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17-N-Allylamino-17-Demethoxygeldanamycin in Treating Patients With Solid Tumors That Cannot Be Removed By Surgery



17-N-Allylamino-17-Demethoxygeldanamycin in Treating Patients With Solid Tumors That Cannot Be Removed By Surgery

For Condition: adult solid tumor,angiocentric immunoproliferative lesions,Non-Hodgkin's Lymphoma,Hodgkin's lymphoma,adult T-cell leukemia and lymphoma,Cutaneous T-Cell Lymphoma
Status: Recruiting
Sponsor(s): Mayo Clinic Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase I trial to study the effectiveness of 17-N-allylamino-17-demethoxygeldanamycin in treating patients who have solid tumors that cannot be removed by surgery.
Details: OBJECTIVES: - Determine the maximum tolerated dose and dose-limiting toxicity of 17-N-allylamino-17-demethoxygeldanamycin (17-AAG), administered at 2 different dosing schedules, in patients with unresectable solid tumors. - Determine the pharmacokinetics of this drug in these patients. - Assess the effect of this drug on heat shock protein chaperone complex components and client proteins in lymphoma tissue obtained pre- and post-treatment in patients with relapsed lymphoma. - Determine any response to this drug in these patients. OUTLINE: This is a dose-escalation study. Patients are assigned to 1 of 2 treatment groups. - Group I: Patients receive 17-N-allylamino-17-demethoxygeldanamycin (17-AAG) IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. - Group II: Patients receive 17-AAG IV over 1 hour on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Cohorts of 1-6 solid tumor patients receive escalating doses of 17-AAG until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, 10 lymphoma patients are accrued and treated as in group II at the MTD. Patients are followed for 3 months. PROJECTED ACCRUAL: A total of 58-130 patients (30-72 for group I and 28-58 for group II) will be accrued for this study within 2 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - One of the following diagnoses: - Histologically or cytologically confirmed solid tumor - Unresectable disease - Hodgkin's or non-Hodgkin's lymphoma - Relapsed disease - Failed at least 1 prior therapy - Neoplastic cells are accessible through biopsy - No known standard therapy that is potentially curative or definitely capable of extending life expectancy exists - No CNS metastases PATIENT CHARACTERISTICS: Age: - 18 and over Performance status: - ECOG 0-2 Life expectancy: - At least 12 weeks Hematopoietic: - Absolute neutrophil count at least 1,500/mm^3 - Platelet count at least 100,000/mm^3 - Hemoglobin at least 9 g/dL Hepatic: - Bilirubin no greater than 2 times upper limit of normal (ULN) - AST no greater than 2.5 times ULN - Alkaline phosphatase no greater than 2 times ULN (5 times ULN if liver involvement) Renal: - Creatinine no greater than 1.25 times ULN OR - Creatinine clearance at least 60 mL/min Cardiovascular: - No New York Heart Association class III or IV heart disease Other: - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective nonhormonal contraception - No uncontrolled infection - No seizure disorder - No history of serious allergic reaction to eggs PRIOR CONCURRENT THERAPY: Biologic therapy: - More than 4 weeks since prior immunotherapy - More than 4 weeks since prior biologic therapy - No concurrent immunotherapy - No concurrent routine or prophylactic use of a colony-stimulating factor (e.g., filgrastim [G-CSF] or sargramostim [GM-CSF]) Chemotherapy: - More than 4 weeks since prior chemotherapy (6 weeks for mitomycin or nitrosoureas) and recovered from acute and reversible toxic effects - No other concurrent chemotherapy Endocrine therapy: - No concurrent birth control pills - No concurrent steroids as anti-emetics Radiotherapy: - More than 4 weeks since prior radiotherapy - No prior radiotherapy to more than 25% of the bone marrow - No prior radiopharmaceuticals - No concurrent radiotherapy Surgery: - Not specified Other: - No concurrent 3A4 enzyme inhibitors (e.g., verapamil, erythromycin, miconazole, or ketoconazole) - No concurrent investigational ancillary therapy - No concurrent enrollment in another study involving a pharmacologic agent (e.g., drugs, biologics, immunotherapy approaches, or gene therapy) for symptom control or therapeutic intent
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
CharlesErlichman,  Study Chair,  Mayo Clinic Cancer Center

Mayo Clinic Cancer Center *Recruiting*
Rochester,  Minnesota,  55905
United States
Recruiting Charles  Erlichman 507-284-4918


Additional Information:
Study ID Numbers:
  CDR0000067283;  MAYO-990102,NCI-T99-0058
Study Start Date: 
Record last reviewed: February 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004075

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2. 17-N-Allylamino-17-Demethoxygeldanamycin in Treating Patients With Solid Tumors That Cannot Be Removed By Surgery

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