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EMD 121974 in Treating Patients With Advanced Solid Tumors
This study has been completed.
First Received: August 10, 2001   Last Updated: July 23, 2008   History of Changes
Sponsor: University of Colorado at Denver and Health Sciences Center
Collaborator: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00022113
  Purpose

RATIONALE: EMD 121974 may slow the growth of solid tumors by stopping blood flow to the tumor.

PURPOSE: Phase I trial to study the effectiveness of EMD 121974 in treating patients who have advanced solid tumors.


Condition Intervention Phase
Unspecified Adult Solid Tumor, Protocol Specific
Drug: cilengitide
Phase I

Study Type: Interventional
Study Design: Treatment
Official Title: A Phase I Study of EMD 121974 in Patients With Advanced Solid Tumors

Resource links provided by NLM:


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

Study Start Date: May 2002
Detailed Description:

OBJECTIVES:

  • Determine the toxic effects and maximum tolerated dose of EMD 121974 in patients with advanced solid tumors.
  • Determine the biologic activity of this drug in these patients.
  • Determine the pharmacokinetic profile and plasma biological effects of this drug and identify any relationship with its biologic activity or observed toxicity in these patients.
  • Determine, preliminarily, the antitumor efficacy of this drug in these patients.

OUTLINE: This is a dose-escalation study.

Patients receive EMD 121974 IV over 1 hour twice weekly. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-10 patients receive escalating doses of EMD 121974 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity.

PROJECTED ACCRUAL: A total of 10-35 patients will be accrued for this study within 12-18 months.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Histologically confirmed solid tumor that is refractory to standard therapy or for which no standard therapy exists
  • Tumors must be amenable to minimally-invasive biopsy (i.e., tumors must be superficial enough to be sampled by punch biopsy or core biopsy procedure without radiologic guidance)* NOTE: *For at least 6 patients per cohort
  • No uncontrolled brain metastases, including symptomatic lesions or lesions requiring glucocorticoids and/or anticonvulsants to suppress symptoms

    • Negative brain scan required if there are signs and symptoms suggestive of brain metastasis

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • ECOG 0-2 OR
  • Karnofsky 60-100%

Life expectancy:

  • At least 12 weeks

Hematopoietic:

  • WBC at least 3,000/mm^3
  • Absolute neutrophil count at least 1,500/mm^3
  • Platelet count at least 100,000/mm^3
  • Hemoglobin at least 9 g/dL

Hepatic:

  • Bilirubin normal
  • AST and ALT no greater than 2.5 times upper limit of normal

Renal:

  • Creatinine normal OR
  • Creatinine clearance at least 60 mL/min

Cardiovascular:

  • No symptomatic congestive heart failure
  • No unstable angina pectoris

Other:

  • No ongoing or active infection
  • No other concurrent serious systemic disorders (e.g., significant CNS illness) that would preclude study
  • No concurrent psychiatric illness or social situations that would preclude study
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No other concurrent anticancer immunotherapy
  • Concurrent hematologic growth factors for cytopenias allowed

Chemotherapy:

  • At least 4 weeks since prior anticancer chemotherapy (6 weeks for nitrosoureas, carmustine, or mitomycin) and recovered

Endocrine therapy:

  • See Disease Characteristics
  • No concurrent anticancer hormonal therapy
  • Concurrent oral contraceptives or postmenopausal hormone replacement allowed

Radiotherapy:

  • Recovered from prior radiotherapy
  • At least 2 weeks since prior palliative radiotherapy to bone or brain metastases
  • At least 4 weeks since prior anticancer radiotherapy
  • No concurrent anticancer radiotherapy

Surgery:

  • Not specified

Other:

  • At least 4 weeks since prior anticancer therapy and recovered
  • At least 4 weeks since prior investigational agents
  • Any number of prior therapies allowed
  • No other concurrent anticancer investigational or commercial agents
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00022113

Locations
United States, Colorado
University of Colorado Cancer Center at University of Colorado Health Sciences Center
Aurora, Colorado, United States, 80010
Sponsors and Collaborators
University of Colorado at Denver and Health Sciences Center
Investigators
Principal Investigator: Michele Basche, MD University of Colorado at Denver and Health Sciences Center
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000068786, UCHSC-001096, NCI-3358
Study First Received: August 10, 2001
Last Updated: July 23, 2008
ClinicalTrials.gov Identifier: NCT00022113     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
unspecified adult solid tumor, protocol specific

Additional relevant MeSH terms:
Neoplasms

ClinicalTrials.gov processed this record on November 09, 2009