Full Text View
Tabular View
No Study Results Posted
Related Studies
A Phase I, Open-Label, Study of Pazopanib in Combination With Epirubicin or Doxorubicin for Advanced Solid Tumors.
This study is currently recruiting participants.
Verified by GlaxoSmithKline, November 2008
First Received: July 23, 2008   Last Updated: November 18, 2008   History of Changes
Sponsored by: GlaxoSmithKline
Information provided by: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00722293
  Purpose

This is an open-label, four-arm, Phase I, dose escalation study to evaluate the safety and tolerability and to determine the optimal tolerated regimen(OTR) of pazopanib in combination with epirubicin or doxorubicin in patients with advanced solid tumors. Patients will be enrolled in cohorts of 3 to receive escalating doses of pazopanib and epirubicin or doxorubicin. Dose escalation schemas for each study arm are described in the protocol. For each arm, the OTR will be defined as the highest dose combination of the agents where no more than one out of six patients experiences a dose-limiting toxicity. Six to twelve additional patients in each arm will be studied with the OTR to evaluate toxicity and pharmacokinetics. This will allow an assessment of potential drug-drug interactions. Antitumor activity will be assessed using RECIST criteria.


Condition Intervention Phase
Cancer
Drug: Doxorubicin
Drug: Pazopanib (GW786034)
Drug: Epirubicin
Phase I

MedlinePlus related topics: Cancer
Drug Information available for: Doxorubicin Doxorubicin hydrochloride Epirubicin hydrochloride Epirubicin Myocet Pazopanib
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety Study
Official Title: A Phase I, Open-Label, Study of the Safety, Pharmacokinetics, and Pharmacodynamics Dose Escalation of Pazopanib in Combination With Epirubicin or Doxorubicin for Advanced Solid Tumors.

Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • OTR for each arm of the study as determined by an evaluation of AEs and changes in laboratory values. The OTR of the highest dosing regimen that results in dose limiting toxicity in <= 1 of 6 patients.

Secondary Outcome Measures:
  • Pharmacokinetics and Pharmacodynamics of pazopanib, epirubicin or doxorubicin. Anti-tumor activity (as evaluated by RECIST). Plasma cytokine/angiogenesis biomarkers. Genetic variants in candidate genes in the host DNA.

Estimated Enrollment: 78
Study Start Date: July 2008
  Eligibility

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

Inclusion Criteria:

  • Patients must provide written informed consent prior to performance of study specific procedures or assessments, and must be willing to comply with treatment and follow up
  • Histologically or cytologically confirmed diagnosis of advanced solid tumor that has failed standard therapy or for which there is no standard therapy. Patients should have unresectable or metastatic disease.
  • Age =18 years.
  • Adequate organ system function as defined by the protocol.
  • ECOG performance value of 0 or 1.
  • Measurable disease or evaluable disease on CT scan.
  • Prior radiotherapy and chemotherapy is permissible, provided at least 4 weeks have elapsed since the last treatment and have recovered from any related toxicities.
  • Metastatic disease to the brain should have definitive therapy for the metastatic disease and be asymptomatic.
  • Have an LVEF greater than or equal to 50%.
  • Women of childbearing potential must have a negative pregnancy test within 2 weeks of starting study drug and use acceptable birth control methods as outlined in the protocol.
  • Women may participate if they are of non childbearing potential (bilateral tubal ligation, hysterectomy, post menopausal or bilateral ovariectomy.
  • Males with female partners of childbearing potential may participate if they practice acceptable methods of birth control as outlined in the study protocol.
  • Able to swallow and retain oral medications.
  • Less than or equal to 2 prior lines of chemotherapy for advanced disease.
  • Life expectancy of at least 12 weeks.

Exclusion Criteria:

  • Prior use of pazopanib or prior treatment with epirubicin greater than 450 mg/mm2 or doxorubicin greater than 240 mg/mm2 cumulative dose. Prior therapy with other angiogenesis inhibitors is permitted.
  • Clinically significant gastrointestinal abnormalities which might interfere with oral dosing.
  • Uncontrolled infection.
  • QTc > 480 msecs.
  • One of more of the following within the past 6 months:

    • Cardiac angioplasty or stenting
    • Myocardial infarction
    • Unstable angina
    • Symptomatic peripheral vascular disease
    • Class III or IV congestive heart failure
  • Any major surgery or trauma within the last 28 days and or presence of non-healing wound, fracture, or ulcer.
  • Any unstable or serious concurrent condition.
  • Poorly controlled hypertension [defined as systolic blood pressure (SBP) of =140mmHg or diastolic blood pressure (DBP) of = 90mmHg].
  • History of cerebrovascular accident (CVA), pulmonary embolism or untreated deep venous thrombosis (DVT) within the past 6 months. Subjects with a recent DVT who have been treated with therapeutic agents (excluding therapeutic warfarin) for at least 6 weeks are eligible.
  • Hemoptysis within 6 weeks prior to first dose of study drug.
  • Any serious and/or unstable pre-existing medical, psychiatric, or other condition that could interfere with patient's safety, provision of informed consent, or compliance to study procedures.
  • Is unable or unwilling to discontinue prohibited medications for 14 days or five half-lives of a drug prior to Visit 1 and for the duration of the study.
  • Use of an investigational agent, including an investigational anti-cancer agent, within 28 days or 5 half-lives, whichever is longer, prior to the first dose of study drug.
  • Is now undergoing and/or has undergone within 28 days immediately prior to first dose of study drug, any cancer therapy (major surgery, investigational agent, tumor embolization, chemotherapy, radiation therapy, immunotherapy, biological therapy, or hormonal therapy).
  • Active bleeding or bleeding diathesis.
  • Clinically assessed as having inadequate venous access for PK sampling.
  • Lactating and pregnant women should discontinue lactation prior to first use of study drug and refrain from nursing throughout the treatment period and for 14 days after final dose.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00722293

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

Locations
Italy
GSK Investigational Site Recruiting
Milan, Italy, 20133
Switzerland
GSK Investigational Site Recruiting
Lausanne, Switzerland, 1011
GSK Investigational Site Recruiting
St Gallen, Switzerland, 9007
GSK Investigational Site Recruiting
Bellinzona, Switzerland
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: VEG109603
Study First Received: July 23, 2008
Last Updated: November 18, 2008
ClinicalTrials.gov Identifier: NCT00722293     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by GlaxoSmithKline:
Solid tumors
pazopanib (GW786034)
epirubicin
doxorubicin
anti-angiogenesis
pharmacokinetics
pharmacodynamics

Study placed in the following topic categories:
Anti-Bacterial Agents
Epirubicin
Doxorubicin

Additional relevant MeSH terms:
Antineoplastic Agents
Therapeutic Uses
Antibiotics, Antineoplastic
Epirubicin
Pharmacologic Actions
Doxorubicin

ClinicalTrials.gov processed this record on May 07, 2009