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Topotecan Liposomes Injection for Small Cell Lung Cancer (SCLC), Ovarian Cancer and Other Advanced Solid Tumors
This study is currently recruiting participants.
Verified by Hana Biosciences, Inc, October 2008
Sponsored by: Hana Biosciences, Inc
Information provided by: Hana Biosciences, Inc
ClinicalTrials.gov Identifier: NCT00765973
  Purpose

A multi-center, open-label, two-arm, dose-escalation study to establish the safety, tolerability, MTD, and schedule of TLI administered intravenously as a 30 minute infusion in adult subjects with advanced solid tumors that have relapsed, are refractory to standard therapy, or for whom there is no standard therapy available.

The two dosing regimens to be evaluated are:

  • Arm A: TLI dose on Days 1 and 8 of a 21-day treatment cycle (Starting dose: 1 mg/m2)
  • Arm B: TLI dose on Day 1 of a 21-day treatment cycle (Starting dose: 2 mg/m2)

When one of the two arms reaches MTD, all future subjects will then be enrolled in the remaining study arm until MTD of that arm is reached.


Condition Intervention Phase
Small Cell Lung Cancer
Ovarian Cancer
Solid Tumors
Drug: Topotecan Liposomes Injection (TLI)
Phase I

MedlinePlus related topics: Cancer Lung Cancer Ovarian Cancer
Drug Information available for: Topotecan hydrochloride Topotecan
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety Study
Official Title: A Phase 1 Study of Topotecan Liposomes Injection (TLI) in Subjects With Small Cell Lung Cancer (SCLC), Ovarian Cancer and Other Advanced Solid Tumors

Further study details as provided by Hana Biosciences, Inc:

Primary Outcome Measures:
  • Evaluate the safety, tolerability and maximum tolerated dose of 2 different dosing schedules of TLI administered intravenously [ Time Frame: 21 days following initial dose ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Assess the pharmacokinetic profile of TLI [ Time Frame: 21 Day Cycle ] [ Designated as safety issue: No ]

Estimated Enrollment: 50
Study Start Date: September 2008
Estimated Study Completion Date: September 2009
Estimated Primary Completion Date: September 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Experimental
Arm A: TLI dose on Days 1 and 8 of a 21-day treatment cycle (Starting dose: 1 mg/m2)
Drug: Topotecan Liposomes Injection (TLI)
TLI dose on Days 1 and 8 of a 21-day treatment cycle (Starting dose: 1 mg/m2)
B: Experimental
Arm B: TLI dose on Day 1 of a 21-day treatment cycle (Starting dose: 2 mg/m2)
Drug: Topotecan Liposomes Injection (TLI)
TLI dose on Day 1 of a 21-day treatment cycle (Starting dose: 2 mg/m2)

  Eligibility

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

Inclusion Criteria:

  1. Age ≥ 18 years
  2. Histologically or cytologically confirmed advanced solid tumor that has relapsed, is refractory to standard treatment, or for whom there is no standard therapy available.
  3. Eastern Cooperative Oncology Group (ECOG) performance status of < 2
  4. Normal organ and marrow function as defined below within 14 days of study entry

    1. Absolute neutrophil count (ANC) ≥ 1.5 x 109/L
    2. Platelet count ≥100 x 109/L
    3. Hemoglobin > 9 g/dL
    4. Total bilirubin < 1.5 x upper limit of normal (ULN)
    5. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 x upper limit of normal (ULN), or 5 x ULN for subjects with liver metastases
    6. Serum creatinine ≤ 1.5 x ULN or calculated estimated creatinine clearance ≥ 50 mL/min/1.73m2 for subjects with creatinine levels above institutional normal based on the Cockcroft and Gault formula.
  5. Never received prior TLI or topotecan HCl (Hycamtin®)
  6. At least 4 weeks must have elapsed from the last dose of chemotherapy.
  7. Life expectancy ≥ 3 months
  8. Women of childbearing potential must have a negative urine or blood pregnancy test within 7 days prior to initiation of treatment.
  9. If female, subject is post-menopausal, surgically sterilized, or willing to use acceptable methods of birth control (e.g., hormonal contraceptive, intra-uterine device (IUD), diaphragm with spermicide, condom with spermicide or abstinence) from the screening visit through the duration of study participation.
  10. If male, subject agrees to use an acceptable barrier method for contraception from the screening visit though the duration of study participation.
  11. Before enrollment, the subject is capable of understanding and complying with parameters as outlined in the protocol and able to sign a written informed consent according to ICH/GCP, and national/local regulations.

