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Topotecan in Treating Patients With Metastatic or Unresectable Solid Tumors
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), November 2008
Sponsored by: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00182676
  Purpose

RATIONALE: Topotecan may stop the growth of solid tumors by blocking blood flow to the tumor.

PURPOSE: This phase I trial is studying how well topotecan works in treating patients with metastatic or unresectable solid tumors.


Condition Intervention Phase
Unspecified Adult Solid Tumor, Protocol Specific
Drug: topotecan hydrochloride
Phase I

MedlinePlus related topics: Cancer
Drug Information available for: Topotecan hydrochloride Topotecan
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment
Official Title: A Pilot Trial of Oral Topotecan for the Treatment of Refractory Advanced Solid Neoplasms Expressing HIF-1α

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

Primary Outcome Measures:
  • Modulation of hypoxia inducible factor-1α expression at baseline, week 2, and week 6 [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Tumor response by CT scan at baseline and week 8 [ Designated as safety issue: No ]
  • Tumor metabolism and angiogenesis by DCE-MRI at baseline, week 2, and week 6 [ Designated as safety issue: No ]

Estimated Enrollment: 20
Study Start Date: July 2005
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Determine whether chronic administration of topotecan inhibits hypoxia inducible factor-1α (HIF-1α) in patients with metastatic or unresectable solid tumors expressing HIF-1α.

Secondary

  • Determine tumor angiogenesis using dynamic contrast-enhanced MRI in patients treated with this drug.
  • Determine the pharmacokinetics of this drug in these patients.
  • Determine tumor response in patients treated with this drug.

OUTLINE: This is a pilot study.

Patients receive oral topotecan once daily on days 1-5 and 8-12. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients who are in remission are followed every 3 months until the start of salvage therapy.

PROJECTED ACCRUAL: A total of 13-20 patients will be accrued for this study within 2 years.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically confirmed solid tumor

    • Metastatic or unresectable disease
    • Progressive disease after prior standard therapy OR no standard therapy exists
  • Hypoxia inducible factor-1α (HIF-1α)-expressing tumor by immunohistochemistry, defined as > 10% of cells staining positive for HIF-1α
  • Tumor accessible by biopsy with minimal or small amount of risk to the patient
  • No known brain metastases

    • Previously treated brain metastases that have remained stable for ≥ 4 months without steroids or antiseizure medication allowed at the discretion of the investigator

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • ECOG 0-2 OR
  • Karnofsky 60-100%

Life expectancy

  • More than 3 months

Hematopoietic

  • WBC ≥ 3,000/mm^3
  • Absolute neutrophil count ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3

Hepatic

  • AST and ALT ≤ 2.5 times upper limit of normal (ULN)
  • Bilirubin ≤ 1.5 times ULN
  • PT and PTT ≤ 1.5 times ULN

Renal

  • Creatinine ≤ 1.5 mg/dL OR
  • Creatinine clearance ≥ 50 mL/min

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No known HIV positivity
  • No known immune deficiency syndrome
  • No history of allergic reaction attributed to compounds of similar chemical or biologic composition to topotecan or to any component of the topotecan formulation
  • No active peptic ulcer or gastrointestinal condition that could alter absorption or motility
  • No other unstable medical illness

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • More than 4 weeks since prior anticancer vaccines

Chemotherapy

  • More than 4 weeks since prior anticancer chemotherapy (6 weeks for nitrosoureas, mitomycin, or UCN-01)
  • No concurrent chemotherapy

Endocrine therapy

  • More than 4 weeks since prior anticancer hormonal therapy except gonadotropin-releasing hormone agonists
  • Concurrent androgen suppression for the treatment of prostate cancer allowed

Radiotherapy

  • More than 4 weeks since prior anticancer radiotherapy

Surgery

  • Not specified

Other

  • Recovered from prior therapy
  • No prior topotecan
  • At least 2 weeks since prior and no other concurrent investigational agents administered as part of a phase 0 study
  • No concurrent herbal or alternative medications except a single daily multivitamin
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00182676

Locations
United States, Maryland
Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office Recruiting
Bethesda, Maryland, United States, 20892-1182
Contact: Clinical Trials Office - Warren Grant Magnusen Clinical Center     888-NCI-1937        
Sponsors and Collaborators
Investigators
Study Chair: Giovanni Melillo, MD National Cancer Institute - Frederick
Principal Investigator: Shivaani Kummar, MD NCI - Medical Oncology Branch
  More Information

Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
Featured trial article  This link exits the ClinicalTrials.gov site
Web site for additional information  This link exits the ClinicalTrials.gov site

Study ID Numbers: CDR0000439524, NCI-05-C-0186
Study First Received: September 15, 2005
Last Updated: December 11, 2008
ClinicalTrials.gov Identifier: NCT00182676  
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
unspecified adult solid tumor, protocol specific

Study placed in the following topic categories:
Topotecan

Additional relevant MeSH terms:
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Enzyme Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 15, 2009