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Fenretinide in Treating Patients With Metastatic or Unresectable Malignant Solid Tumors

Phase 1
Completed
Conditions
Unspecified Adult Solid Tumor, Protocol Specific
Registration Number
NCT00387504
Lead Sponsor
California Cancer Consortium
Brief Summary

RATIONALE: Drugs used in chemotherapy, such as fenretinide, 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 fenretinide in treating patients with metastatic or unresectable malignant solid tumors.

Detailed Description

OBJECTIVES:

* Determine the maximum tolerated dose of fenretinide in patients with metastatic or unresectable malignant solid tumors.

* Determine the toxic effects of this drug in these patients.

* Determine the pharmacokinetics and in vivo activity of this drug in these patients.

* Determine, preliminarily, disease or tumor response in patients treated with this drug.

OUTLINE: This is a dose-escalation, multicenter study.

Patients receive fenretinide IV continuously on days 1-5. Treatment repeats every 3 weeks for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients who achieve a complete or partial response may continue to receive fenretinide at the discretion of the study chair.

Cohorts of 3-6 patients receive escalating doses of fenretinide until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. At least 6 patients are treated at the MTD.

Patients undergo blood sample collection to determine plasma concentrations (pharmacokinetics) of fenretinide periodically during course 1 and at the end of courses 2-6.

After completion of study treatment, patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter.

PROJECTED ACCRUAL: A total of 21 patients will be accrued for this study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
21
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Maximum tolerated dose (MTD) of fenretinideat end of study
Toxicity as measured by type (organ affected or laboratory determination such as absolute neutrophil count), severity (NCI CTCAE v3.0), time of onset (course number), duration, and reversibility or outcomeongoing
Survival and time to failure as measured by Kaplan-Meierat end of study
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (7)

City of Hope Medical Group

🇺🇸

Pasadena, California, United States

City of Hope Comprehensive Cancer Center

🇺🇸

Duarte, California, United States

Texas Tech University Health Sciences Center

🇺🇸

Lubbock, Texas, United States

Childrens Hospital Los Angeles

🇺🇸

Los Angeles, California, United States

USC/Norris Comprehensive Cancer Center and Hospital

🇺🇸

Los Angeles, California, United States

Contra Costa Regional Medical Center

🇺🇸

Martinez, California, United States

University of California Davis Cancer Center

🇺🇸

Sacramento, California, United States

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