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GW786034 in Treating Patients With Advanced Solid Tumors



GW786034 in Treating Patients With Advanced Solid Tumors

For Condition: unspecified adult solid tumor, protocol specific
Status: Recruiting
Sponsor(s): Ireland Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: GW786034 may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth and by stopping blood flow to the tumor. PURPOSE: Phase I trial to study the effectiveness of GW786034 in treating patients who have advanced solid tumors.
Details: OBJECTIVES: - Determine the safety and tolerability of GW786034 in patients with advanced solid tumors. - Determine the maximum tolerated dose of this drug in these patients. - Determine the pharmacokinetics of this drug in these patients. - Determine the clinical response in patients treated with this drug. - Evaluate the effect of this drug on biomarkers of angiogenesis activity in order to estimate activity and to determine the minimum biologically active dose in these patients. OUTLINE: This is an open-label, nonrandomized, dose-escalation, multicenter study. Patients receive oral GW786034 twice daily. Treatment continues in the absence of disease progression or unacceptable toxicity. Cohorts of 2-6 patients receive escalating doses of GW786034 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. Patients are followed at 21 days. PROJECTED ACCRUAL: Approximately 30-50 patients will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 21 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed advanced solid tumor - Refractory to standard therapy or for which no standard therapy exists - No untreated leptomeningeal or brain metastases - Previously treated brain metastases are allowed if currently asymptomatic and patient is off steroids and antiseizure medications for more than 3 months before study entry PATIENT CHARACTERISTICS: Age - 21 and over Performance status - Karnofsky 70-100% Life expectancy - At least 12 weeks Hematopoietic - Absolute granulocyte 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 1.5 mg/dL - AST and ALT no greater than 2 times upper limit of normal (ULN) (5 times ULN if tumor involvement) Renal - Creatinine clearance at least 60 mL/min Cardiovascular - No uncontrolled hypertension (systolic blood pressure greater than 160 mm Hg or diastolic blood pressure greater than 100 mm Hg on 2 consecutive measurements separated by 1 week) - No arterial or venous thrombosis (including cerebrovascular accident) within the past 3 months - No myocardial infarction within the past 3 months - No unstable angina within the past 3 months - No cardiac angiopathy or stenting within the past 3 months - No cardiac pacemaker Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception during and for 21 days after study treatment - Able to swallow and retain oral medication - Good venous access - No prior or concurrent gastrointestinal disease - No prior or concurrent condition known to interfere with the absorption, distribution, metabolism, or excretion of drugs - No known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to study drug - No other unstable, pre-existing major medical condition - No orthopedic pins or rods or other embedded metal that would preclude undergoing an MRI - No psychological, familial, sociological, or geographical condition that would preclude study compliance PRIOR CONCURRENT THERAPY: Biologic therapy - More than 4 weeks since prior immunotherapy - Concurrent epoetin alfa allowed - No concurrent anticancer biologic therapy Chemotherapy - More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) - No concurrent anticancer cytotoxic chemotherapy Endocrine therapy - See Disease Characteristics - More than 4 weeks since prior hormonal or steroid therapy (other than replacement) - No concurrent anticancer hormonal therapy (except for replacement) - No concurrent dexamethasone or prednisone Radiotherapy - More than 4 weeks since prior radiotherapy - No concurrent anticancer radiotherapy Surgery - More than 4 weeks since prior major surgery - No concurrent surgery for cancer Other - Recovered from prior therapy - More than 4 weeks since prior investigational agents - More then 28 days since prior alteration of antihypertensive medications - Concurrent bisphosphonates allowed - No other concurrent anticancer therapy - No concurrent antidepressants (e.g., amitriptyline, fluoxetine, or fluvoxamine) - No concurrent oral hypoglycemics (e.g., glipizide, glyburide, rosiglitazone, or tolbutamide) - No concurrent therapeutic anticoagulation (e.g., warfarin at therapeutic doses) - Low-dose anticoagulation for prophylaxis allowed - No concurrent cyclosporine - No concurrent grapefruit juice - No concurrent amiodarone, mibefradil, phenobarbital, or pioglitazone - No concurrent Hypericum perforatum (St. John's Wort) - No concurrent rifabutin or diethyldithiocarbamate - No concurrent gestodene, mifepristone, or modafinil - No concurrent herbal supplements, vitamins, or non-traditional compounds
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
AfshinDowlati,  Study Chair,  Ireland Cancer Center

Ireland Cancer Center *Recruiting*
Cleveland,  Ohio,  44106-5065
United States
Recruiting Afshin  Dowlati 216-844-1228

Duke Comprehensive Cancer Center *Recruiting*
Durham,  North Carolina,  27710
United States
Recruiting Herbert  Hurwitz 919-684-6342


Additional Information:
Study ID Numbers:
  CDR0000299531;  CWRU-GLAX-1Y02,CWRU-1Y02,CWRU-100231,GSK-RM2002/00345/02,GSK-VEG10003
Study Start Date: 
Record last reviewed: September 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00060151

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2. Combination Chemotherapy in Treating Patients With Advanced Solid Tumors

3. Combination Chemotherapy With Suramin Plus Doxorubicin in Treating Patients With Advanced Solid Tumors

4. UCN-01, Fluorouracil, and Leucovorin in Treating Patients With Metastatic or Unresectable Solid Tumors

5. CCI-779 in Treating Patients With Advanced Solid Tumors

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