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A Phase I Study of ECO-4601 in Patients With Advanced Cancer
10 juli 2008 bijgewerkt door: Thallion Pharmaceuticals
A Phase I, Dose Finding, Pharmacokinetic, and Safety Study of Continuous IV Infusion of ECO-4601 in Patients With Advanced Cancer Including an Extension Portion to Obtain Safety Data at the Highest Tolerable Dose
The purpose of this study was to determine the maximum tolerated dose (MTD) and the recommended dose for future studies of ECO-4601 administered as a continuous IV infusion for 14 days with 7 days recovery (21 day cycle) in patients with histologically confirmed solid tumors (high grade glioma, colorectal, lung, breast, ovarian, pancreatic and prostate).
This study was also designed to determine the clinical pharmacokinetic profile, safety of multiple cycles of administration, and document the antitumor activity of ECO-4601.
Studie Overzicht
Toestand
Voltooid
Conditie
Interventie / Behandeling
Studietype
Ingrijpend
Inschrijving (Werkelijk)
26
Fase
- Fase 1
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
-
-
Quebec
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Greenfield Park, Quebec, Canada, J4V 2H1
- Hopital Charles LeMoyne
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Montreal, Quebec, Canada, H3T 1E2
- Sir Mortimer B. Davis Jewish General Hospital
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-
Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
18 jaar en ouder (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Nee
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
Inclusion Criteria:
- Informed about the study and consent to participate in the study
- Clinically or radiologically documented advanced solid malignancy for which no standard therapy is available, or which has failed standard therapy
- Patients with the following solid tumors: high grade glioma, colorectal, prostate, pancreatic, lung, ovarian and breast carcinoma
- Age ≥ 18 years of age
- ECOG ≤ 2
- Laboratory hematology and biochemistry protocol test result abnormalities ≤ Grade 1, graded using NCI CTCAE version 3.0
- Patients with no chemotherapy during the 4 weeks preceding patients' first dose of ECO-4601 (day 1, cycle 1)
- No other anticancer treatment during the study
- Patients can be receiving stable or decreasing dose of steroids within 2 weeks prior to patient's signature of the informed consent
- Patients must be accessible for treatment and follow-up. Patients registered on this trial must be treated and followed at the participating centre
Previous Therapy
- Hormonal therapy: Patients may have had prior hormonal therapy provided it is discontinued upon ICF signature
- Radiation: Patients may have had prior radiation therapy. Patients must have recovered from the acute toxic effects of radiotherapy
- Previous surgery: Previous surgery is permitted provided that at least 2 weeks have elapsed between major surgery (non-biopsy) and ICF signature
Exclusion Criteria:
- Patients with brain metastases
- Unlikely to comply with protocol or difficulty to understand the purpose of the study
- Life expectancy < 12 weeks
- Clinically significant co-morbid disease, e.g. renal failure, ischemic vascular disease, uncontrolled seizure, dementia
- Any patient with a potentially curable malignancy who has not yet received appropriate standard therapies
- Anti seizure drugs known inducers of cytochrome P450
- Documented HIV, active hepatitis B or C infections
- Patients with active or uncontrolled infections or with serious illnesses or medical conditions, which would not permit the patient to be managed according to protocol
- Pregnant or lactating women; both men and women enrolled on study should be using adequate birth control measures throughout the course of the study. Women of childbearing potential must have a negative serum or urine pregnancy test documented within 14 days prior to registration and at study start
- Inability or refusal to practice contraception during therapy of ECO-4601, unless patient is surgically sterile or woman is postmenopausal for at least 2 years
- Patients who have been treated with any investigational drug within 4 weeks of patient's signature of informed consent form, or who are receiving concurrent treatment with other experimental drugs or anti cancer therapy
- Patients in whom a proper central line cannot be established
- Concomitant therapy with therapeutic coumadin; patients can be transferred to low molecular weight heparin
- Patients on low molecular weight heparin for < 2 weeks prior to ICF signature
- Polysorbate 80 being a major constituent of ECO-4601 and known to cause hypotension, patients with uncontrolled hypotension will be excluded
- Known hypersensitivity to farnesylated dibenzodiazepinone or any of the formulation components
Concomitant Therapy Permitted:
- Patients may receive ongoing supportive and palliative care (eg: pain control) as clinically indicated throughout the study.
- Patients can be treated with corticosteroids if medically needed
- Usage of low molecular weight heparin is allowed
- Anti seizure products are permitted provided they are not inducers of cytochrome P450.
Concomitant Therapy Not Permitted:
- Other anticancer treatment
- Other investigational therapy
- Concomitant therapy with coumadin
- Cytochrome enzyme inducing anti epileptics
- G-CSF, GM-CSF and other growth factors may not be used as a substitute for a scheduled dose reduction; however they may be used in the management of acute toxicity such as febrile neutropenia when clinically indicated at the discretion of the investigator. Use of erythropoietin is allowed if treatment has been initiated for ≥ 2 months. Use of growth factors must be documented on case report forms.
- Hormonal therapy
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
---|---|
Experimenteel: ECO-4601
|
Continuous IV infusion for 14 days with 7 days recovery (21 day cycle)
Andere namen:
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
---|
Safety/tolerability of ECO-4601
|
Determination of MTD of ECO-4601
|
Determination of recommended dose for future studies of ECO-4601
|
Secundaire uitkomstmaten
Uitkomstmaat |
---|
Pharmacokinetics of ECO-4601
|
Safety of multiple cycles of administration of ECO-4601
|
Documentation of ECO-4601 antitumor activity as per RECIST criteria
|
Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Onderzoekers
- Hoofdonderzoeker: Petr Kavan, MD, Ph.D., Sir Mortimer B. Davis - Jewish General Hospital
- Hoofdonderzoeker: Benoît Samson, MD, Hopital Charles LeMoyne
- Studie stoel: Gerald Batist, MD, Sir Mortimer B. Davis - Jewish General Hospital
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start
1 februari 2006
Primaire voltooiing (Werkelijk)
1 augustus 2007
Studie voltooiing (Werkelijk)
1 augustus 2007
Studieregistratiedata
Eerst ingediend
15 juni 2006
Eerst ingediend dat voldeed aan de QC-criteria
16 juni 2006
Eerst geplaatst (Schatting)
20 juni 2006
Updates van studierecords
Laatste update geplaatst (Schatting)
15 juli 2008
Laatste update ingediend die voldeed aan QC-criteria
10 juli 2008
Laatst geverifieerd
1 juli 2008
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Andere studie-ID-nummers
- ECO-4601-101
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .
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