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Sorafenib and Temsirolimus in Treating Patients With Unresectable or Metastatic Solid Tumors
This study is ongoing, but not recruiting participants.
First Received: November 18, 2005   Last Updated: July 23, 2008   History of Changes
Sponsors and Collaborators: Cancer Therapy and Research Center, Texas
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00255658
  Purpose

RATIONALE: Sorafenib and temsirolimus may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Sorafenib may also stop the growth of tumor cells by blocking blood flow to the tumor. Giving sorafenib together with temsirolimus may kill more tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of temsirolimus when given together with sorafenib in treating patients with unresectable or metastatic solid tumors.


Condition Intervention Phase
Unspecified Adult Solid Tumor, Protocol Specific
Drug: sorafenib tosylate
Drug: temsirolimus
Phase I

Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: Phase I, Pharmacokinetic and Pharmacodynamic Study of BAY 43-9006 (Sorafenib) in Combination With CCI-779 (Temsirolimus) in Advanced Solid Malignancies

Resource links provided by NLM:


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

Estimated Enrollment: 40
Study Start Date: August 2005
Estimated Primary Completion Date: October 2006 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Determine the safety and the toxicity of sorafenib and temsirolimus in patients with advanced solid tumors.
  • Determine the maximum tolerated dose and recommended phase II dose of temsirolimus when administered with sorafenib in these patients.
  • Determine the pharmacokinetic behavior of this regimen in these patients.

Secondary

  • Determine, preliminarily, the antitumor activity of this regimen in these patients.

OUTLINE: This is an open-label, dose-escalation study of temsirolimus.

Patients receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. They also receive oral sorafenib* twice daily starting on day 8 of course 1. Treatment repeats every 4 weeks in the absence of disease progression or unacceptable toxicity.

NOTE: *On the days of the temsirolimus infusion, temsirolimus should be taken concurrently with the morning dose of sorafenib.

Cohorts of 3-6 patients receive escalating doses of temsirolimus 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. Up to 12 patients are treated at the MTD.

After completion of study treatment, patients are followed for 4 weeks.

PROJECTED ACCRUAL: A total of 40 patients will be accrued for this study.

  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

    • Metastatic or unresectable disease
  • Standard curative or palliative measures do not exist or are no longer effective
  • CNS metastases allowed provided all of the following criteria are met:

    • Received prior treatment (e.g., radiotherapy, stereotactic radiosurgery, or surgical resection) to sites of CNS metastatic disease
    • No requirement for glucocorticoids
    • No concurrent anticonvulsants
    • No overt evidence of neurological deficit
    • Radiologic scans performed within the past 14 days should not show evidence of disease progression or peritumoral edema

PATIENT CHARACTERISTICS:

Performance status

  • ECOG 0-2 OR
  • Karnofsky 60-100%

Life expectancy

  • More than 12 weeks

Hematopoietic

  • WBC ≥ 3,000/mm^3
  • Absolute neutrophil count ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3
  • Hemoglobin ≥ 9.0 g/dL
  • No evidence of bleeding diathesis or coagulopathy

Hepatic

  • Bilirubin normal
  • AST and ALT ≤ 2.5 times upper limit of normal (ULN)

Renal

  • Creatinine normal OR
  • Creatinine clearance ≥ 60 mL/min

Cardiovascular

  • Fasting serum cholesterol ≤ 350 mg/dL
  • Fasting triglycerides ≤ 400 mg/dL
  • No uncontrolled hypertension (i.e., systolic blood pressure [BP] > 140 mm Hg or diastolic BP > 90 mm Hg)
  • No symptomatic congestive heart failure
  • No unstable angina pectoris
  • No cardiac arrhythmia

Gastrointestinal

  • Must be able to swallow pills
  • No gastrointestinal tract disease requiring IV alimentation
  • No active peptic ulcer disease

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No significant traumatic injury within the past 21 days
  • No ongoing or active infection
  • No history of allergic reactions attributed to compounds of similar chemical or biological composition to study drugs
  • No psychiatric illness or social situation that would preclude study compliance
  • No other uncontrolled illness

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • No concurrent prophylactic colony-stimulating factor except epoetin alfa

Chemotherapy

  • More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin)

Radiotherapy

  • More than 4 weeks since prior radiotherapy

Surgery

  • More than 21 days since prior major surgery
  • No prior surgical procedures affecting absorption

Other

  • Recovered from prior therapy
  • More than 28 days since prior and no concurrent investigational drug
  • Concurrent bisphosphonates allowed
  • Concurrent prophylactic anticoagulation therapy (e.g., low-dose warfarin) allowed provided INR < 1.1 times ULN
  • Concurrent full-dose anticoagulation therapy (e.g., warfarin) allowed provided all of the following criteria are met:

    • PT/INR > 1.5
    • INR in-range (between 2 and 3) on a stable dose of oral anticoagulant or a stable dose of low molecular weight heparin
    • No active bleeding or pathological condition that carries risk of bleeding (e.g., tumor involving major vessels or known varices)
  • No concurrent enzyme-inducing antiepileptic drugs, including any of the following:

    • Phenytoin
    • Carbamazepine
    • Rifampin
    • Hypericum perforatum (St. John's wort)
    • Phenobarbital
    • Cimetidine
    • Ketoconazole
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No other concurrent anticancer therapy
  • No concurrent ingestion of high-fat meals
  • No concurrent grapefruit or grapefruit juice
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00255658

Locations
United States, Texas
Cancer Therapy and Research Center
San Antonio, Texas, United States, 78229
Sponsors and Collaborators
Cancer Therapy and Research Center, Texas
Investigators
Study Chair: Muralidhar Beeram, MD Cancer Therapy and Research Center, Texas
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000446567, CTRC-IDD-0512, NCI-7146
Study First Received: November 18, 2005
Last Updated: July 23, 2008
ClinicalTrials.gov Identifier: NCT00255658     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:
Protein Kinase Inhibitors
Sorafenib

Additional relevant MeSH terms:
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Enzyme Inhibitors
Protein Kinase Inhibitors
Sorafenib
Pharmacologic Actions

ClinicalTrials.gov processed this record on September 02, 2009