Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Study of Bevacizumab and Sorafenib Combined With Low Dose Cyclophosphamide in Patients With Refractory Solid Tumors and Leukemia
This study is currently recruiting participants.
Verified by St. Jude Children's Research Hospital, December 2008
Sponsored by: St. Jude Children's Research Hospital
Information provided by: St. Jude Children's Research Hospital
ClinicalTrials.gov Identifier: NCT00665990
  Purpose

Phase I Study of Bevacizumab and Sorafenib Combined with Low Dose Cyclophosphamide in Patients with Refractory Solid Tumors and Leukemia. Patients with solid tumors (excluding central nervous tumors) that are recurrent or refractory to standard therapy, or for whom standard therapy is not available. Once a maximum tolerated dose (MTD) has been established in patients with recurrent or refractory solid tumors, the tolerability of this dose will be tested in patients with refractory or recurrent leukemia.


Condition Intervention Phase
Refractory Solid Tumors
Leukemia
Drug: Bevacizumab
Drug: Sorafenib
Drug: Cyclophosphamide
Phase I

MedlinePlus related topics: Cancer Leukemia, Adult Acute Leukemia, Adult Chronic Leukemia, Childhood
Drug Information available for: Cyclophosphamide Sorafenib Sorafenib tosylate Bevacizumab
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title: Phase I Study of Bevacizumab and Sorafenib Combined With Low Dose Cyclophosphamide in Patients With Refractory Solid Tumors and Leukemia

Further study details as provided by St. Jude Children's Research Hospital:

Primary Outcome Measures:
  • Determine the maximum tolerated dose and dose limiting toxicity of bevacizumab and sorafenib administered in combination with low dose cyclophosphamide to patients with refractory solid tumors. [ Time Frame: 3 years ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Estimate the response rate, within the confines of a phase I study, to bevacizumab and sorafenib administered in combination with low dose cyclophosphamide in patients with refractory solid tumors and leukemia. [ Time Frame: 3 years ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 30
Study Start Date: November 2007
Estimated Primary Completion Date: November 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1 Drug: Bevacizumab
Bevacizumab starting dose of 5 mg/kg every 3 weeks increasing in combination with Sorafenib and Cyclophosphamide until maximum tolerated dose
Drug: Sorafenib
Sorafenib 90 mg/m2 PO every 12 hours increasing in combination with Bevacizumab and Cyclophosphamide until maximum tolerated dose
Drug: Cyclophosphamide
Cyclophosphamide 25 mg/m2 PO once daily increasing in combination with Bevacizumab and Sorafenib until maximum tolerated dose

Detailed Description:

Phase I Study of Bevacizumab and Sorafenib Combined with Low Dose Cyclophosphamide in Patients with Refractory Solid Tumors and Leukemia. Patients with solid tumors (excluding central nervous tumors) that are recurrent or refractory to standard therapy, or for whom standard therapy is not available. Once a maximum tolerated dose (MTD) has been established in patients with recurrent or refractory solid tumors, the tolerability of this dose will be tested in patients with refractory or recurrent leukemia. Approximately 21-24 patients with refractory solid tumors to define the maximum tolerated dose (MTD) and 6 patients with recurrent or refractory leukemia to test the tolerability of this MTD in patients with hematological malignancies. Bevacizumab will be administered intravenously at a starting dose of 5 mg/kg every 3 weeks with sorafenib by mouth daily at a starting dose of 90 mg/m2 every 12 hours and cyclophosphamide by mouth daily at a dose of 50 mg/m2/day (dose level 1). A course of therapy will be considered to be of 21 days duration. Once a maximum tolerated dose of sorafenib (sMTD) in combination with bevacizumab and cyclophosphamide has been determined, 6 patients with recurrent or refractory leukemia will be then be evaluated at the solid tumor MTD to test the tolerability of this combination in patients with hematological malignancies.

  Eligibility

Ages Eligible for Study:   up to 21 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Diagnosis: Solid tumors, including central nervous system tumors, that are recurrent or refractory to standard therapy or for which there is no standard therapy. Histologic verification of diagnosis is required.
  • Age: < 21 years of age at the time of original diagnosis
  • Life expectancy: at least 8 weeks
  • Performance status: Karnofsky > 50% for > 10 Lansky > 50% for children < 10 years of age.
  • Organ Function: Must have adequate organ and marrow function
  • Prior Therapy: Patient must have fully recovered from the acute toxic effects of all prior therapy prior to enrolling on study.
  • Must not have current or recent use of full-dose anticoagulants
  • Must not have received medications known to inhibit platelet function or known to selectively inhibit cyclooxygenase-2 (COX-2) activity
  • Bevacizumab and sorafenib should not be administered to pregnant women.
  • Pregnancy tests must be obtained in girls who are > 10 years of age or post-menarchal.
  • Males or females of reproductive potential may not participate unless they have agreed to use an effective contraceptive method.
  • Breast feeding should be discontinued if a mother wishes to participate in this study.
  • Patients with a documented, chronic non-healing wound, ulcer, or bone fracture or history of a major surgical procedure or significant traumatic injury within 28 days prior to beginning therapy should be excluded due to preclinical evidence supporting the potential for delayed wound healing.
  • Patients must not have a deep venous or arterial thrombosis (including pulmonary embolism) within the last three months prior to study entry, and must not have a known thrombophilic condition
  • Patients must not have a history of myocardial infarction, severe or unstable angina, or severe peripheral vascular disease.
  • Ability to understand and willingness of research participant or legal guardian/representative to give written informed consent.

Exclusion Criteria:

  • Body surface area < 0.3 m2
  • Presence of a known bleeding diathesis or coagulopathy
  • Patients with intra-tumoral central nervous system hemorrhage. Patients are required to have a head CT or MRI within 2 weeks of enrollment.
  • Patients with known hypersensitivity to other recombinant human antibodies
  • Patients who have an uncontrolled infection
  • Patients with recurrent or refractory leukemia will be excluded from the dose escalation component of the phase I trial.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00665990

Contacts
Contact: Fariba Navid, MD info@stjude.org

Locations
United States, Tennessee
St. Jude Children's Research Hospital Recruiting
Memphis, Tennessee, United States, 38105
Contact: Fariba Navid, MD         info@stjude.org    
Principal Investigator: Fariba Navid, MD            
Sponsors and Collaborators
St. Jude Children's Research Hospital
Investigators
Principal Investigator: Fariba Navid, MD St. Jude Children' Research Hospital
  More Information

Related Info  This link exits the ClinicalTrials.gov site

Responsible Party: St. Jude Children's Research Hospital ( Fariba Navid, MD )
Study ID Numbers: ANGIO1
Study First Received: April 22, 2008
Last Updated: December 9, 2008
ClinicalTrials.gov Identifier: NCT00665990  
Health Authority: United States: Institutional Review Board

Study placed in the following topic categories:
Leukemia
Bevacizumab
Cyclophosphamide
Sorafenib

Additional relevant MeSH terms:
Neoplasms by Histologic Type
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Growth Substances
Physiological Effects of Drugs
Enzyme Inhibitors
Protein Kinase Inhibitors
Angiogenesis Inhibitors
Immunosuppressive Agents
Pharmacologic Actions
Neoplasms
Therapeutic Uses
Myeloablative Agonists
Growth Inhibitors
Angiogenesis Modulating Agents
Antineoplastic Agents, Alkylating
Antirheumatic Agents
Alkylating Agents

ClinicalTrials.gov processed this record on January 16, 2009