Interaction of Docetaxel and Lonafarnib in Patients With Advanced Cancer

NCT ID: NCT00288444

Last Updated: 2012-12-18

Study Results

Results pending

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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Recruitment Status

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-01-31

Study Completion Date

2009-03-31

Brief Summary

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To determine the molecular interaction in tumor samples between docetaxel and lonafarnib.

Detailed Description

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1. To determine the safety and toxicity of intravenous docetaxel, administered on a weekly schedule (3 weeks out of 4), in combination with oral lonafarnib, administered on a daily schedule, in patients with locally advanced and metastatic solid tumor malignancies which are refractory to the standard of care.
2. To determine the pharmacokinetic interaction between docetaxel and lonafarnib.
3. To determine the molecular interaction in peripheral blood mononuclear cells between docetaxel and lonafarnib

Conditions

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Lung Cancer Soft Tissue Sarcoma Colorectal Carcinoma Breast Cancer Prostate Cancer

Keywords

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Advanced malignancies.

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Docetaxel 36 mg/ m2 IV weekly and Lonafarnib 150 mg

Docetaxel 36 mg/ m\^2 Intravenously weekly and Lonafarnib 150 mg by mouth twice a day daily.

Group Type ACTIVE_COMPARATOR

Lonafarnib

Intervention Type DRUG

Docetaxel

Intervention Type DRUG

Docetaxel 30 mg/ m2and Lonafarnib 150 mg

Docetaxel 30 mg/ m\^2 Intravenously weekly and Lonafarnib 150 mg by mouth twice a day daily.

Group Type ACTIVE_COMPARATOR

Lonafarnib

Intervention Type DRUG

Docetaxel

Intervention Type DRUG

Docetaxel 36 mg/ m2 and Lonafarnib 100 mg

Docetaxel 36 mg/ m\^2 Intravenously weekly and Lonafarnib 100 mg by mouth twice a day daily

Group Type ACTIVE_COMPARATOR

Lonafarnib

Intervention Type DRUG

Docetaxel

Intervention Type DRUG

Docetaxel 30 mg/m2 and Lonafarnib 100 mg

Docetaxel30 mg/m\^2 Intravenously weekly and Lonafarnib 100 mg by mouth twice a day daily.

Group Type ACTIVE_COMPARATOR

Lonafarnib

Intervention Type DRUG

Docetaxel

Intervention Type DRUG

Interventions

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Lonafarnib

Intervention Type DRUG

Docetaxel

Intervention Type DRUG

Other Intervention Names

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SCH66336 Taxotere

Eligibility Criteria

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Inclusion Criteria

3.1.2 Only patients determined to be at minimal risk to receiving the biopsy (with tumor location/accessibility as well as underlying patient comorbidities judged to allow a minimal risk biopsy by the radiologist/surgeon performing the procedure) will be eligible for this study.

3.1.3 Patient must have an ECOG performance status of 2 or less.

3.1.4 Patient must have a life-expectancy of at least 12 weeks.

3.1.5 Patient must have adequate bone marrow function: WBC ≥ 3,000 cells/mm3, ANC ≥ 1,500 cells/mm3, platelet count ≥ 100,000/mm3 and Hgb ≥ 9.0 g/dL.

3.1.6 Patient must have adequate liver function: total bilirubin level ≤ 2.0 mg/dL and ≤ ULN, albumin ≥ 2.5 g/dL.

3.1.7 Patient must have adequate renal function: Transaminases/Alkaline phosphatase: AST or ALT and alkaline phosphatase must be within the range allowing for eligibility. This range is defined as ≤ 2 x ULN.

In determining eligibility, the more abnormal of the two (AST or ALT) should be used.

3.1.8 Patient must have received no more than three previous chemotherapy regimens (prior chemotherapy may or may not have contained a taxane).

3.1.9 Patient must meet the specified informed consent requirement.

3.1.10 Patient must be of age ≥ 18 years.

3.1.11 Women of childbearing age must have a negative pregnancy test.

3.1.12 Men and women of childbearing potential must be willing to consent to using effective contraception while on treatment and for at least 3 months thereafter.

3.1.13 Patient must have ≤ Grade 1 neurotoxicity from previous anticancer treatment or from any cause.

3.1.14 Patient must have adequate coagulation function: INR and PTT ≤ 1.5 x ULN.

3.1.15 Patient must have discontinued all prior chemotherapy and radiotherapy at least 4 weeks prior to registration.

3.1.16 Patient must have discontinued use of the following drugs which are an inducers or inhibitors of CYP3A4 at least 2 days prior to registration: ethinylestradiol, gestodene, itraconazole, ketoconazole, cimetidine, erythromycin, carbamazepine, high dose chronic steroids, phenobarbital, phenytoin, rifampin (rifampcin), and sulfinpyrazone.

Patient must have a pathologically-confirmed

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Exclusion Criteria

3.2.1 Patient has received more than three previous chemotherapy regimens.

3.2.2 Patient is pregnant or breast feeding.

3.2.3 Patient has signs of symptoms of acute infection requiring systemic therapy.

3.2.4 Patient exhibits confusion, disorientation, or has a history of major psychiatric illness which may impair the patient's understanding of the informed consent.

3.2.5 Patient's life expectancy is less than 12 weeks.

3.2.6 Patient has \> Grade 1 neurotoxicity from previous anticancer treatment or significant neuropathy from any cause.

3.2.7 Patient requires total parenteral nutrition with lipids.

3.2.8 Inability to swallow the lonafarnib BID.

3.2.9 Patient has a history of uncontrolled heart disease (including clinically significant coronary artery disease, congestive heart failure and symptomatic or uncontrolled arrythmias).

3.2.10 Patient has a history of severe hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80. Symptoms include: any reaction such as bronchospasm, generalized urticaria, systolic BP ≤ 80mm Hg, and angioedema.

3.2.11 Use of chronic steroids or anticonvulsants.

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Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aventis Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Schering-Plough

INDUSTRY

Sponsor Role collaborator

Emory University

OTHER

Sponsor Role lead

Responsible Party

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John Kauh

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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John Kauh, MD

Role: PRINCIPAL_INVESTIGATOR

Emory University

Locations

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Emory University Winship Cancer Institute

Atlanta, Georgia, United States

Site Status

Countries

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United States

Other Identifiers

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EU841-03

Identifier Type: -

Identifier Source: secondary_id

174-2004

Identifier Type: -

Identifier Source: org_study_id