MedPath

Eribulin Mesylate and Cisplatin in Treating Patients With Advanced Solid Tumors

Phase 1
Completed
Conditions
Unspecified Adult Solid Tumor, Protocol Specific
Interventions
Other: laboratory biomarker analysis
Other: pharmacological study
Registration Number
NCT00415324
Lead Sponsor
National Cancer Institute (NCI)
Brief Summary

This trial is studying the side effects and best dose of eribulin mesylate and cisplatin in treating patients with advanced solid tumors.Drugs used in chemotherapy, such as eribulin mesylate and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells.

Detailed Description

Primary Objectives:

I. To determine the maximum tolerated dose of E7389 and cisplatin in patients with advanced solid tumors.

II. To determine the safety and toxicity of this regimen in these patients. III. To determine the pharmacokinetics of this regimen in these patients.

Outline: This is a multicenter, dose-escalation study. Patients receive eribulin mesylate IV over 5 minutes on days 1, 8, and 15 and cisplatin IV over 30-60 minutes on day 1. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed for up to 8 weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
36
Inclusion Criteria
  • Histologically confirmed malignant solid tumor
  • Advanced disease, meeting both of the following criteria: Metastatic or unresectable disease and standard curative or palliative measures do not exist or are no longer effective.
  • No known active brain metastases
  • Life expectancy > 3 months
  • ECOG performance status 0-2
  • Bilirubin normal
  • No uncontrolled intercurrent illness including, but not limited to, any of the following: ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, psychiatric illness or social situation that would limit study compliance.
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • Recovered from prior therapy
  • No prior chemotherapy within the past 4 weeks (6 weeks for nitrosoureas or mitomycin C).
  • No prior targeted therapy within the past 4 weeks
  • No prior immunotherapy within the past 4 weeks
  • No prior radiotherapy within the past 4 weeks.
  • No more than 2 prior chemotherapy regimens for advanced solid tumors.
  • No other concurrent investigational agents. Bisphosphonate therapy (e.g., pamidronate or zolendronate) is not considered investigational therapy.
  • No concurrent antiretroviral therapy for HIV-positive patients.
  • No other concurrent anticancer agents or therapies.
  • Tumor has spread to other parts of the body or cannot be removed by surgery.
  • More than 4 weeks since chemotherapy, biological therapy, or radiation therapy.
  • No more than two previous chemotherapy regimens for advanced solid tumor.
  • WBC >= 3,000/mm^3
  • Platelet count >= 100,000/mm^3
  • Creatinine clearance >= 60 mL/min
  • Absolute neutrophil count >= 1,500/mm³
  • AST and ALT =< 2.5 times upper limit of normal
  • No prior cumulative cisplatin dose > 300 mg/m^2
  • No preexisting neuropathy <= grade 2
  • Not pregnant or nursing
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Arm 1laboratory biomarker analysisPatients receive eribulin mesylate IV over 5 minutes on days 1, 8, and 15 and cisplatin IV over 30-60 minutes on day 1.
Arm 1pharmacological studyPatients receive eribulin mesylate IV over 5 minutes on days 1, 8, and 15 and cisplatin IV over 30-60 minutes on day 1.
Arm 1eribulin mesylatePatients receive eribulin mesylate IV over 5 minutes on days 1, 8, and 15 and cisplatin IV over 30-60 minutes on day 1.
Arm 1cisplatinPatients receive eribulin mesylate IV over 5 minutes on days 1, 8, and 15 and cisplatin IV over 30-60 minutes on day 1.
Primary Outcome Measures
NameTimeMethod
Maximum tolerated dose determined by dose-limiting toxicity graded according to the NCI CTCAE version 4.028 days
Secondary Outcome Measures
NameTimeMethod
SurvivalFrom first day of treatment to the first observation of disease progression or death due to any cause, assessed up to 8 weeks

Summarized with Kaplan-Meier plots to describe the outcome of patients treated on this protocol.

Time to failureUp to 8 weeks

Summarized with Kaplan-Meier plots to describe the outcome of patients treated on this protocol.

Trial Locations

Locations (4)

City of Hope Medical Center

🇺🇸

Duarte, California, United States

University of Southern California/Norris Cancer Center

🇺🇸

Los Angeles, California, United States

University of California at Davis Cancer Center

🇺🇸

Sacramento, California, United States

City of Hope

🇺🇸

Duarte, California, United States

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