A Phase I Study of Continuous Intravenous Infusion of PSC 833 and Vinblastine in Patients With Metastatic Renal Cancer

NCT00001570 | Completed Phase 1

• 2 other identifiers: 97007497-C-0074
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Bolus PSC 833 is administered on Day 1 simultaneously with initiation of 24 hour continuous infusion of PSC 833, followed by another continuous infusion lasting an additional 6 days. To ensure the safety of a 7 day infusion of PSC 833, one patient is treated for 5 days and a second for 6 days, before the first cohort is enrolled. Vinblastine is administered in escalating doses on days 2-5. At least 3 patients are entered at each dose level. The MTD will be defined as the dose immediately below that at which 2 patients experience dose limiting toxicity. Treatment continues every 28 days.

Conditions

Kidney Neoplasms; Neoplasm Metastasis

Keywords

Cytochrome P 450; Multi-Drug Resistance; P-Glycoprotein; Pharmacokinetics

Interventions

PSC 833 DRUG

vinblastine DRUG

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

DISEASE CHARACTERISTICS: Histologically proven renal cancer with clear cell component: Measurable or evaluable disease; No brain metastases; No grade 2 or greater peripheral neuropathy or neurologic toxicity symptoms. PRIOR/CONCURRENT THERAPY: Biologic Therapy: Not specified. Chemotherapy: No prior or concurrent hypersensitivity to PSC 833 or cyclosporine A. Endocrine Therapy: Not specified. Radiotherapy: No prior radiation therapy within 4 weeks of study. Surgery: No major surgery within 4 weeks of study. Other: No concurrent treatments that interfere with cyclosporine blood concentrations. PATIENT CHARACTERISTICS: Age: 18 and over. Performance Status: ECOG 0-2. Life Expectancy: At least 16 weeks. Hematopoietic: ANC greater than or equal to 1500/mm(3); Platelet count greater than or equal to 100,000/mm(3). Hepatic: Bilirubin no greater than 1.5 x normal; AST no greater than 2.5 x normal. Renal: Creatinine no greater than 2.0 mg/dL OR; Creatinine clearance greater than or equal to 50 mL/min. Cardiovascular: No concurrent angina or myocardial infarction that has not been appropriately treated. Other: Not pregnant or nursing. Effective contraceptive required of all fertile patients. Patients with a history of curatively treated basal cell or squamous cell carcinoma are eligible. No HIV seropositivity. No chronic hepatitis or cirrhosis. Patients with concurrent reversible conditions such as diabetes, hypercalcemia, hyperuricemia, hyperviscosity, infection, renal disease, or spinal cord compression are eligible with appropriate therapy. Patients must give written informed consent.

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

• National Cancer Institute (NCI): lead

Study Sites (1)

National Cancer Institute (NCI)

Bethesda, Maryland, 20892, United States

Location

Related Publications (3)

• Chapman AE, Goldstein LJ. Multiple drug resistance: biologic basis and clinical significance in renal-cell carcinoma. Semin Oncol. 1995 Feb;22(1):17-28. No abstract available.

  PMID: 7855615 BACKGROUND

• Boote DJ, Dennis IF, Twentyman PR, Osborne RJ, Laburte C, Hensel S, Smyth JF, Brampton MH, Bleehen NM. Phase I study of etoposide with SDZ PSC 833 as a modulator of multidrug resistance in patients with cancer. J Clin Oncol. 1996 Feb;14(2):610-8. doi: 10.1200/JCO.1996.14.2.610.

  PMID: 8636778 BACKGROUND

• Twentyman PR. MDR1 (P-glycoprotein) gene expression--implications for resistance modifier trials. J Natl Cancer Inst. 1992 Oct 7;84(19):1458-60. doi: 10.1093/jnci/84.19.1458. No abstract available.

  PMID: 1359150 BACKGROUND

MeSH Terms

Conditions

Kidney Neoplasms; Neoplasm Metastasis

Interventions

valspodar; Vinblastine

Condition Hierarchy (Ancestors)

Urologic Neoplasms; Urogenital Neoplasms; Neoplasms by Site; Neoplasms; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Kidney Diseases; Urologic Diseases; Male Urogenital Diseases; Neoplastic Processes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Vinca Alkaloids; Secologanin Tryptamine Alkaloids; Indole Alkaloids; Alkaloids; Heterocyclic Compounds; Indoles; Heterocyclic Compounds, 2-Ring; Heterocyclic Compounds, Fused-Ring; Indolizidines; Indolizines

Study Design

• Study Type: interventional
• Phase: phase 1
• Purpose: TREATMENT
• Sponsor Type: NIH

Study Record Dates

• First Submitted: November 3, 1999
• First Posted: December 10, 2002
• Study Start: February 1, 1997
• Study Completion: January 1, 2001
• Last Updated: March 4, 2008

Record last verified: 2000-01

Locations

US (1)