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Sponsors and Collaborators: |
Inova Health Care Services Novartis Pharmaceuticals |
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Information provided by: | Inova Health Care Services |
ClinicalTrials.gov Identifier: | NCT00867334 |
The purpose of this study is to evaluate the safety and tolerability of imatinib mesylate in combination with panitumumab for the treatment of stage IV colorectal cancer that has spread to the liver. It will also assess the whether imatinib mesylate, either alone or in combination with panitumumab, is effective in treating this type of cancer. In addition, the study will evaluate the feasibility of a predefined lab score and whether it can predict which patients will respond to treatment with imatinib mesylate.
Condition | Intervention | Phase |
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Colorectal Neoplasm Colorectal Cancer |
Drug: Imatinib mesylate followed by a combination of imatinib mesylate & panitumumab Drug: Standard-of-care treatment with panitumumab |
Phase I Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Non-Randomized, Open Label, Parallel Assignment, Safety/Efficacy Study |
Official Title: | A Phase I/II Study of Gleevec® Combined With Panitumumab (Vectibix®) in Patients Prescreened for c-Kit/PDGFr Activated Pathways Using a Proteomic Based Assay |
Estimated Enrollment: | 50 |
Study Start Date: | June 2009 |
Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Experimental
Subjects whose initial liver biopsy samples meet certain lab values will be placed in Arm 1. Each participant assigned to Arm 1 will receive imatinib mesylate for 28 days, followed by a combination of imatinib mesylate and panitumumab.
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Drug: Imatinib mesylate followed by a combination of imatinib mesylate & panitumumab
Patients will be entered into sequential cohorts with escalating doses of imatinib mesylate. After approximately 28 days of monotherapy treatment with imatinib mesylate, patients will be asked to have a liver biopsy performed (this biopsy is voluntary and is not required for conntinued participation in the study). All patients in this group will then receive imatinib mesylate in combination with standard-of-care doses of panitumumab. After approximately 1-2 months of combination treatment, patients will asked to have an additional liver biopsy performed (this biopsy is voluntary and is not required for conntinued participation in the study). Combination treatment will continue for the remainder of the subject's time in the trial.
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2: Active Comparator
Subjects whose initial liver biopsy samples meet certain lab values will be placed in Arm 2. Participants in Arm 2 will receive standard-of-care treatment with panitumumab.
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Drug: Standard-of-care treatment with panitumumab
Panitumumab as standard of care. After approximately 2-3 months of standard of care treatment, patients will asked to have a liver biopsy performed (this biopsy is voluntary and is not required for conntinued participation in the study).
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Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
total bilirubin < 1.5 x ULN, SGOT and SGPT < 2.5 x UNL, creatinine < 1.5 x ULN, ANC > 1.5 x 10^9/L, platelets > 100 x 10^9/L.
Exclusion Criteria:
Contact: Stacey Banks | 703.776.3565 | stacey.banks@inova.org |
Contact: Alex Spira, MD, PhD | 703.280.5390 | alexander.spira@usoncology.com |
United States, Virginia | |
Fairfax Northern Virginia Hematology Oncololgy PC | Recruiting |
Fairfax, Virginia, United States, 22031 | |
Contact: Stacey Banks 703-776-3565 stacey.banks@inova.org | |
Contact: Alex Spira, MD, PhD 703.280.5390 alexander.spira@usoncology.com | |
Sub-Investigator: Alex Spira, MD, PhD | |
Inova Fairfax Hospital Cancer Center | Recruiting |
Falls Church, Virginia, United States, 22042 | |
Contact: Stacey Banks 703-776-3565 stacey.banks@inova.org | |
Contact: Kirsten Edmiston, MD, FACS 703.776.8675 kirsten.edmiston@inova.org | |
Principal Investigator: Kirsten Edmiston, MD, FACS |
Principal Investigator: | Kirsten Edmiston, MD, FACS | Inova Fairfax Hospital Cancer Center |
Responsible Party: | Inova Fairfax Hospital Cancer Center ( Kirsten Edmiston, MD, FACS ) |
Study ID Numbers: | CSTI571BUS278T |
Study First Received: | March 19, 2009 |
Last Updated: | June 10, 2009 |
ClinicalTrials.gov Identifier: | NCT00867334 History of Changes |
Health Authority: | United States: Institutional Review Board |
colorectal neoplasm colorectal cancer imatinib mesylate Gleevec Physiological Effects of Drugs |
panitumumab Vectibix c-kit receptor Receptor Platelet-Derived Growth Factor alpha |
Imatinib Digestive System Diseases Digestive System Neoplasms Gastrointestinal Diseases Colonic Diseases Mitogens |
Gastrointestinal Neoplasms Intestinal Diseases Protein Kinase Inhibitors Rectal Diseases Intestinal Neoplasms Colorectal Neoplasms |
Digestive System Neoplasms Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Gastrointestinal Diseases Colonic Diseases Physiological Effects of Drugs Enzyme Inhibitors Intestinal Diseases Protein Kinase Inhibitors Rectal Diseases |
Pharmacologic Actions Intestinal Neoplasms Imatinib Neoplasms Neoplasms by Site Digestive System Diseases Therapeutic Uses Gastrointestinal Neoplasms Colorectal Neoplasms |