Actively Recruiting

Phase 2
Age: 18Years - 120Years
All Genders
NCT04449549

Rapid Analysis and Response Evaluation of Combination Anti-Neoplastic Agents in Rare Tumors (RARE CANCER) Trial: RARE 1 Nilotinib and Paclitaxel

Led by National Cancer Institute (NCI) · Updated on 2026-05-12

82

Participants Needed

1

Research Sites

345 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Background: People with rare cancers often have limited treatment options. The biology of rare cancers is not well understood. Researchers want to find better treatments for these cancers. They want to test 2 drugs that, taken separately, have helped people with non-rare cancers. They want to see if these drugs together can make rare cancers shrink or stop growing. Objective: To learn if nilotinib and paclitaxel will benefit people with rare cancers. Eligibility: People age 18 and older who have a rare, advanced cancer that has progressed after receiving standard treatment, or for which no effective therapy exists. Design: Participants will be screened with medical history and physical exam. They will have blood and urine tests. They will have a pregnancy test if needed. They will have an electrocardiogram to check their heart. They will have imaging scans to measure their tumors. Participants will repeat the screening tests during the study. Participants will receive nilotinib and paclitaxel. The drugs are given in 28-day cycles. Nilotinib is a capsule taken by mouth twice a day. Paclitaxel will be given intravenously by peripheral line or central line once a week for the first 3 weeks of each cycle. Participants will keep a medicine diary. They will track when they take the study drugs and any side effects they may have. Participants may have optional tumor biopsies. Participants can stay on the study until their disease gets worse or they have intolerable side effects. Participants will have a follow-up phone call about 30 days after taking the last dose of study drugs.

CONDITIONS

Official Title

Rapid Analysis and Response Evaluation of Combination Anti-Neoplastic Agents in Rare Tumors (RARE CANCER) Trial: RARE 1 Nilotinib and Paclitaxel

Who Can Participate

Age: 18Years - 120Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients must have a histologically confirmed rare solid tumor that has progressed after standard therapy known to prolong survival or for which no standard treatment options exist.
  • Patients must be 18 years or older.
  • Patients must have an ECOG performance status of 0 to 2.
  • Patients must have normal organ and marrow function including adequate neutrophil count, platelet count, liver enzymes, and kidney function as specified.
  • Women of childbearing potential and men must agree to use effective contraception prior to and during the study and for at least 3 months after treatment ends.
  • Patients must have completed radiation therapy or major surgery at least 3 weeks prior, or chemotherapy or biologic therapy at least 3 weeks or 5 half-lives prior (6 weeks for nitrosoureas and mitomycin C), with recovery from prior treatment toxicities.
  • Optional tumor biopsies are permitted; archival tumor tissue collected within 3 months prior to registration may be used if no therapy was given since.
  • HIV-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible, with a viral load test done within 28 days before enrollment.
Not Eligible

You will not qualify if you...

  • QTcF interval of 450 msec or more at study entry or congenital long QT syndrome.
  • Sensory or motor neuropathy grade 2 or higher.
  • Receiving any other investigational agents.
  • Known primary central nervous system malignancy or symptomatic CNS metastases, except for certain asymptomatic or treated cases meeting specific criteria.
  • History of allergic reactions to compounds similar to nilotinib or paclitaxel.
  • Uncontrolled illnesses including serious untreated infections, symptomatic respiratory failure, congestive heart failure, unstable angina, cardiac arrhythmia, or psychiatric or social conditions limiting compliance.
  • Pregnant women are excluded; breastfeeding must be discontinued before treatment and avoided during and for 3 months after treatment due to potential risks.

AI-Screening

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Trial Site Locations

Total: 1 location

1

National Institutes of Health Clinical Center

Bethesda, Maryland, United States, 20892

Actively Recruiting

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Research Team

B

Brooksley F Augustine

CONTACT

A

Alice P Chen, M.D.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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