Sunitinib Malate to Treat Advanced Eye Disease in Patients With Von Hippel-Lindau Syndrome
NCT ID: NCT00673816
Last Updated: 2024-01-05
Study Results
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View full resultsBasic Information
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TERMINATED
PHASE1/PHASE2
2 participants
INTERVENTIONAL
2008-05-31
2011-02-28
Brief Summary
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Sunitinib Malate
Participants were expected to receive 9 months of sunitinib malate therapy administered in 6 cycles. Each cycle consisted of a daily oral dose of 50 mg sunitinib malate for 4 weeks followed by a 2-week rest period).
Sunitinib Malate
Participants were expected to receive 9 months of sunitinib malate therapy administered in 6 cycles. Each cycle consisted of a daily oral dose of 50 mg sunitinib malate for 4 weeks followed by a 2-week rest period).
Interventions
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Sunitinib Malate
Participants were expected to receive 9 months of sunitinib malate therapy administered in 6 cycles. Each cycle consisted of a daily oral dose of 50 mg sunitinib malate for 4 weeks followed by a 2-week rest period).
Eligibility Criteria
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Inclusion Criteria
2. Participant must be at least 18 years of age.
3. Participant must have genetically confirmed VHL disease.
4. Participant must have an optic nerve angioma secondary to VHL in one or both eyes.
5. Participant must have an optic nerve tumor that has caused any visual field depression on microperimetry-1 that correlates with the retinal angioma OR the participant clinically may have hard exudates correlating with the retinal angioma OR has best-corrected visual acuity of 20/40 or worse in the study eye.
6. Participant must have clear ocular media and adequate pupillary dilation to permit good quality stereoscopic fundus photography.
7. All women of childbearing potential must have a negative urine pregnancy test at baseline, and have regular negative pregnancy testing while taking sunitinib malate. (Sunitinib malate has the potential for teratogenic or abortifacient effects, and no data regarding its safety in pregnant women are available).
8. All women of childbearing potential who are sexually active and all men who are sexually active are required to use two forms of birth control during the course of the study.
9. Participants must have normal organ and marrow function as defined below: WBC count ≥ 3,000/µL, absolute neutrophil count ≥ 1,500/µL, platelet count ≥ 100,000/µL, HGB\> 10g/dl, serum creatinine ≤ 2.0 or measured 24 hr. creatinine clearance \> 50 ml/min, AST and ALT \< 2.5 x ULN, total bilirubin ≤ ULN (\< 3 x NL in participants with Gilbert's disease).
10. Participant must have a negative HbsAg and nonreactive HCV.
11. Participant must have a negative HIV-1, as potential pharmacokinetic interactions of drugs used to treat HIV, such as anti-retroviral drugs, with sunitinib malate are unknown.
12. Participant must be at least four weeks from completion of any investigational therapy for VHL.
13. Participant must have an ECOG performance score of 0-2. (See Appendix 3 - ECOG Performance Criteria).
14. Participant has recovered from the acute toxicities of prior treatment for VHL.
Exclusion Criteria
2. Participant has a history of serious ventricular arrhythmia (ventricular tachycardia or ventricular fibrillation, ≥ three beats in a row) or left ventricular ejection fraction ≤ 40%.
3. Participant has a history of serious intercurrent medical illness.
4. Participant had transient ischemic attacks or cerebrovascular accident within 12 months of study entry.
5. Participant has hypertension that cannot be controlled with medications (persistent elevation of systolic BP \> 150 or diastolic BP \> 100 mmHg despite optimal medical therapy).
6. Participant is on therapeutic anticoagulation, including aspirin.
7. Participant who is breast-feeding, as there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with sunitinib malate.
8. Participant has received any major surgical procedures within one month of study entry or has surgical scars that have not healed.
9. Participant has a known serious allergy to fluorescein dye.
10. Participant is currently taking drugs or ingesting food that affect sunitinib malate plasma concentrations: strong inhibitors of the CYP3A4 family (e.g., ketoconazole, itraconazole, clarithromycin, atazanavir, indinavir, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin, voriconazole, grapefruit juice) and/or inducers of the CYP3A4 family (e.g., dexamethasone, phenytoin, carbamazepine, rifampin, rifabutin, rifapentin, phenobarbital, St. John's Wort).
11. Participant has had a prior or concomitant non-VHL-associated malignancy with the exception of adequately treated basal or squamous cell carcinoma of the skin or any other malignancy from which the patient has remained disease free for more than five years.
12. Participant has had chemotherapy or radiotherapy within four weeks (six weeks for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered from adverse events (to Grade 1 or less toxicity according to CTCAE 3.0) due to agents administered more than four weeks earlier.
13. Participant is receiving other investigational agents.
14. Participants with known brain metastases (except when adequately controlled, i.e., have not grown in size, for ≥ 6 months before enrollment), not including hemangioblastoma, a known VHL complication of the brain.
15. Participant has a known bleeding disorder.
16. Participant is currently taking sunitinib malate or has taken sunitinib malate in the past.
18 Years
ALL
No
Sponsors
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National Eye Institute (NEI)
NIH
Responsible Party
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Principal Investigators
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Catherine Meyerle, MD
Role: PRINCIPAL_INVESTIGATOR
NEI/NIH
Locations
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National Institutes of Health Clinical Center, 9000 Rockville Pike
Bethesda, Maryland, United States
Countries
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References
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http://www.rxlist.com/cgi/generic/sutent
http://www.pfizer/download/uspi_sutent.pdf
http://ctep.cancer.gov/forms/CTCAEv3.pdf
http://ctep.cancer.gov/guidelines/recist.html
Other Identifiers
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08-EI-0129
Identifier Type: OTHER
Identifier Source: secondary_id
080129
Identifier Type: -
Identifier Source: org_study_id
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