Unspecified Adult Solid Tumor, Protocol Specific
Conditions
Keywords
unspecified adult solid tumor, protocol specific
Brief summary
RATIONALE: GW786034 may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth and by stopping blood flow to the tumor. PURPOSE: This phase I trial is studying the side effects and best dose of GW786034 in treating patients with advanced solid tumors.
Detailed description
OBJECTIVES: * Determine the safety and tolerability of GW786034 in patients with advanced solid tumors. * Determine the maximum tolerated dose of this drug in these patients. * Determine the pharmacokinetics of this drug in these patients. * Determine the clinical response in patients treated with this drug. * Evaluate the effect of this drug on biomarkers of angiogenesis activity in order to estimate activity and to determine the minimum biologically active dose in these patients. OUTLINE: This is an open-label, nonrandomized, dose-escalation, multicenter study. Patients receive oral GW786034 twice daily. Treatment continues in the absence of disease progression or unacceptable toxicity. Cohorts of 2-6 patients receive escalating doses of GW786034 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. Patients are followed at 21 days. PROJECTED ACCRUAL: Approximately 30-50 patients will be accrued for this study.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
DISEASE CHARACTERISTICS: * Histologically confirmed advanced solid tumor * Refractory to standard therapy or for which no standard therapy exists * No untreated leptomeningeal or brain metastases * Previously treated brain metastases are allowed if currently asymptomatic and patient is off steroids and antiseizure medications for more than 3 months before study entry PATIENT CHARACTERISTICS: Age * 21 and over Performance status * Karnofsky 70-100% Life expectancy * At least 12 weeks Hematopoietic * Absolute granulocyte count at least 1,500/mm\^3 * Platelet count at least 100,000/mm\^3 * Hemoglobin at least 9 g/dL Hepatic * Bilirubin no greater than 1.5 mg/dL * AST and ALT no greater than 2 times upper limit of normal (ULN) (5 times ULN if tumor involvement) Renal * Creatinine clearance at least 60 mL/min Cardiovascular * No uncontrolled hypertension (systolic blood pressure greater than 160 mm Hg or diastolic blood pressure greater than 100 mm Hg on 2 consecutive measurements separated by 1 week) * No arterial or venous thrombosis (including cerebrovascular accident) within the past 3 months * No myocardial infarction within the past 3 months * No unstable angina within the past 3 months * No cardiac angiopathy or stenting within the past 3 months * No cardiac pacemaker Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception during and for 21 days after study treatment * Able to swallow and retain oral medication * Good venous access * No prior or concurrent gastrointestinal disease * No prior or concurrent condition known to interfere with the absorption, distribution, metabolism, or excretion of drugs * No known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to study drug * No other unstable, pre-existing major medical condition * No orthopedic pins or rods or other embedded metal that would preclude undergoing an MRI * No psychological, familial, sociological, or geographical condition that would preclude study compliance PRIOR CONCURRENT THERAPY: Biologic therapy * More than 4 weeks since prior immunotherapy * Concurrent epoetin alfa allowed * No concurrent anticancer biologic therapy Chemotherapy * More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) * No concurrent anticancer cytotoxic chemotherapy Endocrine therapy * See Disease Characteristics * More than 4 weeks since prior hormonal or steroid therapy (other than replacement) * No concurrent anticancer hormonal therapy (except for replacement) * No concurrent dexamethasone or prednisone Radiotherapy * More than 4 weeks since prior radiotherapy * No concurrent anticancer radiotherapy Surgery * More than 4 weeks since prior major surgery * No concurrent surgery for cancer Other * Recovered from prior therapy * More than 4 weeks since prior investigational agents * More then 28 days since prior alteration of antihypertensive medications * Concurrent bisphosphonates allowed * No other concurrent anticancer therapy * No concurrent antidepressants (e.g., amitriptyline, fluoxetine, or fluvoxamine) * No concurrent oral hypoglycemics (e.g., glipizide, glyburide, rosiglitazone, or tolbutamide) * No concurrent therapeutic anticoagulation (e.g., warfarin at therapeutic doses) * Low-dose anticoagulation for prophylaxis allowed * No concurrent cyclosporine * No concurrent grapefruit juice * No concurrent amiodarone, mibefradil, phenobarbital, or pioglitazone * No concurrent Hypericum perforatum (St. John's Wort) * No concurrent rifabutin or diethyldithiocarbamate * No concurrent gestodene, mifepristone, or modafinil * No concurrent herbal supplements, vitamins, or non-traditional compounds
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety and toxicity assessed weekly during treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| Disease response every 9 weeks | — |
Countries
United States