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Phase I Study of Lapatinib in Combination With Oxaliplatin and Capecitabine in Subjects With Advanced Colorectal Cancer
This study is currently recruiting participants.
Verified by GlaxoSmithKline, October 2008
First Received: September 27, 2007   Last Updated: October 9, 2008   History of Changes
Sponsored by: GlaxoSmithKline
Information provided by: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00536809
  Purpose

The purpose of this study is to determine the highest, tolerated dose level and safety of lapatinib, capecitabine and oxaliplatin in subjects with advanced cancer and to determine the clinical activity of the combination of drugs in subjects with previously untreated advanced or metastatic colorectal cancer.


Condition Intervention Phase
Advanced Colorectal Cancer
Metastatic Colorectal Cancer
Responsive to Fluoropyrimidines
Drug: lapatinib
Drug: oxaliplatin
Drug: capecitabine
Phase I

MedlinePlus related topics: Cancer Colorectal Cancer
Drug Information available for: Oxaliplatin Capecitabine Lapatinib Lapatinib Ditosylate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title: A Phase I Study of Lapatinib in Combination With Oxaliplatin and Capecitabine in Subjects With Advanced or Metastatic Colorectal Cancer

Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • Maximum tolerated dose & response to lapatinib, oxaliplatin, & capecitabine administered together comparing baseline signs & symptoms & safety assessments. Part Response rate of previously untreated colorectal cancer in biomarker evaluations.

Secondary Outcome Measures:
  • Exam, vital signs, & labs: [ Time Frame: screening, Day(D) 1 of each cycle, & follow-up (f/u). ]
  • Phone call [ Time Frame: D2 & 3 of Cycle 1 ]
  • 12-lead ECG: [ Time Frame: screening & f/u ]
  • ECHOG/MUGA: [ Time Frame: screening, D1 of Cycle 5, w/in 7 days of next cycle & f/u ]
  • Pre-treatment plasma TS mRNA and pretreatment tumor TS mRNA in colon tumor biopsies.
  • Plasma TS mRNA and comparison of plasma TS mRNA to clinical response.
  • Tumor-derived biomarkers including TS, DPD, TP, EGFR (ErbB1), and additional downstream markers involved in the mechanism of action of each compound (e.g., ERCC1) and comparison to clinical response.
  • Genetic aberrations in somatic (tumor) DNA.
  • PGx (Part 1 and Part 2): Genetic variants in germline (host) DNA and comparison to the efficacy and safety of the study drugs.

Estimated Enrollment: 50
Study Start Date: September 2007
Estimated Study Completion Date: December 2008
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
  Eligibility

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

Inclusion criteria:

  • 18 years of age or older.
  • A female is eligible to enter and participate in the study if she is of:

    • Non-child-bearing potential (i.e., physiologically incapable of becoming pregnant), including any female who:
  • Has had a hysterectomy, or
  • Has had a bilateral oophorectomy (ovariectomy), or
  • Has had a bilateral tubal ligation, or
  • Is considered post-menopausal (defined as amenorrheic for at least 1 year).

    • Childbearing potential, has a negative serum pregnancy test at Screening and agrees to one of the following from 2 weeks prior to enrolment and continue through the post-study visit:
  • Complete abstinence from sexual intercourse
  • Oral Contraceptive, either combined or progestogen alone (must use a back up method, if have taken for less than 3 cycles)
  • Injectable progestogen
  • Implants of levonorgestrel
  • Estrogenic vaginal ring
  • Percutaneous contraceptive patches
  • Intrauterine device (IUD) or intrauterine system (IUS) with a documented failure rate of less than 1% per year
  • Male partner sterilization (vasectomy with documentation of azoospermia) prior to the female subject's entry into the study, and this male is the sole partner for that subject
  • Double barrier method: condom or occlusive cap (diaphragm or cervical/vault caps) plus spermicidal agent (foam/gel/film/cream/suppository)
  • Eastern Cooperative Oncology Group (ECOG) Performance Status not more than 2.
  • Provided written informed consent.
  • Clinical lab results with ranges as stated within the protocol.

