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Motexafin Gadolinium and Doxorubicin in Treating Patients With Advanced Cancer

This study is ongoing, but not recruiting participants.

Sponsors and Collaborators: University of Wisconsin, Madison
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00036790
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Motexafin gadolinium may increase the effectiveness of doxorubicin by making tumor cells more sensitive to the drug.

PURPOSE: Phase I trial to study the effectiveness of combining motexafin gadolinium with doxorubicin in treating patients who have recurrent or metastatic cancer.


Condition Intervention Phase
Breast Cancer
Chronic Myeloproliferative Disorders
Colorectal Cancer
Head and Neck Cancer
Leukemia
Lung Cancer
Lymphoma
Multiple Myeloma and Plasma Cell Neoplasm
Myelodysplastic/Myeloproliferative Diseases
Prostate Cancer
Small Intestine Cancer
Unspecified Adult Solid Tumor, Protocol Specific
Drug: doxorubicin hydrochloride
Drug: motexafin gadolinium
Phase I

Genetics Home Reference related topics:   Benign Tumors   Bone Marrow Diseases   Cancer   Colorectal Cancer   breast cancer  

MedlinePlus related topics:   Breast Cancer   Cancer   Colorectal Cancer   Fungal Infections   Head and Neck Cancer   Hodgkin's Disease   Intestinal Cancer   Leukemia, Adult Acute   Leukemia, Adult Chronic   Lung Cancer   Lymphoma   Multiple Myeloma   Prostate Cancer  

ChemIDplus related topics:   Doxorubicin   Doxorubicin hydrochloride   Motexafin gadolinium   Motexafin   Salicylsalicylic acid   Sodium salicylate  

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment
Official Title:   An Open-Label Phase I Dose Escalation Trial To Evaluate The Safety And Pharmacokinetics Of Motexafin Gadolinium And Doxorubicin Chemotherapy In The Treatment Of Advanced Malignancies

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

Study Start Date:   February 2002

Detailed Description:

OBJECTIVES:

  • Determine the maximum tolerated dose of motexafin gadolinium and doxorubicin in patients with advanced malignancies.
  • Determine the dose-limiting toxicity of this regimen in these patients.
  • Determine the safety and tolerability of this regimen in these patients.
  • Determine the pharmacokinetics of this regimen in these patients.
  • Evaluate the tumor response in patients treated with this regimen.

OUTLINE: This is a dose-escalation, multicenter study. Patients are assigned to 1 of 2 groups.

Group A:

  • Course 1: Patients receive motexafin gadolinium IV over 30 minutes on days 1, 8, 9, and 10 and doxorubicin IV over 15 minutes on day 8.
  • Course 2: 28 days after the beginning of course 1, patients receive doxorubicin IV over 15 minutes.
  • Courses 3-6: Beginning 21 days after course 2, patients receive doxorubicin IV over 15 minutes on day 1 and motexafin gadolinium IV over 30 minutes on days 1-3. Treatment repeats every 21 days.

Group B:

  • Course 1: Patients receive motexafin gadolinium IV over 30 minutes on day 1 and doxorubicin IV over 15 minutes on day 8.
  • Course 2: 28 days after the beginning of course 1, patients receive doxorubicin IV over 15 minutes on day 1 and motexafin gadolinium IV over 30 minutes on days 1-3.
  • Courses 3-6: Beginning 21 days after course 2, patients receive doxorubicin and motexafin gadolinium as in group A.

Treatment in both groups continues for up to 6 courses in the absence of disease progression, unacceptable toxicity, or a cumulative doxorubicin dose of 450 mg/m^2.

Cohorts of 3-6 patients receive escalating doses of doxorubicin and motexafin gadolinium until the maximum tolerated dose (MTD) is determined. The MTD is defined as the highest dose at which no more than 0 of 3 or 1 of 6 patients experience dose-limiting toxicity.

Patients are followed at 1 and 2 months.

