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临床试验/NCT00248521
NCT00248521Unknown1 期

A Cancer Research UK Phase I Trial to Evaluate the Safety, Tolerability and Pharmacokinetics of 17-Dimethylaminoethyl-amino-17-Demethoxygeldanamycin (17-DMAG) Given as a Once Weekly Infusion in Patients With Advanced Solid Tumors

Institute of Cancer Research, United Kingdom6 个研究点 分布在 1 个国家目标入组 35 人开始时间: 2005年10月1日最近更新:
适应症
相关药物

试验速览

阶段
1 期
发起方
入组人数
35
试验地点
6
主要终点
Recommended phase II dose of 17-dimethylaminoethylamino-17-demethoxygeldanamycin (17-DMAG) at 28 days after treatment

研究概览

简要总结

RATIONALE: Drugs used in chemotherapy, such as 17-dimethylaminoethylamino-17-demethoxygeldanamycin (17-DMAG), work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing.

PURPOSE: This phase I trial is studying the side effects and best dose of 17-DMAG in treating patients with metastatic solid tumors or tumors that cannot be removed by surgery.

详细描述

OBJECTIVES:

Primary

  • Determine the maximum tolerated dose, dose-limiting toxicity, and recommended phase II dose of 17-dimethylaminoethylamino-17-demethoxygeldanamycin (17-DMAG) in patients with unresectable or metastatic solid tumors.
  • Determine the feasibility, safety, and toxicity profile of this drug in these patients.

Secondary

  • Determine the clinical pharmacokinetic profile of this drug in these patients.
  • Determine tumor response in patients treated with this drug.
  • Determine the biologically effective dose.

研究设计

研究类型
Interventional
分配方式
Non Randomized
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • DISEASE CHARACTERISTICS:
  • Histologically or cytologically confirmed solid tumor
  • Unresectable or metastatic disease
  • Standard curative or palliative measures do not exist OR are no longer effective OR patient refused such measures
  • No known brain metastases
  • PATIENT CHARACTERISTICS:
  • 18 and over
  • Performance status
  • Life expectancy
  • More than 12 weeks
  • Hematopoietic
  • Absolute neutrophil count > 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3
  • Hemoglobin ≥ 9.0 g/dL
  • Bilirubin normal
  • ALT and AST ≤ 1.5 times upper limit of normal
  • No chronic liver disease
  • Hepatitis B or C negative
  • Creatinine normal OR
  • Creatinine clearance normal
  • Cardiovascular
  • No symptomatic New York Heart Association class III-IV cardiac disease
  • No myocardial infarction within the past year
  • No active ischemic heart disease within the past year
  • No poorly controlled angina
  • No uncontrolled dysrhythmia or dysrhythmias requiring antiarrhythmic drugs
  • No transient ischemic attack
  • No stroke
  • No peripheral vascular disease
  • No congenital long QT syndrome
  • No history of serious ventricular arrhythmia (ventricular tachycardia or ventricular fibrillation ≥ 3 beats in a row)
  • QTc < 450 msec (for men) and 470 msec (for woman)
  • LVEF > 40% by MUGA
  • No left bundle branch block
  • No symptomatic pulmonary disease requiring medication, including any of the following:
  • Dyspnea with or without exertion
  • Paroxysmal nocturnal dyspnea
  • Oxygen requirement
  • Significant pulmonary disease (e.g., chronic obstructive/restrictive pulmonary disease
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception 4 weeks before, during, and for 6 months after completion of study treatment
  • No known HIV positivity
  • No other malignancy within the past 5 years except adequately treated cone biopsied carcinoma in situ of the cervix or basal cell or squamous cell skin cancer
  • No ongoing or active infection
  • No diabetes mellitus (with evidence of severe peripheral vascular disease or ulcers)
  • No psychiatric illness or social situation that would preclude study compliance
  • No other uncontrolled illness
  • PRIOR CONCURRENT THERAPY:
  • Biologic therapy
  • 另有 17 项未显示

排除标准

  • 未提供

结局指标

主要结局

Recommended phase II dose of 17-dimethylaminoethylamino-17-demethoxygeldanamycin (17-DMAG) at 28 days after treatment

次要结局

  • Heat shock protein 90 (HSP90) client protein and co-chaperone changes up to 29 days after treatment
  • Tumor response by RECIST criteria every 6 weeks while on study
  • Clinical pharmacokinetic profile established during the first course of treatment

研究者

发起方
Institute of Cancer Research, United Kingdom
申办方类型
Other

研究点 (6)

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