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Combination Chemotherapy in Treating Patients With Advanced Cancer

This study has been completed.
National Cancer Institute (NCI)
Information provided by (Responsible Party):
The University of Texas Health Science Center at San Antonio Identifier:
First received: November 1, 1999
Last updated: June 26, 2012
Last verified: June 2012

RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells.

PURPOSE: Phase I trial to study the effectiveness of combining R115777 with gemcitabine in treating patients with advanced cancer.

Condition Intervention Phase
Unspecified Adult Solid Tumor, Protocol Specific
Drug: gemcitabine hydrochloride
Drug: tipifarnib
Phase 1

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase I, Maximum Tolerated Dose (MTD) Trial to Determine the Safety and Pharmacokinetics of Chronic Oral Administration of Farnesyl Transferase Inhibitor R115777 in Combination With Gemcitabine in Subjects With Advanced Incurable Cancer

Resource links provided by NLM:

Further study details as provided by The University of Texas Health Science Center at San Antonio:

Enrollment: 22
Study Start Date: October 1998
Study Completion Date: November 2002
Primary Completion Date: November 2002 (Final data collection date for primary outcome measure)
Detailed Description:


  • Determine the maximum tolerated dose and dose limiting toxicities of tipifarnib in combination with gemcitabine in patients with advanced cancer.
  • Investigate potential pharmacokinetic interactions between tipifarnib and gemcitabine in these patients.
  • Determine the efficacy of this regimen in patients with measurable or evaluable disease.
  • Evaluate the quality of life of these patients.

OUTLINE: This is a dose-escalation study of tipifarnib.

Patients receive gemcitabine IV over 30 minutes on days 1, 8, and 15 and oral tipifarnib every 12 hours beginning on day 2. Treatment continues every 4 weeks in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients each receive escalating doses of tipifarnib until the maximum tolerated dose (MTD) is reached. The MTD is defined as the dose at which fewer than one third of the patients experience dose limiting toxicity.

Quality of life is assessed before treatment, on day 22 of each course, and at the end of treatment.

PROJECTED ACCRUAL: A maximum of 40 patients will be accrued for this study.


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No


  • Pathologically proven advanced cancer for which no curative therapy exists



  • 18 and over

Performance status:

  • ECOG 0-2

Life expectancy:

  • Not specified


  • Absolute neutrophil count greater than 1,500/mm^3
  • Platelet count greater than 100,000/mm^3
  • Hemoglobin greater than 9 g/dL


  • Bilirubin normal
  • SGOT and SGPT no greater than 2 times upper limit of normal (ULN) (no greater than 5 times ULN if liver metastases present)


  • Creatinine normal


  • Unassisted oral or enteral intake sufficient to maintain a reasonable state of nutrition
  • No concurrent medical condition that is likely to interfere with study participation
  • No active visual disturbances that require intervention beyond corrective lenses
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception


Biologic therapy:

  • No prior bone marrow transplantation
  • No concurrent immunotherapy


  • At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin)
  • No prior high dose chemotherapy with bone marrow or stem cell rescue
  • No other concurrent chemotherapy

Endocrine therapy:

  • No concurrent hormone therapy (except megestrol acetate)


  • At least 4 weeks since prior radiotherapy
  • No prior radiotherapy to 25% or more of bone marrow
  • No concurrent radiotherapy (except palliative radiotherapy within the first 28 days of the study)


  • Not specified


  • At least 30 days since prior investigational therapy
  • No concurrent investigational therapy
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00003707

United States, Texas
San Antonio Cancer Institute
San Antonio, Texas, United States, 78229-3264
Sponsors and Collaborators
The University of Texas Health Science Center at San Antonio
National Cancer Institute (NCI)
Study Chair: Eric K. Rowinsky, MD San Antonio Cancer Institute
  More Information

Responsible Party: The University of Texas Health Science Center at San Antonio Identifier: NCT00003707     History of Changes
Other Study ID Numbers: CDR0000066815
P30CA054174 ( US NIH Grant/Contract Award Number )
UTHSC-9785011335 ( Other Identifier: UTHSCSA IRB )
JRF-R115777-USA-4A ( Other Identifier: Johnson and Johnson )
SACI-IDD-98-03 ( Other Identifier: San Antonio Cancer Institute )
NCI-V98-1501 ( Other Identifier: NCI )
Study First Received: November 1, 1999
Last Updated: June 26, 2012

Keywords provided by The University of Texas Health Science Center at San Antonio:
unspecified adult solid tumor, protocol specific

Additional relevant MeSH terms:
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Antiviral Agents
Anti-Infective Agents
Enzyme Inhibitors
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs processed this record on April 21, 2017