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17-Dimethylaminoethylamino-17-Demethoxygeldanamycin (17-DMAG) in Treating Patients With Metastatic Solid Tumors or Tumors That Cannot Be Removed By Surgery

A Cancer Research UK Phase I Trial to Evaluate the Safety, Tolerability and Pharmacokinetics of 17-Dimethylaminoethyl-amino-17-Demethoxygeldanamycin (17-DMAG) Given as a Once Weekly Infusion in Patients With Advanced Solid Tumors

Status
UNKNOWN
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00248521
Enrollment
35
Registered
2005-11-04
Start date
2005-10-31
Completion date
Unknown
Last updated
2013-08-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Unspecified Adult Solid Tumor, Protocol Specific

Keywords

unspecified adult solid tumor, protocol specific

Brief summary

RATIONALE: Drugs used in chemotherapy, such as 17-dimethylaminoethylamino-17-demethoxygeldanamycin (17-DMAG), work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. PURPOSE: This phase I trial is studying the side effects and best dose of 17-DMAG in treating patients with metastatic solid tumors or tumors that cannot be removed by surgery.

Detailed description

OBJECTIVES: Primary * Determine the maximum tolerated dose, dose-limiting toxicity, and recommended phase II dose of 17-dimethylaminoethylamino-17-demethoxygeldanamycin (17-DMAG) in patients with unresectable or metastatic solid tumors. * Determine the feasibility, safety, and toxicity profile of this drug in these patients. Secondary * Determine the clinical pharmacokinetic profile of this drug in these patients. * Determine tumor response in patients treated with this drug. * Determine the biologically effective dose. OUTLINE: This is an open-label, non-randomized, dose-escalation, multicenter study. Patients receive 17-dimethylaminoethylamino-17-demethoxygeldanamycin (17-DMAG) IV over 1 hour on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of 17-DMAG until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. An additional 10 patients are treated at the MTD. After completion of study treatment, patients are followed for 28 days. PROJECTED ACCRUAL: Approximately 25-35 patients will be accrued for this study within 12-18 months.

Interventions

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
Institute of Cancer Research, United Kingdom
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed solid tumor * Unresectable or metastatic disease * Standard curative or palliative measures do not exist OR are no longer effective OR patient refused such measures * No known brain metastases PATIENT CHARACTERISTICS: Age * 18 and over Performance status * ECOG 0-1 Life expectancy * More than 12 weeks Hematopoietic * Absolute neutrophil count \> 1,500/mm\^3 * Platelet count ≥ 100,000/mm\^3 * Hemoglobin ≥ 9.0 g/dL Hepatic * Bilirubin normal * ALT and AST ≤ 1.5 times upper limit of normal * No chronic liver disease * Hepatitis B or C negative Renal * Creatinine normal OR * Creatinine clearance normal Cardiovascular * No symptomatic New York Heart Association class III-IV cardiac disease * No myocardial infarction within the past year * No active ischemic heart disease within the past year * No poorly controlled angina * No uncontrolled dysrhythmia or dysrhythmias requiring antiarrhythmic drugs * No transient ischemic attack * No stroke * No peripheral vascular disease * No congenital long QT syndrome * No history of serious ventricular arrhythmia (ventricular tachycardia or ventricular fibrillation ≥ 3 beats in a row) * QTc \< 450 msec (for men) and 470 msec (for woman) * LVEF \> 40% by MUGA * No left bundle branch block Pulmonary * No symptomatic pulmonary disease requiring medication, including any of the following: * Dyspnea with or without exertion * Paroxysmal nocturnal dyspnea * Oxygen requirement * Significant pulmonary disease (e.g., chronic obstructive/restrictive pulmonary disease Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception 4 weeks before, during, and for 6 months after completion of study treatment * No known HIV positivity * No other malignancy within the past 5 years except adequately treated cone biopsied carcinoma in situ of the cervix or basal cell or squamous cell skin cancer * No ongoing or active infection * No diabetes mellitus (with evidence of severe peripheral vascular disease or ulcers) * No psychiatric illness or social situation that would preclude study compliance * No other uncontrolled illness PRIOR CONCURRENT THERAPY: Biologic therapy * More than 4 weeks since prior immunotherapy * Concurrent epoetin alfa allowed Chemotherapy * More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) * No prior 17-N-allylamino-17-demethoxygeldanamycin (17-AAG) Endocrine therapy * More than 4 weeks since prior endocrine therapy * Concurrent luteinizing hormone-releasing hormone analogues for androgen-insensitive prostate cancer and rising prostate-specific antigen allowed Radiotherapy * More than 4 weeks since prior radiotherapy (except for palliative treatment) * No prior irradiation field that potentially included the heart (e.g., mantle) Surgery * Not specified Other * Recovered from all prior therapy * Concurrent bisphosphonates allowed * At least 5 half-lives since prior and no concurrent medication that prolong QTc * No other concurrent anticancer or investigational agents * No concurrent grapefruit juice

Design outcomes

Primary

MeasureTime frame
Recommended phase II dose of 17-dimethylaminoethylamino-17-demethoxygeldanamycin (17-DMAG) at 28 days after treatment

Secondary

MeasureTime frame
Heat shock protein 90 (HSP90) client protein and co-chaperone changes up to 29 days after treatment
Tumor response by RECIST criteria every 6 weeks while on study
Clinical pharmacokinetic profile established during the first course of treatment

Countries

United Kingdom

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026