- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT00030108
Ixabepilone in Treating Young Patients With Solid Tumors or Leukemia That Haven't Responded to Therapy
Phase I Trial and Pharmacokinetic Study of BMS-247550 (NSC 710428, Ixabepilone), an Epothilone B Analog, in Pediatric Patients With Refractory Solid Tumors and Leukemias
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.
PURPOSE: This phase I trial is studying the side effects and best dose of ixabepilone in treating young patients with relapsed or refractory solid tumors or leukemia.
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
OBJECTIVES:
Primary
- Determine the maximum tolerated dose (MTD) and dose-limiting toxicity (DLT) of ixabepilone in young patients with refractory solid tumors (closed to accrual as of 10/4/2007) or relapsed or refractory leukemia.
- Determine the toxicity spectrum of this drug in these patients.
- Determine the plasma pharmacokinetics of this drug in these patients.
- Determine the pharmacodynamics of this drug in these patients.
- Assess the nerve growth factor levels, before and after the initiation of this drug, as a potential surrogate marker for the development of peripheral neuropathy in these patients.
Secondary
- Determine the response of patients treated with this drug.
- Compare the tolerability, toxicity profile, MTD, DLT, pharmacokinetics, and pharmacodynamics of this drug in young patients treated on this study vs adults with solid tumors (closed to accrual as of 10/4/2007) treated on the ongoing Medicine Branch, NCI, phase I study.
- Assess the safety and tolerability of ixabepilone at the solid tumor MTD (expanded leukemia cohort).
- Evaluate the plasma pharmacokinetics of in young patients with refractory or relapsed leukemia.
- Evaluate the extent of tubulin polymerization in leukemic blasts at baseline after treatment with ixabepilone ex-vivo.
- Compare the effects of tubulin polymerization in leukemic blasts with ixabepilone versus paclitaxel ex-vivo with an without the presence of a potent P-glycoprotein inhibitor.
- Evaluate the activity known drug transporters in drug-resistant leukemias in leukemic blasts.
OUTLINE: This is a multicenter, dose-escalation study.
Patients receive ixabepilone IV over 1 hour on days 1-5. Treatment repeats every 21 days in the absence of disease progression or unacceptable toxicity.
Cohorts of 3-6 patients receive escalating doses of ixabepilone until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 or more of 6 patients experience dose-limiting toxicity. Intrapatient dose escalation to one dose level above the enrollment dose level is allowed in patients who have stable or responding disease or are experiencing other benefits from therapy (e.g., decrease in tumor-related pain symptoms) and who have no grade 2 or greater non-hematologic toxicity and no grade 3 or greater hematologic toxicity. Additional patients are treated at the MTD. Patients treated at the MTD may not undergo intrapatient dose escalation.
PROJECTED ACCRUAL: A maximum of 30 patients will be accrued for this study within 1-2 years.
Studietype
Registrering (Forventet)
Fase
- Fase 1
Kontakter og plasseringer
Studiesteder
-
-
District of Columbia
-
Washington, District of Columbia, Forente stater, 20010-2970
- Children's National Medical Center
-
-
Maryland
-
Bethesda, Maryland, Forente stater, 20892-1182
- Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
DISEASE CHARACTERISTICS:
Meets 1 of the following criteria:
Histologically confirmed solid tumor (closed to accrual as of 10/4/2007) that relapsed after or failed to respond to front-line curative therapy and for which no other potentially curative treatment options exist
- Curative therapy may include surgery, radiotherapy, chemotherapy, or any combination of these modalities
Eligible tumor types include, but are not limited to, the following:
- Rhabdomyosarcoma
- Other soft tissue sarcomas
- Ewing's sarcoma family of tumors
- Osteosarcoma
- Neuroblastoma
- Wilms' tumor
- Hepatic tumors
- Germ cell tumors
Primary brain tumors
- Histologic confirmation may be waived for brain stem or optic glioma
Diagnosis of relapsed or refractory leukemia
- Patients with refractory or second or greater relapsed leukemia must have > 25% blasts in the bone marrow (M3 bone marrow) with or without active extramedullary disease (except for leptomeningeal disease)
