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Study of Irofulven in Combination With Oxaliplatin in Patients With Advanced Solid Tumors

This study is ongoing, but not recruiting participants.
Information provided by (Responsible Party):
Eisai Inc. Identifier:
First received: September 8, 2006
Last updated: June 30, 2015
Last verified: June 2015
The purpose of this study is to determine the maximum tolerated dose (MTD) and to investigate the efficacy, safety and pharmacokinetics of irofulven combined with oxaliplatin in patients with advanced solid tumors.

Condition Intervention Phase
Liver Cancer
Drug: Irofulven + oxaliplatin
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Phase I-II Clinical and Pharmacokinetic Study of Irofulven in Combination With Oxaliplatin in Patients With Advanced Solid Tumors

Resource links provided by NLM:

Further study details as provided by Eisai Inc.:

Primary Outcome Measures:
  • Confirmed response rate: Hepatocellular Cancer (HCC) Cohort: Response Evaluation Criteria in Solid Tumors (RECIST) criteria. [ Time Frame: Every 8 weeks until progression. ]
  • Hormone Refractory Prostate Cancer (HRPC) Cohort: Prostate-Specific Antigen Working Group Recommendations (PSAWGR) and RECIST criteria. [ Time Frame: Every 8 weeks until progression. ]

Secondary Outcome Measures:
  • Efficacy: HRPC Cohort: confirmed response rate according to RECIST; progression-free survival (PFS) for progression according to RECIST; new bone lesions or skeletal events; PFS according to PSA progression; overall survival. [ Time Frame: Every 8 weeks until progression. ]
  • Efficacy: HCC cohort - PFS (RECIST); overall survival [ Time Frame: Every 8 weeks until progression. ]

Enrollment: 63
Study Start Date: June 2003
Primary Completion Date: August 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1 Drug: Irofulven + oxaliplatin

Oxaliplatin will be administered in a 2-hour infusion on Days 1 and 15 of a 28-day cycle. Starting dose 40 mg/m^2, dose escalation 50, 60, 70, and 80 mg/m^2 every 28 days if no dose-limiting toxicity.

Thirty minutes after completion of oxaliplatin infusion, irofulven will be administered in a 30-minute infusion on Days 1 and 15 of a 28-day cycle. Starting dose 0.30 mg/kg, dose escalation to 0.40 mg/kg every 28 days if no dose-limiting toxicity.


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

Inclusion Criteria:

  1. Signed informed consent obtained prior to initiation of any study-specific procedures and treatment.
  2. Malignant solid tumor confirmed by a biopsy sample.
  3. Pancreatic, endometrial, gastric, and hepatocellular cancer patients that have exhausted standard treatment options.
  4. Measurable disease according to RECIST.
  5. 18 years of age or older.
  6. Eastern Cooperative Oncology Group (ECOG) Performance Status (PS): 0-1.
  7. Life expectancy greater than 3 months.
  8. Previous anticancer treatment must be discontinued at least 4 weeks prior to first dose of study treatment (6 weeks for mitomycin C, 8 weeks for bicalutamide).
  9. Patients of reproductive age must be using effective contraceptive methods.
  10. Negative pregnancy test for patients of reproductive potential.

Exclusion Criteria:

  1. Prior therapy with irofulven or oxaliplatin.
  2. Patients who have had radiation therapy to more than 30% of the bone marrow prior to entry into the study.
  3. Prior chemotherapy with nitrosoureas or high dose carboplatin (AUC > 6), prior mitomycin C cumulative dose greater than or equal to 25 mg/m², prior bone marrow transplant or intensive chemotherapy with stem cell support.
  4. Presence of any serious concomitant systemic disorders incompatible with the study (e.g., uncontrolled congestive heart failure, active infection).
  5. Any previous history of another malignancy (other than cured basal cell carcinoma of the skin or cured in-situ carcinoma of the cervix) within 5 years of study entry, unless the active malignancy can be unmistakably identified by evidence such as recent biopsies or tumor specific markers.
  6. Treatment with any other investigational agent, or participation in another clinical trial within 28 days prior to study entry.
  7. Pregnant or lactating patients or any patient with childbearing potential not using adequate contraception.
  8. Patients with retinopathy or significant visual impairment not correctable by refractory lens will be enrolled on a case by case basis according to the expected benefit ratio, taking into account the malignant disease and the existence of an objective decreased visual acuity and its degree.

Please note: There are additional criteria that must be met in order to be eligible for this study.

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Please refer to this study by its identifier: NCT00374660

Bordeaux, France
Clichy, France
Lyon, France
Nice, France
Paris, France
Poitiers, France
Saint Cloud, France
Sponsors and Collaborators
Eisai Inc.
  More Information

Responsible Party: Eisai Inc. Identifier: NCT00374660     History of Changes
Other Study ID Numbers: IROF-017
Study First Received: September 8, 2006
Last Updated: June 30, 2015

Keywords provided by Eisai Inc.:

Additional relevant MeSH terms:
Liver Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Digestive System Diseases
Liver Diseases
Antineoplastic Agents
Antineoplastic Agents, Alkylating
Alkylating Agents
Molecular Mechanisms of Pharmacological Action processed this record on April 26, 2017