Specific to Part 1:

  • Recurrent, advanced, or metastatic cancer that is known to be potentially responsive to treatment with fluoropyrimidines or oxaliplatin. Examples include gastrointestinal tumors, HER2 (ErbB2)-positive breast cancer, and lung cancers.
  • Received not more than three prior chemotherapy regimens without pelvic radiotherapy or not more than two prior chemotherapy regimens if received pelvic radiotherapy.
  • Platelet count of at least 75,000/mm3 (75 x 109/L).

Exclusion criteria:

  • Pregnant or lactating female.
  • Prior resection of the small bowel.
  • Brain metastases that require additional treatment.
  • Medically unfit for the study as a result of the medical interview, physical exam, or screening investigations.
  • Taking any medication on the prohibited medications list as per protocol.
  • History of drug or other allergy, which, in the opinion of the Investigator, contraindicates participation.
  • Known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to the study drugs. These include other anilinoquinazolines, such as gefitinib [Iressa], or erlotinib [Tarceva]. The subject has received treatment with any investigational drug in the previous four weeks.
  • Treatment with any biologic, cytotoxic, radiation , or hormonal (other than for contraception or replacement) therapy within four weeks. Treatment with hormones with short half-lives is allowed up to 1 week prior to study treatment after consultation with GSK medical monitor.
  • Major surgery within the previous two weeks unless in the opinion of the Investigator, the subject has recovered sufficiently to begin study treatment.
  • Physiological, familial, sociological, or geographical conditions that do not permit compliance with the protocol.
  • Receiving concurrent coumadin therapy. Minidose coumadin for maintenance of catheters (0.5 to 1.0 mg/day), and other anticoagulation therapy are allowed on study. Subjects receiving minidose coumadin must have prothrombin time (PT) and partial thromboplastin time (PTT) within 1.2 times the ULN.
  • History of uncontrolled or symptomatic angina, arrhythmias, or congestive heart failure.
  • Corrected QT interval (QTc) > 450 msecs.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00536809

Contacts
Contact: US GSK Clinical Trials Call Center 877-379-3718

Locations
United States, Wisconsin
GSK Investigational Site Recruiting
Madison, Wisconsin, United States, 53792
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials, MD GlaxoSmithKline
  More Information

No publications provided

Responsible Party: GSK ( Study Director )
Study ID Numbers: EGF108991
Study First Received: September 27, 2007
Last Updated: October 9, 2008
ClinicalTrials.gov Identifier: NCT00536809     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by GlaxoSmithKline:
Advanced Colorectal Cancer
Metastatic Colorectal Cancer
lapatinib
oxaliplatin
fluoropyrimidines cancers
capecitabine

Study placed in the following topic categories:
Antimetabolites
Capecitabine
Digestive System Neoplasms
Gastrointestinal Diseases
Colonic Diseases
Lapatinib
Intestinal Diseases
Protein Kinase Inhibitors
Rectal Diseases
Intestinal Neoplasms
Oxaliplatin
Digestive System Diseases
Gastrointestinal Neoplasms
Colorectal Neoplasms

Additional relevant MeSH terms:
Antimetabolites
Capecitabine
Antimetabolites, Antineoplastic
Digestive System Neoplasms
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Gastrointestinal Diseases
Colonic Diseases
Enzyme Inhibitors
Lapatinib
Intestinal Diseases
Protein Kinase Inhibitors
Rectal Diseases
Pharmacologic Actions
Intestinal Neoplasms
Neoplasms
Oxaliplatin
Neoplasms by Site
Digestive System Diseases
Therapeutic Uses
Gastrointestinal Neoplasms
Colorectal Neoplasms

ClinicalTrials.gov processed this record on May 06, 2009