BI 2536 in Treating Patients With Recurrent or Metastatic Solid Tumors

NCT ID: NCT00526149

Last Updated: 2013-10-07

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

RATIONALE: BI 2536 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase II trial is studying the side effects and how well BI 2536 works in treating patients with recurrent or metastatic solid tumors.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

OBJECTIVES:

* Investigate if BI 2536 demonstrates antitumor activity in the selected tumor types.
* Further document its safety profile in the treated patient population.
* Describe the plasma concentration time-course following administration of a single administration of BI 2536 in patients with different tumor types using an appropriate population pharmacokinetic model.

OUTLINE: This is a multicenter study.

Patients receive BI 2536 IV over 1 hour on day 1. Treatment repeats every 21 days in the absence of disease progression or unacceptable toxicity.

Blood is collected periodically during study. Plasma samples are analyzed for pharmacokinetic studies by HPLC and tandem mass spectrometry.

After completion of study treatment, patients are followed every 3 months.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Breast Cancer Endometrial Cancer Head and Neck Cancer Melanoma (Skin) Ovarian Cancer Sarcoma

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

recurrent squamous cell carcinoma of the hypopharynx recurrent squamous cell carcinoma of the larynx recurrent squamous cell carcinoma of the lip and oral cavity recurrent squamous cell carcinoma of the oropharynx recurrent squamous cell carcinoma of the paranasal sinus and nasal cavity metastatic squamous neck cancer with occult primary squamous cell carcinoma recurrent metastatic squamous neck cancer with occult primary recurrent breast cancer stage IV breast cancer recurrent ovarian epithelial cancer stage IV ovarian epithelial cancer stage III ovarian epithelial cancer recurrent adult soft tissue sarcoma stage III adult soft tissue sarcoma stage IV adult soft tissue sarcoma adult leiomyosarcoma uterine leiomyosarcoma adult alveolar soft-part sarcoma adult angiosarcoma adult desmoplastic small round cell tumor adult epithelioid sarcoma adult fibrosarcoma adult liposarcoma adult malignant fibrous histiocytoma adult malignant mesenchymoma adult neurofibrosarcoma adult rhabdomyosarcoma adult synovial sarcoma endometrial stromal sarcoma ovarian carcinosarcoma ovarian sarcoma recurrent uterine sarcoma stage IV uterine sarcoma recurrent melanoma stage IV melanoma

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

BI 2536

Intervention Type DRUG

high performance liquid chromatography

Intervention Type OTHER

mass spectrometry

Intervention Type OTHER

pharmacological study

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Recurrent or metastatic disease, no longer suitable for local therapy
* Prior use of chemotherapy/chemoradiotherapy/EGFR inhibitors for the treatment of the primary disease/nonmetastatic disease is allowed
* No prior chemotherapy for recurrent or metastatic disease

* Prior treatment with EGFR inhibitor for metastatic advanced disease is allowed
* Breast cancer

* Histologically proven recurrent or metastatic adenocarcinoma of the breast that failed prior taxane and anthracycline therapy
* Patient must have had a minimum of one line and a maximum of 2 lines of chemotherapy treatment given either as adjuvant treatment or for recurrence/metastatic disease
* Patients who do not qualify for Her-2-based therapy allowed
* Hormone receptor status not specified
* Ovarian cancer

* Histologically proven ovarian epithelial cancer
* Metastatic or inoperable locally advanced disease
* Patients either progressing under or relapsing within 6 months of completion of any line of platinum and taxane-based therapeutic regimen for advanced disease
* Soft tissue sarcoma

* Histologically proven advanced and/or metastatic malignant soft tissue sarcoma of high or intermediate grade and one of the following histologies defined by the WHO classification 2002:

* Leiomyosarcoma, adipocytic sarcoma, synovial sarcoma, and others
* Fibroblastic (adult fibrosarcoma, myxofibrosarcoma, sclerosing epithelioid fibrosarcoma)
* So-called fibrohistiocytic (pleomorphic malignant fibrous histiocytoma \[MFH\], giant cell "MFH", inflammatory "MFH")
* Malignant glomus tumors
* Skeletal muscles (rhabdomyosarcoma, alveolar or pleomorphic) excluding embryonic rhabdomyosarcoma
* Vascular (epithelioid hemangioendothelioma, angiosarcoma)
* Uncertain differentiation (synovial, epithelioid, alveolar soft part, clear cell, desmoplastic small round cell, extra-renal rhabdoid, malignant mesenchymoma, perivascular epithelioid cell tumour \[PEComa\], intimal sarcoma) excluding chondrosarcoma, Ewing tumors/primitive neuroectodermal tumor (PNET)
* Malignant peripheral nerve sheath tumors
* Malignant solitary fibrous tumors
* Undifferentiated soft tissue sarcomas not otherwise specified
* Other types of sarcoma (not listed as not eligible), if approved by the Study Coordinator (written or e-mail approval needed prior to registration)
* Excluded are any of the following:

