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SNX-5422 in Treating Patients With Solid Tumor or Lymphoma That Has Not Responded to Treatment
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), July 2009
First Received: March 25, 2008   Last Updated: July 28, 2009   History of Changes
Sponsored by: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00644072
  Purpose

RATIONALE: Drugs used in chemotherapy, such as SNX-5422, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing.

PURPOSE: This phase I trial is studying the side effects and best dose of SNX-5422 in treating patients with solid tumor or lymphoma that has not responded to treatment.


Condition Intervention Phase
Leukemia
Lymphoma
Lymphoproliferative Disorder
Small Intestine Cancer
Unspecified Adult Solid Tumor, Protocol Specific
Drug: Hsp90 inhibitor SNX-5422 mesylate
Other: flow cytometry
Other: high performance liquid chromatography
Other: mass spectrometry
Other: pharmacological study
Phase I

Study Type: Interventional
Study Design: Treatment
Official Title: Phase I Study of SNX-5422 Mesylate in Adults With Refractory Solid Tumor Malignancies and Lymphomas

Resource links provided by NLM:


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

Primary Outcome Measures:
  • Maximum tolerated dose [ Designated as safety issue: Yes ]
  • Safety [ Designated as safety issue: Yes ]
  • Toxicity as assessed by NCI CTCAE v3.0 [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Pharmacokinetic profile of Hsp90 inhibitor SNX- 5422 mesylate and its metabolite, SNX-2112, in humans [ Designated as safety issue: No ]

Estimated Enrollment: 78
Study Start Date: February 2008
Estimated Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Determine the maximum tolerated dose of Hsp90 inhibitor SNX-5422 mesylate in patients with refractory solid tumors or lymphomas.
  • Characterize the safety profile of this drug in these patients.

Secondary

  • Investigate the effects of this drug on Hsp90 client proteins using pharmacodynamic assays.
  • Investigate the effects of this drug on tumor response (by RECIST criteria) and on lymphoma response (by standardized lymphoma criteria) in these patients.
  • Determine the pharmacokinetic profile of SNX-2112 and prodrug Hsp90 inhibitor SNX-5422 mesylate in humans.

OUTLINE: Patients receive oral Hsp90 inhibitor SNX-5422 mesylate twice weekly in weeks 1-4. Treatment repeats every 4 weeks in the absence of disease progression or unacceptable toxicity.

Patients undergo blood and urine sample collection for pharmacokinetic, pharmacodynamic analysis in course 1.

Samples are evaluated using high performance liquid chromatography and tandem mass spectrometry to measure plasma and urine concentrations of Hsp90 inhibitor SNX-5422 mesylate and its metabolite, SNX-2112. Analyses of Hsp90 clients in peripheral blood mononuclear cells and the effect of Hsp90 inhibitor SNX-5422 on Hsp90 clients in tumor tissue are performed.

After completion of study therapy, patients are followed periodically.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically documented diagnosis of 1 of the following:

    • Solid tumor
    • Lymphoid malignancy (i.e., lymphoma or chronic lymphocytic leukemia)

      • Aggressive non-Hodgkin lymphoma (NHL) must have progressed after treatment with two standard therapies
      • Indolent NHL must be considered refractory
  • Refractory to standard therapy OR no acceptable standard treatment options
  • Measurable or evaluable disease
  • No symptomatic brain metastases

    • Patients with treated brain metastases that has remained stable for at least 3 months without steroids allowed

PATIENT CHARACTERISTICS:

  • ECOG performance status (PS) 0-2 (Karnofsky PS 60-100%)
  • Life expectancy > 3 months
  • ANC ≥ 1,500/μL
  • Platelet count ≥ 100,000/μL
  • Total bilirubin ≤ 1.5 times upper limit of normal (ULN) (≤ 2.5 mg/dL in patients with Gilbert syndrome)
  • AST and ALT ≤ 2.5 times ULN
  • Creatinine < 1.5 times ULN OR creatinine clearance ≥ 60 mL/min
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 2 months after completion of study therapy
  • No uncontrolled medical illness including, but not limited to, any of the following:

    • Ongoing or uncontrolled, symptomatic congestive heart failure (AHA Class II or worse)
    • Uncontrolled hypertension
    • Unstable angina pectoris
    • Cardiac arrhythmia
    • Psychiatric illness/social situations that would limit compliance with study requirements
  • No chronic diarrhea
  • No gastrointestinal diseases that could affect drug absorption
  • No gastrointestinal diseases that could alter the assessment of safety, including any of the following:

