BMS-214662 in Treating Patients With Solid Tumors
Study Details
Study Description
Brief Summary
Phase I trial to study the effectiveness of BMS-214662 in treating patients who have solid tumors. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1 |
Detailed Description
OBJECTIVES:
-
Determine the maximum tolerated dose of BMS-214662 in patients with solid tumors.
-
Evaluate intermediate biological endpoints as surrogates for the effectiveness of this drug in these patients.
-
Determine the nature of dose limiting toxicity of this drug in this patient population.
-
Determine the recommended phase II regimen of this drug in these patients. V. Establish a pharmacologic and pharmacokinetic profile of this drug in these patients.
OUTLINE: This is a dose escalation study.
Patients receive BMS-214662 IV over 1 hour on days 1, 8, 15, and 22. Treatment repeats every 6 weeks 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 at which 2 of 6 patients experience dose limiting toxicities.
Patients are followed every 3 months for at least 24 months.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Treatment Patients receive BMS-214662 IV over 1 hour on days 1, 8, 15, and 22. Treatment repeats every 6 weeks in the absence of disease progression or unacceptable toxicity. |
Drug: BMS-214662
Given IV
Other Names:
Other: laboratory biomarker analysis
Correlative studies
|
Outcome Measures
Primary Outcome Measures
- MTD, defined as the dose level among the 9 levels studied having toxicity rate closest to a target of 33%, graded according to CTC version 2.0 [Up to 6 weeks]
Toxicity is defined as grade 3, 4 non-hematologic and grade 4 hematologic (neutropenia and thrombocytopenia) toxicity. The continual reassessment method (CRM) will be used.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Diagnosis of malignant solid tumor for which a standard curative therapy does not exist
-
Performance status - Karnofsky 70-100%
-
At least 6 months
-
WBC at least 3,000/mm^3
-
Absolute neutrophil count at least 1,500/mm^3
-
Platelet count at least 100,000/mm^3
-
Hemoglobin at least 10.0 g/dL
-
Bilirubin no greater than 2.0 mg/dL
-
AST no greater than 2 times upper limit of normal
-
Albumin at least 3.0 g/dL
-
Creatinine no greater than 1.5 mg/dL
-
No uncontrolled heart disease
-
No history of clinically significant cardiac arrhythmia that could be exacerbated by QT interval prolongation
-
Corrected QT interval no greater than 450 milliseconds
-
Must not require total parenteral nutrition
-
No manifestations of malabsorption syndrome due to prior surgery, gastrointestinal disease, or unknown reasons
-
Not pregnant or nursing
-
Negative pregnancy test
-
Fertile patients must use effective contraception
-
No signs or symptoms of acute infection requiring systemic therapy
-
No grade 3 or 4 neurotoxicity from prior anticancer treatment or neuropathy from any cause
-
No confusion, disorientation, or psychiatric illness that may preclude study
-
No more than 3 prior chemotherapy regimens
-
At least 4 weeks since prior chemotherapy (6 weeks since prior nitrosoureas or mitomycin) and recovered
-
No other concurrent antineoplastic agents
-
No concurrent hormonal anticancer therapy
-
At least 4 weeks since prior radiotherapy
-
No concurrent radiotherapy
-
Prior drugs known to prolong the QT interval allowed if they can be safely discontinued for a time period equal to 4 elimination half-lives prior to administering study drug
-
No drugs known to prolong the QT interval during and for 24 hours after study drug
-
No concurrent therapy with known CYP3A4 substrates
-
No other concurrent investigational agents
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | M D Anderson Cancer Center | Houston | Texas | United States | 77030 |
Sponsors and Collaborators
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: Vassiliki Papadimitrakopoulou, M.D. Anderson Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NCI-2012-02343
- ID99-304
- U01CA062461
- CDR0000067960