Unspecified Adult Solid Tumor, Protocol Specific
Conditions
Keywords
unspecified adult solid tumor, protocol specific
Brief summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: This phase I trial is studying the side effects and best dose of a geldanamycin analogue in treating patients with advanced cancer.
Detailed description
OBJECTIVES: * Determine the maximum tolerated dose for a geldanamycin analogue, 17-allylamino-17-demethoxygeldanamycin (AAG), in patients with advanced malignancies. * Determine the toxic effects and dose-limiting toxicity of AAG in this patient population. * Determine the safe dose of AAG for a Phase II study. * Measure the pharmacokinetic and pharmacodynamic profiles of AAG in these patients. * Assess time to tumor progression and any antitumor activity in patients treated with AAG. OUTLINE: This is a dose-escalation study. Patients receive a geldanamycin analogue, 17-allylamino-17-demethoxygeldanamycin (AAG), IV over 15-30 minutes every week. Treatment continues in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of AAG until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 6 patients experience dose-limiting toxicity. Patients are followed at 4 weeks. PROJECTED ACCRUAL: Approximately 20-40 patients will be accrued for this study.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
DISEASE CHARACTERISTICS: * Histologically or cytologically proven malignancies refractory to conventional treatment or for which no standard therapy exists * Primary brain tumor or brain metastases allowed if stable symptoms within 2 weeks prior to study and able to give informed consent PATIENT CHARACTERISTICS: Age: * 18 to 75 Performance status: * WHO 0-2 Life expectancy: * At least 3 months Hematopoietic: * WBC at least 3,500/mm\^3 * Platelet count at least 100,000/mm\^3 * Hemoglobin at least 10.0 g/dL * Absolute neutrophil count at least 1,500/mm\^3 Hepatic: * Bilirubin less than 1.0 mg/dL * AST and ALT no greater than 2.5 times upper limit of normal if due to liver metastases * No chronic liver disease Renal: * Creatinine less than 1.47 mg/dL OR * Creatinine clearance greater than 60 mL/min Cardiovascular: * No myocardial infarction within the past 6 months * No angina requiring treatment within the past 6 months * No uncompensated coronary artery disease by electrocardiogram or physical examination * No prior transient ischemic attacks, stroke, or peripheral vascular disease * LVEF at least 45% Other: * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception during and for 4 weeks after study * No allergy to egg products * No nonmalignant systemic disease that would increase risk * No active uncontrolled infection * No diabetes mellitus with evidence of severe peripheral vascular disease or diabetic ulcers PRIOR CONCURRENT THERAPY: Biologic therapy: * At least 4 weeks since prior immunotherapy and recovered Chemotherapy: * At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas and mitomycin) and recovered * No other concurrent chemotherapy Endocrine therapy: * At least 4 weeks since other prior endocrine therapy and recovered * Concurrent corticosteroids for symptom control allowed if no change in dose requirement within 2 weeks prior to study Radiotherapy: * At least 4 weeks since prior radiotherapy (except for palliative reasons) and recovered * Concurrent radiotherapy allowed for control of bone pain or as indicated Surgery: * Not specified Other: * No other concurrent investigational treatment * No concurrent treatment with drugs interfering with hepatic CYP3A4 metabolism (e.g., grapefruit juice or warfarin)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recommended phase II dose of 17-allylamino-17-demethoxygeldanamycin (17-AAG) at 4 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Heat shock protein 90 (HSP90) client protein and co-chaperone changes during first course of treatment | — |
| Pharmacokinetic profile of 17-AAG during the first course of treatment | — |
Countries
United Kingdom