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Erlotinib in Treating Patients With Solid Tumors and Liver or Kidney Dysfunction
This study has been completed.
First Received: February 14, 2002   Last Updated: September 10, 2009   History of Changes
Sponsor: Cancer and Leukemia Group B
Collaborator: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00030498
  Purpose

RATIONALE: Biological therapies such as erlotinib may interfere with the growth of tumor cells and slow the growth of the tumor.

PURPOSE: Phase I trial to study the effectiveness of erlotinib in treating patients who have metastatic or unresectable solid tumors and liver or kidney dysfunction.


Condition Intervention Phase
Cancer
Drug: erlotinib hydrochloride
Phase I

Study Type: Interventional
Study Design: Treatment
Official Title: Phase I Study of OSI-774 (NSC 718781) for Solid Tumors in Patients With Hepatic or Renal Dysfunction

Resource links provided by NLM:


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

Study Start Date: December 2001
Primary Completion Date: July 2007 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Determine the maximum tolerated dose of erlotinib in patients with solid tumors and hepatic or renal dysfunction.
  • Determine the pharmacokinetics of this drug in these patients.

OUTLINE: This is a dose-escalation, multicenter study. Patients are stratified according to hepatic or renal dysfunction (albumin less than 2.5 g/dL, direct bilirubin less than 1.0 mg/dL, any AST, and creatinine normal vs direct bilirubin 1.0-7.0 mg/dL, any AST, and creatinine normal vs creatinine 2.5-5.0 mg/dL, albumin 2.5 g/dL or greater, AST less than 3 times upper limit of normal, and direct bilirubin less than 1.0 mg/dL).

Patients receive oral erlotinib once daily. Treatment continues in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of erlotinib until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, at least 6 evaluable patients are treated at that dose.

PROJECTED ACCRUAL: A maximum of 75 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 confirmed solid tumor, including gliomas and the following epithelial malignancies:

    • Non-small cell lung
    • Mesothelioma
    • Breast
    • Head and neck
    • Esophageal
    • Pancreatic
    • Bladder
    • Prostate
    • Ovarian
    • Anal
    • Colorectal carcinoma
    • Cervical carcinoma
    • Hepatocellular carcinoma
  • Metastatic or unresectable disease
  • Standard curative or palliative therapy does not exist or is no longer effective
  • Epidermal growth factor receptor (EGFR) positive
  • Hepatic or renal dysfunction defined as one of the following:

    • Direct bilirubin 1.0-7.0 mg/dL with any AST
    • Albumin less than 2.5 g/dL
    • Creatinine 2.5-5.0 mg/dL
  • Brain metastases allowed provided patient is asymptomatic, previously treated, has stable disease for at least 2 months, and is not currently receiving steroid therapy
  • Hormone receptor status:

    • Not specified

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Sex:

  • Male or female

Menopausal status:

  • Not specified

Performance status:

  • ECOG 0-2

Life expectancy:

  • Not specified

Hematopoietic:

  • Granulocyte count at least 1,500/mm^3
  • Platelet count at least 100,000/mm^3

Hepatic:

  • See Disease Characteristics
  • No evidence of biliary obstruction

Renal:

  • See Disease Characteristics
  • No evidence of renal obstruction

Cardiovascular:

  • No symptomatic congestive heart failure
  • No unstable angina pectoris
  • No cardiac arrhythmia

Gastrointestinal:

  • No gastrointestinal tract disease that would preclude ability to take oral medications
  • No requirement for IV alimentation
  • No active peptic ulcer disease

Ophthalmic:

  • No prior corneal abnormalities (e.g., dry eye syndrome or Sjogren's syndrome)
  • No prior congenital abnormality (e.g., Fuch's dystrophy)
  • No prior abnormal slit-lamp exam using a vital dye (e.g., fluorescein or Bengal-Rose)
  • No prior abnormal corneal sensitivity test (e.g., Schirmer test or similar tear production test)

Other:

  • No other concurrent uncontrolled illness
  • No ongoing or active infection
  • No psychiatric illness or social situation that would preclude study compliance
  • Not pregnant or nursing
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No concurrent filgrastim (G-CSF) or sargramostim (GM-CSF)

Chemotherapy:

  • At least 4 weeks since prior chemotherapy (6 weeks for melphalan or mitomycin)
  • No prior nitrosoureas

Endocrine therapy:

  • See Disease Characteristics
  • No concurrent steroids

Radiotherapy:

  • At least 4 weeks since prior radiotherapy

Surgery:

  • At least 4 weeks since prior major surgery
  • No prior surgical procedures affecting absorption

Other:

  • No prior EGFR-targeting therapies, including gefitinib or Imclone C-225
  • At least 3 months since prior suramin
  • More than 7 days since prior grapefruit juice
  • More than 7 days since other prior CYP3A4 inhibitors
  • No concurrent grapefruit juice
  • No concurrent CYP3A4 inducers, substrates, or other inhibitors
  • No concurrent medications known to affect hepatic or renal function, including antiseizure medication or nonsteroidal anti-inflammatory agents
  • No concurrent combination anti-retroviral therapy for HIV-positive patients
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00030498

Locations
United States, Ohio
Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center
Columbus, Ohio, United States, 43210-1240
Sponsors and Collaborators
Cancer and Leukemia Group B
Investigators
Study Chair: Antonius A. Miller, MD Wake Forest University
  More Information

Additional Information:
Publications:
Study ID Numbers: CDR0000069170, CALGB-60101
Study First Received: February 14, 2002
Last Updated: September 10, 2009
ClinicalTrials.gov Identifier: NCT00030498     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage IV colon cancer
stage IV breast cancer
recurrent breast cancer
recurrent non-small cell lung cancer
stage II pancreatic cancer
stage III pancreatic cancer
recurrent pancreatic cancer
stage IV rectal cancer
recurrent colon cancer
recurrent rectal cancer
stage II esophageal cancer
stage III esophageal cancer
stage IV esophageal cancer
recurrent esophageal cancer
stage IV ovarian epithelial cancer
recurrent ovarian epithelial cancer
recurrent adult brain tumor
recurrent bladder cancer
stage IV bladder cancer
stage IV prostate cancer
recurrent prostate cancer
adult brain stem glioma
stage IIIB non-small cell lung cancer
stage IV non-small cell lung cancer
unspecified adult solid tumor, protocol specific
untreated metastatic squamous neck cancer with occult primary
recurrent metastatic squamous neck cancer with occult primary
stage IV squamous cell carcinoma of the lip and oral cavity
stage IV basal cell carcinoma of the lip
stage IV verrucous carcinoma of the oral cavity

Additional relevant MeSH terms:
Erlotinib
Molecular Mechanisms of Pharmacological Action
Enzyme Inhibitors
Protein Kinase Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on November 27, 2009