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Cixutumumab and Temsirolimus in Treating Young Patients With Solid Tumors That Have Recurred or Not Responded to Treatment
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), May 2009
First Received: April 10, 2009   Last Updated: June 9, 2009   History of Changes
Sponsors and Collaborators: Children's Oncology Group
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00880282
  Purpose

RATIONALE: Monoclonal antibodies, such as cixutumumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Temsirolimus may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase I trial is studying the side effects and best dose of cixutumumab when given together with temsirolimus in treating young patients with solid tumors that have recurred or not responded to treatment.


Condition Intervention Phase
Unspecified Childhood Solid Tumor, Protocol Specific
Biological: cixutumumab
Drug: temsirolimus
Genetic: gene expression analysis
Genetic: protein expression analysis
Genetic: western blotting
Other: immunologic technique
Other: laboratory biomarker analysis
Other: pharmacological study
Phase I

Study Type: Interventional
Study Design: Treatment
Official Title: A Phase I Study of IMC-A12 (Anti-Insulin-Like Growth Factor-I Receptor Monoclonal Antibody) in Combination With CCI-779 (Temsirolimus) in Pediatric Patients With Recurrent or Refractory Solid Tumors

Resource links provided by NLM:


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

Primary Outcome Measures:
  • Maximum-tolerated dose and recommended phase II dose of cixutumumab and temsirolimus [ Designated as safety issue: Yes ]
  • Toxicities according to CTCAE v.3 [ Designated as safety issue: Yes ]
  • Pharmacokinetics [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Antitumor activity according to RECIST criteria [ Designated as safety issue: No ]
  • Biologic activity of cixutumumab, as assessed by changes in IGFR and insulin-receptor expression and phosphorylation [ Designated as safety issue: No ]
  • Biologic activity of temsirolimus, as assessed by levels of S6K1, AKT, eIF4G, and associated phosphoproteins [ Designated as safety issue: No ]

Estimated Enrollment: 38
Study Start Date: November 2008
Estimated Primary Completion Date: May 2011 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • To estimate the maximum tolerated dose and recommended phase II dose of cixutumumab administered as an intravenous infusion once weekly in combination with temsirolimus administered intravenously once weekly in children with refractory solid tumors.
  • To define and describe the toxicities of this regimen.
  • To characterize the pharmacokinetics of this regimen in children with refractory cancer.

Secondary

  • To preliminarily define the antitumor activity of this regimen within the confines of a phase I study.
  • To assess the biologic activity of cixutumumab by assessing changes in IGFR expression and phosphorylation and insulin-receptor expression and phosphorylation in peripheral blood mononuclear cells (PBMNC).
  • To assess the biological activity of temsirolimus by measuring levels of S6K1, AKT, eIF4G, and associated phosphoproteins in PBMNC.

OUTLINE: This is a multicenter study.

Patients receive cixutumumab IV over 60 minutes and temsirolimus IV over 30 minutes on days 1, 8, 15, and 22.

Treatment repeats every 28 days for up to 25 courses in the absence of disease progression or unacceptable toxicity.

Blood samples are collected periodically for pharmacokinetic, pharmacodynamic, immunogenic, and other correlative studies. Samples are analyzed for IGF-1, IGF-2, IGF-BP3, growth hormone, insulin, C-peptides; S6K1, AKT, and associated phosphoproteins; and IGF-1R and insulin-receptor expression and phosphorylation by immunoprecipitation and western immunoblotting.

After completion of study therapy, patients are followed periodically.

  Eligibility

Ages Eligible for Study:   1 Year to 21 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed solid tumor

    • Recurrent or refractory disease
    • Histologic confirmation may have been made at original diagnosis or relapse

      • Histologic confirmation not required for intrinsic brain stem tumors, optic pathway gliomas, or pineal tumors with elevations of serum or CSF alpha-fetoprotein or beta-HCG
  • No known curative therapy or therapy proven to prolong survival with an acceptable quality of life
  • Measurable or evaluable disease
  • Patients with seizure disorder may be enrolled if on anticonvulsants and well controlled
  • Neurologic deficits in patients with CNS tumors must have been clinically stable for at least the past week
  • CNS toxicity ≤ grade 2

PATIENT CHARACTERISTICS:

  • Karnofsky performance status (PS) 50-100% (patients > 16 years of age) or Lansky PS 50-100% (patients ≤ 16 years of age)

