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Tariquidar Plus Chemotherapy in Treating Children With Relapsed or Refractory Solid Tumors
This study is ongoing, but not recruiting participants.
First Received: July 11, 2001   Last Updated: September 5, 2009   History of Changes
Sponsor: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00020514
  Purpose

RATIONALE: Drugs used in chemotherapy, such as docetaxel, doxorubicin, and vinorelbine, work in different ways to stop tumor cells from dividing so they stop growing or die. Tariquidar may increase the effectiveness of chemotherapy by making tumor cells more sensitive to the drug.

PURPOSE: This phase I trial is studying the effectiveness of tariquidar plus chemotherapy in treating children who have relapsed or refractory solid tumors.


Condition Intervention Phase
Brain and Central Nervous System Tumors
Childhood Germ Cell Tumor
Extragonadal Germ Cell Tumor
Kidney Cancer
Liver Cancer
Neuroblastoma
Ovarian Cancer
Sarcoma
Unspecified Childhood Solid Tumor, Protocol Specific
Biological: filgrastim
Drug: docetaxel
Drug: doxorubicin hydrochloride
Drug: tariquidar
Drug: vinorelbine ditartrate
Other: pharmacological study
Phase I

Study Type: Interventional
Study Design: Treatment
Official Title: Phase I Trial and Pharmacokinetic Study of Tariquidar (XR9576), A P-Glycoprotein Inhibitor, in Combination With Doxorubicin, Vinorelbine or Docetaxel in Pediatric Patients With Refractory Solid Tumors Including Brain Tumors

Resource links provided by NLM:


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

Estimated Enrollment: 36
Study Start Date: March 2001
Detailed Description:

OBJECTIVES:

  • Determine the toxic effects and tolerability of tariquidar combined with docetaxel, doxorubicin, or vinorelbine in children with relapsed or refractory solid tumors.
  • Determine the maximum tolerated dose of tariquidar in this patient population.
  • Determine the pharmacokinetics of tariquidar alone and in combination with docetaxel, doxorubicin, or vinorelbine in this patient population.

OUTLINE: This is a dose-escalation study of tariquidar.

Patients receive tariquidar IV over 30 minutes on days -1 and 1 of course 1 and on day 1 of all subsequent courses. Patients also receive one of the following: doxorubicin IV over 15 minutes on day 1; vinorelbine IV over 10 minutes on days 1 and 8; or docetaxel IV over 60 minutes on day 1. Patients receiving doxorubicin or docetaxel also receive filgrastim (G-CSF) subcutaneously (SC) beginning on day 3 and continuing until blood counts recover. Patients receiving vinorelbine also receive G-CSF SC beginning on day 10 and continuing until blood counts recover. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of tariquidar until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 6 patients experience dose-limiting toxicity. An additional 18 patients (at least 3 under age 12 and at least 3 who are age 12 and older) are treated at the MTD. Intrapatient dose escalation may take place for patients in cohorts 1 and 2 after 2 courses of treatment.

Patients undergo blood collection periodically for pharmacokinetic and pharmacodynamic studies.

Patients are followed every 6 weeks for 1 year and then every 12 weeks during study treatment.

PROJECTED ACCRUAL: A total of 36 patients will be accrued for this study.

  Eligibility

Ages Eligible for Study:   2 Years to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed solid tumor, including, but not limited to the following tumor types:

    • Rhabdomyosarcoma and other soft tissue sarcomas
    • Ewing's sarcoma family of tumors
    • Osteosarcoma
    • Neuroblastoma
    • Wilm's tumor
    • Hepatic tumors
    • Germ cell tumors
    • Primary brain tumors (histological confirmation may be waived for brain stem or optic gliomas)
  • Relapsed or refractory disease after prior front-line therapy
  • No other potentially curative therapy exists
  • Measurable or evaluable disease

PATIENT CHARACTERISTICS:

Age:

  • 2 to 18

Performance status:

  • ECOG 0-2

Life expectancy:

  • Not specified

Hematopoietic:

  • Absolute granulocyte count at least 1,500/mm^3
  • Hemoglobin at least 8 g/dL
  • Platelet count at least 100,000/mm^3

Hepatic:

  • Bilirubin normal
  • SGPT less than 2 times upper limit of normal
  • No hepatic dysfunction that would preclude study therapy

Renal:

  • Creatinine normal OR
  • Creatinine clearance at least 60 mL/min
  • No renal dysfunction that would preclude study therapy

