Fenretinide in Treating Patients With Metastatic or Unresectable Malignant Solid Tumors

NCT ID: NCT00387504

Last Updated: 2013-09-12

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

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-11-30

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as fenretinide, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing.

PURPOSE: This phase I trial is studying the side effects and best dose of fenretinide in treating patients with metastatic or unresectable malignant solid tumors.

Detailed Description

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OBJECTIVES:

* Determine the maximum tolerated dose of fenretinide in patients with metastatic or unresectable malignant solid tumors.
* Determine the toxic effects of this drug in these patients.
* Determine the pharmacokinetics and in vivo activity of this drug in these patients.
* Determine, preliminarily, disease or tumor response in patients treated with this drug.

OUTLINE: This is a dose-escalation, multicenter study.

Patients receive fenretinide IV continuously on days 1-5. Treatment repeats every 3 weeks for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients who achieve a complete or partial response may continue to receive fenretinide at the discretion of the study chair.

Cohorts of 3-6 patients receive escalating doses of fenretinide until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. At least 6 patients are treated at the MTD.

Patients undergo blood sample collection to determine plasma concentrations (pharmacokinetics) of fenretinide periodically during course 1 and at the end of courses 2-6.

After completion of study treatment, patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter.

PROJECTED ACCRUAL: A total of 21 patients will be accrued for this study.

Conditions

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Unspecified Adult Solid Tumor, Protocol Specific

Keywords

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unspecified adult solid tumor, protocol specific

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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fenretinide

4-HPR (Fenretinide) is given as a continuous intravenous infusion (CIV) for five consecutive days. Cycle is repeated every 3 weeks, if PR, CR or stable disease for 6 cycles.

Intervention Type DRUG

pharmacological study

samples drawn per protocol

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* No concurrent medications that may cause pseudotumor cerebri, including any of the following:

* Tetracycline
* Nalidixic acid
* Nitrofurantoin
* Phenytoin
* Sulfonamides
* Lithium
* Amiodarone
* No concurrent total parenteral nutrition (TPN) with intralipids
* No concurrent combination antiretroviral therapy for HIV-positive patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

California Cancer Consortium

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jacek Pinski, MD

Role: STUDY_CHAIR

University of Southern California

Locations

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City of Hope Comprehensive Cancer Center

Duarte, California, United States

Site Status

Childrens Hospital Los Angeles

Los Angeles, California, United States

Site Status

USC/Norris Comprehensive Cancer Center and Hospital

Los Angeles, California, United States

Site Status

Contra Costa Regional Medical Center

Martinez, California, United States

Site Status

City of Hope Medical Group

Pasadena, California, United States

Site Status

University of California Davis Cancer Center

Sacramento, California, United States

Site Status

Texas Tech University Health Sciences Center

Lubbock, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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U01CA062505

Identifier Type: NIH

Identifier Source: secondary_id

View Link

CCC-PHI-54

Identifier Type: -

Identifier Source: secondary_id

NCI-7540

Identifier Type: -

Identifier Source: secondary_id

CDR0000508770

Identifier Type: -

Identifier Source: org_study_id