Genotype-Directed Dose-Escalation Study of Irinotecan in Patients With Advanced Solid Tumors
A Phase I Genotype-Directed Dose-Escalation Study of Irinotecan (NSC616348, CPT-11, Camptosar) in Patients With Advanced Solid Tumors
1 other identifier
interventional
68
1 country
2
Brief Summary
Describe the dose-limiting toxicity (DLT) and maximum tolerated dose (MTD) of irinotecan in cancer patients with advanced solid tumors with UGT1A1 6/6 and 6/7 genotypes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Feb 2006
Longer than P75 for phase_1
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2006
CompletedFirst Submitted
Initial submission to the registry
June 27, 2008
CompletedFirst Posted
Study publicly available on registry
July 2, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2016
CompletedJanuary 4, 2017
January 1, 2017
10.5 years
June 27, 2008
January 3, 2017
Conditions
Outcome Measures
Primary Outcomes (2)
maximum tolerated dose
3 weeks
dose-limiting toxicity
3 weeks
Secondary Outcomes (2)
pharmacokinetics
3 weeks
anti-tumor response
6 weeks
Study Arms (1)
Single Arm
EXPERIMENTALInterventions
90 minute IV infusion once every 3 weeks. Dose will be based on sex and genotype determination.
Eligibility Criteria
You may qualify if:
- Histologically confirmed solid tumor or lymphoma that is appropriate for treatment with irinotecan.
- years or older
- ECOG performance status 0-1
- Life expectancy of greater than 12 weeks.
- Normal organ and marrow function as defined below:
- leukocytes ≥ 3,000/μl
- absolute neutrophil count ≥ 1,500/μl
- platelets ≥ 100,000/μl
- total bilirubin within normal institutional limits
- AST(SGOT)/ALT(SGPT) ≤ 2.5 X institutional ULN (≤5 X ULN in patients with hepatic metastases)
- creatinine within normal institutional limits OR
- glomerular filtration rate ≥50 ml/min/1.73 m2 for patients with creatinine levels above institutional normal as calculated by the modified MDRD equation recommended by the National Kidney Disease Education Program
- Measurable or assessable disease.
- Able to understand and the willing to sign a written informed consent document.
- Women of child-bearing potential and men and their partners must agree to use adequate contraception (hormonal or barrier method of birth control) prior to study entry and for the duration of study participation.
- +2 more criteria
You may not qualify if:
- Biologic therapy, chemotherapy, radiotherapy, or investigational agent within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study.
- Cannot be receiving any other investigational agents.
- Use of colony growth factor within 3 week prior to study entry.
- Post-transplant patients, as they may be subject to severe neutropenia.
- Uncontrolled brain metastases. Patients with brain metastases must have stable neurologic status off of steroids and anticonvulsants for at least 4 weeks and must be without neurologic dysfunction that would confound the evaluation of neurologic and other adverse events.
- 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 women are excluded from this study because irinotecan is an agent with the potential for teratogenic or abortifacient effects. Breastfeeding should be stopped.
- HIV-positive patients, as patients with immune deficiency are at increased risk of lethal infections when treated with marrow-suppressive therapy.
- History of inflammatory bowel disease requiring therapy or patients with chronic diarrhea syndromes or paralytic ileus.
- Patients who have undergone a major surgical procedure, open biopsy or significant traumatic injury within 28 days prior to start of therapy cannot participate.
- Patients with prior pelvic irradiation cannot participate.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
University of Chicago
Chicago, Illinois, 60637, United States
NorthShore University HealthSystem
Evanston, Illinois, 60201, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Federico Innocenti, MD, PhD
University of Chicago
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 27, 2008
First Posted
July 2, 2008
Study Start
February 1, 2006
Primary Completion
August 1, 2016
Study Completion
August 1, 2016
Last Updated
January 4, 2017
Record last verified: 2017-01