Silmitasertib (CX-4945) in Combination With Chemotherapy for Relapsed Refractory Solid Tumors

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
AgeUp to 30
SponsorMilton S. Hershey Medical Center

About this trial

The purpose of this study is to evaluate the investigational drug, silmitasertib (a pill taken by mouth), in combination with FDA approved drugs for solid tumors. An investigational drug is one that has not been approved by the U.S. Food \& Drug Administration (FDA), or any other regulatory authorities around the world for use alone or in combination with any drug, for the condition or illness it is being used to treat.

The goals of this part of the study are:

* Establish a recommended dose of silmitasertib in combination with chemotherapy * Test the safety and tolerability of silmitasertib in combination with chemotherapy in subjects with cancer * To determine the activity of study treatments chosen based on: * How each subject responds to the study treatment * How long a subject lives without their disease returning/progressing

Eligibility criteria

Qualifiers

Age: Less than 30 years old at initial diagnosis

Pathology All subjects must have a confirmed diagnosis of tumor type. Phase I: Relapsed/refractory solid tumors: Neuroblastoma, Ewing Sarcoma, Osteosarcoma, Rhabdomyosarcoma, Liposarcoma

Relapsed/refractory Neuroblastoma

Relapsed/refractory Ewing sarcoma

Disqualifiers

Investigational Drugs: Subjects who are currently receiving another investigational drug are excluded from participation.

Anti-cancer Agents: Subjects who are currently receiving other anticancer agents are not eligible. Subjects must have fully recovered from the hematological and bone marrow suppression effects of prior therapy.

Subjects who are currently receiving Vitamin K antagonists (warfarin).

Subjects who are currently receiving the class of lipid-lowering medications HMG-CoA reductase inhibitors (statins).

Trial design

Treatments tested in this trial

  • Silmitasertib
  • Irinotecan
  • Temozolomide
  • Vincristine

Treatment groups

104 Participants
are divided into 4 treatment groups