Study Determining the Safety and Tolerability of Combination Therapy With Pazopanib and GSK1120212 in Advanced Solid Tumors Enriched With Patients With Advanced Differentiated Thyroid Cancer
This study is currently recruiting participants.
Verified November 2012 by Sidney Kimmel Comprehensive Cancer Center
Sponsor:
Sidney Kimmel Comprehensive Cancer Center
Collaborators:
National Comprehensive Cancer Network
GlaxoSmithKline
Information provided by (Responsible Party):
Sidney Kimmel Comprehensive Cancer Center
ClinicalTrials.gov Identifier:
NCT01438554
First received: August 23, 2011
Last updated: November 15, 2012
Last verified: November 2012
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Purpose
The purpose of this study is to determine the safety and toxicity of the combination of pazopanib and GSK1120212 in patients with solid tumors and advanced thyroid cancer and identify the maximum tolerated dose (MTD) of this combination for phase II study.
| Condition | Intervention | Phase |
|---|---|---|
|
Solid Tumors Advanced Thyroid Cancer |
Drug: Combination of pazopanib and GSK1120212 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label |
| Official Title: | Phase I Study Determining the Safety and Tolerability of Combination Therapy With Pazopanib, a VEGFR/PDGFR/Raf Inhibitor, and GSK1120212, a MEK Inhibitor, in Advanced Solid Tumors Enriched With Patients With Advanced Differentiated Thyroid Cancer |
Resource links provided by NLM:
Further study details as provided by Sidney Kimmel Comprehensive Cancer Center:
Primary Outcome Measures:
- Maximum tolerated dose (MTD) of pazopanib and GSK1120212 when combined in patients with solid tumors [ Time Frame: Approximately one year ] [ Designated as safety issue: Yes ]
- Adverse events as a measure of the safety and tolerability profile of pazopanib in combination with GSK1120212 in patients with solid tumors and advanced thyroid cancer. [ Time Frame: Approximately one year ] [ Designated as safety issue: Yes ]
Secondary Outcome Measures:
- Objective response rate at six months in patients with advanced thyroid cancer being treated at the MTD [ Time Frame: Approximately one year ] [ Designated as safety issue: Yes ]
- Progression-free survival (PFS) in patients with advanced thyroid cancer being treated at MTD. [ Time Frame: Approximately one year ] [ Designated as safety issue: Yes ]
- Area Under Curve (AUC) Time Frame: Cycle 1 Day pre-dose, 1, 2, 4, 6, 24-hours post dose. Cycle 1 Day 15: pre-dose. Cycle 2 Day 1: pre-dose. [ Time Frame: Approximately one year ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 61 |
| Study Start Date: | October 2011 |
| Estimated Primary Completion Date: | October 2013 (Final data collection date for primary outcome measure) |
Intervention Details:
-
Drug: Combination of pazopanib and GSK1120212
Treatment will be administered on an outpatient basis. Both drugs are taken orally. Each cycle lasts 28 days. The doses of each drug will depend on when patient enters study.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- For dose escalation cohort, patients with advanced inoperable solid tumors. For dose expansion cohort, patients with advanced, inoperable differentiated thyroid cancer (DTC) will be enrolled. Disease must be biopsiable.
- Must have measurable disease.
- Patients with DTC must have radioiodine non-avid lesions, OR with radioiodine avid lesions that have not responded to treatment with radioactive iodine.
- ECOG performance status less than or equal to 1.
- Life expectancy >3 months.
- Treated brain mets allowed if stable at least 8 weeks, off of glucocorticoids.
- Adequate organ function.
- Women of child bearing potential and must agree to use adequate contraception prior to study entry and for 3 months after study completion.
- Tumor progression in the 6-month period prior to study drug initiation.
- Blood pressure <140 mmHg and <90 mmHg.
- LVEF is >= 50%
- Must be able to swallow pills.
Exclusion Criteria:
- Chemotherapy or radiotherapy within 4 weeks.
- Pregnant or currently breastfeeding.
- Unresolved toxicity greater than grade 1.
- Evidence of active hepatitis or HIV.
- Significant cardiovascular disease.
- Taking medications known to be strong inducers or inhibitors of CYP3A enzymes.
- Use of investigation drug within 28 days of study drug start date.
- Major surgery within 4 weeks prior to study entry.
- Clinically significant gastrointestinal abnormalities that may increase the risk for gastrointestinal bleeding.
- History of gastrointestinal condition causing malabsorption or obstruction.
- Cerebrovascular accident including ischemic attack (TIA), pulmonary embolism or untreated deep vein thrombosis (DVT) within past 6 months.
- Known endobronchial lesions and/or lesions infiltrating major pulmonary vessels that increase risk of pulmonary hemorrhage.
- Hemoptysis within 6 months of starting treatment.
- History of retinal vein occlusion (RVO) or central serous retinopathy (CSR), or predisposing factors to RVO or CSR as assessed by ophthalmic exam.
- Uncontrolled intercurrent illness and/or concurrent condition that, in the Investigator's opinion, would jeopardize the safety of patient or compliance with protocol.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01438554
Contacts
| Contact: Kathy Elza-Brown, RN | 410-502-5140 | kelzabr1@jhmi.edu |
| Contact: Nilo Azad, MD | 410-614-9169 | nazad2@jhmi.edu |
Locations
| United States, Maryland | |
| Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins | Recruiting |
| Baltimore, Maryland, United States, 21231 | |
| United States, Texas | |
| MD Anderson Cancer Center | Recruiting |
| Houston, Texas, United States, 77030 | |
Sponsors and Collaborators
Sidney Kimmel Comprehensive Cancer Center
National Comprehensive Cancer Network
GlaxoSmithKline
Investigators
| Principal Investigator: | Nilo Azad, MD | Johns Hopkins University |
More Information
No publications provided
| Responsible Party: | Sidney Kimmel Comprehensive Cancer Center |
| ClinicalTrials.gov Identifier: | NCT01438554 History of Changes |
| Other Study ID Numbers: | J1162, NA_00048646 |
| Study First Received: | August 23, 2011 |
| Last Updated: | November 15, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Thyroid Neoplasms Thyroid Diseases Neoplasms Endocrine Gland Neoplasms |
Neoplasms by Site Head and Neck Neoplasms Endocrine System Diseases |
ClinicalTrials.gov processed this record on May 19, 2013