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| Sponsor: | Children's Oncology Group |
|---|---|
| Collaborator: |
National Cancer Institute (NCI) |
| Information provided by: | National Cancer Institute (NCI) |
| ClinicalTrials.gov Identifier: | NCT00739427 |
Purpose
RATIONALE: MLN8237 may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.
PURPOSE: This phase I/II trial is studying the side effects and best dose of MLN8237 and to see how well it works in treating young patients with relapsed or refractory solid tumors or acute lymphoblastic leukemia (acute lymphoblastic leukemia closed to accrual as of 02/18/10).
| Condition | Intervention | Phase |
|---|---|---|
|
Leukemia Neuroblastoma Unspecified Childhood Solid Tumor, Protocol Specific |
Drug: Aurora A kinase inhibitor MLN8237 Genetic: cytogenetic analysis Genetic: fluorescence in situ hybridization Genetic: gene expression analysis Genetic: polymerase chain reaction Genetic: polymorphism analysis Other: immunohistochemistry staining method Other: pharmacological study |
Phase I Phase II |
| Study Type: | Interventional |
| Study Design: | Primary Purpose: Treatment |
| Official Title: | A Phase I/II Study of MLN8237, an Oral Selective Small Molecule Inhibitor of Aurora A Kinase, in Children With Relapsed/Refractory Solid Tumors |
| Estimated Enrollment: | 81 |
| Study Start Date: | September 2008 |
| Estimated Primary Completion Date: | May 2010 (Final data collection date for primary outcome measure) |
OBJECTIVES:
Primary
Secondary
OUTLINE: This is a multicenter phase I, dose escalation followed by a phase II study. Patients are stratified according to diagnosis (solid tumors vs neuroblastoma vs acute lymphoblastic leukemia). (Acute lymphoblastic leukemia closed to accrual as of 02/18/10)
Patients receive oral Aurora A kinase inhibitor MLN8237 once or twice daily on days 1-7. Courses repeat every 21 days for up to 24 months in the absence of disease progression or unacceptable toxicity.
Whole blood samples are collected from all patients for genotyping for polymorphisms in UGT1A1 enzymes and polymorphisms in the Aurora A kinase gene. For patients in the phase II portion of the study, previously preserved tumor tissue blocks and bone marrow or peripheral blasts are evaluated for Aurora A kinase protein using IHC, mRNA expression, and gene amplification using FISH or quantitative PCR. Bone marrow is also obtained for FAB morphology, immunophenotyping, and cytogenetics. Blood samples are also collected periodically during the first course of therapy for pharmacokinetics studies.
Eligibility| Ages Eligible for Study: | 1 Year to 21 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically confirmed solid tumor (phase I, stratum A1 or A2) or neuroblastoma (phase II, stratum B) or relapsed/refractory acute lymphoblastic leukemia (ALL) (phase II, stratum C) (ALL closed to accrual as of 02/18/10)
Relapsed or refractory
Meets the following criteria for measurable or evaluable disease as defined below by stratum:
Stratum B: meets 1 of the following criteria:
PATIENT CHARACTERISTICS:
Patients with solid tumors (phase I, stratum A1 or A2) must meet the following hematopoietic criteria:
Patients in phase II portion of the study (stratum B & C) must meet the following hematopoietic criteria: (stratum C closed to accrual as of 02/18/10)
Creatinine clearance or radioisotope glomerular filtration rate ≥ 70ml/min OR serum creatinine based on age/gender (male [M], female [F]) as follows (in mg/dL):
PRIOR CONCURRENT THERAPY:
No other concurrent anticancer therapy, including chemotherapy, radiotherapy, immunotherapy, or biological therapy
Contacts and Locations
Show 20 Study Locations| Study Chair: | Yael P. Mosse, MD | Children's Hospital of Philadelphia |
More Information
| Responsible Party: | Susan M. Blaney, Texas Children's Cancer Center and Hematology Service at Texas Children's Hospital |
| ClinicalTrials.gov Identifier: | NCT00739427 History of Changes |
| Other Study ID Numbers: | CDR0000610257, COG-ADVL0812 |
| Study First Received: | August 20, 2008 |
| Last Updated: | April 6, 2011 |
| Health Authority: | United States: Federal Government |
|
unspecified childhood solid tumor, protocol specific recurrent neuroblastoma recurrent childhood acute lymphoblastic leukemia |
|
Leukemia Leukemia, Lymphoid Precursor Cell Lymphoblastic Leukemia-Lymphoma Neuroblastoma Neoplasms Neoplasms by Histologic Type Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders |
Immune System Diseases Neuroectodermal Tumors, Primitive, Peripheral Neuroectodermal Tumors, Primitive Neoplasms, Neuroepithelial Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Neoplasms, Glandular and Epithelial Neoplasms, Nerve Tissue |