Full Text View
Tabular View
No Study Results Posted
Related Studies
Combination Chemotherapy in Treating Patients With Advanced Solid Tumors
This study has been completed.
Study NCT00007878   Information provided by National Cancer Institute (NCI)
First Received: January 6, 2001   Last Updated: January 22, 2009   History of Changes
This Tabular View shows the required WHO registration data elements as marked by

January 6, 2001
January 22, 2009
December 2000
 
 
Complete list of historical versions of study NCT00007878 on ClinicalTrials.gov Archive Site
 
 
 
Combination Chemotherapy in Treating Patients With Advanced Solid Tumors
A Phase I Study of PS-341 in Combination With 5-FU/LV in Solid Tumors

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Phase I trial to study the effectiveness of combination chemotherapy in treating patients who have metastatic or unresectable solid tumors.

OBJECTIVES:

  • Determine the maximum tolerated dose and dose-limiting toxicity of bortezomib in combination with leucovorin calcium and fluorouracil in patients with advanced solid tumors.
  • Determine the pharmacodynamics of bortezomib, in terms of 20S proteasome and NFkB inhibition, in patients treated with this regimen.
  • Determine the objective tumor response in these patients.
  • Determine the correlation between 20S proteasome and NFkB inhibition and clinical toxicity in these patients.
  • Determine the pharmacokinetics of fluorouracil in combination with bortezomib in these patients.

OUTLINE: This is a multicenter, dose-escalation study of bortezomib.

Patients receive bortezomib IV on days 1 and 4 and fluorouracil IV and leucovorin calcium IV on day 1 weekly for 2 weeks. Treatment repeats every 3 weeks in the absence of disease progression or unacceptable toxicity.

Cohorts of 3 to 6 patients receive escalating doses of bortezomib 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.

PROJECTED ACCRUAL: A total of 15 to 30 patients will be accrued for this study within 1 year.

Phase I
Interventional
Treatment
Unspecified Adult Solid Tumor, Protocol Specific
  • Drug: bortezomib
  • Drug: fluorouracil
  • Drug: leucovorin calcium
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
 
 
January 2008   (final data collection date for primary outcome measure)

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed metastatic or unresectable solid tumor not amenable to standard therapy
  • No brain metastases

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • ECOG 0-2 OR
  • Karnofsky 60-100%

Life expectancy

  • At least 3 months

Hematopoietic

  • Absolute neutrophil count at least 1,500/mm^3
  • Platelet count at least 100,000/mm^3

Hepatic

  • Bilirubin no greater than normal
  • AST/ALT no greater than 2.5 times upper limit of normal

Renal

  • Creatinine no greater than 1.5 mg/dL

Cardiovascular

  • No symptomatic congestive heart failure
  • No unstable angina pectoris
  • No cardiac arrhythmia
  • No EKG evidence of acute ischemia or significant conduction abnormality
  • No history of cardiac or cerebrovascular disease due to hypotension and tachycardia

Other

  • No other concurrent uncontrolled illness
  • No ongoing or active infection
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • At least 4 weeks since prior immunotherapy and recovered

Chemotherapy

  • At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas) and recovered

Endocrine therapy

  • Not specified

Radiotherapy

  • At least 4 weeks since prior radiotherapy and recovered

Surgery

  • At least 2 weeks since prior major surgery

Other

  • No other concurrent investigational agents
  • No concurrent antiretroviral therapy (HAART) for HIV
Both
18 Years and older
No
 
United States
 
 
NCT00007878
 
CHNMC-PHI-27, LAC-USC-0C003, NCI-T99-0048
Beckman Research Institute
National Cancer Institute (NCI)
Study Chair: Heinz-Josef Lenz, MD Norris Comprehensive Cancer Center
National Cancer Institute (NCI)
January 2009

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.