Nelfinavir Mesylate in Treating Patients With Recurrent, Metastatic, or Unresectable Liposarcoma

NCT ID: NCT00233948

Last Updated: 2015-04-01

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-03-31

Brief Summary

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RATIONALE: Antiviral drugs, such as nelfinavir mesylate, may help prevent cancer cells from spreading.

PURPOSE: This phase I/II trial is studying the side effects and best dose of nelfinavir mesylate and to see how well it works in treating patients with recurrent, metastatic, or unresectable liposarcoma.

Detailed Description

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OBJECTIVES:

I. To assess the toxicity and tolerance of nelfinavir in patients with liposarcoma.

II. To define the maximum tolerated dose (MTD) of nelfinavir when given daily as a single agent and to describe the toxicities at each does studied.

III. To evaluate the pharmacokinetics of nelfinavir. IV. To assess the response rate and progression free survival in patients with liposarcoma treated with nelfinavir.

V. To evaluate the expression and activity of certain proteins in the tumors of patients entered on this study, which may be important to the cytotoxicity of nelfinavir (SREBP-1, p21, NFkB (NFkappaB), caspase 3).

OUTLINE: This is a phase I, dose-escalation study followed by a phase II study.

Patients receive oral nelfinavir mesylate twice daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

Conditions

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Adult Liposarcoma Recurrent Adult Soft Tissue Sarcoma Stage III Adult Soft Tissue Sarcoma Stage IV Adult Soft Tissue Sarcoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm I

Patients receive oral nelfinavir mesylate twice daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

nelfinavir mesylate

Intervention Type DRUG

Given orally

biopsy

Intervention Type PROCEDURE

Correlative studies

laboratory biomarker analysis

Intervention Type OTHER

Correlative studies

pharmacological study

Intervention Type OTHER

Correlative studies

gene expression analysis

Intervention Type GENETIC

Correlative studies

western blotting

Intervention Type GENETIC

Correlative studies

reverse transcriptase-polymerase chain reaction

Intervention Type GENETIC

Correlative studies

immunoenzyme technique

Intervention Type OTHER

Correlative studies

Interventions

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nelfinavir mesylate

Given orally

Intervention Type DRUG

biopsy

Correlative studies

Intervention Type PROCEDURE

laboratory biomarker analysis

Correlative studies

Intervention Type OTHER

pharmacological study

Correlative studies

Intervention Type OTHER

gene expression analysis

Correlative studies

Intervention Type GENETIC

western blotting

Correlative studies

Intervention Type GENETIC

reverse transcriptase-polymerase chain reaction

Correlative studies

Intervention Type GENETIC

immunoenzyme technique

Correlative studies

Intervention Type OTHER

Other Intervention Names

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Viracept biopsies pharmacological studies Blotting, Western Western Blot RT-PCR immunoenzyme techniques

Eligibility Criteria

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Inclusion Criteria

* Patients must have histologically confirmed liposarcoma, which is recurrent, metastatic or unresectable
* There is no limit to prior chemotherapy regimens; in addition, patients may have prior radiation
* All patients must have measurable disease, defined as lesions that can be accurately measured in at least one dimension (\>= 20 mm with conventional techniques or \>= 10mm with spiral CT scan); pleural effusions and ascites will not be considered measurable, but may be present in addition to the measurable lesion(s)
* ECOG (Eastern Cooperative Oncology Group) performance status of 0, 1, or 2; patients should have an expected survival of at least 3 months
* Absolute neutrophil count \>= 1,000/ul
* Platelets \>= 75000/ul
* Total bilirubin =\< 2.0 g/dl
* AST(SGOT)/ALT(SGPT) =\< 2.0X institutional upper limit of normal
* Brain metastasis is not an exclusion; however, patients are only eligible if they have had successful control of the brain tumor(s) by surgery or radiation therapy
* All prior therapy must have been completed at least 3 weeks prior to the patient's entry on this trial
* No concurrent chemotherapy, radiotherapy, immunotherapy or other investigational agents
* Women of child-bearing potential and men must agree to use adequate contraception (barrier method of birth control) prior to study entry and for the duration of study participation; should a women become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately
* Ability to understand and willingness to sign a written informed consent document

Exclusion

* Patient has had prior treatment with or is currently taking a protease inhibitor
* Patients enrolled cannot be on the following medications: cisapride, triazolam, midazolam, ergot derivatives, amiodarone, quinidine, dihydropyridine calcium antagonists (amlodipine, felodipine, isradipine, nicardipine, nifedipine, nimodipine, and nisoldipine), sildenafil, dilantin, rifampin or oral contraceptives
* Uncontrolled intercurrent illness
* Patients must have recovered from any expected toxicities of previous chemotherapy or radiation therapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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City of Hope Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Warren Chow

Role: PRINCIPAL_INVESTIGATOR

City of Hope Medical Center

Locations

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City of Hope Medical Center

Duarte, California, United States

Site Status

South Pasadena Cancer Center

Pasadena, California, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2010-01263

Identifier Type: -

Identifier Source: secondary_id

CDR0000438712

Identifier Type: REGISTRY

Identifier Source: secondary_id

FDA R01FD003006-03

Identifier Type: OTHER

Identifier Source: secondary_id

04090

Identifier Type: -

Identifier Source: org_study_id

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