Exclusion Criteria:

  1. Use of any investigational drugs, biologics, or devices within 28 days prior to study treatment or planned use during the course of the study.
  2. Primary tumors of central nervous system (CNS). Symptomatic brain metastases (unless subject is stable without requirement of steroids and/or antiseizure medications for at least three months) or leptomeningeal tumor involvement. Imaging studies are not required to rule this out unless there is a clinical suspicion of CNS disease.
  3. Prior chemotherapy or radiotherapy within 4 weeks of Day 1 of study (6 weeks for nitrosureas or mitomycin C).
  4. Planned concurrent systemic therapy (cytotoxic and/or cytostatic) and/or radiotherapy during study treatment.
  5. Less than 4 weeks have elapsed from the time of major surgery.
  6. Subjects with a history of allergic reactions or sensitivity attributed to compounds of similar chemical or biologic composition to TLI, including known allergies to the ingredients comprising the liposome (e.g., cholesterol and/or sphingomyelin), which in the Investigator's opinion may put the subject at risk for significant reaction to the study drug.
  7. Subjects who are pregnant or lactating.
  8. Subjects known to be positive for human immunodeficiency virus (HIV), hepatitis C antibody, or hepatitis B surface antigen.
  9. Prophylactic hematologic growth factors administered ≤ 2 weeks prior to start of treatment with TLI (excluding darbepoetin alfa and epoetin alfa).
  10. Active infection or any serious underlying medical condition, which would impair the ability of the subject to receive protocol treatment.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00765973

Contacts
Contact: Michael Imperiale, MD 6502285032 michael.imperiale@hanabiosciences.com
Contact: Jason R Lindow 6502285038 jason.lindow@hanabiosciences.com

Locations
United States, Michigan
Barbara Ann Karmanos Cancer Center Recruiting
Detroit, Michigan, United States
Principal Investigator: Patricia LoRusso, MD            
United States, Texas
South Texas Accelerated Research Therapeutics Recruiting
San Antonio, Texas, United States
Principal Investigator: Kyriakos Papadopoulos, MD            
Sponsors and Collaborators
Hana Biosciences, Inc
  More Information

Responsible Party: Hana Biosciences, Inc. ( Michael Imperiale, MD )
Study ID Numbers: HBS601
Study First Received: October 1, 2008
Last Updated: October 2, 2008
ClinicalTrials.gov Identifier: NCT00765973  
Health Authority: United States: Food and Drug Administration

Keywords provided by Hana Biosciences, Inc:
Other Advanced Solid Tumors

Study placed in the following topic categories:
Thoracic Neoplasms
Ovarian cancer
Ovarian Neoplasms
Carcinoma, Neuroendocrine
Gonadal Disorders
Genital Neoplasms, Female
Endocrine System Diseases
Urogenital Neoplasms
Ovarian Diseases
Neuroendocrine Tumors
Carcinoma
Carcinoma, Small Cell
Genital Diseases, Female
Neuroectodermal Tumors
Respiratory Tract Diseases
Lung Neoplasms
Neoplasms, Germ Cell and Embryonal
Lung Diseases
Neuroepithelioma
Endocrinopathy
Topotecan
Adenocarcinoma
Neoplasms, Glandular and Epithelial
Endocrine Gland Neoplasms

Additional relevant MeSH terms:
Respiratory Tract Neoplasms
Neoplasms
Neoplasms by Histologic Type
Neoplasms by Site
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Neoplasms, Nerve Tissue
Enzyme Inhibitors
Pharmacologic Actions
Adnexal Diseases

ClinicalTrials.gov processed this record on January 13, 2009