
Deaths: 1/2

Serious adverse events (4 terms)

ReactionSystemPart A: [14C]-Pevonedistat…Part B: Pevonedistat + Pac…Part B: Pevonedistat + Doc…
SARCOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)
FIBROSARCOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)
PNEUMONIAInfections and infestations
GENERAL PHYSICAL HEALTH DETERIORATIONGeneral disorders
Other adverse events (40 terms — click to expand)

ReactionSystemPart A: [14C]-Pevonedistat…Part B: Pevonedistat + Pac…Part B: Pevonedistat + Doc…
VomitingGastrointestinal disorders
Back PainMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
AstheniaGeneral disorders
PainGeneral disorders
FatigueGeneral disorders
Alanine Aminotransferase IncreasedInvestigations
Aspartate Aminotransferase IncreasedInvestigations
ThrombocytopeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
DizzinessNervous system disorders
Urinary RetentionRenal and urinary disorders
Abdominal DistensionGastrointestinal disorders
Abdominal PainGastrointestinal disorders
Abdominal Pain UpperGastrointestinal disorders
Oedema PeripheralGeneral disorders
Chest PainGeneral disorders
PyrexiaGeneral disorders
SwellingGeneral disorders
ChillsGeneral disorders
Blood Bilirubin IncreasedInvestigations
Platelet Count DecreasedInvestigations
Blood Creatinine IncreasedInvestigations
Blood Urea IncreasedInvestigations
Weight DecreasedInvestigations
LeukocytosisBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
Oral HerpesInfections and infestations
Upper Respiratory Tract InfectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Bone PainMusculoskeletal and connective tissue disorders
Mueller's Mixed TumourNeoplasms benign, malignant and unspecified (incl cysts and polyps)
AlopeciaSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
Conjunctival HaemorrhageEye disorders
Spinal Compression FractureInjury, poisoning and procedural complications
DyspnoeaRespiratory, thoracic and mediastinal disorders
Peripheral Venous DiseaseVascular disorders

Most-reported serious reactions: SARCOMA, FIBROSARCOMA, PNEUMONIA, GENERAL PHYSICAL HEALTH DETERIORATION.

Data from ClinicalTrials.gov NCT03057366 adverse events section.

Sponsor's own description

The purpose of this study is to assess the mass balance (that is, cumulative excretion of total radioactivity \[TRA\] in urine and feces) and to characterize the pharmacokinetics (PK) of pevonedistat in whole blood, plasma, and urine, and of TRA in plasma and whole blood following a single 1-hour infusion of 25 milligram per square meter (mg/m\^2) \[14C\]-pevonedistat intravenous (IV) solution containing approximately 60 to 85 microcurie (mCi) (approximately 2.22-3.145 megabecquerel \[MBq\]) of TRA in participants with advanced solid tumors in Part A.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Ubiquitination and deubiquitination in cancer: from mechanisms to novel therapeutic approaches.
    Liu F, Chen J, Li K, Li H, et al · · 2024 · cited 195× · PMID 39048965 · DOI 10.1186/s12943-024-02046-3
  2. Small Molecule NF-κB Pathway Inhibitors in Clinic.
    Ramadass V, Vaiyapuri T, Tergaonkar V. · · 2020 · cited 154× · PMID 32708302 · DOI 10.3390/ijms21145164
  3. Autophagy Agents in Clinical Trials for Cancer Therapy: A Brief Review.
    Mohsen S, Sobash PT, Algwaiz GF, Nasef N, et al · · 2022 · cited 71× · PMID 35323341 · DOI 10.3390/curroncol29030141
  4. Phase Ib study of pevonedistat, a NEDD8-activating enzyme inhibitor, in combination with docetaxel, carboplatin and paclitaxel, or gemcitabine, in patients with advanced solid tumors.
    Lockhart AC, Bauer TM, Aggarwal C, Lee CB, et al · · 2019 · cited 65× · PMID 29781056 · DOI 10.1007/s10637-018-0610-0
  5. Unlocking the NF-κB Conundrum: Embracing Complexity to Achieve Specificity.
    Begalli F, Bennett J, Capece D, Verzella D, et al · · 2017 · cited 51× · PMID 28829404 · DOI 10.3390/biomedicines5030050
  6. Targeting the Ubiquitin-Proteasome System and Recent Advances in Cancer Therapy.
    Spano D, Catara G. · · 2023 · cited 49× · PMID 38201233 · DOI 10.3390/cells13010029
  7. Targeting NEDD8-activating enzyme for cancer therapy: developments, clinical trials, challenges and future research directions.
    Fu DJ, Wang T. · · 2023 · cited 45× · PMID 37525282 · DOI 10.1186/s13045-023-01485-7
  8. Chromatin-Bound Cullin-Ring Ligases: Regulatory Roles in DNA Replication and Potential Targeting for Cancer Therapy.
    Jang SM, Redon CE, Aladjem MI. · · 2018 · cited 34× · PMID 29594129 · DOI 10.3389/fmolb.2018.00019

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing