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Monoclonal Antibody IMC-A12 and Doxorubicin in Treating Patients With Unresectable, Locally Advanced, or Metastatic Soft Tissue Sarcoma
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), July 2008
Sponsors and Collaborators: University of Chicago
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00720174
  Purpose

RATIONALE: Monoclonal antibodies, such as IMC-A12, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Drugs used in chemotherapy, such as doxorubicin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving monoclonal antibody IMC-A12 together with doxorubicin may kill more tumor cells.

PURPOSE: This phase I/II trial is studying the side effects and best dose of monoclonal antibody IMC-A12 given together with doxorubicin and to see how well they work in treating patients with unresectable, locally advanced, or metastatic soft tissue sarcoma.


Condition Intervention Phase
Adult Malignant Fibrous Histiocytoma of Bone
Sarcoma
Drug: cixutumumab
Drug: doxorubicin hydrochloride
Phase I
Phase II

MedlinePlus related topics: Cancer Soft Tissue Sarcoma
Drug Information available for: Doxorubicin Doxorubicin hydrochloride Immunoglobulins Globulin, Immune
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment
Official Title: A Phase ½ Study of Doxorubicin and A12 in Advanced Soft Tissue Sarcoma

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

Primary Outcome Measures:
  • Maximum tolerated dose of anti-IGF-1R recombinant monoclonal antibody IMC-A12 [ Designated as safety issue: Yes ]
  • Confirmed response rate (complete and partial response as defined by RECIST) of anti-IGF-1R recombinant monoclonal antibody IMC-A12 in combination with doxorubicin hydrochloride [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Progression-free and overall survival at 3 and 6 months [ Designated as safety issue: No ]
  • Changes in left ventricular ejection fraction levels from baseline as measured by MUGA scans after 2, 4, and 6 courses of combination therapy [ Designated as safety issue: Yes ]

Estimated Enrollment: 60
Study Start Date: June 2008
Estimated Primary Completion Date: May 2009 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • To determine the safety of anti-IGF-1R recombinant monoclonal antibody IMC-A12 in combination with doxorubicin hydrochloride in patients with unresectable, locally advanced, or metastatic soft tissue sarcoma.
  • To determine the toxicity of this regimen when administered at full doses in these patients.
  • To assess the confirmed response rate (i.e., complete and partial response) of patients treated with this regimen.

Secondary

  • To determine the progression-free survival rate at 3 and 6 months of patients treated with this regimen.
  • To assess the progression-free survival and overall survival of patients treated with this regimen.
  • To compare changes in LVEF assessed by MUGA scan after 2, 4, and 6 courses of therapy to baseline in these patients.

OUTLINE: This is a multicenter, dose-escalation study of anti-IGF-1R recombinant monoclonal antibody IMC-A12.

Patients receive anti-IGF-1R recombinant monoclonal antibody IMC-A12 IV over 1 hour on days 1, 8, and 15 and doxorubicin hydrochloride IV continuously over 44-52 hours beginning on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease may continue to receive anti-IGF-1R recombinant monoclonal antibody IMC-A12 in the absence of disease progression or unacceptable toxicity.

  Eligibility

Ages Eligible for Study:   16 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed soft tissue sarcoma

    • Unresectable disease
    • Locally advanced or metastatic disease
  • The following tumor types are not allowed:

    • Embryonal and alveolar rhabdomyosarcoma
    • Gastrointestinal stromal tumor
    • Alveolar soft part sarcoma
    • Clear cell sarcoma
  • Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques or ≥ 10 mm by spiral CT scan
  • No more than 1 prior therapy for sarcoma
  • No known brain metastases

PATIENT CHARACTERISTICS:

  • ECOG performance status (PS) 0-2 OR Karnofsky PS 60-100%
  • ANC ≥ 1,500/µL
  • Platelet count ≥ 100,000/µL
  • Leukocytes ≥ 3,000/µL
  • Total bilirubin ≤ upper limit of normal (ULN)
  • AST and ALT ≤ 2.5 times ULN
  • Creatinine ≤ 1.5 times ULN OR creatinine clearance ≥ 60 mL/min
  • Fasting serum glucose < 120 mg/dL OR below ULN
  • LVEF ≥ 50% by MUGA scan
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 3 months after the last dose of anti-IGF-1R recombinant monoclonal antibody IMC-A12
  • No history of allergic reactions attributed to compounds of similar chemical or biological composition to anti-IGF-1R recombinant monoclonal antibody IMC-A12
  • No poorly controlled diabetes mellitus

    • Patients with a history of diabetes mellitus are eligible provided their blood glucose is within normal range and they are on a stable dietary or therapeutic regimen for this condition
  • No concurrent uncontrolled illness including, but not limited to, any of the following:

    • Ongoing or active infection
    • Symptomatic congestive heart failure
    • Unstable angina pectoris
    • Cardiac arrhythmia
    • Psychiatric illness or social situation that would preclude compliance with study requirements

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • Recovered from all prior therapy
  • More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin C)
  • More than 4 weeks since prior major surgery, hormonal therapy (other than replacement), or radiotherapy

    • No prior radiotherapy to the heart, mediastinum, or chest wall
  • No prior anthracycline therapy or anti-IGF-1R therapy
  • No other concurrent investigational or commercial agents or therapies
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00720174

Locations
United States, Illinois
Cardinal Bernardin Cancer Center at Loyola University Medical Center Recruiting
Maywood, Illinois, United States, 60153-5500
Contact: Patrick J. Stiff, MD     708-327-3300        
Central Illinois Hematology Oncology Center Recruiting
Springfield, Illinois, United States, 62701
Contact: Edem S. Agamah, MD, MS     217-525-2500     ihdn@aol.com    
Decatur Memorial Hospital Cancer Care Institute Recruiting
Decatur, Illinois, United States, 62526
Contact: James L. Wade, MD     217-876-6600        
Evanston Northwestern Healthcare - Evanston Hospital Recruiting
Evanston, Illinois, United States, 60201-1781
Contact: Clinical Trials Office - Evanston Northwestern Healthcare - Ev     847-570-1381        
Ingalls Cancer Care Center at Ingalls Memorial Hospital Recruiting
Harvey, Illinois, United States, 60426
Contact: Mark F. Kozloff, MD     708-339-4800     mfkozloff@aol.com    
Joliet Oncology-Hematology Associates, Limited - West Recruiting
Joliet, Illinois, United States, 60435
Contact: Sanjiv S. Modi, MD     815-730-3098     smod@jolietoncology.com    
Oncology Hematology Associates of Central Illinois, PC - Peoria Recruiting
Peoria, Illinois, United States, 61615-7828
Contact: Sachdev P. Thomas, MD     309-243-3605     sthomas@ohaci.com    
University of Chicago Cancer Research Center Recruiting
Chicago, Illinois, United States, 60637-1470
Contact: Everett E. Vokes, MD     773-702-9306     evokes@medicine.bsd.uchicago.edu    
United States, Indiana
CCOP - Northern Indiana CR Consortium Recruiting
South Bend, Indiana, United States, 46601
Contact: David A. Taber, MD     574-647-7370        
Fort Wayne Medical Oncology and Hematology Recruiting
Fort Wayne, Indiana, United States, 46885-5099
Contact: Sreenivasa R. Nattam, MD     260-484-8830     ledgar@fwmoh.com    
Howard Community Hospital Recruiting
Kokomo, Indiana, United States, 46904-9011
Contact: Naftali Bechar, MD     765-453-8571     naftalibechar@yahoo.com    
United States, Maryland
Greenebaum Cancer Center at University of Maryland Medical Center Recruiting
Baltimore, Maryland, United States, 21201
Contact: Clinical Trials Office - Greenebaum Cancer Center at Universit     800-888-8823        
United States, Michigan
Oncology Care Associates, PLLC Recruiting
Saint Joseph, Michigan, United States, 49085
Contact: Eric P. Lester, MD     269-985-0029        
University of Michigan Comprehensive Cancer Center Recruiting
Ann Arbor, Michigan, United States, 48109-0640
Contact: Rashmi Chugh, MD     734-936-0453     rashmim@umich.edu    
United States, Missouri
David C. Pratt Cancer Center at St. John's Mercy Recruiting
Saint Louis, Missouri, United States, 63141
Contact: Clinical Trials Office - David C. Pratt Cancer Center at St. J     314-251-6770        
United States, New York
Memorial Sloan-Kettering Cancer Center Recruiting
New York, New York, United States, 10021-6007
Contact: Robert Maki, MD, PhD     212-639-5720        
United States, South Carolina
Hollings Cancer Center at Medical University of South Carolina Recruiting
Charleston, South Carolina, United States, 29425
Contact: Andrew S. Kraft, MD     843-792-8284        
United States, Wisconsin
Medical College of Wisconsin Cancer Center Recruiting
Milwaukee, Wisconsin, United States, 53226
Contact: Clinical Trials Office - Medical College of Wisconsin Cancer C     414-805-4380        
Sponsors and Collaborators
University of Chicago
Investigators
Principal Investigator: Rashmi Chugh, MD University of Michigan Cancer Center
  More Information

