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EMD 121974 in Treating Patients With Advanced Solid Tumors



EMD 121974 in Treating Patients With Advanced Solid Tumors

For Condition: unspecified adult solid tumor, protocol specific
Status: Recruiting
Sponsor(s): University of Colorado Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: EMD 121974 may slow the growth of solid tumors by stopping blood flow to the tumor. PURPOSE: Phase I trial to study the effectiveness of EMD 121974 in treating patients who have advanced solid tumors.
Details: OBJECTIVES: - Determine the toxic effects and maximum tolerated dose of EMD 121974 in patients with advanced solid tumors. - Determine the biologic activity of this drug in these patients. - Determine the pharmacokinetic profile and plasma biological effects of this drug and identify any relationship with its biologic activity or observed toxicity in these patients. - Determine, preliminarily, the antitumor efficacy of this drug in these patients. OUTLINE: This is a dose-escalation study. Patients receive EMD 121974 IV over 1 hour twice weekly. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-10 patients receive escalating doses of EMD 121974 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. PROJECTED ACCRUAL: A total of 10-35 patients will be accrued for this study within 12-18 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed solid tumor that is refractory to standard therapy or for which no standard therapy exists - Tumors must be amenable to minimally-invasive biopsy (i.e., tumors must be superficial enough to be sampled by punch biopsy or core biopsy procedure without radiologic guidance)* NOTE: *For at least 6 patients per cohort - No uncontrolled brain metastases, including symptomatic lesions or lesions requiring glucocorticoids and/or anticonvulsants to suppress symptoms - Negative brain scan required if there are signs and symptoms suggestive of brain metastasis PATIENT CHARACTERISTICS: Age: - 18 and over Performance status: - ECOG 0-2 OR - Karnofsky 60-100% Life expectancy: - At least 12 weeks Hematopoietic: - WBC at least 3,000/mm^3 - 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 normal - AST and ALT no greater than 2.5 times upper limit of normal Renal: - Creatinine normal OR - Creatinine clearance at least 60 mL/min Cardiovascular: - No symptomatic congestive heart failure - No unstable angina pectoris Other: - No ongoing or active infection - No other concurrent serious systemic disorders (e.g., significant CNS illness) that would preclude study - No concurrent psychiatric illness or social situations that would preclude study - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: - No other concurrent anticancer immunotherapy - Concurrent hematologic growth factors for cytopenias allowed Chemotherapy: - At least 4 weeks since prior anticancer chemotherapy (6 weeks for nitrosoureas, carmustine, or mitomycin) and recovered Endocrine therapy: - See Disease Characteristics - No concurrent anticancer hormonal therapy - Concurrent oral contraceptives or postmenopausal hormone replacement allowed Radiotherapy: - Recovered from prior radiotherapy - At least 2 weeks since prior palliative radiotherapy to bone or brain metastases - At least 4 weeks since prior anticancer radiotherapy - No concurrent anticancer radiotherapy Surgery: - Not specified Other: - At least 4 weeks since prior anticancer therapy and recovered - At least 4 weeks since prior investigational agents - Any number of prior therapies allowed - No other concurrent anticancer investigational or commercial agents - No concurrent combination antiretroviral therapy for HIV-positive patients
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
ScottHolden,  Study Chair,  University of Colorado Cancer Center

University of Colorado Cancer Center at University of Colorado Health Sciences Center *Recruiting*
Aurora,  Colorado,  80010
United States
Recruiting Scott  Holden 720-848-0363


Additional Information:
Study ID Numbers:
  CDR0000068786;  UCHSC-001096,NCI-3358
Study Start Date: 
Record last reviewed: November 2002
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00022113

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