BMS-214662 Plus Trastuzumab in Treating Patients With Advanced Solid Tumors

Phase I Study of Intravenous BMS-214662 FTI (NSC# 710086) and Herceptin (NSC# 688097) Weekly in Patients With Advanced Malignancies

Sponsoren

Hauptsponsor: National Cancer Institute (NCI)

Quelle National Cancer Institute (NCI)
Kurze Zusammenfassung

Phase I trial to study the effectiveness of BMS-214662 plus trastuzumab in treating patients who have advanced solid tumors. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Monoclonal antibodies such as trastuzumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining monoclonal antibody therapy with chemotherapy may kill more tumor cells

detaillierte Beschreibung

PRIMARY OBJECTIVES:

I. Determine the maximum tolerated dose and recommended phase II dose of BMS-214662 when combined with trastuzumab (Herceptin) in patients with advanced solid tumors.

II. Determine the dose-limiting toxic effects of this regimen in these patients.

SECONDARY OBJECTIVES:

I. Determine the pharmacokinetics of this regimen in these patients. Ii. Determine, in a preliminary manner, the antitumor activity of this regimen in these patients.

OUTLINE: This is a dose-escalation study of BMS-214662.

Patients receive BMS-214662 IV over 1 hour on days 2, 8, 15, and 22 and trastuzumab (Herceptin) IV over 30-90 minutes on days 1, 8, 15, and 22. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of BMS-214662 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, additional patients are accrued to receive treatment with BMS-214662 and trastuzumab at the recommended phase II dose.

PROJECTED ACCRUAL: A total of 3-28 patients will be accrued for this study.

Gesamtstatus Completed
Anfangsdatum July 2001
Primäres Abschlussdatum January 2004
Phase Phase 1
Studientyp Interventional
Primärer Ausgang
Messen Zeitfenster
MTD defined as the highest dose level at which =< 1/6 subjects experience a study related dose-limiting toxicity (DLT) as assessed by CTC version 2.0 28 days
Einschreibung 28
Bedingung
Intervention

Interventionsart: Drug

Interventionsname: BMS-214662

Beschreibung: Given IV

Armgruppenetikett: Treatment (BMS-214662, trastuzumab)

Interventionsart: Biological

Interventionsname: trastuzumab

Beschreibung: Given IV

Armgruppenetikett: Treatment (BMS-214662, trastuzumab)

Interventionsart: Other

Interventionsname: pharmacological study

Beschreibung: Correlative studies

Armgruppenetikett: Treatment (BMS-214662, trastuzumab)

Anderer Name: pharmacological studies

Teilnahmeberechtigung

Kriterien:

Inclusion Criteria:

- Histologically or cytologically confirmed solid tumor that is unresponsive to currently available therapies or for which no known effective therapy exists

- Overexpressing HER-2-neu (2+ or 3+) by immunohistochemistry or fluorescent in situ hybridization

- Clinically or radiologically evaluable disease

- No carcinomatous meningitis or untreated/uncontrolled metastatic brain parenchymal disease

- At least 8 weeks since prior therapy for prior brain parenchymal disease and asymptomatic off corticosteroids

- Performance status - ECOG 0-2

- Absolute neutrophil count at least 1,500/mm^3

- Platelet count at least 100,000/mm^3

- Bilirubin no greater than 1.8 mg/dL

- ALT and AST no greater than 1.5 times upper limit of normal (ULN)

- Creatinine no greater than 1.5 times ULN

- No uncontrolled or significant cardiovascular disease

- No myocardial infarction within the past 6 months

- No prior clinically significant atrial or ventricular arrhythmias

- No prior second or third degree heart block

- No ischemic heart disease requiring medication

- No congestive heart failure

- Corrected QT interval no greater than 450 milliseconds by electrocardiogram

- Ejection fraction at least lower limit of normal by MUGA scan

- No uncontrolled or significant pulmonary disease

- No active unresolved infection

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception during and for 3 months after study

- At least 4 weeks since prior immunotherapy, including trastuzumab (Herceptin), and recovered

- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered

- No anthracyclines for at least 22 weeks after completion of study therapy

- No other concurrent chemotherapy

- Concurrent hormone replacement therapy allowed

- No other concurrent hormonal therapy

- At least 4 weeks since prior radiotherapy and recovered

- No prior radiotherapy to more than 25% of the bone marrow-containing skeleton

- No concurrent radiotherapy

- At least 4 weeks since prior investigational agents and recovered

- At least 7 days since prior known substrates of cytochrome P450-3A4 (CYP3A4)

- At least 7 days since prior parenteral antibiotics

- No concurrent substrates of CYP3A4

- No concurrent parenteral antibiotics

- No other concurrent experimental medications

Geschlecht: All

Mindestalter: 18 Years

Maximales Alter: N/A

Gesunde Freiwillige: No

Insgesamt offiziell
Nachname Rolle Zugehörigkeit
Mary Cianfrocca Principal Investigator Fox Chase Cancer Center
Ort
Einrichtung: Fox Chase Cancer Center
Standort Länder

United States

Überprüfungsdatum

January 2013

Verantwortliche Partei

Art: Sponsor

Hat den Zugriff erweitert No
Anzahl der Waffen 1
Armgruppe

Etikette: Treatment (BMS-214662, trastuzumab)

Art: Experimental

Beschreibung: Patients receive BMS-214662 IV over 1 hour on days 2, 8, 15, and 22 and trastuzumab (Herceptin) IV over 30-90 minutes on days 1, 8, 15, and 22. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.

Studiendesign Info

Zuweisung: N/A

Interventionsmodell: Single Group Assignment

Hauptzweck: Treatment

Maskierung: None (Open Label)

Quelle: ClinicalTrials.gov