Efficacy of SU 011248 in Head And Neck Carcinoma

NCT ID: NCT00408252

Last Updated: 2019-09-19

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: PHASE2
• Total Enrollment: 54 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2007-02-28
• Study Completion Date: 2011-12-31

Brief Summary

Preclinical studies as well as phase I and II trials have demonstrated that SU11248 has antitumor activity in renal cell carcinoma, breast cancer, neuroendocrine tumor and GIST. So at the light of these pre-clinical and clinical data, it seems interesting and promising to test SU011248 in these poor prognosis patients.

Detailed Description

This is an open-label phase II, multicenter study. Eligible patients will receive SU011248 in monotherapy (37.5 mg given continuously without interruption). Tumor check-up will be performed every 6-8 weeks. Treatment will be continued until disease progression or unacceptable toxicities according to the patient or the investigator (the median for treatment in renal cell study was 8 months).

Since, head and neck tumors are easily accessible for iterative biopsy, this study will offer the opportunity to get tumor biopsies before and after SU011248. Our study will allow translational research with biopsies at crucial timing: at baseline before any treatment, , during the treatment with SU011248 (cycle 1, between week 4 and 6), for patients with stable disease or partial response, a new biopsy will be performed at the time of disease progression to try to understand the mechanisms of tumor or resistance.

Conditions

Recurrent Disease; Squamous Cell Head and Neck Carcinoma; Palliative Treatment

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Arm A

patients will receive SU011248 in monotherapy

Group Type: EXPERIMENTAL

biopsies

Intervention Type: OTHER

No intervention, only biopsy for translational project

SU011248

Intervention Type: DRUG

no intervention

Interventions

biopsies

No intervention, only biopsy for translational project

Intervention Type: OTHER

SU011248

no intervention

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• Recurrent and/or metastatic head and neck squamous cell carcinoma not amenable to curative treatment with surgery and/or chemotherapy and/or radiation
• Recurrence must be confirmed by anatomopathology (cytology or biopsy)
• At least one measurable lesion by MRI or CT-scan
• Failed or relapsing after first line chemotherapy including a platinum* or a taxane-based chemotherapy regimen
• Patients ineligible for chemotherapy could be included in first line
• ECOG performance status 0 -2, in stable medical condition
• Patients must be able to swallow tablets
• Patients must have an expected survival of at least 3 months
• Paraffin-embedded tumor tissue available for immunohistochemistry
• Patients must be over 18 years old and must be able to give written informed consent
• Women of child-bearing age must have a negative pregnancy test
• Female patients of child-bearing age must use effective contraception until 3 months have elapsed after the last injection
• Patients must have normal organ function
• For patients with local recurrence and easily accessible tumors, acceptance of iterative biopsies to store tumor samples (Formaldehyde for immunochemistry, RNA later)
• Acceptance of giving 20 ml of blood for eventual pharmacogenomic analysis
• Acceptance of giving two plasma samples (3ml) at baseline and after 4 weeks of treatment with SU011248
• Signed informed consent prior to beginning protocol specific procedure

Exclusion Criteria

• Non-squamous head and neck cancer
• Nasopharynx cancer
• Brain metastases
• More than two lines of chemotherapy for palliative treatment (except if chemotherapy was given as a part of a multimodal treatment given with a curative intent)
• Surgery or irradiation or investigational drugs within 4 weeks before study inclusion
• Other uncontrolled illnesses (active infections requiring antibiotics, bleeding disorders, …)
• Active uncontrolled coronary disease or cardiac insufficiency (Ejection fraction below 40%)
• Previous malignancy, with exception of a history of a previous basal cell carcinoma of the skin or pre-invasive carcinoma of the cervix
• Other concomitant anticancer therapies
• Organic brain syndrome or significant psychiatric abnormality that would preclude participation in the full protocol and follow up.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cliniques universitaires Saint-Luc- Université Catholique de Louvain

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Jean-Pascal H Machiels, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Cliniques Universitaires St Luc

Locations

Cliniques Universiatires St LUC UCL

Brussels, , Belgium

clinique Sainte Elisabeth

Namur, , Belgium

Clinique universiataire de Mont Godinnes UCL

Yvoir, , Belgium

Centre Jean Perrin

Clermont-Ferrand, , France

Centre G-f Leclerc

Dijon, , France

Centre Alexis Vautrin

Nancy, , France

René Gauducheau

Saint-Herblain, , France

CHU Bretonneau

Tours, , France

Institut Gustave Roussy

Villejuif, , France

Countries

Belgium; France

Other Identifiers

IIR Study A6181004

Identifier Type: -

Identifier Source: secondary_id

GORTEC 2006-01

Identifier Type: -

Identifier Source: org_study_id