|
Home
Search
Study Topics
Glossary
|
![]() |
![]() |
|
![]() |
|
![]() |
|
![]() |
![]() |
![]() |
|
![]() |
![]() |
||||||||||||||||||||||||||||||||||||
| Sponsor: | Ottawa Hospital Research Institute |
|---|---|
| Collaborator: |
Ozmosis Research Inc. |
| Information provided by: | Ottawa Hospital Research Institute |
| ClinicalTrials.gov Identifier: | NCT00966472 |
Purpose
The purpose of this study is to determine the recommended phase II dose (RP2D) of rosuvastatin that can be given in combination with standard erlotinib treatment in patients with advanced incurable squamous cell cancer and NSCLC.
| Condition | Intervention | Phase |
|---|---|---|
|
Squamous Cell Carcinoma Non-small Cell Lung Cancer |
Drug: Erlotinib + Rosuvastatin |
Phase I |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Control: Uncontrolled Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase I, Dose Finding Study of the Combination of High-dose Statin Agent (Rosuvastatin) With Erlotinib in Patients With Advanced Solid Malignancies, With a Focus on Squamous Cell Carcinomas and NSCLC. |
| Estimated Enrollment: | 45 |
| Study Start Date: | March 2009 |
| Estimated Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
Cytotoxic chemotherapy remains the mainstay of anti-cancer medical treatment for the vast majority of patients with locally advanced or metastatic squamous cell cancers. However, curative success remains low and most patients eventually succumb to the disease or its complications. Moreover, cytotoxic chemotherapy is frequently associated with severe unwanted side effects. Therefore, in this patient population the unmet therapeutic need is high and new treatment is required.
Statins are drugs which inhibit the cellular mevalonate pathway and are conventionally used in the treatment of hypercholesterolemia in cardiovascular disorders. Increasing evidence suggests that statins might be used for cancer prevention/treatment through their interactions with essential cellular functions, such as cell proliferation and differentiation. Recent in vitro data indicate that statins induce growth arrest and apoptosis, inhibit secretion of proteolytic enzymes, reduce invasiveness and inhibit angiogenesis. These effects contribute to the reduction of tumor growth and metastases in preclinical in vivo models of a variety of tumors suggesting that statins may be useful in anticancer therapy. Studies previously performed by our group demonstrated that targeting the mevalonate pathway can induce tumor specific cytotoxicity in a number of tumor types that included squamous cell carcinomas, myeloid leukemia and a variety of pediatric cancers. Additionally, several clinical trials have also assessed the antitumor activity of statins.
Pre-clinically, we have demonstrated additive cytotoxic effects when combining lovastatin with tyrosine kinase inhibitors of the Epidermal Growth Factor Receptor (EGFR) in HNSCC cells (AG1478) and in 8 squamous cell carcinomas (gefitinib). Mechanistically, lovastatin treatment inhibited EGF induced EGFR autophosphorylation by 24hrs and showed co-operative targeting of the EGFR in combination with gefitinib. Taken together, these results demonstrate that targeting the mevalonate pathway can inhibit EGFR function and suggest the potential utility of combining these classes of drugs (i.e. an EGFR tyrosine kinase inhibitor and a statin).
The use of lovastatin is not optimal due to greatly enhanced toxicity with drugs such as gefitinib and erlotinib that are simultaneously metabolized by the same enzyme (cytP450A4). In contrast, rosuvastatin a relatively novel potent mevalonate pathway inhibitor is not metabolized significantly by cytP450A4. Due to the enhanced clinical activity of erlotinib in comparison to other EGFR tyrosine kinase inhibitors, the combination of erlotinib and rosuvastatin appears ideal.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| Contact: Catherine Fortin | 613-737-7700 ext 79371 | cfortin@toh.on.ca |
| Canada, Ontario | |
| The Ottawa Hospital Cancer Centre | Recruiting |
| Ottawa, Ontario, Canada, K1H 8L6 | |
| Contact: Catherine Fortin 613-737-7700 ext 79371 cfortin@toh.on.ca | |
| Sub-Investigator: Scott Laurie, MD, FRCPC | |
| Sub-Investigator: Laura Chow, MD, FRCPC | |
| Sub-Investigator: Garth Nicholas, MD, FRCPC | |
| Sub-Investigator: Martin N Reaume, MD, FRCPC | |
| Sub-Investigator: Christina Canil, MD, FRCPC | |
| Sub-Investigator: Susan Dent, MD, FRCPC | |
| Sub-Investigator: Rakesh Goel, MD, FRCPC | |
| Sub-Investigator: Derek Jonker, MD, FRCPC | |
| Principal Investigator: | Glenwood Goss, MD, FRCPC | Ottawa Hospital Research Institute |
More Information
| Responsible Party: | Ottawa Health Research Institute ( Dr. Glenwood Goss ) |
| Study ID Numbers: | 2007908-01H (OTT 08-07) |
| Study First Received: | August 26, 2009 |
| Last Updated: | August 26, 2009 |
| ClinicalTrials.gov Identifier: | NCT00966472 History of Changes |
| Health Authority: | Canada: Health Canada |
|
Rosuvastatin Erlotinib Squamous Cell Carcinoma Nom-Small Cell Lung Cancer |
|
Antimetabolites Erlotinib Thoracic Neoplasms Respiratory Tract Neoplasms Neoplasms by Histologic Type Molecular Mechanisms of Pharmacological Action Antilipemic Agents Enzyme Inhibitors Anticholesteremic Agents Hydroxymethylglutaryl-CoA Reductase Inhibitors Protein Kinase Inhibitors Pharmacologic Actions |
Carcinoma Neoplasms Rosuvastatin Neoplasms by Site Respiratory Tract Diseases Lung Neoplasms Therapeutic Uses Lung Diseases Neoplasms, Squamous Cell Carcinoma, Squamous Cell Carcinoma, Non-Small-Cell Lung Neoplasms, Glandular and Epithelial |