Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as Bosutinib capsule, Oral Bosutinib, SKI-606 (Bosutinib), SKI-606, Bosutinib (SKI-606)
Bosutinib · 28 trials · 19 indications
MMR was defined as a ratio of breakpoint cluster region to abelson (BCR-ABL/ABL) less than or equal to (\<=) 0.1 percent (%) on the international scale (IS) (greater than or equal to \[\>=\] 3 log reduction from standardized baseline in ratio of BCR-ABL to ABL transcripts \[\>=3000 ABL required\]) by quantitative reverse transcriptase polymerase chain reaction (RT-qPCR). The percentage of participants with MMR at Month 12 are reported.
Cytogenetic Response (CyR) is based on the prevalence of Philadelphia chromosome positive (Ph+) metaphases among cells in metaphase on a bone marrow (BM) aspirate. CCyR was achieved when there was 0 percent (%) Ph+ metaphases among cells in a BM sample when at least 20 metaphases from a BM sample were analyzed, or less than (\<) 1% breakpoint cluster region Abelson protooncogene (Bcr-Abl) fusion product among cells in a BM sample or peripheral blood sample when at least 200 cells were analyzed.
TKV was measured by centrally evaluated Magnetic Resonance Imaging (MRI).
DLT was defined as any of the following events occurring during the first 28 days of study medication and considered at least possibly-related to study medication: any grade 3 or 4 clinically-relevant non-hematologic toxicity.
MTD was defined as highest dose level for which no more than 1 participant in a dose cohort experienced DLT.
Cytogenetic response (CyR) is based on the prevalence of Philadelphia chromosome positive (Ph+) cells. Major cytogenetic response was categorized as either complete cytogenetic response (CCyR) or partial cytogenetic response (PCyR). CCyR was achieved when there was 0 percent (%) Ph+ cells and PCyR was achieved when 1 to 35% Ph+ cells.
PFS was based on Kaplan-Meier estimates. PFS was defined as time in weeks from start of study treatment to first documentation of objective tumor progression or death due to any cause. PFS was calculated as (first event date minus the date of first dose of study medication plus 1) divided by 7. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease \[PD\]), or from death case report forms (CRFs). Percentage of participants who had not experienced progression or death by Week 16 is reported.
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 30 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.
DLT was defined as any of the following events occurring during the first 28 days of study medication and considered at least possibly-related to study medication: any grade 3 or 4 clinically-relevant non-hematologic toxicity, any clinically-significant grade 2 non-hematologic toxicity that requires 14 days to resolve (to grade 1).
MTD was defined as highest dose level for which no more than 1 participant in a dose cohort experienced DLT. DLT was defined as any of the following events occurring during the first 28 days of study medication and considered at least possibly-related to study medication: any grade 3 or 4 clinically-relevant non-hematologic toxicity, any clinically-significant grade 2 non-hematologic toxicity that requires 14 days to resolve (to grade 1). NA = not estimable.
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. NA = not estimable.
AUC(0-48)= Area under the plasma concentration versus time curve from time zero (pre-dose) to time of last quantifiable concentration (0-48).
AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. NA = not estimable.
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population pharmacokinetic (PK) modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. NA = not estimable.
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed.
Maximum plasma concentration over 24 hours at steady state (ss), on Day 15.
Time to reach maximum observed plasma concentration over 24 hours at steady state (ss), on Day 15.
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. Plasma decay half-life over 24 hours at steady state (ss), on Day 15 was calculated.
AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption. AUC over 24 hours at steady state (ss), on Day 15 was calculated.
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population pharmacokinetic (PK) modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. Apparent oral clearence over 24 hours at steady state (ss), on Day 15 was calculated.
R=accumulation ratio (AUCss on Day 15/AUC0-24 on Day 1)
CyR is based on the prevalence of Ph+ cells. Major cytogenetic response was categorized as either CCyR or partial CyR (PCyR). CCyR was achieved when there was 0 percent (%) Ph+ cells from at least 20 metaphases from conventional bone marrow cytogenetics or less than (\<) 1% positive cells from at least 200 cells analyzed from fluorescent in situ hybridization (FISH). PCyR was achieved when 1 to 35% Ph+ cells were present.
AUCinf was calculated as \[AUClast+(Clast\*/kel)\], where AUClast is the area under the plasma concentration-time profile from time 0 to the time of the Clast, Clast is the last quantifiable concentration, Clast\* is the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis, and kel is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. The geometric coefficient of variation was reported as percentage
Cmax was the maximum observed plasma concentration. The geometric coefficient of variation was reported as percentage.
Area Under the Curve From Time Zero to Extrapolated Infinite Time \[AUC (0-inf)\]
AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption.