- Relapsed after or failed to respond to frontline curative therapy and no other potentially curative therapy (e.g., radiotherapy, chemotherapy, or any combination of these modalities) exists
- Patients with acute promyelocytic leukemia must be refractory to treatment with retinoic acid and arsenic trioxide
- Patients with Philadelphia chromosome positive chronic myelogenous leukemia must be refractory to imatinib
- No active CNS leukemia (CNS3)
PATIENT CHARACTERISTICS:
Age:
- 2 to 18 (solid tumor patients [closed to accrual as of 10/4/2007])
- 1 to 21 (leukemia patients)
Performance status:
For patients age 11 to 21:
- Karnofsky 50-100%
For patients age 1 to 10:
- Lansky 50-100%
Life expectancy:
- Not specified
Hematopoietic:
- Platelet count at least 100,000/mm^3 (20,000/mm^3 for leukemia patients)
- Hemoglobin ≥ 8.0 g/dL
Hepatic:
- Bilirubin less than 1.5 times upper limit of normal (ULN)
- SGOT and SGPT less than 2.5 times ULN
- No hepatic dysfunction that would preclude study
Renal:
- Creatinine normal for age OR
- Creatinine clearance at least 60 mL/min
- No renal dysfunction that would preclude study
Other:
- No known severe prior hypersensitivity reaction to agents containing Cremophor EL
- No clinically significant unrelated systemic illness (e.g., serious infections or other organ dysfunction) that would preclude study
- No grade 2 or greater preexisting sensory neuropathy
- More than 2 month since prior and no concurrent evidence of graft vs host disease
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Recovered from all therapy-related acute toxic effects (leukemia patients only)
- Prior epoetin alfa allowed
- At least 3 days since other prior colony-stimulating factors (e.g., filgrastim (G-CSF), sargramostim (GM-CSF), or interleukin-11 (IL-11))
- At least 6 months since prior bone marrow transplantation
- At least 2 months since prior stem cell transplantation or rescue (leukemia patients)
- At least 7 days since prior therapy with a biological agent and hematopoietic growth factor with the exception of erythropoietin
- More than 3 weeks since prior monoclonal antibody therapy (leukemia patients only)
- No concurrent GM-CSF or IL-11
- No concurrent immunotherapy
Chemotherapy:
- See Disease Characteristics
- Recovered from all therapy-related acute toxic effects (leukemia patients only)
- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas)
- No other concurrent anticancer chemotherapy
Endocrine therapy:
- Concurrent corticosteroids allowed for the control of symptoms related to tumor-associated edema in patients with brain tumors
- Patients with brain tumors must be on a stable or tapering dose of corticosteroids for 7 days before baseline scan is performed for the purpose of assessing response to study therapy
- Must be on a stable or tapering dose of corticosteroids for 7 days prior to study entry (leukemia patients only)
Radiotherapy:
- See Disease Characteristics
- Recovered from all therapy-related acute toxic effects (leukemia patients only)
- At least 4 weeks since prior radiotherapy
- More than 2 weeks since prior local palliative radiotherapy (leukemia patients only)
- More than 3 months since prior total-body irradiation, craniospinal radiotherapy, or radiotherapy to ≥50% of the pelvis (leukemia patients only)
- More than 6 weeks since prior other substantial bone marrow radiotherapy (leukemia patients only)
- No prior extensive radiotherapy (e.g., craniospinal irradiation, total body irradiation, or radiotherapy to more than half of the pelvis)
- No concurrent anticancer radiotherapy
Surgery:
- See Disease Characteristics
Other:
- Recovered from prior therapy
- At least 30 days since any prior investigational anticancer therapy
At least 1 week since prior known inhibitors of CYP3A4, including any of the following:
- Antibiotics (i.e., clarithromycin, erythromycin, or troleandomycin)
- Anti-HIV agents (i.e, delaviridine, nelfinavir, amprenavir, ritonavir, idinavir, saquinavir, or lopinavir)
- Anti-fungals (i.e., itraconazole, ketoconazole, fluconazole [doses > 3mg/kg/day], or voriconazole)
- Anti-depressants (i.e., nefaxodone or fluovoxamine)
- Calcium channel blockers (i.e., verapamil or diltiazem)
- Anti-emetics (i.e., aprepitant [Emend®])
- Miscellaneous agents (i.e., amiodarone)
- Grapefruit juice
- No other concurrent investigational agents
- No concurrent St. John's Wort
- No concurrent known inhibitors of CYP3A4, including grapefruit juice
- Concurrent other agents inducing CYP3A4 allowed
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
Hva måler studien?