PROJECTED ACCRUAL: A total of 3-48 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 advanced malignancy that is considered incurable

    • Recurrent or metastatic disease
    • Relapsed solid tumors include, but are not limited to the following sites:

      • Lung
      • Breast
      • Colon
      • Prostate
      • Head and neck
  • Hormone receptor status:

    • Not specified

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Sex

  • Not specified

Menopausal status

  • Not specified

Performance status:

  • ECOG 0-2

Life expectancy:

  • Not specified

Hematopoietic:

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

Hepatic:

  • Bilirubin no greater than 1.5 mg/dL
  • AST and ALT no greater than 2 times upper limit of normal

Renal:

  • Creatinine no greater than 2.0 mg/dL

Cardiovascular:

  • LVEF greater than 45% at rest
  • No prior myocardial infarction
  • No congestive heart failure
  • No clinically significant ventricular arrhythmias

Other:

  • No history of HIV infection
  • No history of porphyria
  • No glucose-6-phosphate dehydrogenase deficiency
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for at least 6 months after study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • At least 28 days since prior chemotherapy
  • No prior lifetime cumulative doxorubicin exposure of more than 300 mg/m^2
  • No other concurrent cytotoxic chemotherapy

Endocrine therapy:

  • Not specified

Radiotherapy:

  • At least 28 days since prior radiotherapy
  • No concurrent radiotherapy

Surgery:

  • No concurrent surgery

Other:

  • At least 14 days since prior multidrug resistance-modulating drugs (e.g., PSC833 or cyclosporine)
  • No other concurrent antineoplastic or investigational agents
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00036790

Locations
United States, Pennsylvania
Hillman Cancer Center at University of Pittsburgh Cancer Institute    
      Pittsburgh, Pennsylvania, United States, 15232
United States, Wisconsin
University of Wisconsin Comprehensive Cancer Center    
      Madison, Wisconsin, United States, 53792

Sponsors and Collaborators
University of Wisconsin, Madison
National Cancer Institute (NCI)

Investigators
Study Chair:     Markus Renschler, MD     Pharmacyclics    
  More Information

Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
 

Study ID Numbers:   CDR0000069322, WCCC-CO-01910, PCI-PCYC-0207, NCI-G02-2061
First Received:   May 13, 2002
Last Updated:   May 23, 2008
ClinicalTrials.gov Identifier:   NCT00036790
Health Authority:   United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage III adult Hodgkin lymphoma  
stage IV adult Hodgkin lymphoma  
recurrent adult Hodgkin lymphoma  
stage III cutaneous T-cell non-Hodgkin lymphoma  
stage IV cutaneous T-cell non-Hodgkin lymphoma  
recurrent cutaneous T-cell non-Hodgkin lymphoma  
isolated plasmacytoma of bone  
extramedullary plasmacytoma  
refractory plasma cell neoplasm  
Waldenstrom macroglobulinemia  
stage III multiple myeloma
stage III chronic lymphocytic leukemia
stage IV chronic lymphocytic leukemia
recurrent adult acute myeloid leukemia
recurrent adult acute lymphoblastic leukemia
relapsing chronic myelogenous leukemia
refractory chronic lymphocytic leukemia
small intestine lymphoma
unspecified adult solid tumor, protocol specific
chronic phase chronic myelogenous leukemia

Study placed in the following topic categories:
Thoracic Neoplasms
Blast Crisis
Sezary syndrome
Prostatic Diseases
Chronic myelogenous leukemia
Hodgkin lymphoma, adult
Lymphoma, small cleaved-cell, diffuse
Urogenital Neoplasms
Lymphoma, large-cell, immunoblastic
Leukemia, Prolymphocytic
Hemorrhagic Disorders
Lung Neoplasms
Metastatic squamous neck cancer with occult primary
Oral cancer
Lymphoma, Large-Cell, Anaplastic
Neoplasm Metastasis
Laryngeal carcinoma
Non-small cell lung cancer
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative

Additional relevant MeSH terms:
Respiratory Tract Neoplasms
Neoplasms by Histologic Type
Skin Diseases
Immune System Diseases
Antineoplastic Agents
Blood Protein Disorders
Hematologic Diseases
Physiological Effects of Drugs
Antibiotics, Antineoplastic
Genital Diseases, Male
Ileal Diseases
Pharmacologic Actions
Lymphatic Diseases
Photosensitizing Agents
Neoplasms
Neoplasms by Site
Digestive System Diseases
Radiation-Sensitizing Agents
Respiratory Tract Diseases
Jejunal Diseases

ClinicalTrials.gov processed this record on July 03, 2008




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