Bortezomib and Cetuximab in Treating Patients With Advanced Solid Tumors

NCT ID: NCT00622674

Last Updated: 2017-12-02

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

37 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-11-30

Study Completion Date

2010-02-28

Brief Summary

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RATIONALE: Bortezomib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Monoclonal antibodies, such as cetuximab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Giving bortezomib together with cetuximab may kill more tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of bortezomib when given together with cetuximab in treating patients with advanced solid tumors.

Detailed Description

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OBJECTIVES:

Primary

* To determine the maximum tolerated dose of bortezomib when given together with cetuximab in patients with advanced solid tumors expressing epidermal growth factor receptor (EGFR).

Secondary

* To obtain preliminary information about the anti-tumor activity of bortezomib and cetuximab.

OUTLINE: This is a dose-escalation study of bortezomib.

Patients receive bortezomib intravenously (IV) on days 1 and 8 and cetuximab IV over 60-90 minutes on days 1, 8, and 15. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.

After the maximum tolerated dose (MTD) is determined, an additional 10 patients are treated at the MTD.

After completion of study treatment, patients are followed periodically for up to 1 year.

Conditions

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Breast Cancer Colorectal Cancer Head and Neck Cancer Kidney Cancer Lung Cancer Pancreatic Cancer Sarcoma Unspecified Adult Solid Tumor, Protocol Specific

Keywords

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recurrent breast cancer recurrent non-small cell lung cancer recurrent small cell lung cancer recurrent colon cancer recurrent pancreatic cancer recurrent head and neck cancer recurrent sarcoma recurrent kidney cancer recurrent renal cell cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Bortezomib and Cetuximab

The starting dose of bortezomib will be 1.3 mg/m2 with a 0.1 increment increase with each successive dose level to a maximum of 2.0 mg/m2. A loading dose of cetuximab will be given on day 1 (400 mg/m2) followed by a weekly dose of 250 mg/m2.

Group Type EXPERIMENTAL

cetuximab

Intervention Type BIOLOGICAL

A loading dose of cetuximab will be given on day 1 (400 mg/m2) followed by a weekly dose of 250 mg/m2.

bortezomib

Intervention Type DRUG

The starting dose of bortezomib will be 1.3 mg/m2 with a 0.1 increment increase with each successive dose level to a maximum of 2.0 mg/m2.

Interventions

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cetuximab

A loading dose of cetuximab will be given on day 1 (400 mg/m2) followed by a weekly dose of 250 mg/m2.

Intervention Type BIOLOGICAL

bortezomib

The starting dose of bortezomib will be 1.3 mg/m2 with a 0.1 increment increase with each successive dose level to a maximum of 2.0 mg/m2.

Intervention Type DRUG

Other Intervention Names

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Erbitux Velcade

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of solid tumor that overexpresses epidermal growth factor receptor (EGFR) including, but not limited to, the following:

* Breast cancer
* Lung cancer
* Colon cancer
* Pancreatic cancer
* Head and neck cancer
* Kidney cancer
* Sarcoma
* Advanced disease

* Must have failed or become intolerant to prior standard therapy and is no longer likely to respond to such therapy
* Measurable or nonmeasurable disease
* ECOG performance status 0-1
* ANC ≥ 1,500/mm³
* Platelet count \> 100,000/mm³
* Hemoglobin \> 9 g/dL
* Bilirubin \< 1.5 times upper limit of normal (ULN)
* Alkaline phosphatase \< 3.0 times ULN (5.0 times ULN if liver has tumor involvement)
* Aspartate aminotransferase (AST) and alanine aminotransferase (\*ALT) \< 3.0 times upper limit of normal (ULN) (5.0 times ULN if liver has tumor involvement)
* Creatinine clearance \> 30 mL/min
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception during and for 3 months after completion of study treatment
* Recovered from all prior therapy
* Prior systemic chemotherapy, immunotherapy, or biological therapy allowed
* At least 14 days since prior radiotherapy or systemic therapy
* At least 30 days since prior investigational agents
* At least 14 days since other prior investigational drugs (for reasons other than the treatment of cancer)

Exclusion Criteria

* Untreated or symptomatic central nervous system (CNS) metastases
* Concurrent serious systemic disorders (e.g., active infection) that, in the opinion of the investigator, would compromise the safety of the patient or compromise the patient's ability to complete the study
* Uncontrolled diabetes
* Myocardial infarction within the past 6 months
* New York Heart Association (NYHA) class III or IV heart failure
* Uncontrolled angina
* Severe uncontrolled ventricular arrhythmias
* Evidence of acute ischemia or active conduction system abnormalities by ECG
* Peripheral neuropathy Common Terminology Criteria for Adverse Events (CTCAE) grade \> 2
* Known hypersensitivity to bortezomib, boron, or mannitol
* Serious medical or psychiatric illness likely to interfere with study participation
* Prior bortezomib and/or cetuximab
* Concurrent filgrastim (G-CSF) or other hematologic support during course 1 of study treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Masonic Cancer Center, University of Minnesota

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Arkadiusz Dudek, MD

Role: PRINCIPAL_INVESTIGATOR

Masonic Cancer Center, University of Minnesota

Locations

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Masonic Cancer Center at University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Countries

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United States

Other Identifiers

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UMN-2005LS037

Identifier Type: OTHER

Identifier Source: secondary_id

MILLENNIUM-X05160

Identifier Type: OTHER

Identifier Source: secondary_id

UMN-0506M7030372

Identifier Type: OTHER

Identifier Source: secondary_id

CDR0000586671

Identifier Type: -

Identifier Source: org_study_id