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E7389 and Gemcitabine in Treating Patients With Metastatic Solid Tumors or Solid Tumors That Cannot be Removed by Surgery
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), May 2007
First Received: December 11, 2006   Last Updated: January 28, 2009   History of Changes
Sponsors and Collaborators: Princess Margaret Hospital, Canada
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00410553
  Purpose

RATIONALE: Drugs used in chemotherapy, such as E7389 and gemcitabine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of E7389 and gemcitabine in treating patients with metastatic or unresectable solid tumors.


Condition Intervention Phase
Unspecified Adult Solid Tumor, Protocol Specific
Drug: eribulin mesylate
Drug: gemcitabine hydrochloride
Phase I

MedlinePlus related topics: Cancer Surgery
Drug Information available for: Gemcitabine Gemcitabine hydrochloride E7389 Eribulin mesylate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment
Official Title: A Phase I Study of Halichondrin B Analog E7389 in Combination With Gemcitabine in Patients With Refractory or Advanced Solid Tumors

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

Primary Outcome Measures:
  • Maximum tolerated dose [ Designated as safety issue: Yes ]
  • Recommended phase II dose [ Designated as safety issue: Yes ]
  • Safety, tolerability, toxicity profile, and dose-limiting toxicity [ Designated as safety issue: Yes ]
  • Pharmacokinetic profile [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Preliminary clinical antitumor activity [ Designated as safety issue: No ]
  • Objective response rate in patients with measurable disease, as measured by RECIST criteria [ Designated as safety issue: No ]
  • Duration of response and time to disease progression in patients with measurable disease [ Designated as safety issue: No ]

Estimated Enrollment: 36
Study Start Date: November 2006
Estimated Primary Completion Date: May 2008 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Determine the recommended phase II dose of E7389 and gemcitabine hydrochloride in patients with metastatic or unresectable solid tumors.
  • Determine the safety, tolerability, and toxicity profile of this regimen in these patients.
  • Assess the antitumor activity of this regimen in patients with measurable disease.
  • Determine the pharmacokinetic profile of this regimen to assess possible interactions between the two drugs.

OUTLINE: This is a dose-escalation study.

Patients receive E7389 IV and gemcitabine hydrochloride IV over 30 minutes on days 1, 8, and 15 OR on days 1 and 8*. Treatment repeats every 28 or 21 days* in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of E7389 and gemcitabine hydrochloride until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.

NOTE: *If the MTD is determined at the first dose level of the 28-day schedule, subsequent patients are treated on a 21-day schedule and receive treatment on days 1 and 8.

After completion of study treatment, patients are followed at 4 weeks.

PROJECTED ACCRUAL: A total of 36 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

    • Metastatic or unresectable disease
    • Standard curative antineoplastic drug therapy does not exist or is no longer effective
  • No known brain metastases

PATIENT CHARACTERISTICS:

  • ECOG performance status (PS) 0-2 or Karnofsky PS 60-100%
  • Life expectancy > 3 months
  • WBC ≥ 3,000/mm³
  • Absolute neutrophil count ≥ 1,500/mm³
  • Platelets ≥ 100,000/mm³
  • Bilirubin normal
  • AST/ALT ≤ 2.5 times upper limit of normal
  • Creatinine normal OR creatinine clearance ≥ 60 mL/min
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No history of allergic reactions to agents of similar chemical or biological composition to E7389 or gemcitabine hydrochloride
  • No uncontrolled intercurrent 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/social situation that would preclude study compliance

PRIOR CONCURRENT THERAPY:

  • Recovered from prior therapy
  • At least 4 weeks since prior radiation therapy

    • No more than 40% of bone marrow radiated
    • Must have measurable disease outside the radiation field or show disease progression after prior radiation therapy
  • At least 4 weeks since prior major surgery
  • At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin C)
  • No more than 2 prior chemotherapy regimens for advanced or metastatic incurable solid tumors

    • Prior neoadjuvant chemotherapy is not counted towards the 2 prior chemotherapy regimens
  • At least 4 weeks since prior biologic therapy or hormonal therapy
  • No prior gemcitabine hydrochloride
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No concurrent inhibitors or inducers of CYP3A4

    • Concurrent use of CYP3A4 substrates allowed
  • No concurrent prophylactic colony-stimulating factors
  • No other concurrent investigational agents
  • No other concurrent anticancer therapy (e.g., hormonal therapy, biologic therapy, or targeted therapies)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00410553

Locations
Canada, Ontario
Ottawa Hospital Regional Cancer Centre - General Campus Recruiting
Ottawa, Ontario, Canada, K1H 8L6
Contact: Rakesh Goel, MD, FRCPC     613-737-7700 ext. 70171     rgoel@ottawahospital.on.ca    
Princess Margaret Hospital Recruiting
Toronto, Ontario, Canada, M5G 2M9
Contact: Amit M. Oza, MD     416-946-2818        
Sponsors and Collaborators
Princess Margaret Hospital, Canada
Investigators
Study Chair: Rakesh Goel, MD, FRCPC Ottawa Hospital Regional Cancer Centre - General Campus
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000520315, PMH-PHL-048
Study First Received: December 11, 2006
Last Updated: January 28, 2009
ClinicalTrials.gov Identifier: NCT00410553     History of Changes
Health Authority: Unspecified

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

Study placed in the following topic categories:
Antimetabolites
Radiation-Sensitizing Agents
Immunologic Factors
Gemcitabine
Immunosuppressive Agents
Antiviral Agents

Additional relevant MeSH terms:
Antimetabolites
Anti-Infective Agents
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Physiological Effects of Drugs
Enzyme Inhibitors
Antiviral Agents
Immunosuppressive Agents
Pharmacologic Actions
Radiation-Sensitizing Agents
Therapeutic Uses
Gemcitabine

ClinicalTrials.gov processed this record on May 06, 2009