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

Study ID Numbers: CDR0000600157, UCCRC-16227A
Study First Received: July 19, 2008
Last Updated: December 2, 2008
ClinicalTrials.gov Identifier: NCT00720174  
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
recurrent adult soft tissue sarcoma
stage III adult soft tissue sarcoma
stage IV adult soft tissue sarcoma
metastatic childhood soft tissue sarcoma
recurrent childhood soft tissue sarcoma
adult angiosarcoma
childhood angiosarcoma
adult desmoplastic small round cell tumor
adult epithelioid sarcoma
adult extraskeletal chondrosarcoma
adult extraskeletal osteosarcoma
adult leiomyosarcoma
adult liposarcoma
adult malignant fibrous histiocytoma of bone
adult malignant hemangiopericytoma
adult malignant mesenchymoma
adult neurofibrosarcoma
adult rhabdomyosarcoma
adult synovial sarcoma
dermatofibrosarcoma protuberans
mixed childhood rhabdomyosarcoma
pleomorphic childhood rhabdomyosarcoma
previously treated childhood rhabdomyosarcoma
previously untreated childhood rhabdomyosarcoma
recurrent childhood rhabdomyosarcoma
childhood desmoplastic small round cell tumor
childhood epithelioid sarcoma
childhood fibrosarcoma
childhood leiomyosarcoma
childhood liposarcoma

Study placed in the following topic categories:
Fibrosarcoma
Histiocytoma, Malignant Fibrous
Histiocytoma, Benign Fibrous
Leiomyosarcoma
Malignant mesenchymal tumor
Epithelioid sarcoma
Osteogenic sarcoma
Soft tissue sarcomas
Antibodies, Monoclonal
Sarcoma, Synovial
Neoplasms, Connective and Soft Tissue
Dermatofibrosarcoma protuberans
Chondrosarcoma
Desmoplastic small round cell tumor
Immunoglobulins
Rhabdomyosarcoma
Synovial sarcoma
Osteosarcoma
Hemangiosarcoma
Hemangiopericytoma
Dermatofibrosarcoma
Recurrence
Doxorubicin
Antibodies
Liposarcoma
Histiocytoma
Sarcoma
Malignant fibrous histiocytoma

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Histologic Type
Antineoplastic Agents
Therapeutic Uses
Neoplasms, Connective Tissue
Antibiotics, Antineoplastic
Neoplasms, Fibrous Tissue
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009