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Pazopanib In Combination With Lapatinib In Adult Patients With Relapsed Malignant Glioma
This study is currently recruiting participants.
Verified by GlaxoSmithKline, October 2008
Sponsored by: GlaxoSmithKline
Information provided by: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00350727
  Purpose

This study is being conducted to characterize the safety/tolerability of pazopanib and lapatinib when administered in combination with enzyme-inducing anticonvulsants in patients with recurrent Grade III or IV malignant gliomas.


Condition Intervention Phase
Glioma
Malignant Disease
Drug: pazopanib
Drug: lapatinib
Phase II

Drug Information available for: Lapatinib Lapatinib Ditosylate Pazopanib
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Pharmacokinetics Study
Official Title: Phase I and II, Open-Label, Multi-Center Trials of Pazopanib in Combination With Lapatinib in Adult Patients With Relapsed Malignant Glioma

Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • Adverse events Changes in vital signs Changes in laboratory values.

Secondary Outcome Measures:
  • Phase I: Pharmacokinetic parameters including AUC(0-24), [AUC(0-12) for patients on twice daily administration], Cmax, the time to maximum observed concentration (tmax) and C24 of pazopanib and lapatinib when administered in combination with EIAC.
  • Phase II: Pharmacokinetic parameters including AUC(0-24), [AUC(0-12) for patients on twice daily administration], Cmax, tmax, and C24 of pazopanib and lapatinib, as appropriate, when administered together in combination with non-EIAC.
  • Phase II: Plasma concentrations of the circulating biomarkers VEGF, sVEGFR-1, and sVEGFR-2.

Estimated Enrollment: 105
Study Start Date: December 2006
Estimated Study Completion Date: June 2009
Estimated Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
  Eligibility

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

Inclusion criteria:

Phase I

  • Patients are on EIAC for a minimum of 15 days. Patients may be on more than one AC. At least one of the ACs must be an EIAC.
  • Patients with anaplastic astrocytoma, anaplastic oligodendroglioma, mixed anaplastic oligoastrocytoma, glioblastoma multiforme, or gliosarcoma at recurrence
  • Patients whose diagnostic pathology confirmed these pathologies will not need re-biopsy
  • Patients with prior low-grade glioma are eligible if histologic assessment demonstrates transformation to Grade III or IV malignant glioma Phase II
  • Patients must have histologically confirmed glioblastoma multiforme or gliosarcoma in first or second recurrence.
  • Patients may not have received more than two prior cytotoxic chemotherapy containing regimen.
  • Patients must not have received prior treatment with VEGFR, ErbB1, ErbB2 inhibitors including but not limited to PTK-787, Sorafenib, Sutent, Tarceva, Iressa, Erbitux, and Herceptin. Prior Avastin therapy is permitted provided three months has elapsed before Day 1, Treatment Period 1.
  • Tumor tissue must be analyzed for PTEN and EGFRvIII prior to dosing.
  • Patients with prior low-grade glioma are eligible if histologic assessment demonstrates transformation to Grade IV malignant glioma.
  • Patients must not be on an EIAC. NOTE: Once the OTR in Phase I is determined and all patients in the expanded cohort have completed 1 treatment period then patients on EIAC may be enrolled in the Phase II component of the study.

Phase I and II

  • Male or female, age at least 18 years of age.
  • ECOG 0 to 1 as per protocol.
  • Clinical lab results as per protocol
  • Has a left ventricular ejection fraction (LVEF) at least 50% based on ECHO or MUGA or within the institutional normal range.
  • Adequate renal function
  • Creatinine clearance more than 50 mL/min as calculated by the Cockcroft-Gault formula as per protocol.
  • Urine Protein Creatinine (UPC) ratio of less than or equal to 1 as per protocol.
  • Able to swallow and retain oral medications.
  • A woman is eligible to enter and participate in the study if she is of:

    - Non-childbearing potential (i.e., physiologically incapable of becoming pregnant), including any female who:

  • Has had a hysterectomy,
  • Has had a bilateral oophorectomy (ovariectomy),
  • Has had a bilateral tubal ligation,
  • Is post-menopausal (total cessation of menses for at least 1 year)

    - Childbearing potential, has a negative serum pregnancy test at screening, and agrees to use adequate contraception. Acceptable contraceptive methods, when used consistently and in accordance with both the product label and the instructions of the physician, are as follows:

  • An intrauterine device (IUD) with a documented failure rate of less than 1% per year.
  • Vasectomized partner who is sterile prior to the female patient's entry and is the sole sexual partner for that female.
  • Double-barrier contraception (condom with spermicidal jelly, foam suppository, or film; diaphragm with spermicide; or male condom and diaphragm with spermicide).
  • A man with a female partner of childbearing potential is eligible to enter and participate in the study if he uses a barrier method of contraception or abstinence during the study.
  • If sexually active, patients will continue the recommended contraceptive measures for the duration of the treatments and for 28 days following discontinuation of therapy.
  • Signed informed consent approved by the Institutional Review Board prior to patient entry.

