Status:
UNKNOWN
17-Dimethylaminoethylamino-17-Demethoxygeldanamycin (17-DMAG) in Treating Patients With Metastatic Solid Tumors or Tumors That Cannot Be Removed By Surgery
Lead Sponsor:
Institute of Cancer Research, United Kingdom
Collaborating Sponsors:
National Cancer Institute (NCI)
Conditions:
Unspecified Adult Solid Tumor, Protocol Specific
Eligibility:
All Genders
18+ years
Phase:
PHASE1
Brief Summary
RATIONALE: Drugs used in chemotherapy, such as 17-dimethylaminoethylamino-17-demethoxygeldanamycin (17-DMAG), work in different ways to stop the growth of tumor cells, either by killing the cells or b...
Detailed Description
OBJECTIVES: Primary * Determine the maximum tolerated dose, dose-limiting toxicity, and recommended phase II dose of 17-dimethylaminoethylamino-17-demethoxygeldanamycin (17-DMAG) in patients with un...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Histologically or cytologically confirmed solid tumor
- Unresectable or metastatic disease
- Standard curative or palliative measures do not exist OR are no longer effective OR patient refused such measures
- No known brain metastases
- PATIENT CHARACTERISTICS:
- Age
- 18 and over
- Performance status
- ECOG 0-1
- Life expectancy
- More than 12 weeks
- Hematopoietic
- Absolute neutrophil count \> 1,500/mm\^3
- Platelet count ≥ 100,000/mm\^3
- Hemoglobin ≥ 9.0 g/dL
- Hepatic
- Bilirubin normal
- ALT and AST ≤ 1.5 times upper limit of normal
- No chronic liver disease
- Hepatitis B or C negative
- Renal
- Creatinine normal OR
- Creatinine clearance normal
- Cardiovascular
- No symptomatic New York Heart Association class III-IV cardiac disease
- No myocardial infarction within the past year
- No active ischemic heart disease within the past year
- No poorly controlled angina
- No uncontrolled dysrhythmia or dysrhythmias requiring antiarrhythmic drugs
- No transient ischemic attack
- No stroke
- No peripheral vascular disease
- No congenital long QT syndrome
- No history of serious ventricular arrhythmia (ventricular tachycardia or ventricular fibrillation ≥ 3 beats in a row)
- QTc \< 450 msec (for men) and 470 msec (for woman)
- LVEF \> 40% by MUGA
- No left bundle branch block
- Pulmonary
- No symptomatic pulmonary disease requiring medication, including any of the following:
- Dyspnea with or without exertion
- Paroxysmal nocturnal dyspnea
- Oxygen requirement
- Significant pulmonary disease (e.g., chronic obstructive/restrictive pulmonary disease
- Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception 4 weeks before, during, and for 6 months after completion of study treatment
- No known HIV positivity
- No other malignancy within the past 5 years except adequately treated cone biopsied carcinoma in situ of the cervix or basal cell or squamous cell skin cancer
- No ongoing or active infection
- No diabetes mellitus (with evidence of severe peripheral vascular disease or ulcers)
- No psychiatric illness or social situation that would preclude study compliance
- No other uncontrolled illness
- PRIOR CONCURRENT THERAPY:
- Biologic therapy
- More than 4 weeks since prior immunotherapy
- Concurrent epoetin alfa allowed
- Chemotherapy
- More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin)
- No prior 17-N-allylamino-17-demethoxygeldanamycin (17-AAG)
- Endocrine therapy
- More than 4 weeks since prior endocrine therapy
- Concurrent luteinizing hormone-releasing hormone analogues for androgen-insensitive prostate cancer and rising prostate-specific antigen allowed
- Radiotherapy
- More than 4 weeks since prior radiotherapy (except for palliative treatment)
- No prior irradiation field that potentially included the heart (e.g., mantle)
- Surgery
- Not specified
- Other
- Recovered from all prior therapy
- Concurrent bisphosphonates allowed
- At least 5 half-lives since prior and no concurrent medication that prolong QTc
- No other concurrent anticancer or investigational agents
- No concurrent grapefruit juice
Exclusion
Key Trial Info
Start Date :
October 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
Estimated Enrollment :
35 Patients enrolled
Trial Details
Trial ID
NCT00248521
Start Date
October 1 2005
Last Update
August 2 2013
Active Locations (3)
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1
Institute of Cancer Research - Sutton
Sutton, England, United Kingdom, SM2 5NG
2
Royal Marsden - Surrey
Sutton, England, United Kingdom, SM2 5PT
3
Belfast City Hospital Trust Incorporating Belvoir Park Hospital
Belfast, Northern Ireland, United Kingdom, BT8 8JR