A Phase I Study Of UCN-01 In Combination With Gemcitabine In Unresectable Or Metastatic Pancreatic Carcinoma
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Incidence of toxicity
研究概览
简要总结
Phase I trial to study the effectiveness of combining UCN-01 with gemcitabine in treating patients who have unresectable or metastatic pancreatic cancer. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. UCN-01 may help gemcitabine kill more cancer cells by making tumor cells more sensitive to the drug
详细描述
PRIMARY OBJECTIVES:
I. To determine the safety and toxicity profile of UCN-01 when given in combination with gemcitabine to patients with unresectable or metastatic adenocarcinoma of the pancreas.
II. To characterize the pharmacokinetic profiles of gemcitabine and UCN-01 when given in combination and to correlate various measurements of UCN-01 with intracellular concentrations.
III. To determine recommended doses of UCN-01 and gemcitabine in combination to be used in a planned subsequent phase II trial.
SECONDARY OBJECTIVES:
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 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
- 否
入选标准
- •Histologically or cytologically confirmed unresectable or metastatic adenocarcinoma of the pancreas
- •Unidimensionally measurable disease
- •At least 20 mm by conventional techniques
- •At least 10 mm by spiral CT scan
- •Tumor lesions in a previously irradiated area are not considered measurable
- •No known brain metastases
- •Patients with signs or symptoms of CNS metastasis at any time during screening must have a negative CT scan or MRI of the brain
- •Performance status - ECOG 0-2
- •Performance status - Karnofsky 60-100%
- •More than 3 months
- •WBC at least 3,000/mm^3
- •Absolute neutrophil count at least 1,500/mm^3
- •Platelet count greater than 100,000/mm^3
- •Bilirubin no greater than 1.5 mg/dL
- •ALT and AST no greater than 2.5 times upper limit of normal
- •Creatinine normal
- •Creatinine clearance at least 60 mL/min
- •No prior coronary artery disease
- •No symptomatic cardiac dysfunction
- •No prior myocardial infarction
- •No active angina (even if controlled by medication)
- •No positive stress test
- •No uncontrolled arrhythmia
- •Left ventricular ejection fraction at least 45%
- •Patients with symptoms suggestive of coronary artery disease or arrhythmia must have no evidence of cardiac pathology
- •No symptomatic pulmonary dysfunction
- •Not pregnant or nursing
- •Negative pregnancy test
- •Fertile patients must use effective contraception during and for 3 months after study participation
- •No prior allergic reactions attributed to compounds of similar chemical or biological composition to UCN-01 or other study agents
- •No insulin-dependent diabetes mellitus
- •No other concurrent uncontrolled illness
- •No ongoing or active infections
- •No concurrent psychiatric illness
- •No other active malignancy
- •No other solid tumor within the past 5 years except neoplasia in situ or nonmelanomatous skin cancer
- •No social situations that would preclude study compliance
- •No concurrent over-the-counter biologics
- •No concurrent growth factors during the first study course
- •At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered
- •No more than 2 prior chemotherapy regimens (e.g., gemcitabine and/or experimental agents) alone or in combination with radiotherapy as neoadjuvant or adjuvant therapy for resectable, unresectable, or metastatic disease
- •See Chemotherapy
- •At least 6 weeks since prior radiotherapy and recovered
- •Prior radiotherapy directed only at the primary tumor bed allowed
- •No prior radiotherapy to the mediastinum, pelvis, lower spine, or more than 20% of bone marrow
- •At least 4 weeks since prior major surgery
- •At least 4 weeks since prior investigational agents
- •Concurrent enrollment in non-therapy trials (e.g., quality of life) allowed
- •No concurrent herbal remedies
- •No concurrent treatment for another active malignancy
- 另有 3 项未显示
排除标准
- 未提供
研究组 & 干预措施
Treatment (UCN-01, gemcitabine hydrochloride)
Patients receive gemcitabine IV over 1-2 hours on days 1 and 8 followed by UCN-01 IV over 3 hours on day 1. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity.
Sequential dose escalation of UCN-01 is followed by sequential dose escalation of gemcitabine. Cohorts of 3-6 patients receive escalating doses of UCN-01 and then gemcitabine until the maximum tolerated dose (MTD) of the combination 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. Once the MTD is determined, at least 6 patients are treated at the recommended phase II dose.
干预措施: 7-hydroxystaurosporine (Drug)
Treatment (UCN-01, gemcitabine hydrochloride)
Patients receive gemcitabine IV over 1-2 hours on days 1 and 8 followed by UCN-01 IV over 3 hours on day 1. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity.
Sequential dose escalation of UCN-01 is followed by sequential dose escalation of gemcitabine. Cohorts of 3-6 patients receive escalating doses of UCN-01 and then gemcitabine until the maximum tolerated dose (MTD) of the combination 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. Once the MTD is determined, at least 6 patients are treated at the recommended phase II dose.
干预措施: gemcitabine hydrochloride (Drug)
Treatment (UCN-01, gemcitabine hydrochloride)
Patients receive gemcitabine IV over 1-2 hours on days 1 and 8 followed by UCN-01 IV over 3 hours on day 1. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity.
Sequential dose escalation of UCN-01 is followed by sequential dose escalation of gemcitabine. Cohorts of 3-6 patients receive escalating doses of UCN-01 and then gemcitabine until the maximum tolerated dose (MTD) of the combination 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. Once the MTD is determined, at least 6 patients are treated at the recommended phase II dose.
干预措施: pharmacological study (Other)
Treatment (UCN-01, gemcitabine hydrochloride)
Patients receive gemcitabine IV over 1-2 hours on days 1 and 8 followed by UCN-01 IV over 3 hours on day 1. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity.
Sequential dose escalation of UCN-01 is followed by sequential dose escalation of gemcitabine. Cohorts of 3-6 patients receive escalating doses of UCN-01 and then gemcitabine until the maximum tolerated dose (MTD) of the combination 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. Once the MTD is determined, at least 6 patients are treated at the recommended phase II dose.
干预措施: laboratory biomarker analysis (Other)
结局指标
主要结局
Incidence of toxicity
时间窗: Up to 4 years
Pharmacokinetic profiles
时间窗: Weeks 1-6 for UCN-01 and weeks 1 and 4 for intracellular gemcitabine
Recommended phase II doses
时间窗: 3 weeks
次要结局
- Frequency, extent, and duration of any tumor responses(Up to 4 years)