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17-N-Allylamino-17-Demethoxygeldanamycin in Treating Young Patients With Relapsed or Refractory Solid Tumors or Leukemia
This study has been completed.
First Received: March 8, 2004   Last Updated: July 23, 2008   History of Changes
Sponsor: Children's Oncology Group
Collaborator: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00079404
  Purpose

RATIONALE: Drugs used in chemotherapy, such as 17-N-allylamino-17-demethoxygeldanamycin, work in different ways to stop cancer cells from dividing so they stop growing or die.

PURPOSE: This phase I trial is studying the side effects and best dose of 17-N-allylamino-17-demethoxygeldanamycin in treating young patients with relapsed or refractory solid tumors or leukemia.


Condition Intervention Phase
Leukemia
Unspecified Childhood Solid Tumor, Protocol Specific
Drug: tanespimycin
Phase I

Study Type: Interventional
Study Design: Treatment
Official Title: A Phase I Study of 17-AAG in Relapsed/Refractory Pediatric Patients With Solid Tumors or Leukemia

Resource links provided by NLM:


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

Study Start Date: March 2004
Detailed Description:

OBJECTIVES:

Primary

  • Determine the maximum tolerated dose and recommended phase II dose of 17-N-allylamino-17-demethoxygeldanamycin (17-AAG) in pediatric patients with relapsed or refractory solid tumors or leukemia.
  • Determine the toxic effects of this drug in these patients.
  • Determine the pharmacokinetics of this drug in these patients.

Secondary

  • Determine, preliminarily, the antitumor activity of this drug in these patients.

OUTLINE: This is a dose-escalation, multicenter study.

Patients with solid tumors receive 17-N-allylamino-17-demethoxygeldanamycin (17-AAG) IV over 60-120 minutes on days 1, 4, 8, and 11. Treatment repeats every 21 days for up to 17 courses in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of 17-AAG 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.

Once the MTD is determined, up to 6 additional patients with leukemia receive 17-AAG at the MTD as above. If these 6 patients tolerate this regimen, another 6 leukemia patients receive 17-AAG IV over 60 minutes on days 1, 4, 8, 11, 15, and 18. Treatment repeats every 28 days for 17 courses in the absence of disease progression or unacceptable toxicity.

Patients are followed at 30 days.

PROJECTED ACCRUAL: A maximum of 36 (3-24 with solid tumors and 12 with leukemia) will be accrued for this study.

  Eligibility

Ages Eligible for Study:   1 Year to 21 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed diagnosis of solid tumor or leukemia with documented M3 marrow

    • Histologic confirmation of intrinsic brain stem tumors not required
  • Relapsed or refractory disease
  • No known curative therapy
  • In patients with CNS tumors, neurologic deficits must be stable for at least the past week

PATIENT CHARACTERISTICS:

Age

  • 1 to 21

Performance status

  • Karnofsky 50-100% (>10 years of age)
  • Lansky 50-100% (≤ 10 years of age)

Life expectancy

  • Not specified

Hematopoietic

  • For patients with solid tumors:

    • Absolute neutrophil count ≥ 1,000/mm^3
    • Platelet count ≥ 100,000/mm^3 (transfusion independent)
    • Hemoglobin ≥ 8.0 g/dL (may receive RBC transfusions)
  • For patients with leukemia:

    • Platelet count ≥ 20,000/mm^3 (may receive platelet transfusions)
    • Hemoglobin ≥ 8.0 g/dL (may receive RBC transfusions)

Hepatic

  • Bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • ALT ≤ 2.5 times ULN
  • Albumin ≥ 2 g/dL

Renal

  • Creatinine clearance OR radioisotope glomerular filtration rate ≥ 70 mL/min OR
  • Creatinine based on age as follows:

    • ≤ 0.8 mg/dL if ≤ 5 years of age
    • ≤ 1.0 mg/dL if > 5 years and ≤ 10 years of age
    • ≤ 1.2 mg/dL if > 10 years and ≤ 15 years of age
    • ≤ 1.5 mg/dL if > 15 years and ≤ 21 years of age

Other

  • No uncontrolled infection
  • No prior severe allergy to eggs
  • No situation that would preclude study participation
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • At least 7 days (or window for adverse effects has passed) since prior biologic therapy and recovered
  • At least 7 days since prior hematopoietic growth factors
  • At least 2 months since prior stem cell transplantation and no evidence of graft-vs-host disease
  • No concurrent hematopoietic growth factors
  • No concurrent biologic therapy
  • No concurrent immunotherapy

Chemotherapy

  • At least 3 weeks since prior myelosuppressive chemotherapy (6 weeks for nitrosoureas) and recovered
  • No other concurrent chemotherapy

Endocrine therapy

  • No concurrent steroid therapy

Radiotherapy

  • At least 2 weeks since prior local palliative radiotherapy (small port)
  • At least 3 months since prior total body irradiation or craniospinal radiotherapy
  • At least 3 months since prior radiotherapy to ≥ 50% of the pelvis
  • At least 6 weeks since prior substantial bone marrow radiotherapy
  • Recovered from prior radiotherapy
  • No concurrent radiotherapy

Surgery

  • Not specified

Other

  • No other concurrent investigational drugs
  • No other concurrent anticancer agents
  • No concurrent phenytoin or phenobarbital
  • No concurrent warfarin
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00079404

  Show 23 Study Locations
Sponsors and Collaborators
Children's Oncology Group
Investigators
Study Chair: Brenda Weigel, MD Masonic Cancer Center, University of Minnesota
Investigator: Joseph P. Neglia, MD, MPH Masonic Cancer Center, University of Minnesota
  More Information

Additional Information:
Publications:
Study ID Numbers: CDR0000355714, COG-ADVL0316
Study First Received: March 8, 2004
Last Updated: July 23, 2008
ClinicalTrials.gov Identifier: NCT00079404     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
unspecified childhood solid tumor, protocol specific
recurrent childhood acute lymphoblastic leukemia
recurrent childhood acute myeloid leukemia
secondary acute myeloid leukemia
acute undifferentiated leukemia

Additional relevant MeSH terms:
Leukemia
Neoplasms
Neoplasms by Histologic Type

ClinicalTrials.gov processed this record on November 27, 2009