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Gemcitabine and ON 01910.Na in Treating Patients With Advanced or Metastatic Solid Tumors
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), June 2009
First Received: January 14, 2009   Last Updated: June 9, 2009   History of Changes
Sponsors and Collaborators: Roswell Park Cancer Institute
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00822939
  Purpose

RATIONALE: Drugs used in chemotherapy, such as gemcitabine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. ON 01910.Na may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving gemcitabine together with ON 01910.Na may kill more tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of ON 01910.Na when given together with gemcitabine in treating patients with advanced or metastatic solid tumors.


Condition Intervention Phase
Unspecified Adult Solid Tumor, Protocol Specific
Drug: Polo-like kinase 1 inhibitor ON 01910.Na
Drug: gemcitabine hydrochloride
Genetic: polymerase chain reaction
Other: high performance liquid chromatography
Other: laboratory biomarker analysis
Other: pharmacological study
Procedure: biopsy
Procedure: fine-needle aspiration
Phase I

Study Type: Interventional
Study Design: Treatment
Official Title: Phase I Dose Escalation Study of Gemcitabine and ON 01910.Na in Patients With Advanced or Metastatic Solid Tumors

Resource links provided by NLM:


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

Primary Outcome Measures:
  • Incidence of adverse signs and/or symptoms (i.e., adverse events and laboratory parameters) as assessed by NCI CTCAE v3.0 [ Designated as safety issue: Yes ]
  • Maximum tolerated dose (MTD) of Polo-like kinase 1 inhibitor ON 01910.Na [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Plasma pharmacokinetic parameters of ON 01910.Na administered alone or with gemcitabine hydrochloride at the MTD [ Designated as safety issue: No ]
  • Tumor response as assessed by RECIST criteria [ Designated as safety issue: No ]
  • Polo-like kinase 1 inhibitor (and other related genes) dynamics in tumor tissue after short exposure to gemcitabine hydrochloride [ Designated as safety issue: No ]

Estimated Enrollment: 35
Study Start Date: January 2009
Estimated Primary Completion Date: November 2011 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Characterize the principal toxicities of escalating doses of Polo-like kinase 1 inhibitor ON 01910.Na when administered with standard doses of gemcitabine hydrochloride in patients with advanced or metastatic solid tumors.
  • Determine the maximum tolerated dose (MTD) of ON 01910.Na when administered with gemcitabine hydrochloride and recommend doses for subsequent disease-directed trials.

Secondary

  • Describe the pharmacokinetics of ON 01910.Na when administered with or without gemcitabine hydrochloride at the MTD and determine whether there are major interactions of gemcitabine hydrochloride on ON 01910.Na.
  • Seek preliminary evidence of antitumor activity in patients treated with this regimen.

Tertiary

  • Assess the pharmacodynamic activity of this regimen in tumor tissue samples from these patients.

OUTLINE: This is a multicenter, dose-escalation study of ON 01910.Na.

Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1, 8, and 15 and ON 01910.Na IV over 2 hours on days 1, 4, 8, 11, 15, and 18. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

Some patients undergo blood periodically for pharmacokinetic analysis by HPLC. Tumor tissue samples are collected via fine needle aspiration biopsies and analyzed by real time PCR for cDNA synthesis and quantitation of polo-like kinase 1 inhibitor.

After completion of study therapy, patients are followed at 30 days.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically confirmed solid malignancy

    • Advanced or metastatic disease
  • Meets either of the following criteria:

    • Standard curative or palliative measures do not exist or are no longer effective
    • Has a clinical rationale for gemcitabine hydrochloride-based therapy
  • Evaluable disease, measurable on imaging or by informative tumor markers by RECIST criteria
  • No ascites requiring active medical management (i.e., paracentesis, peripheral bilateral edema, or hyponatremia [defined as serum sodium value < 134 Meq/L])
  • Has tumor amenable to a single tumor biopsy and is willing to undergo a baseline tumor biopsy* NOTE: *Applies to patients in the expanded cohort who are treated at the maximum tolerated dose
  • No active CNS metastases

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-1
  • Life expectancy ≥ 12 weeks
  • Granulocyte count ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Hemoglobin > 9 g/dL
  • Serum creatinine ≤ 2.0 times upper limit of normal (ULN) OR creatinine clearance > 50 mL/min
  • Total bilirubin ≤ 2.0 times ULN (≤ 1.5 mg/dL in patients with primary liver cancer or hepatic metastases)
  • Transaminase levels ≤ 3.0 times ULN (≤ 5 times ULN in patients with primary liver cancer or hepatic metastases)
  • No evidence of active heart disease, including any of the following:

    • Myocardial infarction within the past 3 months
    • Symptomatic coronary insufficiency or heart block
    • Uncontrolled congestive heart failure
    • Moderate or severe pulmonary dysfunction
  • No active infection
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 30 days after completion of study therapy
  • Willing and able to undergo blood sampling for pharmacokinetic correlative studies in course 1 (patients in the expanded cohort)

PRIOR CONCURRENT THERAPY:

  • At least 4 weeks since prior radiotherapy or chemotherapy and recovered

    • No prior radiotherapy administered to > 30% of marrow-bearing bone mass
  • More than 3 weeks since prior major surgery and recovered
  • Concurrent palliative radiotherapy for pain caused by tumor lesions (e.g., bone metastases) allowed
  • Concurrent bisphosphonate therapy allowed according to local policy
  • No concurrent prophylactic granulocyte growth factors (i.e., filgrastim [G-CSF], sargramostim [GM-CSF]) during first course of treatment
  • No other concurrent investigational drugs
  • No concurrent antitumor therapies (e.g., chemotherapy, hormone therapy, gene therapy, biological therapy, radiotherapy) or other immunotherapy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00822939

Locations
United States, New York
Roswell Park Cancer Institute Recruiting
Buffalo, New York, United States, 14263-0001
Contact: Clinical Trials Office - Roswell Park Cancer Institute     877-275-7724        
Sponsors and Collaborators
Roswell Park Cancer Institute
Investigators
Principal Investigator: Wen Wee Ma, MD Roswell Park Cancer Institute
  More Information

Additional Information:
No publications provided

Responsible Party: Roswell Park Cancer Institute ( Wen Wee Ma )
Study ID Numbers: CDR0000632302, RPCI-I-137508, ONCONOVA-04-09
Study First Received: January 14, 2009
Last Updated: June 9, 2009
ClinicalTrials.gov Identifier: NCT00822939     History of Changes
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
unspecified adult solid tumor, protocol specific

Study placed in the following topic categories:
Antimetabolites
Anti-Infective Agents
Radiation-Sensitizing Agents
Immunologic Factors
Gemcitabine
Immunosuppressive Agents
Antiviral Agents

Additional relevant MeSH terms:
Antimetabolites
Anti-Infective Agents
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Physiological Effects of Drugs
Enzyme Inhibitors
Antiviral Agents
Immunosuppressive Agents
Pharmacologic Actions
Radiation-Sensitizing Agents
Therapeutic Uses
Gemcitabine

ClinicalTrials.gov processed this record on September 01, 2009