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17-AAG and Irinotecan in Treating Patients With Locally Advanced or Metastatic Solid Tumors
This study has been completed.
First Received: July 12, 2005   Last Updated: January 15, 2009   History of Changes
Sponsors and Collaborators: Memorial Sloan-Kettering Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00119236
  Purpose

RATIONALE: Drugs used in chemotherapy, such as 17-AAG and irinotecan, 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 17-AAG and irinotecan in treating patients with locally advanced or metastatic solid tumors.


Condition Intervention Phase
Unspecified Adult Solid Tumor, Protocol Specific
Drug: irinotecan hydrochloride
Drug: tanespimycin
Phase I

MedlinePlus related topics: Cancer
Drug Information available for: 17-(Allylamino)-17-demethoxygeldanamycin Irinotecan U 101440E Irinotecan hydrochloride IPI-504
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label
Official Title: An Open-Labeled Non-Randomized Phase I Study of 17-N-Allylamino-17-Demethoxy Geldanamycin (17AGG) Administered With Irinotecan (CPT) in Patients With Advanced Solid Tumors.

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

Estimated Enrollment: 48
Study Start Date: May 2005
Detailed Description:

OBJECTIVES:

Primary

  • Determine the maximum tolerated dose of 17-N-allylamino-17-demethoxygeldanamycin (17-AAG) and irinotecan in patients with locally advanced or metastatic solid tumors.

Secondary

  • Determine the clinical pharmacokinetics of this regimen and its metabolites in these patients.
  • Determine, preliminarily, the therapeutic activity of this regimen in these patients.
  • Correlate, preliminarily, tumor response with p53 status in patients treated with this regimen.

OUTLINE: This is an open-label, non-randomized, dose-escalation study.

Patients receive irinotecan IV over 30 minutes followed by 17-N-allylamino-17-demethoxygeldanamycin (17-AAG)* IV over 2 hours on days 1 and 8. Treatment repeats every 21 days for at least 2 courses in the absence of disease progression or unacceptable toxicity. Patients achieving stable or improved disease after course 2 may receive additional courses of treatment.

NOTE: *17-AAG is administered on days 2 and 8 during course 2 for patients treated at non-maximum tolerated doses (MTD) (dose-escalation portion) and on day 8 only during course 1 for patients treated at the MTD (expanded cohort).

Cohorts of 3-6 patients receive escalating doses of 17-AAG and irinotecan until the 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. An additional 12 patients are treated at the MTD.

PROJECTED ACCRUAL: A total of 4-48 patients will be accrued for this study within 1-16 months.

  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, excluding primary CNS tumors

    • Locally advanced or metastatic disease that is refractory to standard therapy OR for which no standard therapy exists
  • Tumor assessible for biopsy by Tru-cut^®, CT guidance, or endoscopy (for patients treated at the maximum tolerated dose [expanded cohort only])

    • Pleural effusions or abdominal ascites are not considered biopsy-accessible tissue
  • No known new CNS metastases that have not been previously treated

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • Karnofsky 60-100%

Life expectancy

  • Not specified

Hematopoietic

  • WBC ≥ 3,000/mm^3
  • Absolute neutrophil count ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3

Hepatic

  • Bilirubin ≤ 1.5 mg/dL
  • AST and ALT ≤ 3 times upper limit of normal (ULN) (5 times ULN if liver metastases are present)

Renal

  • Creatinine ≤ 1.5 mg/dL

Cardiovascular

  • No history of cardiac arrhythmias
  • No myocardial infarction within the past 12 months
  • No active ischemic heart disease within the past 12 months
  • No New York Heart Association class III-IV congestive heart failure or LVEF < 40% by MUGA
  • No history of uncontrolled cardiac dysrhythmia or dysrhthmias requiring medication
  • No history of serious ventricular arrhythmia (i.e., ventricular tachycardia or ventricular fibrillation ≥ 3 beats in a row)
  • No congenital long QT syndrome
  • No left bundle branch block
  • QTc < 450 msec (for male patients)
  • QTc < 470 msec (for female patients)

Other

  • Not pregnant
  • No nursing during and for 2 months after study participation
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 2 months after study participation
  • No serious or uncontrolled infection
  • No history of serious allergic reaction to eggs or egg products
  • No other medical condition that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • At least 3 weeks since prior immunotherapy
  • No concurrent prophylactic filgrastim (G-CSF) or sargramostim (GM-CSF)

Chemotherapy

  • At least 3 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin)
  • Prior irinotecan allowed
  • No prior 17-N-allylamino-17-demethoxygeldanamycin (17-AAG)
  • At least 2 weeks since prior non-myelosuppressive chemotherapy (at the discretion of the principal investigator)

Radiotherapy

  • At least 3 weeks since prior radiotherapy
  • No prior radiotherapy field that included the heart (e.g., mantle)

Surgery

  • Not specified

Other

  • Recovered from all prior therapy
  • At least 3 weeks since prior anticancer investigational therapeutic drugs
  • More than 7 days since prior and no concurrent inducers, inhibitors, or modifiers of CYP3A4, including any of the following:

    • Fluconazole
    • Itraconazole
    • Ketoconazole
    • Azithromycin
    • Clarithromycin
    • Erythromycin
    • Troleandomycin
    • Nifedipine
    • Verapamil
    • Diltiazem
    • Nefazodone
    • Cyclosporine
    • Grapefruit juice (> 1 quart/day)
    • Indinavir
    • Nelfinavir
    • Ritonavir
    • Saquinavir
    • Carbamazepine
    • Phenobarbital
    • Phenytoin
    • Rifampin
    • Hydrastis canadensis (goldenseal)
    • Hypericum perforatum (St. John's wort)
    • Uncaria tomentosa (cat's claw)
    • Echinacea angustifolia root
    • Trifolium pratense (wild cherry)
    • Matricaria chamomila (chamomile)
    • Glycyrrhiza glabra (licorice)
    • Dillapiol
    • Hypericin
    • Naringenin
  • No concurrent medications that would prolong QTc
  • No concurrent vitamins, antioxidants, herbal preparations, or supplements

    • Concurrent single daily multivitamin allowed
  • No other concurrent anticancer therapy
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No other concurrent investigational medications
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00119236

Locations
United States, Pennsylvania
Hillman Cancer Center at University of Pittsburgh Cancer Institute
Pittsburgh, Pennsylvania, United States, 15232
Sponsors and Collaborators
Memorial Sloan-Kettering Cancer Center
Investigators
Study Chair: Archie N. Tse, MD, PhD Memorial Sloan-Kettering Cancer Center
  More Information

Additional Information:
Publications:
Study ID Numbers: CDR0000434501, MSKCC-IRB-05017, NCI-7009
Study First Received: July 12, 2005
Last Updated: January 15, 2009
ClinicalTrials.gov Identifier: NCT00119236     History of Changes
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:
Irinotecan
Antineoplastic Agents, Phytogenic
Camptothecin

Additional relevant MeSH terms:
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Irinotecan
Enzyme Inhibitors
Antineoplastic Agents, Phytogenic
Pharmacologic Actions
Camptothecin

ClinicalTrials.gov processed this record on May 07, 2009