CPI-613 in Treating Patients With Relapsed or Refractory Small Cell Lung Cancer
A Pilot Clinical Trial of CPI-613 in Patients With Relapsed or Refractory Small Cell Lung Carcinoma (SCLC)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
PRIMARY OBJECTIVES:
I. To evaluate the safety and anti-cancer activities in patients with relapsed or refractory small cell lung cancer (SCLC) who have failed 1 or 2 lines of chemotherapy.
OUTLINE:
Patients receive CPI-613 intravenously (IV) over 2 hours on days 1 and 4 of weeks 1-3. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 2 months.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
-
-
North Carolina
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Winston-Salem, North Carolina, Forenede Stater, 27157
- Comprehensive Cancer Center of Wake Forest University
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Histologically or cytologically proven SCLC that has relapsed or been refractory from at least one line of chemotherapy
- Eastern Cooperative Oncology Group (ECOG) performance status of =< 3
- Expected survival > 1 month
- No acute toxicities from previous treatment higher than grade 1 at the start of treatment with CPI-613
- Women of child-bearing potential (i.e., women who are pre-menopausal or not surgically sterile) must use accepted contraceptive methods (abstinence, intrauterine device [IUD], oral contraceptive or double barrier device) during the study, and must have a negative serum or urine pregnancy test within 1 week prior to treatment initiation
- Men must practice effective contraceptive methods during the study, unless documentation of infertility exists
- Platelet count >= 100,000 cells/mm^3 or >= 100 bil/L
- Absolute neutrophil count (ANC) >= 1500 cells/mm^3 or >= 1.5 bil/L
- Aspartate aminotransferase (AST/serum glutamic oxaloacetic transaminase [SGOT]) =< 3 x upper normal limit (UNL)
- Bilirubin =< 1.5 x UNL
- Serum creatinine =< 1.5 mg/dL or 133 µmol/L
- Albumin > 2.0 g/dL or > 20 g/L
- Mentally competent, ability to understand and willingness to sign an Institutional Review Board (IRB)-approved written informed consent form
- Have access via central line (e.g., portacath)-double lumen due to CPI-613 administration requirements
Exclusion Criteria:
- Patients receiving any other standard or investigational treatment for their cancer, or any investigational agent for any non-cancer indication within the past 2 weeks prior to initiation of CPI-613 treatment
- Serious medical illness that would potentially increase patients' risk for toxicity
- Any active uncontrolled bleeding or bleeding diathesis
- Pregnant women, women of child-bearing potential not using reliable means of contraception, or lactating women
- Men unwilling to practice contraceptive methods during the study period
- Life expectancy less than 1 month
- Treatment with any anti-cancer therapy within the 2 weeks prior to treatment with CPI-613
- Patients with untreated central nervous system (CNS) or epidural tumor
- Any condition or abnormality which may, in the opinion of the investigator, compromise his or her safety
- Unwilling or unable to follow protocol requirements
- Active heart disease including myocardial infarction within previous 6 months, symptomatic coronary artery disease, arrhythmias not controlled with medication, or symptomatic congestive heart failure
- Evidence of active infection or serious infection (e.g., septic shock with multi-organ dysfunction) within the past month
- Patients with known human immunodeficiency virus (HIV) infection
- Requirement for immediate palliative treatment of any kind including surgery
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Treatment (CPI-613)
Patients receive CPI-613 IV over 2 hours on days 1 and 4 of weeks 1-3.
Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
|
Givet IV
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Tumor response rates, defined as the proportion of patients who achieve complete response (CR), partial response (PR), stable disease (SD) or progressive disease (PD)
Tidsramme: Up to 3 years
|
The proportion of responders as the percent of patients who are SD, PR and CR will be estimated, as well as RR (sum of PR + CR) and disease control rate (DCR, which is the sum of SD, PR and CR).
95% confidence intervals will be included.
|
Up to 3 years
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Progression-free survival (PFS)
Tidsramme: Up to 3 years
|
Survival curves for PFS will be estimated using Kaplan-Meier techniques.
In addition, the 6 month and 1-year PFS rates will be estimated.
Median PFS will be estimated as well.
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Up to 3 years
|
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Overall survival (OS)
Tidsramme: Up to 3 years
|
Survival curves for OS will be estimated using Kaplan-Meier techniques.
In addition, the 6 month and 1-year OS rates will be estimated.
Median OS will be estimated as well.
|
Up to 3 years
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Incidence of toxicities, graded according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0
Tidsramme: Up to 3 years
|
Each toxicity identified in the protocol will be examined by grade.
|
Up to 3 years
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Jimmy Ruiz, Wake Forest University Health Sciences
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Luftvejssygdomme
- Neoplasmer
- Lungesygdomme
- Neoplasmer efter sted
- Neoplasmer i luftvejene
- Thoracale neoplasmer
- Karcinom, bronkogent
- Bronkiale neoplasmer
- Lungeneoplasmer
- Småcellet lungekarcinom
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Beskyttelsesagenter
- Mikronæringsstoffer
- Vitaminer
- Antioxidanter
- Vitamin B kompleks
- Thioctic syre
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- IRB00024405
- P30CA012197 (U.S. NIH-bevilling/kontrakt)
- NCI-2013-01653 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- CCCWFU 62113 (Anden identifikator: Comprehensive Cancer Center of Wake Forest University)
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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