* Embryonic rhabdomyosarcoma
* Chondrosarcoma
* Osteosarcoma
* Ewing tumors/primitive neuroectodermal tumors
* Gastrointestinal stromal tumor
* Dermatofibrosarcoma protuberans
* Inflammatory myofibroblastic sarcoma
* Neuroblastoma
* Malignant mesothelioma
* Mixed mesodermal tumors of the uterus
* Patients must have received no more than one combination or two single agents of chemotherapy regimen for advanced disease and treatment must have included an anthracycline if not medically contraindicated
* Melanoma

* Histologically proven metastatic malignant melanoma
* Ocular melanomas are excluded
* Patients must either not have received any prior chemotherapy for recurrent /metastatic disease or have received one line of chemotherapy pending LDH ≤ 2 times upper limit of normal (ULN)

* One prior line of immunotherapy is allowed

General criteria:

* Measurable disease, defined as unidimensionally measurable based on RECIST with a target lesion of at least 20 mm or 10 mm measured by spiral CT scan
* Documented progressive disease proven by imaging prior to study entry (i.e., progression should be documented by 2 imaging scans performed within the past 6 months prior to registration showing progression according to RECIST)
* No clinical evidence of brain metastases

PATIENT CHARACTERISTICS:

* Male or female
* Menopausal status not specified
* ECOG performance status 0-2
* ANC ≥ 1.5 x 10\^9/L
* Platelets ≥ 100 x 10\^9/L
* Hemoglobin ≥ 9 mg/dL
* Serum creatinine ≤ to 175 μmol/L
* Bilirubin ≤ 1.5 times ULN
* AST/ALT ≤ 2.5 times ULN (5 times ULN with liver metastases)
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception during and for 12 months after completion of study treatment
* Absence of any psychological, familial, sociological, or geographical factors that would potentially hamper compliance with the study protocol and follow-up schedule
* No other previous or active malignancy for at least 5 years with the exception of cone-biopsied carcinoma of the cervix and adequately treated basal or squamous cell skin carcinoma
* No concomitant intercurrent illnesses including, but not limited to, any of the following:

* Ongoing or active infection
* Symptomatic congestive heart failure
* Unstable angina pectoris
* Cardiac arrhythmia
* Psychiatric illness or social situation that would limit compliance with trial requirement or that are considered relevant for the evaluation of the efficacy or safety of the trial drug

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
* At least 4 weeks since administration of any prior systemic treatment for the current malignancy including treatment with chemotherapy, radiotherapy, immunotherapy, hormonal therapy, and treatment with monoclonal antibodies, or small molecule tyrosine kinase inhibitors and others
* No persistence of toxicities from prior anticancer therapy deemed clinically relevant
* No treatment with any other investigational drug within the past four weeks or within less than four half-life times of the investigational drug before treatment with the trial drug (whatever is the longest period)
* No major surgery within 4 weeks prior to the first treatment with the trial drug
* Concurrent treatment with corticosteroids, including prednisone and bisphosphonates, is allowed as long as the treatment started before entry into the study and as long as the dose is stable for two weeks prior to enrollment in the present trial
* Palliative radiotherapy may be given during the study for bone pain or for other reasons not due to progressive disease (e.g., bronchial obstruction, ulcerating skin lesions)

* The irradiated area should be limited and should not involve more than 10% of the bone marrow
* The irradiated area cannot be used for tumor response assessment
* No other concurrent investigational drugs
* No concurrent anti-tumor therapies such as chemotherapy, hormone therapy, gene therapy, tyrosine kinase inhibitors, or therapy with monoclonal antibodies or immunotherapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

European Organisation for Research and Treatment of Cancer - EORTC

NETWORK

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Patrick Schoffski, MD, MPH

Role: STUDY_CHAIR

University Hospital, Gasthuisberg

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

U.Z. Gasthuisberg

Leuven, , Belgium

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Belgium

References

Explore related publications, articles, or registry entries linked to this study.

Schoffski P, Blay JY, De Greve J, Brain E, Machiels JP, Soria JC, Sleijfer S, Wolter P, Ray-Coquard I, Fontaine C, Munzert G, Fritsch H, Hanft G, Aerts C, Rapion J, Allgeier A, Bogaerts J, Lacombe D. Multicentric parallel phase II trial of the polo-like kinase 1 inhibitor BI 2536 in patients with advanced head and neck cancer, breast cancer, ovarian cancer, soft tissue sarcoma and melanoma. The first protocol of the European Organization for Research and Treatment of Cancer (EORTC) Network Of Core Institutes (NOCI). Eur J Cancer. 2010 Aug;46(12):2206-15. doi: 10.1016/j.ejca.2010.03.039. Epub 2010 May 13.

Reference Type RESULT
PMID: 20471824 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

EORTC-90061

Identifier Type: -

Identifier Source: secondary_id

EUDRACT-2006-004529-27

Identifier Type: -

Identifier Source: secondary_id

EORTC-90061-BI 1216.18

Identifier Type: -

Identifier Source: secondary_id

EORTC-90061

Identifier Type: -

Identifier Source: org_study_id