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Lenalidomide and Docetaxel in Treating Patients With Advanced Solid Tumors
This study has been completed.
Sponsors and Collaborators: Case Comprehensive Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00253344
  Purpose

RATIONALE: Lenalidomide may stop the growth of tumor cells by blocking blood flow to the tumor. Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving lenalidomide together with docetaxel may kill more tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of lenalidomide when given together with docetaxel in treating patients with advanced solid tumors.


Condition Intervention Phase
Unspecified Adult Solid Tumor, Protocol Specific
Drug: docetaxel
Drug: lenalidomide
Phase I

MedlinePlus related topics: Cancer
Drug Information available for: Docetaxel Lenalidomide CC 5013
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment
Official Title: Phase I Trial of Daily Lenalidomide (CC-5013, Revlimid™) and Docetaxel Given Every Three Weeks in Patients With Advanced Solid Tumors

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

Primary Outcome Measures:
  • Maximum tolerated dose measured at end of phase I [ Designated as safety issue: Yes ]
  • Dose-limiting toxicity measured after every course [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Disease response measured after every 2 courses [ Designated as safety issue: No ]

Estimated Enrollment: 30
Study Start Date: June 2004
Primary Completion Date: June 2008 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Determine the dose-limiting toxicity and maximum tolerated dose of lenalidomide when given in combination with docetaxel in patients with advanced solid tumors.

Secondary

  • Determine the safety of this regimen in these patients.
  • Determine the objective tumor response in patients treated with this regimen.
  • Determine the time to progression in patients treated with this regimen.

OUTLINE: This is a multicenter, dose-escalation study of lenalidomide.

Patients receive oral lenalidomide on days 1-14 and docetaxel IV over 1 hour on day 1. Courses repeat every 21 days until disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of lenalidomide until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose limiting toxicity.

PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.

  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

    • Advanced disease
    • Refractory to standard therapy OR no standard therapy exists
  • Measurable or evaluable disease
  • No active brain metastases

    • Previously treated (e.g., surgery or radiotherapy) brain metastases are allowed provided they are currently asymptomatic and inactive by CT scan or MRI

PATIENT CHARACTERISTICS:

Performance status

  • ECOG 0-2

Life expectancy

  • At least 4 months

Hematopoietic

  • Absolute neutrophil count ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3
  • Hemoglobin ≥ 8 g/dL

Hepatic

  • Bilirubin normal
  • Meets 1 of the following criteria:

    • Alkaline phosphatase (AP) normal AND AST or ALT ≤ 5 times upper limit of normal (ULN)
    • AP ≤ 2.5 times ULN AND AST or ALT ≤ 1.5 times ULN
    • AP ≤ 5 times ULN AND AST or ALT normal

Renal

  • Creatinine ≤ 2 mg/dL

Cardiovascular

  • No New York Heart Association class III or IV heart disease

Immunologic

  • No prior desquamating rash or ≥ grade 2 allergic reaction while receiving thalidomide
  • No history of hypersensitivity to docetaxel or other drugs formulated in polysorbate 80
  • No history of allergic reaction to compounds of similar chemical or biologic composition to study drugs

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No other uncontrolled illness or other condition that would preclude study compliance
  • No peripheral neuropathy ≥ grade 2

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • No concurrent hematopoietic growth factors during course 1 of study treatment
  • No concurrent immunotherapy

Chemotherapy

  • At least 6 weeks since prior mitomycin or nitrosoureas

    • No more than 2 prior courses of mitomycin
  • No other concurrent chemotherapy

Radiotherapy

  • No prior pelvic radiotherapy

Other

  • At least 4 weeks since prior anticancer therapy
  • No concurrent warfarin for anticoagulation (heparin is allowed)
  • Recovered from all prior treatment
  • No other concurrent anticancer therapy except bisphosphonates
  • No other concurrent investigational agents
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00253344

Locations
United States, Ohio
Case Comprehensive Cancer Center
Cleveland, Ohio, United States, 44106-5065
Sponsors and Collaborators
Case Comprehensive Cancer Center
Investigators
Study Chair: Matthew M. Cooney, MD Case Comprehensive 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: CDR0000450975, CASE-2Y04, AVENTIS-CASE-2Y04, CELGENE-CASE-2Y04
Study First Received: November 11, 2005
Last Updated: December 16, 2008
ClinicalTrials.gov Identifier: NCT00253344  
Health Authority: United States: Federal Government

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

Study placed in the following topic categories:
Docetaxel
Lenalidomide

Additional relevant MeSH terms:
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 14, 2009