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BMS-184476 in Treating Patients With Advanced Solid Tumors



BMS-184476 in Treating Patients With Advanced Solid Tumors

For Condition: unspecified adult solid tumor, protocol specific
Status: Completed
Sponsor(s): San Antonio Cancer Institute ,
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 BMS-184476 in treating patients who have advanced solid tumors.
Details: OBJECTIVES: I. Determine the maximum tolerated dose, dose limiting toxicity, recommended phase II dose, and safety of BMS-184476 in patients with advanced solid tumors. II. Determine the pharmacokinetic profile of BMS-184476 and its metabolites in these patients. III. Determine preliminary evidence of antitumor activity of BMS-184476 in these patients. PROTOCOL OUTLINE: This is an open label, dose escalation study. Patients receive BMS-184476 IV over 1 hour. Treatment is repeated every 21 days in the absence of disease progression or unacceptable toxicity. In the second part of the study, patients receive BMS-184476 IV over 1 hour weekly. Cohorts of 3-6 patients are treated at escalating doses of BMS-184476. The maximum tolerated dose is defined as the dose at which fewer than 2 of 6 patients experience dose limiting toxicity. Patients are followed every 4 weeks until toxicity is resolved. PROJECTED ACCRUAL: A total of 20-40 patients will be accrued for this study within 12-18 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically or cytologically confirmed advanced solid tumors refractory to conventional anticancer therapy, or for which no effective therapy exists - Measurable or evaluable disease - No active brain metastases --Prior/Concurrent Therapy-- - Biologic therapy: At least 4 weeks since prior immunotherapy - Chemotherapy: At least 4 weeks since prior chemotherapy (6 weeks since nitrosoureas, mitomycin, or carboplatin); Prior taxane therapy allowed; No other concurrent chemotherapy - Endocrine therapy: At least 1 week since prior steroid therapy; No concurrent hormonal therapy - Radiotherapy: At least 4 weeks since prior wide field radiotherapy (involving at least 30% of the bone marrow); No concurrent radiotherapy - Surgery: Not specified - Other: No other concurrent experimental anticancer medications --Patient Characteristics-- - Age: 18 and over - Performance status: ECOG 0-2 - Life expectancy: At least 3 months - Hematopoietic: Absolute neutrophil count at least 2,000/mm3; Platelet count at least 100,000/mm3 - Hepatic: Bilirubin no greater than 1.5 mg/dL; ALT and AST no greater than 2.5 times upper limit of normal (ULN) - Renal: Creatinine less than 1.5 times ULN - Cardiovascular: No uncontrolled or significant cardiovascular disease; No myocardial infarction within past 6 months; No congestive heart failure (with or without therapy); No history of atrial or ventricular arrhythmias; No history of second or third degree heart block - Other: Not pregnant or nursing; Negative pregnancy test; Fertile patients must use effective contraception; No serious uncontrolled medical disorder or active infection; No known hypersensitivity to drugs containing Cremophor EL; No concurrent neurologic toxicity; No dementia or altered mental status
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
ManuelHidalgo,  Study Chair,  San Antonio Cancer Institute

San Antonio Cancer Institute
San Antonio,  Texas,  78229-3264
United States
 

Brooke Army Medical Center
Fort Sam Houston,  Texas,  78234
United States
 


Additional Information:
Study ID Numbers:
  CDR0000066813;  UTHSC-9785011072,NCI-V98-1499,BMS-CA154-001,SACI-IDD-97-21
Study Start Date: November 1997
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00003705

Other Unspecified Adult Solid Tumor, Protocol Specific Studies:
1. Bortezomib and Docetaxel in Treating Patients With Advanced Solid Tumors

2. EMD 121974 in Treating Patients With Advanced Solid Tumors

3. Interleukin-12 in Treating Patients With Advanced Cancer

4. Exatecan Mesylate in Treating Patients With Advanced Solid Tumors and Kidney Dysfunction

5. Combination Chemotherapy in Treating Patients With Metastatic or Unresectable Solid Tumors

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BMS-184476 in Treating Patients With Advanced Solid Tumors

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