    • Patients who are unable to walk because of paralysis, but who are up in a wheelchair, will be considered ambulatory for the purpose of assessing the performance score
  • ANC ≥ 1,000/mm³*
  • Platelet count ≥ 100,000/mm³* (transfusion independent)
  • Hemoglobin ≥ 8.0 g/dL* (may receive RBC transfusions) NOTE: * Unless due to bone marrow involvement by tumor.
  • Creatinine clearance or radioisotope glomerular filtration rate ≥ 70 mL/min OR serum creatinine based on age/gender as follows:

    • 0.6 mg/dL (for patients 1 year of age)
    • 0.8 mg/dL (for patients 2 to 5 years of age)
    • 1 mg/dL (for patients 6 to 9 years of age)
    • 1.2 mg/dL (for patients 10 to 12 years of age)
    • 1.5 mg/dL (males) or 1.4 mg/dL (females) (for patients 13 to 15 years of age)
    • 1.7 mg/dL (males) or 1.4 mg/dL (females) (for patients ≥ 16 years of age)
  • Bilirubin ≤ 1.5 times upper limit of normal (ULN) for age
  • ALT ≤ 110 U/L
  • Serum albumin ≥ 2 g/dL
  • PT/INR < 1.2 times ULN
  • Seizure disorder may be allowed provided well controlled on anticonvulsants
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 3 months after completion of study treatment
  • Random or fasting blood glucose normal for age
  • No uncontrolled infection
  • No known type I or II diabetes mellitus
  • No patients who, in the opinion of the investigator, may not be able to comply with the safety monitoring requirements of the study
  • No history of allergic reactions attributed to compounds of similar chemical or biologic composition to cixutumumab or temsirolimus

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • See Patient Characteristics
  • Fully recovered from the acute toxic effects of all prior chemotherapy, immunotherapy, or radiotherapy
  • At least 2 months since prior stem cell transplant or rescue and no evidence of active graft-versus-host-disease
  • More than 3 weeks since prior myelosuppressive chemotherapy (6 weeks for nitrosourea)
  • More than 6 weeks since prior major surgery

    • Patients with history of recent minor surgical procedures (e.g., vascular catheter placement, bone marrow evaluation, laparoscopic surgery) are eligible
  • At least 7 days since prior hematopoietic growth factors that support platelet or white cell number or function
  • At least 7 days since prior therapy with a biologic (antineoplastic) agent
  • At least 6 weeks since prior monoclonal antibodies
  • Patients receiving corticosteroids must be on a stable or decreasing dose of corticosteroid for the 7 days prior to enrollment
  • At least 2 weeks since prior local palliative radiation therapy (small port)
  • At least 3 months since prior total-body irradiation, craniospinal radiation therapy, or radiation to ≥ 50% of pelvis
  • At least 6 weeks since other prior substantial bone marrow radiation therapy
  • No prior temsirolimus or monoclonal antibody therapy targeting IGF-1R
  • No concurrent insulin or growth hormone therapy
  • No concurrent enzyme-inducing anticonvulsants
  • No concurrent potent CYP3A4 inducers or inhibitors (i.e., erythromycin, clarithromycin, ketoconazole, azithromycin, itraconazole, grapefruit juice, or St. John wort)
  • No other concurrent investigational agents
  • No other concurrent anticancer therapy, including chemotherapy, radiation therapy, immunotherapy, or biologic therapy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00880282

Locations
United States, California
Children's Hospital of Orange County Recruiting
Orange, California, United States, 92868
Contact: Violet Shen     714-532-8636        
United States, District of Columbia
Children's National Medical Center Recruiting
Washington, District of Columbia, United States, 20010-2970
Contact: Clinical Trials Office - Children's National Medical Center     202-884-2549        
United States, Minnesota
Masonic Cancer Center at University of Minnesota Recruiting
Minneapolis, Minnesota, United States, 55455
Contact: Clinical Trials Office - Masonic Cancer Center at University o     612-624-2620        
United States, Ohio
Cincinnati Children's Hospital Medical Center Recruiting
Cincinnati, Ohio, United States, 45229-3039
Contact: Clinical Trials Office - Cincinnati Children's Hospital Medica     513-636-2799        
Sponsors and Collaborators
Children's Oncology Group
Investigators
Study Chair: Maryam Fouladi, MD Children's Hospital Medical Center, Cincinnati
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000639150, COG-ADVL0813
Study First Received: April 10, 2009
Last Updated: June 9, 2009
ClinicalTrials.gov Identifier: NCT00880282     History of Changes
Health Authority: Unspecified

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

Study placed in the following topic categories:
Antibodies, Monoclonal
Antibodies
Mitogens
Insulin
Recurrence
Immunoglobulins

ClinicalTrials.gov processed this record on September 04, 2009