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Home > "I" Clinical Trials Conditions > Irinotecan Plus ICI D1694 in Treating Patients With Advanced Solid Tumors

Irinotecan Plus ICI D1694 in Treating Patients With Advanced Solid Tumors



Irinotecan Plus ICI D1694 in Treating Patients With Advanced Solid Tumors

For Condition: unspecified adult solid tumor, protocol specific
Status: Completed
Sponsor(s): National Cancer Institute (NCI) , University of Pennsylvania Cancer Center
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: Phase I trial to study the effectiveness of irinotecan plus ICI D1694 in treating patients with advanced solid tumors.
Details: OBJECTIVES: I. Determine the maximum tolerated dose of ICI D1694 (TDX) when given with irinotecan (CPT-11) every 3 weeks in patients with advanced solid malignancies. II. Describe the pharmacokinetics of TDX and CPT-11 when given in combination. III. Investigate the relationship between topoisomerase I expression in peripheral mononuclear cells and myelosuppression and/or gastrointestinal toxicity. IV. Investigate the effect of CPT-11 on thymidylate synthase expression in tumor. PROTOCOL OUTLINE: This is a dose-escalating study to determine the maximum tolerated dose (MTD) of ICI D1694 (TDX) given in combination with irinotecan. Irinotecan is given intravenously on day 1 and ICI D1694 intravenously on day 2. Treatment is repeated every 3 weeks until disease progression or unacceptable toxicity intervenes. Cohorts of 3-6 patients receive escalated doses of TDX until the MTD is defined; an additional 10-12 patients will be entered at the MTD to confirm this as a recommended phase II dose. PROJECTED ACCRUAL: 30-35 patients will be entered.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically confirmed solid tumor for which no effective therapy exists - Measurable or evaluable disease --Prior/Concurrent Therapy-- - At least 3 weeks since chemotherapy (6 weeks since mitomycin or nitrosoureas) and recovered; At least 3 weeks since radiotherapy and recovered --Patient Characteristics-- - Age: 18 and over - Performance status: ECOG 0 or 1 - Hematopoietic: WBC at least 3,000 AGC at least 1,500; Platelets at least 100,000 - Hepatic: Bilirubin no greater than 1.5 mg/dL; AST/ALT no greater than 5 times normal - Renal: Creatinine no greater than 1.5 mg/dL - Metabolic: Glucose no greater than 200 mg/dL; Electrolytes within 10% normal - Other: No active infection that contraindicates entry; No significant medical problem that contraindicates entry; Effective contraception required of fertile patients; Able and willing to participate in pharmacokinetic sampling
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
PeterO'Dwyer,  Study Chair,  University of Pennsylvania Cancer Center

University of Pennsylvania Cancer Center
Philadelphia,  Pennsylvania,  19104
United States
 


Additional Information:
Study ID Numbers:
  CDR0000065242;  UPCC-T96-0063,NCI-T96-0063O,JMC-T96-0063
Study Start Date: April 1997
Record last reviewed: May 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002902

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