AG2037 in Treating Patients With Metastatic Cancer of the Colon or Rectum That Has Not Responded to Fluorouracil and Leucovorin
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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 |
| Study Start Date: | March 2004 |
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 |
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| 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 | |
| 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