Exclusion criteria:

  • Poorly controlled hypertension as per protocol. NOTE: Initiation or adjustment of BP medication is permitted prior to study entry provided that patient has two consecutive BP readings less than 140/90 mmHg each separated by a minimum of 24 hrs. These readings need to be collected prior to enrolment.
  • Concurrent severe and/or uncontrolled medical disease (e.g. uncontrolled diabetes, congestive cardiac failure, poorly controlled hypertension, history of labile hypertension, history of poor compliance with antihypertensive regimen, chronic renal disease, or active uncontrolled infection) that could compromise participation in the study.
  • History of myocardial infarction, admission for unstable angina, cardiac angioplasty or stenting within three months of Day 1, Treatment Period 1.
  • Has Class III or IV heart failure as defined by the New York Heart Association (NYHA) functional classification system as per protocol.
  • QTc prolongation defined as a QTc interval greater than or equal to 470 milliseconds.
  • History of venous or arterial thrombosis within 3 months of Day 1, Treatment Period 1.
  • Current use of therapeutic warfarin. NOTE: both low molecular weight heparin and prophylactic low-dose warfarin are permitted; however, PT/PTT must meet above inclusion criteria.
  • Excessive risk of bleeding as defined by stroke within the prior 6 months, history of CNS or intraocular bleed, or septic endocarditis.
  • Evidence of intratumor hemorrhage on pretreatment diagnostic imaging, except for stable post-operative Grade 1 hemorrhage.
  • Active systemic bleeding, such as gastrointestinal bleeding or gross hematuria.
  • Female patients who are pregnant or breast feeding.
  • Acute or chronic liver disease (i.e., hepatitis, cirrhosis).
  • Patients who received investigational drugs less than 21days prior to Day 1, Treatment Period 1, or who have not recovered from the toxic effects of such therapy.
  • Patients who received chemotherapy less than or equal to 21days prior (6 weeks for prior nitrosourea or mitomycin C) to Day 1, Treatment Period 1, or who have not recovered from the toxic effects of such therapy.
  • Patients who received radiation therapy less than or equal to 12 weeks prior to Day 1, Treatment Period 1, or who have not recovered from the toxic effects of such therapy as per protocol.
  • Patients who received biologic, immunotherapeutic or cytostatic agents less than or equal to 14 days prior to Day 1, Treatment Period 1, or who have not recovered from the toxic effects of such therapy.
  • Patient is less than 3 years free of another primary malignancy except: if the other primary malignancy is not currently clinically significant or requiring active intervention. Patients with a history of completely resected non-melanoma skin cancer or successfully treated in situ carcinoma are eligible.
  • Surgical resection of brain tumor or any other surgery less than or equal to 21 days prior to Day 1, Treatment Period 1, or who have not recovered from side effects of such a procedure. Patients who undergo stereotactic biopsy less than or equal to 14 days prior to Day 1 of Treatment Period 1, or who have not recovered from side effects of such a procedure.
  • Patients with any Grade of intraparenchymal CNS hemorrhage. Exceptions include Grade 1 intraparenchymal hemorrhage in the immediate post-operative period, or Grade 1 intraparenchymal hemorrhage that has been stable for at least 3 months.
  • Patients unwilling to or unable to comply with the protocol.
  • Any serious and/or unstable pre-existing medical, psychiatric, or other condition (including lab abnormalities) that could interfere with patient safety or obtaining informed consent.
  • History of malabsorption syndrome, disease significantly affecting gastrointestinal function or major resection of the stomach or small bowel that could affect absorption, distribution, metabolism or excretion of study drugs. Has any unresolved bowel obstruction or diarrhea.
  • Psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol.
  • Is on any specifically prohibited medication or requires any of these medications during treatment.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00350727

Contacts
Contact: US GSK Clinical Trials Call Center 877-379-3718

Locations
United States, Alabama
GSK Investigational Site Completed
Birmingham, Alabama, United States, 35294
United States, California
GSK Investigational Site Withdrawn
San Francisco, California, United States, 94115
United States, Florida
GSK Investigational Site Withdrawn
Tampa, Florida, United States, 33612-9497
United States, Georgia
GSK Investigational Site Withdrawn
Atlanta, Georgia, United States, 30322
United States, Illinois
GSK Investigational Site Recruiting
Chicago, Illinois, United States, 60611
United States, Massachusetts
GSK Investigational Site Completed
Boston, Massachusetts, United States, 02115
United States, Michigan
GSK Investigational Site Recruiting
Detroit, Michigan, United States, 48202
United States, New York
GSK Investigational Site Completed
New York, New York, United States, 10032
United States, North Carolina
GSK Investigational Site Recruiting
Durham, North Carolina, United States, 27710
United States, Ohio
GSK Investigational Site Completed
Cleveland, Ohio, United States, 44195
United States, Pennsylvania
GSK Investigational Site Withdrawn
Philadelphia, Pennsylvania, United States, 19104
United States, Texas
GSK Investigational Site Recruiting
Houston, Texas, United States, 77030-4009
India
GSK Investigational Site Withdrawn
Mumbai, India, 400012
United Kingdom, Surrey
GSK Investigational Site Recruiting
Sutton, Surrey, United Kingdom, SM2 5PT
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials, MD GlaxoSmithKline
  More Information

Responsible Party: GSK ( Study Director )
Study ID Numbers: VEG102857
Study First Received: July 10, 2006
Last Updated: October 15, 2008
ClinicalTrials.gov Identifier: NCT00350727  
Health Authority: United States: Food and Drug Administration;   European Union: European Medicines Agency;   United States: Food and Drug Administration

Keywords provided by GlaxoSmithKline:
Pazopanib
glioblastoma
lapatinib
relapsed

Study placed in the following topic categories:
Neuroectodermal Tumors
Glioblastoma
Neoplasms, Germ Cell and Embryonal
Neuroepithelioma
Lapatinib
Glioma
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Neoplasms, Nerve Tissue
Enzyme Inhibitors
Neoplasms, Neuroepithelial
Protein Kinase Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 14, 2009