Docetaxel Lipid Microsphere (DT-LM) for Injection in Chemotherapy Patients

NCT ID: NCT01611961

Last Updated: 2014-09-30

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

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2014-12-31

Brief Summary

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Docetaxel Lipid Microsphere (DT-LM) is a novel proprietary delivery system of docetaxel developed by Shenyang Pharmaceutical University. In this Phase I study, the DT-LM was evaluated for the maximum tolerated dose (MTD) and dose limiting toxicity (DLT) in patients with advance solid tumors. It was also evaluated for pharmacokinetic and anti-tumor effects of DT-LM compared to commerical docetaxel.

Detailed Description

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Docetaxel (currently marketed as Taxotere®), given by intravenous or intraperitoneal injection, has contributed significantly to the treatment of a variety of malignancies, such as ovarian, breast, gastric, and non-small-cell lung cancer (NSCLC), as well as head and neck cancer and some other cancers. In the preclinical, DT-LM showed reduced toxicity (especially myelosuppression)and comparable therapeutic efficacy. In clinic, it is believed that DT-LM will offer fewer side effects to the patient at similar doses, and possibly greater effectiveness when used at higher doses. DT-LM could not only avoid the serious hypersensitivity reactions caused by Tween 80, but also be stable, safe and convenient for clinical administration.

This study is designed to determine the following:

* The maximum tolerated dose (MTD) and dose limiting toxicity (DLT) of DT-LM.
* The pharmacokinetics of docetaxel following intravenous administration of DT-LM.
* Any anti-tumor effects of DT-LM.

Controlled trial is also carrying out to reveal the differences in safety, pharmacokinetics and pharmacodynamics between DT-LM and Taxotere.

Conditions

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Advanced Cancer

Keywords

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Docetaxel Lipid Microsphere Neoplasms Antineoplastic Agents Pharmacologic Actions Therapeutic Uses

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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DT-LM

Docetaxel Lipid Microsphere (DT-LM)

Group Type EXPERIMENTAL

DT-LM

Intervention Type DRUG

Intravenous infusion, Upto 6 dose levels have been studied i.e. 45, 60, 75, 90 105,and 120 mg/m2, Every 3 weeks.

Taxotere

Commerical Product

Group Type ACTIVE_COMPARATOR

docetaxel

Intervention Type DRUG

Intravenous infusion, 3 dose levels:60, 75, and 90 mg/m2, Every 3 weeks

Interventions

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DT-LM

Intravenous infusion, Upto 6 dose levels have been studied i.e. 45, 60, 75, 90 105,and 120 mg/m2, Every 3 weeks.

Intervention Type DRUG

docetaxel

Intravenous infusion, 3 dose levels:60, 75, and 90 mg/m2, Every 3 weeks

Intervention Type DRUG

Other Intervention Names

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Docetaxel Lipid Microsphere Taxotere

Eligibility Criteria

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Inclusion Criteria

1. Age \> 18 and \< 65, with ECOG performance status 0-1,and Life expectancy of more than 3 months.
2. Have advanced (local and/or metastatic) histologically documented cancer considered unresponsive to available conventional modalities or treatments.
3. Have recovered from acute toxicities of prior treatment:

* 4 weeks must have elapsed since receiving any investigational agent.
* 4 weeks must have elapsed since receiving any radiotherapy, or treatment with cytotoxic or biologic agents (≥6 weeks for mitomycin or nitrosoureas).
* 4 weeks must have elapsed since any prior surgery.
4. Be in adequate condition as evidenced by the following clinical laboratory values:

* Absolute neutrophil count (ANC) ≥1,500/mm3.
* Platelets ≥ 80,000/mm3.
* Hemoglobin ≥ 9.0 g/dL.
* WBC ≥ 4,000/mm3.
* Total bilirubin ≤ 2.5 x institutional upper limit normal (ULN).
* Transaminases AST (SGOT) and ALT (SGPT) ≤ 1.5 times ULN or ≤ 5 times ULN (liver metastasis).
* Serum creatinine ≤ 1.2 times ULN, blood urea nitrogen≤ 1.2 times ULN.
5. both female and male patients must use adequate methods of contraception.
6. Patient or legal representative must understand the investigational nature of this study and sign an Institutional Review Board (IRB)/Independent Ethics Committee approved written informed consent form prior to treatment.

Exclusion Criteria

1. Intolerance to any antineoplastic agents belonging to the taxoid family.
2. having failed a docetaxel-containing regimen or Having known non-controllable hypersensitivity to docetaxel or lipid microsphere.
3. Active uncontrolled bleeding or bleeding diathesis (e.g., active peptic ulcer disease).
4. Unstable or uncontrolled cardiac disease or hypertension.
5. With other serious internal diseases, uncontrolled infection or uncontrolled diabetes.
6. With Symptomatic brain metastasis not controlled.
7. Having pre-existing clinically significant neuropathy (NCI CTCAE Grade ≥ 2 neuromotor or Grade ≥ 2 neurosensory) except for abnormalities due to cancer.
8. Currently receiving any other standard or investigational treatment for cancer or any other investigational agent for any indication.
9. Requiring immediate palliative treatment of any kind including surgery and/or radiotherapy.
10. Female patients who are pregnant or breast-feeding.
11. Unwilling or unable to follow protocol requirements.
12. With history of serious allergic or allergy.
13. Not fit for the clinical trial judged by the investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shenyang Pharmaceutical University

OTHER

Sponsor Role lead

Responsible Party

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Shi Yuankai, Ph.D

the Director of Oncology Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xing Tang, Ph.D

Role: STUDY_DIRECTOR

Shenyang Pharmaceutical University

Locations

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Cancer Institute & Hospital, Chinese Academy of Medical Sciences

Beijing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yuankai Shi

Role: CONTACT

Phone: 86-10-87788121

Facility Contacts

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Yuankai Shi

Role: primary

Other Identifiers

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SYPHU-DT-LM-01

Identifier Type: -

Identifier Source: org_study_id