AG2037 in Treating Patients With Metastatic Cancer of the Colon or Rectum That Has Not Responded to Fluorouracil and Leucovorin

This study has been completed.
Sponsor:
Collaborator:
Information provided by:
National Cancer Institute (NCI)
ClinicalTrials.gov Identifier:
NCT00085592
First received: June 10, 2004
Last updated: November 22, 2008
Last verified: April 2005
  Purpose

RATIONALE: AG2037 may stop the growth of tumor cells by blocking the enzymes necessary for their growth.

PURPOSE: This phase II trial is studying how well AG2037 works in treating patients with metastatic cancer of the colon or rectum that has progressed or recurred during or after treatment with fluorouracil and leucovorin.


Condition Intervention Phase
Colorectal Cancer
Drug: pelitrexol
Phase 2

Study Type: Interventional
Study Design: Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II, Open-Label, Multicenter Study of the GARFT Inhibitor AG2037 in Patients With Metastatic Colorectal Cancer Who Failed Treatment With a 5-Fluorouracil/Leucovorin Regimen

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Study Start Date: March 2004
Detailed Description:

OBJECTIVES:

Primary

  • Determine the overall objective response rate (complete and partial response) in patients with metastatic adenocarcinoma of the colon or rectum that failed prior fluorouracil and leucovorin calcium therapy and up to 1 other chemotherapy regimen (not including adjuvant chemotherapy) when treated with AG2037.

Secondary

  • Determine time to progression in patients treated with this drug.
  • Determine the safety of this drug in these patients.
  • Determine the 1-year and overall survival of patients treated with this drug.
  • Determine the pharmacokinetics and pharmacodynamics of this drug in these patients.
  • Determine changes in patient outcomes (e.g., symptoms, functioning, and quality of life) in patients treated with this drug.
  • Correlate various genetic markers of methylthioadenosine phosphorylase (MTAP), folate, and purine metabolism with clinical response in patients treated with this drug.

OUTLINE: This is an open-label, multicenter study.

Patients receive AG2037 IV over 15-30 minutes on days 1, 8, and 15. Courses repeat every 28 days for up to 1 year in the absence of disease progression or unacceptable toxicity.

Quality of life is assessed at baseline, on day 1 of every course (beginning with course 2), upon exit from the study, and then 30 days after the last treatment dose.

Patients are followed every 3 months for up to 1 year.

PROJECTED ACCRUAL: A total of 23-56 patients will be accrued for this study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed metastatic adenocarcinoma of the colon or rectum

    • Stage IV or recurrent disease
  • Measurable disease
  • Disease progression or recurrence during or after completion of prior first-line chemotherapy with fluorouracil and leucovorin calcium (5-FU/LV)

    • Prior irinotecan or oxaliplatin as part of the 5-FU/LV regimen or as subsequent therapy allowed
  • Only 2 prior regimens for metastatic disease allowed

    • One additional regimen as adjuvant therapy allowed provided patient remained disease-free for > 6 months after completion of therapy*
    • Newer, targeted investigational agents (e.g., cetuximab or bevacizumab) are not counted as a chemotherapeutic regimen unless used in combination with a cytotoxic regimen NOTE: *If evidence of failure occurred within < 6 months after completion of adjuvant therapy, patients may have received only 1 additional regimen for metastatic disease
  • No active brain metastases (requiring treatment or progressing)

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • ECOG 0-2

Life expectancy

  • More than 12 weeks

Hematopoietic

  • Absolute granulocyte count ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3
  • Hemoglobin ≥ 9 g/dL

Hepatic

  • AST and ALT ≤ 2 times upper limit of normal (ULN) (5 times ULN if liver involvement is present)
  • Bilirubin ≤ 1.5 mg/dL (3.0 mg/dL for patients with Gilbert's syndrome)

Renal

  • Creatinine ≤ 1.5 mg/dL
  • Creatinine clearance ≥ 60 mL/min

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 1 month after study participation
  • No concurrent unstable or severe medical condition that would preclude study participation
  • No psychological or sociological condition, addictive disorder, or family problem that would preclude study compliance
  • No other malignancy within the past 5 years except curatively treated nonmelanoma skin cancer or carcinoma in situ of the cervix or breast

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • See Disease Characteristics
  • More than 14 days since prior blood transfusion

Chemotherapy

  • See Disease Characteristics
  • More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered

Endocrine therapy

  • Not specified

Radiotherapy

  • More than 4 weeks since prior radiotherapy and recovered
  • No prior radiotherapy to > 40% of bone marrow space

Surgery

  • Not specified

Other

  • No prior glycinamide ribonucleotide formyltransferase (GARFT) inhibitors
  • More than 28 days since prior investigational agent and recovered
  • No concurrent allopurinol
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00085592

Locations
United States, California
Southwest Cancer Care - Poway
Poway, California, United States, 92064
United States, District of Columbia
Lombardi Cancer Center at Georgetown University Medical Center
Washington, District of Columbia, United States, 20007
United States, Florida
H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
Tampa, Florida, United States, 33612-9497
United States, New York
Memorial Sloan-Kettering Cancer Center
New York, New York, United States, 10021
United States, Ohio
Ireland Cancer Center at University Hospitals of Cleveland and Case Western Reserve University
Cleveland, Ohio, United States, 44106-5065
Sponsors and Collaborators
Memorial Sloan-Kettering Cancer Center
Investigators
Principal Investigator: Leonard B. Saltz, MD Memorial Sloan-Kettering Cancer Center
Principal Investigator: Ki Y. Chung, MD Memorial Sloan-Kettering Cancer Center
  More Information

Additional Information:
No publications provided

ClinicalTrials.gov Identifier: NCT00085592     History of Changes
Other Study ID Numbers: CDR0000370828, MSKCC-04032, PFIZER-A4371004
Study First Received: June 10, 2004
Last Updated: November 22, 2008
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
recurrent colon cancer
stage IV colon cancer
recurrent rectal cancer
stage IV rectal cancer
adenocarcinoma of the colon
adenocarcinoma of the rectum

Additional relevant MeSH terms:
Colonic Neoplasms
Colorectal Neoplasms
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Fluorouracil
Leucovorin
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Antimetabolites, Antineoplastic
Antineoplastic Agents
Therapeutic Uses
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Vitamin B Complex
Vitamins
Micronutrients
Growth Substances

ClinicalTrials.gov processed this record on June 17, 2013