UCN-01 and Cisplatin in Treating Patients With Advanced or Metastatic Solid Tumors
NCT ID: NCT00006464
Last Updated: 2010-01-15
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
PHASE1
INTERVENTIONAL
2001-03-31
2008-06-30
Brief Summary
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PURPOSE: Phase I trial to study the effectiveness of UCN-01 and cisplatin in treating patients who have advanced or metastatic solid tumors.
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Detailed Description
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* Determine the maximum tolerated dose of cisplatin when administered with UCN-01 in patients with advanced solid tumors.
* Assess the toxicity and potential antitumor activity of this regimen in these patients.
* Determine the pharmacokinetics of this regimen in these patients.
OUTLINE: This is a dose-escalation, multicenter study of cisplatin.
Patients receive cisplatin IV over 1 hour on day 1 and UCN-01 IV continuously over 36-72 hours beginning on day 2. Treatment continues every 4 weeks for a total of 6 courses in the absence of disease progression or unacceptable toxicity.
Cohorts of 1-6 patients receive escalating doses of cisplatin until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.
Patients are followed every 2-3 months for at least 1 year.
PROJECTED ACCRUAL: A total of 9-30 patients will be accrued for this study within 1 year.
Conditions
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Study Design
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TREATMENT
Interventions
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7-hydroxystaurosporine
cisplatin
Eligibility Criteria
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Inclusion Criteria
* Histologically or cytologically confirmed advanced or metastatic solid tumor incurable by surgery or other standard therapy
* Tumor site accessible by biopsy
* No brain metastasis
PATIENT CHARACTERISTICS:
Age:
* 18 and over
Performance status:
* Karnofsky 60-100%
Life expectancy:
* More than 3 months
Hematopoietic:
* WBC at least 4,500/mm3
* Absolute neutrophil count at least 2,000/mm3
* Platelet count at least 150,000/mm3
Hepatic:
* Bilirubin normal
* SGOT no greater than 2.5 times upper limit of normal
Renal:
* Creatinine normal
* Creatinine clearance at least 60 mL/min
Cardiovascular:
* No New York Heart Association class III or IV congestive heart failure
Other:
* No peripheral neuropathy greater than grade I
* No history of allergic reactions to diuretics or antiemetics (e.g., 5-HT3 antagonists) that would preclude study
* No other uncontrolled illness that would preclude study, including intolerance to vigorous hydration
* No medical, social, or psychological factors that would preclude study
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception during and for 3 months after study
PRIOR CONCURRENT THERAPY:
Biologic therapy:
* Not specified
Chemotherapy:
* At least 4 weeks since prior chemotherapy (6 weeks for mitomycin or nitrosoureas) and recovered
* No greater than 2 prior chemotherapy regimens
* Prior cisplatin allowed if cumulative dose no greater than 400 mg/m2
Endocrine therapy:
* Not specified
Radiotherapy:
* At least 4 weeks since prior radiotherapy and recovered
* No concurrent radiotherapy
Surgery:
* See Disease Characteristics
* Recovered from any prior surgery
Other:
* At least 30 days since prior investigational drugs
* No other concurrent investigational drugs
* No other concurrent anticancer agents
18 Years
ALL
No
Sponsors
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National Cancer Institute (NCI)
NIH
City of Hope Medical Center
OTHER
Principal Investigators
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David R. Gandara, MD
Role: STUDY_CHAIR
University of California, Davis
Locations
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USC/Norris Comprehensive Cancer Center and Hospital
Los Angeles, California, United States
City of Hope Medical Group
Pasadena, California, United States
University of California Davis Cancer Center
Sacramento, California, United States
Norris Cotton Cancer Center
Lebanon, New Hampshire, United States
Countries
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References
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Lara PN Jr, Mack PC, Synold T, Frankel P, Longmate J, Gumerlock PH, Doroshow JH, Gandara DR. The cyclin-dependent kinase inhibitor UCN-01 plus cisplatin in advanced solid tumors: a California cancer consortium phase I pharmacokinetic and molecular correlative trial. Clin Cancer Res. 2005 Jun 15;11(12):4444-50. doi: 10.1158/1078-0432.CCR-04-2602.
Other Identifiers
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CHNMC-PHI-28
Identifier Type: -
Identifier Source: secondary_id
NCI-T99-0065
Identifier Type: -
Identifier Source: secondary_id
CDR0000068274
Identifier Type: -
Identifier Source: org_study_id
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