R115777 in Treating Patients With Advanced Solid Tumors
Study Details
Study Description
Brief Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.
PURPOSE: Phase I trial to study the effectiveness of R115777 in treating patients who have advanced solid tumors.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 1 |
Detailed Description
OBJECTIVES:
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Determine the maximum tolerated dose of R115777 in patients with advanced malignant solid tumors.
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Assess the toxicity of this drug in these patients.
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Determine, preliminarily, the efficacy of this drug in these patients.
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Determine the potential predictors of response in patients treated with drug.
OUTLINE: This is a multicenter, dose-escalation study.
Patients receive oral R115777 twice daily on weeks 1 and 3. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Cohorts of 3-6 patients receive escalating doses of R115777 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.
PROJECTED ACCRUAL: A minimum of 20 patients will be accrued for this study within 12 months.
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
-
Histologically confirmed malignant tumors deemed to be incurable or refractory to therapy
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Advanced, recurrent, or metastatic disease
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Previously treated with at least 1 chemotherapy regimen
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Brain metastases allowed if asymptomatic and controlled (e.g., after prior surgical resection or radiotherapy/radiosurgery) and not on steroids or anticonvulsants
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- Karnofsky 60-100%
Life expectancy:
- Not specified
Hematopoietic:
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WBC at least 3,500/mm3
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Absolute granulocyte count at least 1,500/mm3
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Platelet count at least 75,000/mm3
Hepatic:
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Bilirubin no greater than 2.5 times upper limit of normal (ULN)
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SGOT no greater than 2.5 times ULN
Renal:
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Creatinine clearance at least 60 mL/min OR
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Creatinine no greater than 1.6 mg/dL
Other:
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Not pregnant or nursing
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Negative pregnancy test
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Fertile patients must use effective contraception during and for 3 months after study
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- No concurrent biologic therapy
Chemotherapy:
-
See Disease Characteristics
-
At least 4 weeks since prior chemotherapy (6 weeks for mitomycin or nitrosourea)
Endocrine therapy:
-
See Disease Characteristics
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No concurrent hormonal therapy
Radiotherapy:
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See Disease Characteristics
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At least 4 weeks since prior radiotherapy and recovered
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No prior radiotherapy to a field containing a measurable target lesion unless there is evidence of progression or a new lesion is present
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No concurrent radiotherapy to measurable lesions
Surgery:
-
See Disease Characteristics
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At least 3 weeks since prior major surgery and recovered
Other:
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At least 2 weeks since prior proton pump inhibitors (e.g., omeprazole)
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Concurrent H2 blockers (e.g., cimetidine or related drugs) or antacids are allowed if there is an interval of at least 2 hours between H2 blocker/antacid intake and R115777 dosing
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | City of Hope Comprehensive Cancer Center | Duarte | California | United States | 91010-3000 |
2 | USC/Norris Comprehensive Cancer Center and Hospital | Los Angeles | California | United States | 90033-0804 |
3 | City of Hope Medical Group | Pasadena | California | United States | 91105 |
4 | University of California Davis Cancer Center | Sacramento | California | United States | 95817 |
Sponsors and Collaborators
- City of Hope Medical Center
- National Cancer Institute (NCI)
Investigators
- Study Chair: Primo N. Lara, MD, University of California, Davis
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000068963
- U01CA062505
- P30CA033572
- CHNMC-PHI-33
- NCI-4751