Imatinib Mesylate in Treating Patients With Salivary Gland Cancer - Full Text View

Sponsors and Collaborators:	Princess Margaret Hospital, Canada National Cancer Institute (NCI)
Information provided by:	National Cancer Institute (NCI)
ClinicalTrials.gov Identifier:	NCT00045669

Purpose

RATIONALE: Imatinib mesylate may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth.

PURPOSE: Phase II trial to study the effectiveness of imatinib mesylate in treating patients who have unresectable and/or metastatic salivary gland cancer.

Condition	Intervention	Phase
Head and Neck Cancer	Drug: imatinib mesylate	Phase II

MedlinePlus related topics: Cancer Head and Neck Cancer Salivary Gland Disorders Tonsils and Adenoids

Drug Information available for: Imatinib Imatinib mesylate

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Open Label
Official Title:	A Phase 2 Study Of Imatinib Mesylate In Adenoid Cystic, Lymphoepithelioma-Like And Myoepithelial Salivary Gland Carcinomas

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

Study Start Date:

July 2002

Detailed Description:

OBJECTIVES:

Determine the antitumor activity of imatinib mesylate, in terms of objective response rates (partial and complete responses) and duration of overall response, in patients with unresectable and/or metastatic adenoid cystic, lymphoepithelioma-like, or myoepithelial salivary gland cancer.
Determine the safety and tolerability of this drug in these patients.
Correlate the activity of c-kit and downstream kinases in pre- and post-treatment tumoral biopsies with clinical course in patients treated with this drug.
Determine the effect of treatment with this drug on tumor samples from these patients in terms of proliferation, apoptosis, and angiogenesis.
Correlate the steady state levels of this drug achieved with clinical and laboratory correlative endpoints in these patients.
Determine whether early changes in metabolic activity correlate with molecular changes and predict outcome to therapy in these patients.

OUTLINE: This is a multicenter study.

Patients receive oral imatinib mesylate twice daily. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients with stable disease receive treatment for up to 6 months.

Patients are followed within 3 weeks and then every 3 months thereafter.

PROJECTED ACCRUAL: A total of 12-37 patients will be accrued for this study within 6-19 months.

Eligibility

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

Criteria

DISEASE CHARACTERISTICS:

Histologically or cytologically confirmed adenoid cystic, lymphoepithelioma-like, or myoepithelial salivary gland cancer
- Unresectable AND/OR
- Radiologically documented metastatic disease
c-kit positive tumor (1+, 2+, or 3+)
At least 1 unidimensionally measurable lesion
- More than 20 mm by conventional techniques OR
- More than 10 mm by spiral CT scan
No known brain metastases

PATIENT CHARACTERISTICS:

Age

18 and over

Performance status

ECOG 0-2

Life expectancy

More than 12 weeks

Hematopoietic

Absolute neutrophil count greater than 1,500/mm3
Platelet count greater than 100,000/mm3

Hepatic

Bilirubin less than 1.25 times upper limit of normal (ULN)
AST/ALT less than 2.5 times ULN

Renal

Creatinine less than 1.25 times ULN OR
Creatinine clearance greater than 50 mL/min

Cardiovascular

No myocardial infarction within the past 6 months
No congestive heart failure
No unstable angina
No active cardiomyopathy
No unstable ventricular arrhythmias
No uncontrolled hypertension

Other

Not pregnant or nursing
Negative pregnancy test
Fertile patients must use effective barrier contraception during and for 3 months after study
No other active malignancy within the past 5 years except adequately treated carcinoma in situ of the cervix or non-melanomatous skin cancer
No uncontrolled psychotic disorders
No serious infections
No active peptic ulcer disease
No other serious medical condition that would preclude study
No prior allergy to compounds of similar chemical or biologic composition as imatinib mesylate

PRIOR CONCURRENT THERAPY:

Biologic therapy

No concurrent filgrastim (G-CSF)

Chemotherapy

At least 4 weeks since prior chemotherapy and recovered
No concurrent chemotherapy

Endocrine therapy

Not specified

Radiotherapy

At least 4 weeks since prior radiotherapy and recovered
No concurrent radiotherapy to sites of measurable disease

Surgery

At least 4 weeks since prior surgery and recovered

Other

No other concurrent investigational agents
No concurrent therapeutic warfarin
- Mini-dose warfarin for prophylaxis or low-molecular weight heparin allowed
No concurrent erythromycin
No concurrent acetaminophen doses exceeding 3 g/day

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00045669

Locations

United States, Illinois
Central Illinois Hematology Oncology Center
Springfield, Illinois, United States, 62701
Decatur Memorial Hospital Cancer Care Institute
Decatur, Illinois, United States, 62526
Evanston Northwestern Health Care - Evanston Hospital
Evanston, Illinois, United States, 60201
Loyola University Medical Center
Maywood, Illinois, United States, 60153
LaGrange Memorial Hospital
LaGrange, Illinois, United States, 60525
Louis A. Weiss Memorial Hospital
Chicago, Illinois, United States, 60640
Ingalls Memorial Hospital
Harvey, Illinois, United States, 60426
Oncology/Hematology Associates of Central Illinois, P.C.
Peoria, Illinois, United States, 61602
University of Chicago Cancer Research Center
Chicago, Illinois, United States, 60637-1470
United States, Indiana
CCOP - Northern Indiana CR Consortium
South Bend, Indiana, United States, 46601
Fort Wayne Medical Oncology and Hematology, Incorporated
Fort Wayne, Indiana, United States, 46885-5099
United States, Michigan
Lakeland Medical Center - St. Joseph
Saint Joseph, Michigan, United States, 49085
United States, Missouri
Siteman Cancer Center
Saint Louis, Missouri, United States, 63110
United States, Wisconsin
University of Wisconsin Comprehensive Cancer Center
Madison, Wisconsin, United States, 53792-6164
Canada, Ontario
Cancer Care Ontario-Hamilton Regional Cancer Centre
Hamilton, Ontario, Canada, L8V 5C2

Sponsors and Collaborators

Princess Margaret Hospital, Canada

National Cancer Institute (NCI)

Investigators

Study Chair:

George P. Browman, MD

Margaret and Charles Juravinski Cancer Centre

More Information

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

Publications of Results:

Hotte SJ, Winquist EW, Lamont E, MacKenzie M, Vokes E, Chen EX, Brown S, Pond GR, Murgo A, Siu LL. Imatinib mesylate in patients with adenoid cystic cancers of the salivary glands expressing c-kit: a Princess Margaret Hospital phase II consortium study. J Clin Oncol. 2005 Jan 20;23(3):585-90.

Study ID Numbers:	CDR0000257029, PMH-PHL-009, NCI-5663
Study First Received:	September 6, 2002
Last Updated:	July 23, 2008
ClinicalTrials.gov Identifier:	NCT00045669
Health Authority:	United States: Federal Government

Keywords provided by National Cancer Institute (NCI):

recurrent salivary gland cancer
salivary gland adenoid cystic carcinoma
stage III salivary gland cancer
stage IV salivary gland cancer

Study placed in the following topic categories:

Imatinib
Mouth Diseases
Carcinoma, Adenoid Cystic
Oral cancer
Head and Neck Neoplasms
Stomatognathic Diseases

Mouth Neoplasms
Salivary Gland Diseases
Adenoid cystic carcinoma
Recurrence
Salivary Gland Neoplasms
Carcinoma

Additional relevant MeSH terms:

Neoplasms
Neoplasms by Site
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents

Therapeutic Uses
Enzyme Inhibitors
Protein Kinase Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009