Primære resultatmål
Resultatmål |
---|
Maximum tolerated dose and dose-limiting toxicity of ixabepilone
|
Toxicity spectrum
|
Plasma pharmacokinetics
|
Farmakodynamikk
|
Nerve growth factor levels before and after drug administration
|
Sekundære resultatmål
Resultatmål |
---|
Objektiv tumorrespons
|
Tubulin polymerization in PBMCs prior to the start of the infusion, just before the end of the infusion, 5 hours after the end of the infusion and before the start of the infusion on day 2 of the ixabepilone on course 1
|
Samarbeidspartnere og etterforskere
Samarbeidspartnere
Etterforskere
- Studiestol: AeRang Kim, MD, National Cancer Institute (NCI)
Publikasjoner og nyttige lenker
Studierekorddatoer
Studer hoveddatoer
Studiestart
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
- uspesifisert solid barndomssvulst, protokollspesifikk
- L3 akutt lymfatisk leukemi hos barn
- B-celle akutt lymfatisk leukemi hos barn
- barndom akutt myeloid leukemi i remisjon
- kronisk myelogen leukemi i barndommen
- kronisk myelogen leukemi, BCR-ABL1 positiv
- tidligere behandlet rabdomyosarkom i barndommen
- tilbakevendende rabdomyosarkom i barndommen
- tilbakevendende nevroblastom
- tilbakevendende akutt lymfatisk leukemi hos barn
- L1 akutt lymfatisk leukemi hos barn
- L2 akutt lymfatisk leukemi hos barn
- tilbakevendende akutt myeloid leukemi i barndommen
- tilbakevendende Ewing-sarkom/perifer primitiv nevroektodermal svulst
- tilbakevendende osteosarkom
- tilbakevendende Wilms-svulst og andre nyresvulster i barndommen
- akutt promyelocytisk leukemi i barndommen (M3)
- oligodendrogliom i barndommen
- tilbakevendende cerebellar astrocytom i barndommen
- tilbakevendende cerebralt astrocytom i barndommen
- tilbakevendende barndomsependymom
- tilbakevendende leverkreft i barndommen
- tilbakevendende bløtvevssarkom i barndommen
- tilbakevendende medulloblastom i barndommen
- tilbakevendende barndomssynsvei og hypotalamisk gliom
- barndoms kraniofaryngiom
- barndoms svulst i sentralnervesystemet
- barndoms kjønnscelletumor
- barndom choroid plexus tumor
- meningeom i barndomsklasse I
- meningeom i barndom grad II
- meningeom i barndom grad III
- barndom teratom
- ondartet testikkelcelletumor i barndommen
- barndoms maligne ovarie-kimcelletumor
- ekstragonadal kjønnscelletumor i barndommen
- tilbakevendende ondartet kjønnscelletumor i barndommen
- akutt basofil leukemi i barndommen
- akutt eosinofil leukemi i barndommen
- akutt lymfatisk leukemi hos barn
- ikke-T, ikke-B, cALLa negativ akutt lymfatisk leukemi hos barn
- non-T, non-B, cALLa positiv akutt lymfatisk leukemi hos barn
- ikke-T, ikke-B, cALLa positiv, pre-B barndom akutt lymfatisk leukemi
- TdT negativ akutt lymfatisk leukemi hos barn
- TdT positiv akutt lymfatisk leukemi hos barn
Ytterligere relevante MeSH-vilkår
- Sykdommer i fordøyelsessystemet
- Sykdommer i nervesystemet
- Neoplasmer, bindevev og mykt vev
- Neoplasmer etter histologisk type
- Neoplasmer etter nettsted
- Neoplasmer, kjertel og epitel
- Neoplasmer i fordøyelsessystemet
- Leversykdommer
- Neoplasmer, Neuroepithelial
- Nevroektodermale svulster
- Neoplasmer, nervevev
- Neuroektodermale svulster, primitive
- Neuroektodermale svulster, primitive, perifere
- Neoplasmer
- Sarkom
- Neoplasmer, kjønnsceller og embryonale
- Leukemi
- Neoplasmer i nervesystemet
- Neoplasmer i sentralnervesystemet
- Neoplasmer i leveren
- Nevroblastom
Andre studie-ID-numre
- 020031
- 02-C-0031
- NCI-5425
- CDR0000069133
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