    • Irritable bowel syndrome
    • Ulcerative colitis
    • Crohn disease
    • Hemorrhagic coloproctitis
  • No HIV positivity

PRIOR CONCURRENT THERAPY:

  • More than 4 weeks since prior chemotherapy or biologic therapy (> 6 weeks for nitrosoureas, mitomycin C, or UCN-01) and recovered
  • No prior gastric bypass surgery
  • At least 1 month since any prior radiotherapy or major surgery
  • At least 2 weeks since any prior study drug in an exploratory IND/phase zero study
  • No concurrent combination antiretroviral therapy in HIV-positive patients
  • No other concurrent investigational agents
  • No other concurrent antineoplastic therapies except androgen deprivation therapy (i.e., gonadotrophin-releasing hormone) in patients with prostate cancer
  • Concurrent bisphosphonates for cancer allowed
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00644072

Locations
United States, Maryland
Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office Recruiting
Bethesda, Maryland, United States, 20892-1182
Contact: Clinical Trials Office - Warren Grant Magnusen Clinical Center     888-NCI-1937        
Sponsors and Collaborators
Investigators
Principal Investigator: Giuseppe Giaccone, MD, PhD NCI - Medical Oncology Branch
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000590247, NCI-08-C-0091, NCI-P07318
Study First Received: March 25, 2008
Last Updated: July 28, 2009
ClinicalTrials.gov Identifier: NCT00644072     History of Changes
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
unspecified adult solid tumor, protocol specific
recurrent adult T-cell leukemia/lymphoma
stage IV adult T-cell leukemia/lymphoma
adult nasal type extranodal NK/T-cell lymphoma
anaplastic large cell lymphoma
angioimmunoblastic T-cell lymphoma
splenic marginal zone lymphoma
extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue
nodal marginal zone B-cell lymphoma
stage IV adult Hodgkin lymphoma
stage IV mycosis fungoides/Sezary syndrome
recurrent adult Hodgkin lymphoma
recurrent adult Burkitt lymphoma
recurrent adult diffuse large cell lymphoma
recurrent adult diffuse mixed cell lymphoma
recurrent adult diffuse small cleaved cell lymphoma
recurrent adult grade III lymphomatoid granulomatosis
recurrent adult immunoblastic large cell lymphoma
recurrent adult lymphoblastic lymphoma
recurrent cutaneous T-cell non-Hodgkin lymphoma
recurrent mycosis fungoides/Sezary syndrome
recurrent grade 1 follicular lymphoma
recurrent grade 2 follicular lymphoma
recurrent grade 3 follicular lymphoma
recurrent mantle cell lymphoma
recurrent marginal zone lymphoma
recurrent small lymphocytic lymphoma
Burkitt lymphoma
intraocular lymphoma
primary central nervous system lymphoma

Study placed in the following topic categories:
Lymphoma, Mantle-Cell
Mantle Cell Lymphoma
Ileal Diseases
Follicular Lymphoma
Duodenal Neoplasms
Mycoses
Leukemia, Lymphocytic, Chronic, B-Cell
Lymphoma, Large-Cell, Anaplastic
Hodgkin Disease
Lymphoma, Large B-Cell, Diffuse
Immunoproliferative Disorders
Digestive System Neoplasms
Waldenstrom Macroglobulinemia
B-cell Lymphomas
Leukemia, T-Cell
Gastrointestinal Neoplasms
Lymphoma, Non-Hodgkin
Lymphoma, T-Cell, Cutaneous
Leukemia, Lymphoid
Gastrointestinal Diseases
Lymphoma, Follicular
Central Nervous System Lymphoma, Primary
Lymphoma, B-Cell, Marginal Zone
Sezary Syndrome
Mycosis Fungoides
Lymphoblastic Lymphoma
Lymphoma, Large-cell, Immunoblastic
Lymphoma, B-Cell
Lymphoma, Small Cleaved-cell, Diffuse
Leukemia

Additional relevant MeSH terms:
Jejunal Neoplasms
Digestive System Neoplasms
Neoplasms by Histologic Type
Immunoproliferative Disorders
Immune System Diseases
Gastrointestinal Diseases
Intestinal Diseases
Ileal Diseases
Intestinal Neoplasms
Duodenal Neoplasms
Leukemia
Lymphatic Diseases
Neoplasms
Digestive System Diseases
Neoplasms by Site
Ileal Neoplasms
Jejunal Diseases
Gastrointestinal Neoplasms
Lymphoproliferative Disorders
Lymphoma
Duodenal Diseases

ClinicalTrials.gov processed this record on September 10, 2009