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Study of Single Agent Perifosine for Recurrent Pediatric Solid Tumors
This study is currently recruiting participants.
Study NCT00776867   Information provided by Memorial Sloan-Kettering Cancer Center
First Received: October 20, 2008   Last Updated: October 2, 2009   History of Changes

October 20, 2008
October 2, 2009
October 2008
October 2010   (final data collection date for primary outcome measure)
Maximum Tolerated Dose (MTD) of perifosine monotherapy in children with cancer [ Time Frame: conclusion of the study ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT00776867 on ClinicalTrials.gov Archive Site
  • To determine whether pharmacokinetic serum levels correlate with toxicity [ Time Frame: conclusion of the study ] [ Designated as safety issue: Yes ]
  • If previously resected tissue is available, determine whether molecular features predict response including Elevated PI3K/AKT/mTOR signaling, Elevated RAS/MAPK signaling, Cell cycle markers [ Time Frame: conclusion of the study ] [ Designated as safety issue: No ]
Same as current
 
Study of Single Agent Perifosine for Recurrent Pediatric Solid Tumors
Phase I Study of Single Agent Perifosine for Recurrent Pediatric Solid Tumors

The purpose of this study is to test whether perifosine- a drug that inhibits the protein AKT, and has had some success in the treatment of adult cancers- is safe and effective in treating cancer. The investigators want to find out what effects, good and/or bad, it has on the patient and the cancer. The investigators are testing different dose schedules of perifosine and the patient will be asked to partake in one of the dose schedules.

 
Phase I
Interventional
Treatment, Open Label, Single Group Assignment, Safety Study
Solid Tumors
Drug: perifosine
Experimental: This will be a dose escalation study to determine the maximum tolerated dose (MTD) of perifosine alone in recurrent/progressive pediatric tumors. A standard 3+3 dose escalation design will be employed with 3-6 patients at each dose level.
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
24
October 2010
October 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Any solid tumor that failed standard therapy.
  • Patient must have evidence for tumor by CT, MRI, PET scan, MIBG scan, serum markers, or tissue sampling.
  • Age ≤ 18 years.
  • Karnofsky/Lansky performance status ≥ 50% (Karnofsky score for age> 16 years and Lansky score for age ≤ 16 years)
  • ANC≥ 1000 at least 24 hours off GCSF
  • Platelets ≥ 100K at least one week off platelet transfusions
  • Hg≥ 8g/dL at least one week off PRBC transfusion
  • AST ≤ 3 x the upper limit of normal
  • ALT ≤ 3 x the upper limit of normal
  • Total bilirubin ≤ 2.0 mg/dl
  • serum creatinine ≤ 1.5 x the upper limit of normal for age, or calculated creatinine clearance or nuclear GFR ≥ 70 ml/min/1.73 m2.
  • ≥ 3 weeks since last non-nitrourea chemotherapy
  • ≥ 6 weeks since last nitroureas
  • ≥ 4 weeks since last RT
  • Patients must agree to practice adequate contraception. Females of childbearing potential must have a negative B-HCG pregnancy test documented within 7 days prior to registration. Females must not be breast feeding.

Exclusion Criteria:

  • Pregnancy
  • Patients must not have active infection or serious intercurrent medical illness.
  • HIV-Positive patients receiving combination anti-retroviral therapy are excluded from the study due to possible retro-viral drug interactions. HIV testing not required.
  • Patients must not be taking EIAEDs. If patients were previously EIAEDs that have been discontinued, patients must have been off the agent for at least 2 weeks prior to registration.
Both
up to 18 Years
No
Contact: Oren Becher, MD bechero@mskcc.org
Contact: Ira Dunkel, MD dunkeli@mskcc.org
United States
 
NCT00776867
Oren Becher, MD, Memorial Sloan-Kettering Cancer Center
08-091
Memorial Sloan-Kettering Cancer Center
University of Wisconsin, Madison
Principal Investigator: Oren Becher, MD Memorial Sloan-Kettering Cancer Center
Memorial Sloan-Kettering Cancer Center
October 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP