CCI-779 in Treating Patients With Advanced Solid Tumors
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Purpose
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.
PURPOSE: Phase I trial to study the effectiveness of CCI-779 in treating patients who have advanced solid tumors.
| Condition | Intervention | Phase |
|---|---|---|
|
Brain and Central Nervous System Tumors Metastatic Cancer Unspecified Adult Solid Tumor, Protocol Specific |
Drug: temsirolimus |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase I Study of the Safety, Tolerability, and Pharmacokinetics of Intravenous CCI-779 Given Once Daily for 5 Days Every 2 Weeks to Patients With Advanced Solid Tumors |
| Enrollment: | 15 |
| Study Start Date: | January 2001 |
| Study Completion Date: | June 2002 |
| Primary Completion Date: | June 2002 (Final data collection date for primary outcome measure) |
-
Drug: temsirolimus
•Part I: Patients receive CCI-779 IV over 30 minutes on days 1-5, followed by a 9 day rest period. Treatment courses repeat every 2 weeks in the absence of disease progression or unacceptable toxicity.
The maximum tolerated dose for part I is defined as the dose level at which 33% of patients experience dose limiting toxicity.
•Part II: Patients receive the same treatment schedule as part I. Three patients with CNS tumors are entered at the dose of CCI-779 determined to be the MTD in Part I. At least 3 patients are entered at each dose level in part II.
OBJECTIVES:
- Determine the safety, tolerability, and maximum tolerated dose (MTD) of CCI-779 in patients with advanced solid tumors (part I) who are not receiving anticonvulsant therapy.
- Determine the safety, tolerability, and MTD in patients with recurrent gliomas or brain metastases (part II) who are receiving anticonvulsant therapy.
- Determine the preliminary pharmacokinetic profile and antitumor activity of CCI-779 in these patients.
OUTLINE: This is an open-label, dose-escalation study.
- Part I: Patients receive CCI-779 IV over 30 minutes on days 1-5, followed by a 9 day rest period. Treatment courses repeat every 2 weeks in the absence of disease progression or unacceptable toxicity.
The maximum tolerated dose for part I is defined as the dose level at which 33% of patients experience dose limiting toxicity.
- Part II: Patients receive the same treatment schedule as part I. Three patients with CNS tumors are entered at the dose of CCI-779 determined to be the MTD in Part I. At least 3 patients are entered at each dose level in part II.
PROJECTED ACCRUAL: Approximately 20 patients will be accrued for part I for this study within 8 months, and 12 patients will be accrued for part II within 7 months.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Part I:
- Histologically proven advanced solid tumors that are refractory or for which no curative therapy exists
- No CNS metastases, peritumoral edema, or symptomatic brain metastases (part I)
- Measurable or evaluable disease
Part II:
- Histologically proven recurrent gliomas or brain metastases for which no curative therapy exists
- Receiving anticonvulsants
- Measurable or evaluable disease
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- ECOG 0-2
Life expectancy:
- At least 3 months
Hematopoietic:
- Absolute neutrophil count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
- Hemoglobin at least 9 g/dL
Hepatic:
- Bilirubin less than 1.5 mg/dL
- AST or ALT less than 3 times upper limit of normal (ULN) (less than 5 times ULN if liver metastases)
Renal:
- Creatinine less than 2 mg/dL
Cardiovascular:
- No unstable angina
- No myocardial infarction within past 6 months
- No maintenance therapy for life-threatening arrhythmias
Other:
- Not pregnant or nursing
- Fertile patients must use effective contraception
- HIV negative
- No active infection or other serious concurrent illness
- Triglycerides no greater than 300 mg/dL
- Cholesterol no greater than 350 mg/dL
- No known hypersensitivity to macrolide antibiotics (e.g., clarithromycin, erythromycin, or azithromycin)
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- At least 3 weeks since prior chemotherapy (6 weeks since nitrosoureas and mitomycin)
- No other concurrent chemotherapy
Endocrine therapy:
- Concurrent corticosteroids used to reduce edema in patients with primary or metastatic CNS tumors allowed
- No concurrent hormonal therapy
Radiotherapy:
- At least 3 weeks since prior radiotherapy
- No concurrent radiotherapy
Surgery:
- Not specified
Other:
- At least 1 month since prior investigational agents
- At least 3 weeks since prior immunosuppressive therapy
- No concurrent anticonvulsant therapy (part I)
- No concurrent immunosuppressive therapy (e.g., terfenadine, cisapride, astemizole, pimozide)
- No known agents that inhibit or induce cytochrome p450
Contacts and Locations| United States, Minnesota | |
| Mayo Clinic Cancer Center | |
| Rochester, Minnesota, United States, 55905 | |
| United States, Texas | |
| San Antonio Cancer Institute | |
| San Antonio, Texas, United States, 78229-3264 | |
| Study Chair: | Eric K. Rowinsky, MD | San Antonio Cancer Institute |
More Information
Additional Information:
No publications provided
| Responsible Party: | The University of Texas Health Science Center at San Antonio |
| ClinicalTrials.gov Identifier: | NCT00003712 History of Changes |
| Other Study ID Numbers: | CDR0000066820, P30CA054174, UTHSC-9785011303, SACI-IDD-98-02, W-AR-3066K1-100-US, NCI-V98-1506 |
| Study First Received: | November 1, 1999 |
| Last Updated: | August 7, 2012 |
| Health Authority: | United States: Food and Drug Administration United States: Institutional Review Board |
Keywords provided by The University of Texas Health Science Center at San Antonio:
|
recurrent adult brain tumor unspecified adult solid tumor, protocol specific tumors metastatic to brain |
Additional relevant MeSH terms:
|
Neoplasm Metastasis Neoplasms Neoplasms, Second Primary Nervous System Neoplasms Central Nervous System Neoplasms Neoplastic Processes Pathologic Processes Neoplasms by Site Nervous System Diseases Sirolimus Everolimus |
Antibiotics, Antineoplastic Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Antifungal Agents Anti-Infective Agents Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Anti-Bacterial Agents |
ClinicalTrials.gov processed this record on May 19, 2013