Cardiovascular:

  • Normal cardiac ejection fraction by echocardiogram if receiving doxorubicin on study

Other:

  • No serious systemic infection that would preclude study participation
  • No other significant systemic illness that would preclude study participation
  • No other organ dysfunction that would preclude study therapy
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • At least 72 hours since prior colony-stimulating factors (e.g., filgrastim [G-CSF], sargramostim [GM-CSF], epoetin alfa, or interleukin-11)
  • More than 4 months since prior bone marrow transplantation
  • No concurrent immunotherapy

Chemotherapy:

  • All patients:

    • At least 21 days since prior chemotherapy (28 days for nitrosoureas)
    • No other concurrent chemotherapy
  • Patients receiving doxorubicin on study must meet 1 of the following criteria:

    • No more than 300 mg/m^2 prior cumulative dose of anthracycline if administered as a bolus injection without cardioprotectant (e.g., dexrazoxane) OR if mediastinal radiotherapy was received
    • No more than 400 mg/m^2 prior cumulative dose of anthracycline if administered as a continuous infusion or with cardioprotectant AND no mediastinal radiotherapy was received

Endocrine therapy:

  • Concurrent corticosteroids allowed for brain tumors if dose is stable or tapering for at least 7 days prior to study entry

Radiotherapy:

  • See Chemotherapy
  • At least 4 weeks since prior radiotherapy for patients receiving doxorubicin
  • At least 4 weeks since prior craniospinal radiotherapy, total body radiotherapy, or radiotherapy to more than half of the pelvis for patients receiving docetaxel or vinorelbine
  • At least 2 weeks since prior limited-field radiotherapy (local) for patients receiving docetaxel or vinorelbine
  • No concurrent radiotherapy

Other:

  • Recovered from all prior therapy
  • At least 30 days since prior investigational cancer therapy
  • No other concurrent investigational agents
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00020514

Locations
United States, Maryland
Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office
Bethesda, Maryland, United States, 20892-1182
United States, Pennsylvania
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States, 19104-4318
Sponsors and Collaborators
Investigators
Study Chair: Elizabeth Fox, MD NCI - Pediatric Oncology Branch
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000068563, NCI-01-C-0091
Study First Received: July 11, 2001
Last Updated: September 5, 2009
ClinicalTrials.gov Identifier: NCT00020514     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by National Cancer Institute (NCI):
metastatic osteosarcoma
childhood infratentorial ependymoma
recurrent childhood rhabdomyosarcoma
childhood supratentorial ependymoma
childhood craniopharyngioma
disseminated neuroblastoma
stage 4S neuroblastoma
recurrent neuroblastoma
stage IV childhood liver cancer
recurrent childhood liver cancer
stage IV Wilms tumor
stage V Wilms tumor
recurrent Wilms tumor and other childhood kidney tumors
childhood central nervous system germ cell tumor
recurrent osteosarcoma
unspecified childhood solid tumor, protocol specific
childhood germ cell tumor
metastatic childhood soft tissue sarcoma
recurrent childhood soft tissue sarcoma
childhood high-grade cerebral astrocytoma
childhood oligodendroglioma
childhood choroid plexus tumor
childhood grade I meningioma
childhood grade II meningioma
childhood grade III meningioma
recurrent childhood cerebellar astrocytoma
recurrent childhood cerebral astrocytoma
recurrent childhood medulloblastoma
recurrent childhood visual pathway and hypothalamic glioma
previously treated childhood rhabdomyosarcoma

Additional relevant MeSH terms:
Liver Diseases
Neuroectodermal Tumors, Primitive
Molecular Mechanisms of Pharmacological Action
Urogenital Neoplasms
Vinblastine
Central Nervous System Neoplasms
Urologic Neoplasms
Docetaxel
Neoplasms, Connective and Soft Tissue
Neoplasms by Site
Therapeutic Uses
Kidney Diseases
Nervous System Neoplasms
Endocrine Gland Neoplasms
Digestive System Neoplasms
Nervous System Diseases
Genital Neoplasms, Female
Endocrine System Diseases
Doxorubicin
Carcinoma
Neuroectodermal Tumors
Neoplasms
Vinorelbine
Sarcoma
Neoplasms, Neuroepithelial
Antineoplastic Agents, Phytogenic
Neoplasms, Glandular and Epithelial
Gonadal Disorders
Antineoplastic Agents
Neoplasms, Nerve Tissue

ClinicalTrials.gov processed this record on November 27, 2009