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Gold Sodium Thiomalate in Treating Patients With Advanced Non-Small Cell Lung Cancer

Phase 1
Completed
Conditions
Lung Cancer
Registration Number
NCT00575393
Lead Sponsor
Mayo Clinic
Brief Summary

RATIONALE: Gold sodium thiomalate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase I trial is studying the side effects and best dose of gold sodium thiomalate in treating patients with advanced non-small cell lung cancer.

Detailed Description

OBJECTIVES:

* To determine the maximum tolerated dose of gold sodium thiomalate in patients with advanced non-small cell lung cancer.

* To describe the toxicities associated with this treatment.

* To describe any preliminary evidence of biologic activity.

* To further assess the correlation between PKCι expression and the antitumor effects of gold sodium thiomalate.

* To study the association of clinical (toxicity and/or tumor response or activity) with pharmacokinetic/pharmacodynamic parameters.

* To describe anti-proliferative activity of gold sodium thiomalate through 3-deoxy-3-\[\^18F\]-fluorothymidine positron emission tomography imaging.

OUTLINE: This is a dose-escalation study of gold sodium thiomalate.

Patients receive gold sodium thiomalate intramuscularly on days 1, 8, 15 and 22. Treatment repeats every 4 weeks for 3 courses in the absence of disease progression or unacceptable toxicity. Patients then receive gold sodium thiomalate once every 4 weeks until a total cumulative dose of 1 gram is delivered.

Blood samples are collected at baseline and prior to therapy in weeks 3, 5, 7, 9, and 11. Samples are analyzed by mass spectometry for pharmacokinetics. Paraffin-embedded tumor tissue samples are analyzed for PKC_l expression and antitumor activity. Antiproliferative effects of gold sodium thiomalate are analyzed by 3-deoxy-3-\[\^18F\]-fluorothymidine positron emission tomography imaging.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
17
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Biologic activity
Maximum tolerated dose
Toxicity
Correlate PKCl expression with antitumor effects of gold sodium thiomalate
Correlate toxicity and/or tumor response or activity with pharmacokinetic and pharmacodynamic parameters
Anti-proliferative activity of gold sodium thiomalate by PET scan
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (3)

Mayo Clinic - Jacksonville

🇺🇸

Jacksonville, Florida, United States

Mayo Clinic Scottsdale

🇺🇸

Scottsdale, Arizona, United States

Mayo Clinic Cancer Center

🇺🇸

Rochester, Minnesota, United States

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