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)
DLT included any grade 3 or 4 clinically-evident non-hematologic toxicity, grade 4 neutropenia of greater than or equal to (\>=) 7-day duration or with fever \>= 38.5 degrees Celsius (febrile neutropenia); grade 4 thrombocytopenia \>= 2-day duration or with bleeding requiring platelet transfusion, any clinically-significant grade \>= 2 toxicity that requires \>=14 days to resolve (to less than or equal to \[=\<\] grade 1) which occurred in first 21 days of study and considered at least possibly related to bosutinib.
Counts of participants who had treatment-emergent adverse events (TEAEs), defined as newly occurring or worsening after first dose. Participants with multiple occurrences of an AE within a category were counted once within the category.
The most frequently observed treatment-emergent AEs were gastrointestinal disorders which included diarrhea, nausea and vomiting. Duration of AE per event is calculated as AE stop date minus AE start date plus 1.
BOR:investigator assessment by modified Response Evaluation Criteria in Solid Tumors (RECIST), recorded from treatment start until disease progression/recurrence. Complete Response:disappearance of all lesions. Partial Response (PR):\>=30% decrease in sum of longest diameters (SLDs) of target lesions (TLs) taking as reference baseline SLD. Progressive disease (PD):\>=20% increase in SLD of TLs taking as reference smallest SLD since treatment start, or appearance of \>=1 new lesion. Stable disease: neither shrinkage for PR nor increase for PD taking as reference smallest SLD since treatment start.
BOR: investigator assessment by modified RECIST, recorded from treatment start until disease progression/recurrence. Complete Response: disappearance of all lesions. PR: \>=30% decrease in SLDs of TLs taking as reference baseline SLD. PD: \>=20% increase in SLD of TLs taking as reference smallest SLD since treatment start, or appearance of \>=1 new lesion. Stable disease: neither shrinkage for PR nor increase for PD taking as reference smallest SLD since treatment start.
MTD: highest dose level at which not more than 1 of 6 participants experienced DLT after 21 days of treatment (Cycle 1). DLT included any grade 3 or 4 clinically-evident non-hematologic toxicity, grade 4 neutropenia of \>= 7-day duration or with fever \>= 38.5 degrees Celsius (febrile neutropenia); grade 4 thrombocytopenia \>= 2-day duration or with bleeding requiring platelet transfusion, any clinically-significant grade \>= 2 toxicity that requires \>=14 days to resolve (to =\< grade 1) which occurred in first 21 days of study and considered at least possibly related to bosutinib.
| Arm | Type | Description |
|---|---|---|
| Bosutinib | EXPERIMENTAL | Bosutinib, 400 mg, oral administration once a day |
| Imatinib | ACTIVE_COMPARATOR | Imatinib, 400 mg, oral administration once a day |
| 1 | EXPERIMENTAL | Bosutinib |
| 2 | ACTIVE_COMPARATOR | Imatinib |
| Cohort A | EXPERIMENTAL | - |
| Cohort B | EXPERIMENTAL | - |
| Cohort C | PLACEBO_COMPARATOR | - |
| Advanced breast cancer | EXPERIMENTAL | - |
| SKI-606 | EXPERIMENTAL | - |
| Treatment B: Bosutinib four 25 mg capsule after meal | EXPERIMENTAL | Bosutinib four 25 mg capsule taken after a high-fat and high-calorie breakfast for comparison 1 |
| Treatment A: Bosutinib 100 mg capsule after meal (active comparator) | ACTIVE_COMPARATOR | Bosutinib 100 mg capsule taken after a high-fat and high-calorie breakfast for comparison 1 |
| Treatment A: Bosutinib 100 mg capsule after meal (experimental) | EXPERIMENTAL | Bosutinib 100 mg capsule taken after a high-fat and high-calorie breakfast for comparison 2 |
| Treatment C: Bosutinib 100 mg capsule after fasting | ACTIVE_COMPARATOR | Bosutinib 100 mg capsule taken after an overnight fast of at least 10 hours for comparison 2 |
| Bosutinib capsule contents mixed with applesauce | EXPERIMENTAL | Bosutinib capsule contents mixed with applesauce to healthy participants |
| Bosutinib capsule contents mixed with yogurt | EXPERIMENTAL | Bosutinib capsule contents mixed with yogurt to healthy participants |
| Bosutinib intact capsules | ACTIVE_COMPARATOR | Bosutinib intact capsules to healthy participants |
| Bosutinib capsule | EXPERIMENTAL | Bosutinib pediatric capsule to healthy participants |
| Bosutinib tablet | ACTIVE_COMPARATOR | Bosutinib tablet to healthy participants |
| Dabigatran | EXPERIMENTAL | Dabigatran 150 mg orally |
| Dabigatran + Bosutinib | EXPERIMENTAL | Dabigatran 150 mg co-administered with Bosutinib 500 mg orally |
| Cohort 1 | EXPERIMENTAL | - |
| Cohort 2 | EXPERIMENTAL | - |
| Healthy Volunteers | EXPERIMENTAL | - |
