Clinical Drug Experience Knowledgebase

Criteria

Inclusion Criteria:

Phase 1: Patients with advanced or recurrent solid tumors with target (± non-target) or with only non-target disease, for which there is no standard therapy available Phase 2: Patients with advanced or recurrent breast cancer, NSCLC, or prostate cancer with target (± non-target) or with only non-target disease for which there is no standard therapy available
Patients with bone metastases but without target disease are eligible
Patients with bone metastases must have at least one bone lesion that has not received radiation therapy within 6 weeks prior to Cycle 1 Day 1
Patients must discontinue bisphosphonate and/or denosumab treatment.
Age ≥ 18 years
Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
O2 saturation ≥ 92% on room air per pulse oximetry
Exhaled nitrous oxide ≤ 50 parts per billion (ppb)

Adequate hematologic, hepatic and renal function defined as:

Hemoglobin ≥ 9 g/dL
Absolute neutrophil count (ANC) ≥ 1.5 × 109/L
Platelet count ≥ 75 × 109/L
Total bilirubin ≤ 2 × upper limit of normal (ULN). Patients with an established diagnosis of Gilberts syndrome with an unconjugated bilirubin ≤ 2 mg/dL and conjugated bilirubin within normal limits (WNL) are eligible.
Serum electrolytes WNL
Transaminases ≤ 3 × ULN
Prothrombin time (PT)/international normalized ratio (INR), thromboplastin time (PTT), or activated PTT (aPTT) ≤ 1.5 × ULN. For patients on therapeutic coumadin, PT (INR) ≤ 2.5 × ULN is acceptable; for patients on therapeutic heparin, PTT (or aPTT) ≤ 2.5 × ULN
Corrected creatinine clearance ≥ 40 mL/minute, based on the Cockcroft-Gault equation
Patient must have discontinued prior antineoplastic therapy at least 21 days prior to Cycle 1 Day 1 and have recovered or stabilized from any prior AEs related to the prior therapy
Provision of signed and dated informed consent form
Serum 25-hydroxyvitamin D ≥ 30 ng/mL by investigative site laboratory at screening

Exclusion Criteria:

Evidence of benign primary hyperparathyroidism, hyperthyroidism, adrenal insufficiency, vitamin D intoxication, mild alkali syndrome, sarcoidosis or other granulomatous disease
Treatment with calcitonin, mithramycin or cinacalcet within 7 days prior to the date of the screening
Receiving dialysis for renal failure
Patients with a known history of clinically significant active infection, including human immunodeficiency virus (HIV), hepatitis B, or hepatitis C
Patients with active central nervous system (CNS) metastases are not eligible, but patients with treated, stable CNS metastases are allowed
Patients with QT interval of ≥ 480 msec on ECG
Patients with Paget's disease of bone
Patients of childbearing potential unwilling to abstain from sexual intercourse, or employ effective barrier methods of contraception during participation in this trial
Pregnancy or lactation. A negative pregnancy test will be required for women of childbearing potential prior to study enrollment and will be repeated throughout the study. Women of childbearing potential will be defined as women who have not had natural or pharmacologic menopause, nor surgical sterilization.
Patients unwilling or unable to take oral medication, requiring a nasogastric or gastrostomy tube, or unwilling to adhere to the treatment regimen and fasting requirements
Patients unwilling to comply with all study procedures or who are unavailable for the duration of the study
Known allergies to any components of the AP-002 Drug Product