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Bortezomib and Pemetrexed Disodium in Treating Patients With Advanced Non-Small Cell Lung Cancer or Other Solid Tumors

This study has been completed.

Sponsored by: University of California, Davis
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00389805
  Purpose

RATIONALE: Bortezomib and pemetrexed disodium may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving bortezomib together with pemetrexed disodium may kill more tumor cells.

PURPOSE: This phase I/II trial is studying the side effects and best dose of two different schedules of bortezomib when given together with pemetrexed disodium and to see how well they work in treating patients with advanced non-small cell lung cancer or other solid tumors.


Condition Intervention Phase
Lung Cancer
Unspecified Adult Solid Tumor, Protocol Specific
Drug: bortezomib
Drug: pemetrexed disodium
Procedure: flow cytometry
Procedure: gene expression analysis
Procedure: immunoenzyme technique
Procedure: immunohistochemistry staining method
Procedure: mutation analysis
Procedure: protein expression analysis
Procedure: reverse transcriptase-polymerase chain reaction
Phase I
Phase II

MedlinePlus related topics:   Cancer    Lung Cancer   

ChemIDplus related topics:   Pemetrexed disodium    Pemetrexed    Bortezomib   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Open Label
Official Title:   Phase I/II Study of Two Different Schedules of Bortezomib (VELCADE, PS-341) and Pemetrexed (ALIMTA) in Advanced Solid Tumors, With Emphasis on Non-Small Cell Lung Cancer (NSCLC)

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Response rate (Phase II) [ Designated as safety issue: No ]
  • Safety (Phase I) [ Designated as safety issue: Yes ]
  • Dose-limiting toxicity (Phase I) [ Designated as safety issue: Yes ]
  • Feasibility (Phase I) [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Toxicity by NCI CTC v3.0 (Phase I) [ Designated as safety issue: Yes ]
  • Maximum tolerated dose (Phase I) [ Designated as safety issue: Yes ]
  • Treatment efficacy (Phase I) [ Designated as safety issue: No ]
  • Frequency and severity of toxicities (Phase II) [ Designated as safety issue: Yes ]
  • Molecular determinants (Phase II) [ Designated as safety issue: No ]
  • Importance of folate-associated gene expression and response or outcome (Phase II) [ Designated as safety issue: No ]
  • Effect of bortezomib on patients that over express NF-kB, BCL-2, and BCL-xL (Phase II) [ Designated as safety issue: No ]
  • Prognosis associated with lost p27 expression (Phase II) [ Designated as safety issue: No ]
  • Effects of bortezomib on down-regulating HIF-1 in reducing levels PAI-1, vascular endothelial growth factor, and/or osteopontin (Phase II) [ Designated as safety issue: No ]
  • Shed tumor DNA in plasma as a biomarker (Phase II) [ Designated as safety issue: No ]
  • Biological activity of bortezomib (Phase II) [ Designated as safety issue: No ]

Estimated Enrollment:   86
Study Start Date:   March 2005

Show detailed description  Show Detailed Description

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

DISEASE CHARACTERISTICS:

  • Cytologically or histologically confirmed diagnosis of 1 of the following:

    • Advanced solid tumor that progressed after standard therapy or for which no effective curative therapy exists (phase I)
    • Stage IIIB (pleural effusion) or IV non-small cell lung cancer (NSCLC) (phase II)

      • Disease must have progressed or recurred after 1 platinum-based therapy regimen
      • NSCLC that has progressed or recurred after first-line therapy for stage IIIA or IIIB disease allowed
  • Measurable disease

    • Disease in previously irradiated sites is considered measurable if there is clear disease progression following radiotherapy
    • Evaluable disease (bone metastases, pleural fluid, ascites) allowed (phase I)
  • No symptomatic brain metastasis or disease requiring steroids and anticonvulsants

    • Asymptomatic, previously treated (surgical resection or radiotherapy) brain metastases allowed provided patient is neurologically stable and has been off steroids and anticonvulsants for ≥ 4 weeks

PATIENT CHARACTERISTICS:

  • Zubrod performance status 0-2 (phase I) or 0-1 (phase II)
  • Life expectancy ≥ 3 months
  • Creatinine ≤ 1.5 mg/dL OR creatinine clearance ≥ 50 mL/min
  • Bilirubin normal
  • AST ≤ 2.5 times upper limit of normal
  • Granulocyte count ≥ 1,500/mm³
  • Platelet count of ≥ 100,000/mm³
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 3 months after completion of study treatment
  • No pre-existing neuropathy ≥ grade 2
  • No other prior malignancy except for the following (phase II):

    • Adequately treated basal cell or squamous cell skin cancer
    • In situ cervical cancer
    • Adequately treated stage I or II cancer currently in complete remission
    • Any other cancer from which the patient has been disease free for > 5 years
  • No hypersensitivity to bortezomib, boron, or mannitol
  • No cardiovascular complications, including any of the following:

    • Myocardial infarction within the past 6 months
    • New York Heart Association class III-IV heart failure
    • Uncontrolled angina
    • Severe uncontrolled ventricular arrhythmias
    • Electrocardiographic (ECG) evidence of acute ischemia or active conduction system abnormalities

      • Any ECG abnormality at screening must be documented as not medically relevant

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • No prior bortezomib or pemetrexed disodium
  • Any number of prior chemotherapy regimens allowed (phase I)
  • More than 4 weeks since prior chemotherapy (6 weeks for mitomycin C) and recovered
  • More than 2 weeks since prior radiotherapy and recovered
  • No nonsteroidal anti-inflammatory drugs (NSAIDs) or salicylates 2 days prior and 2 days after (5 days pre and post for long-acting NSAIDs) administration of pemetrexed disodium
  • No concurrent anticonvulsants that are metabolized by the cytochrome P450 pathway, including any of the following:

    • Enzyme-inducing drugs

      • Primidone
      • Carbamazepine
      • Phenobarbital
      • Phenytoin
    • Enzyme-inhibiting drugs

      • Oxcarbazepine
      • Topiramate
      • Zonisamide
      • Valproic acid
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00389805

Locations
United States, California
University of California Davis Cancer Center    
      Sacramento, California, United States, 95817

Sponsors and Collaborators
University of California, Davis

Investigators
Study Chair:     Angela Davies, MD     University of California, Davis    
  More Information


Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
 

Publications of Results:

Study ID Numbers:   CDR0000505966, UCDCC-158, UCDCC-200412739-2
First Received:   October 18, 2006
Last Updated:   May 23, 2008
ClinicalTrials.gov Identifier:   NCT00389805
Health Authority:   United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
recurrent non-small cell lung cancer  
stage IIIB non-small cell lung cancer  
stage IV non-small cell lung cancer  
unspecified adult solid tumor, protocol specific  

Study placed in the following topic categories:
Folic Acid
Pemetrexed
Thoracic Neoplasms
Non-small cell lung cancer
Respiratory Tract Diseases
Lung Neoplasms
Lung Diseases
Bortezomib
Carcinoma, Non-Small-Cell Lung
Recurrence
Neoplasms, Glandular and Epithelial
Carcinoma

Additional relevant MeSH terms:
Antimetabolites
Respiratory Tract Neoplasms
Neoplasms by Histologic Type
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Enzyme Inhibitors
Folic Acid Antagonists
Pharmacologic Actions
Protease Inhibitors
Neoplasms
Neoplasms by Site
Therapeutic Uses

ClinicalTrials.gov processed this record on September 19, 2008




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