| Mild Renal Impairment | EXPERIMENTAL | - |
| Moderate Renal Impairment | EXPERIMENTAL | - |
| Severe Renal Impairment | EXPERIMENTAL | - |
| 3 | ACTIVE_COMPARATOR | Moxifloxacin |
| 4 | EXPERIMENTAL | SKI-606 plus ketoconazole |
| 5 | PLACEBO_COMPARATOR | Placebo plus ketoconazole |
| Dose escalation | EXPERIMENTAL | Dose finding study of monotherapy bosutinib in patients with advanced solid tumors. |
| Colorectal Cancer | EXPERIMENTAL | Enroll 30 patients at RP2D to further evaluate safety and efficacy in subgroup population. |
| Pancreatic Cancer | EXPERIMENTAL | Enroll 30 patients at RP2D to further evaluate safety and efficacy in subgroup population. |
| Non-Small Cell Lung Cancer (NSCLC) | EXPERIMENTAL | Enroll 30 patients at RP2D to further evaluate safety and efficacy in subgroup population. |
| Name | Type | Description |
|---|---|---|
| Bosutinib | DRUG | Bosutinib (Bosulif®) is an orally bioavailable, potent, multi-targeted, dual Src-Abl tyrosine kinase inhibitor (TKI) that has been approved for the treatment of adult patients with Philadelphia positive (Ph+) chronic phase (CP), accelerated phase (AP) and blast phase (BP) chronic myelogenous leukemia (CML) previously treated with other TKI inhibitor therapy.\[1\] This study will investigate the use of bosutinib as first-line treatment for patients with Ph+ CP CML. |
| Imatinib | DRUG | Imatinib mesylate (referred to in this protocol as imatinib) is an inhibitor of the BCR-ABL kinase and been the standard first-line therapy for patients with chronic-phase CML. Imatinib was granted approval by the European Commission in November 2001 and by the FDA in December 2002 for the treatment of newly diagnosed patients with CP Ph+ CML based on results from the IRIS trial. Imatinib is considered the standard of care for both first-line and later line settings, and consequently is an appropriate active comparator. |
| Placebo | DRUG | Once daily oral dose of placebo |
| SKI-606 (Bosutinib) | DRUG | Formulation: 100 mg Capsule for Part 1, 100 mg tablet for Part1 and Part 2. SKI-606 (Bosutinib) will be taken by mouth with water and food as continuous once-daily dosing. |
| Bosutinib capsule | DRUG | Bosutinib four 25 mg capsule taken after a high-fat and high calorie breakfast |
| Bosutinib tablet | DRUG | 100 mg dose of bosutinib tablet |
| Oral Bosutinib | DRUG | a single dose of 500 mg oral bosutinib |
| Intravenous infusion of bosutinib | DRUG | a single dose of 120 mg of bosutinib intravenous infusion (1 hour) |
| Dabigatran | DRUG | Dabigatran 150 mg orally |
| Lansoprazole | DRUG | 2 x 30-mg oral tablets, single daily doses for 2 days |
| SKI-606 | DRUG | - |
| Moxifloxacin | DRUG | - |
| Bosutinib (SKI-606) | DRUG | - |
Inclusion Criteria: 1. Molecular diagnosis of CP CML of ≤ 6 months (from initial diagnosis). 2. Adequate hepatic, renal and pancreatic function. 3. Age ≥ 18 years. Exclusion Criteria: 1. Any prior medical treatment for CML, including tyrosine kinase inhibitors (TKIs), with the exception of hydrox...
SKI-606, also known as bosutinib, is an investigational small molecule being studied for use in chronic myelogenous leukemia, solid tumors, and breast neoplasms. Clinical trials have also evaluated it in healthy subjects. It is being developed by Pfizer, Inc. and is currently in Phase 2 clinical development.
SKI-606 targets ABL1, BCR, HCK, LYN, and SRC kinases. It is an inhibitor of these molecular targets, which are involved in signaling pathways relevant to cancer. This mechanism is being investigated for its potential effects in conditions such as chronic myelogenous leukemia and solid tumors.
SKI-606 is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE. The drug is also known as bosutinib and is currently in Phase 2 clinical development for oncology indications.
SKI-606 is in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Clinical trials have been conducted in patients with chronic myelogenous leukemia and solid tumors, as well as in healthy subjects for pharmacokinetic studies.
SKI-606 has been studied in several clinical trials, including NCT00434486, a Phase 1 drug interaction study in healthy subjects; NCT00811070, a Phase 2 study in Japanese patients with Philadelphia chromosome positive leukemias; NCT01001936, a Phase 1 study in patients with solid tumors; and NCT01080365, a Phase 1 formulation study in healthy subjects.
Yes, SKI-606 is also known as bosutinib. The drug is being developed by Pfizer, Inc. under the investigational name SKI-606, with bosutinib as an alternative name. It is a small molecule inhibitor currently in Phase 2 clinical trials for oncology indications.