Rebeccamycin Analog and Oxaliplatin in Treating Patients With Refractory Solid Tumors
A Phase I Study of XL119 (Rebeccamycin Analogue) in Combination With Oxaliplatin in Patients With Refractory Solid Tumors
3 other identifiers
interventional
15
1 country
1
Brief Summary
This phase I trial is studying the side effects and best dose of rebeccamycin analog and oxaliplatin in treating patients with refractory solid tumors. Drugs used in chemotherapy, such as rebeccamycin analog and oxaliplatin, work in different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2004
CompletedFirst Submitted
Initial submission to the registry
July 8, 2004
CompletedFirst Posted
Study publicly available on registry
July 12, 2004
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2006
CompletedJanuary 10, 2013
January 1, 2013
2.3 years
July 8, 2004
January 9, 2013
Conditions
Outcome Measures
Primary Outcomes (1)
Maximum tolerated dose defined as the highest dose tested in which none or only one patient experienced dose limiting toxicities as measured by Common Toxicity Criteria
21 days
Study Arms (1)
Treatment (becatacarin, oxaliplatin)
EXPERIMENTALPatients receive rebeccamycin analogue IV over 1 hour on days 1-5 and oxaliplatin IV over 2 hours on day 5. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of rebeccamycin analogue and oxaliplatin until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. At least 6 patients are treated at the MTD.
Interventions
Given IV
Given IV
Correlative studies
Eligibility Criteria
You may qualify if:
- Patients must have a histologically confirmed solid tumor that is not amenable to conventional surgical, radiation therapy or chemotherapy treatment programs
- Prior chemotherapy and/or radiation are allowed; at least 4 weeks must have elapsed since prior large-field radiation therapy; patients must have been off previous anti-cancer therapy for at least 3 weeks (6 weeks for mitomycin-C and nitrosoureas); and recovered from all treatment related toxicity
- ECOG performance status =\< 2 (Karnofsky \>60%)
- Life expectancy of at least 12 weeks
- Absolute neutrophil count \>= 1,500/ul
- Platelets \>= 100,000/ul
- Hemoglobin \>= 9.0 g/dl
- Total bilirubin =\< 1.5 mg/dl
- AST(SGOT) \< 2.5 X institutional upper limit of normal
- Creatinine \< 1.5 mg/dl OR creatinine clearance \>= 60 mL/min/1.73 m\^2 for patients with creatinine levels above institutional normal
- Women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation; should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately
- Ability to understand and the willingness to sign a written informed consent document
- All patients should have a central line placed for XL119 administration
You may not qualify if:
- Patients may not be receiving any other investigational agents or have received other investigational agents for at least 4 weeks
- Patients with known brain metastases should be excluded from this clinical trial
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Pregnant and lactating women are excluded from this study
- HIV-positive patients receiving combination anti-retroviral therapy are excluded from the study
- NYHA classification III or IV heart disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Case Western Reserve University
Cleveland, Ohio, 44106, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Afshin Dowlati
Case Western Reserve University
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- NIH
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 8, 2004
First Posted
July 12, 2004
Study Start
May 1, 2004
Primary Completion
September 1, 2006
Last Updated
January 10, 2013
Record last verified: 2013-01