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| Sponsor: | M.D. Anderson Cancer Center |
|---|---|
| Collaborator: |
National Cancer Institute (NCI) |
| Information provided by: | National Cancer Institute (NCI) |
| ClinicalTrials.gov Identifier: | NCT00458731 |
Purpose
RATIONALE: Monoclonal antibodies, such as bevacizumab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or carry cancer-killing substances to them. AZD2171 may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Bevacizumab and AZD2171 may also stop the growth of cancer cells by blocking blood flow to the cancer. Giving bevacizumab together with AZD2171 may kill more cancer cells.
PURPOSE: This phase I trial is studying the side effects and best dose of bevacizumab and AZD2171 in treating patients with metastatic or unresectable solid tumor, lymphoma, intracranial glioblastoma, gliosarcoma or anaplastic astrocytoma.
| Condition | Intervention | Phase |
|---|---|---|
|
Brain and Central Nervous System Tumors Lymphoma Small Intestine Cancer Unspecified Adult Solid Tumor, Protocol Specific |
Biological: bevacizumab Drug: cediranib maleate Genetic: TdT-mediated dUTP nick end labeling assay Other: flow cytometry Other: fluorescent antibody technique Other: immunohistochemistry staining method Other: laboratory biomarker analysis Other: pharmacological study Procedure: biopsy Procedure: dynamic contrast-enhanced magnetic resonance imaging |
Phase I |
| Study Type: | Interventional |
| Study Design: | Treatment |
| Official Title: | Phase I Clinical Trial Evaluating the Toxicity, Pharmacokinetics and Biological Effect of Intravenous Bevacizumab (Avastin™) in Combination With Escalating Doses of Oral AZD2171 for Patients With Advanced Malignancies |
| Estimated Enrollment: | 51 |
| Study Start Date: | May 2007 |
| Estimated Primary Completion Date: | October 2008 (Final data collection date for primary outcome measure) |
OBJECTIVES:
Primary
Secondary
OUTLINE: This is a dose-escalation study.
Patients receive bevacizumab IV over 30-90 minutes on days 1 and 15 and oral AZD2171 once daily on days 1-21. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Cohorts of 3-6 patients receive escalating doses of bevacizumab and AZD2171 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.
Blood samples are acquired at baseline, on day 2, and after 2 courses of treatment for pharmacokinetic studies. Samples are analyzed by TUNEL, immunofluorescence staining, laser-scanning cytometry, flow cytometry, enzyme-linked immunosorbent assay, and immunohistochemistry to assess apoptosis in tumor and endothelial cells, microvessel density mean vessel volume, nitric oxide concentration, and signal transduction pathways (i.e., ERK ½, P38 mitogen-activated protein kinase, protein kinase B, circulating endothelial and progenitor cells, basic fibroblast growth factor, vascular endothelial growth factor (VEGF) receptor phosphorylation, VEGF, and hypoxia inducible factor-1α). Some patients also undergo tissue biopsy at baseline and after 2 courses of treatment for characterization of vascular and angiogenesis markers. Some patients also undergo DCE-MRI at baseline, once between days 22-24, and after every 2 courses of treatment to assess blood perfusion.
After completion of study treatment, patients are followed for 6 weeks.
PROJECTED ACCRUAL: A total of 51 patients will be accrued for this study.
Eligibility| Ages Eligible for Study: | 15 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically confirmed diagnosis of 1 of the following:
Metastatic or unresectable solid tumor or lymphoma
Intracranial glioblastoma, gliosarcoma, or anaplastic astrocytoma meeting all of the following criteria:
Must be on a steroid dose that has been stable for at least 5 days
Stable brain metastasis allowed provided the following criteria are met:
PATIENT CHARACTERISTICS:
No clinically significant cardiovascular disease, including the following:
PRIOR CONCURRENT THERAPY:
Contacts and Locations| United States, Texas | |
| M. D. Anderson Cancer Center at University of Texas | Recruiting |
| Houston, Texas, United States, 77030-4009 | |
| Contact: Clinical Trials Office - M. D. Anderson Cancer Center at the U 713-792-3245 | |
| Study Chair: | Luis H. Camacho, MD, MPH | M.D. Anderson Cancer Center |
More Information
| Study ID Numbers: | CDR0000538277, MDA-MDACC-2005-0910 |
| Study First Received: | April 9, 2007 |
| Last Updated: | June 27, 2009 |
| ClinicalTrials.gov Identifier: | NCT00458731 History of Changes |
| Health Authority: | Unspecified |
|
unspecified adult solid tumor, protocol specific AIDS-related peripheral/systemic lymphoma AIDS-related primary CNS lymphoma anaplastic large cell lymphoma angioimmunoblastic T-cell lymphoma extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue intraocular lymphoma nodal marginal zone B-cell lymphoma primary central nervous system lymphoma recurrent adult Burkitt lymphoma recurrent adult diffuse large cell lymphoma recurrent adult diffuse mixed cell lymphoma recurrent adult diffuse small cleaved cell lymphoma recurrent adult Hodgkin lymphoma recurrent adult immunoblastic large cell lymphoma |
recurrent adult lymphoblastic lymphoma recurrent adult T-cell leukemia/lymphoma recurrent cutaneous T-cell non-Hodgkin lymphoma recurrent grade 1 follicular lymphoma recurrent grade 2 follicular lymphoma recurrent grade 3 follicular lymphoma recurrent mantle cell lymphoma recurrent marginal zone lymphoma recurrent mycosis fungoides/Sezary syndrome recurrent small lymphocytic lymphoma small intestine lymphoma splenic marginal zone lymphoma stage III adult Burkitt lymphoma stage III adult diffuse large cell lymphoma stage III adult diffuse mixed cell lymphoma |
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Antineoplastic Agents Gastrointestinal Diseases Physiological Effects of Drugs Neoplasms, Nerve Tissue Bevacizumab Central Nervous System Neoplasms Ileal Diseases Duodenal Neoplasms Neoplasms by Site Ileal Neoplasms Jejunal Diseases Therapeutic Uses Neoplasms, Germ Cell and Embryonal Lymphoma, Large-Cell, Immunoblastic Growth Inhibitors |
Angiogenesis Modulating Agents Glioma Lymphoma Duodenal Diseases Nervous System Neoplasms Jejunal Neoplasms Digestive System Neoplasms Neoplasms by Histologic Type Immunoproliferative Disorders Astrocytoma Immune System Diseases Growth Substances Nervous System Diseases Intestinal Diseases Angiogenesis Inhibitors |