Cancer, Metastases
Conditions
Keywords
Solid tumors, cancer, HER-2-expressing tumors
Brief summary
The purpose of this trial is to identify the highest oral dose of BMS-599626, a drug that is directed against EGFR and HER2 proteins, that can be given safely on a daily schedule of 21 days with a 7 day rest period in patients with cancer who no longer benefit from other commonly used treatments. The study will also test for other proteins that may be affected by BMS-599626; and the level of study drug in the blood will be studied.
Interventions
Tablets, Oral, A modified Fibonocci dose escalation system initiated at 100mg and escalating up to 880mg maximum dose (rounded down to 20mg increments based on smallest tablet size); -2 40mg -33%; -1 60mg -40%; 1 100mg --; 2 200mg 100%; 3 320mg 67%; 4 480mg 50%; 5 660mg 40%; 6 880mg 33.3%, Daily, Until DLT or study MTD is reached.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of metastatic cancer that has progressed on currently available therapies; * At least 3 month life expectancy; * Primary cancer must be solid (non-hematologic); * Adequate bone marrow, liver & kidney function; * Negative pregnancy test.
Exclusion criteria
* Serious, uncontrolled medical disorder; * Individuals not willing or able to use an acceptable method to avoid pregnancy for the entire study period and for at least 3 months after the study; * Pregnant or breastfeeding women; * Patients with known brain metastasis; * Uncontrolled or significant cardiovascular disease; * Anticancer therapy within 2-6 weeks prior to study drug (depending on the therapy)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Det. the max tolerated dose,biologically active doses & recommended phase 2 dose of BMS-599626 when adm. as a daily oral dose to pts with HER2 expressing-metastatic solid tumors who have progressed on or following standard therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate the effect of BMS-599626 on biomarkers & predictive markers of HER1/2 in skin metabolic act. through PET imaging & preliminary evidence of anti-tumor act.,determine the effect of gastric acid modifying agents on systemic exposure of BMS-599626 | — |
Countries
United States