Neoplasms
Conditions
Keywords
Cancer, Tumors, Neoplasms, Anticarcinogenic Agents, Antineoplastic Agents, Dihydrouracil Dehydrogenase (NADP)
Brief summary
5 fluorouracil (5 FU), one of the most actively investigated anti-cancer drugs, is rapidly inactivated by the enzyme dihydropyrimidine dehydrogenase (DPD). ADH300004 blocks DPD. This study will test the safety and effects of oral ADH300004 14 hours prior to oral 5 FU in subjects with refractory solid tumors.
Interventions
5 mg
Sponsors
Study design
Eligibility
Inclusion criteria
* Signed written informed consent * \> or = 18 years of age * Advanced or metastatic solid tumors: Part 1: Histologically proven advanced or metastatic solid tumors refractory to standard therapy or for which no standard therapy exists Part 2: Histologically proven advanced and/or metastatic solid tumor of one of the following 6 histologies, that is refractory to standard curative therapy or for which no curative therapy exists: HCC, NSCLC, gastric cancer, cervical cancer, prostate cancer, and breast cancer * Radiologically documented measurable or evaluable (non-measurable) disease * Adequate performance status and organ function, as evidenced by hematologic and biochemical blood testing * Willing to not receive fluoropyrimidine containing chemotherapy for 8 weeks after the last dose of ADH300004 in this study
Exclusion criteria
* Cytotoxic chemotherapy, radiotherapy, or investigational drug within 28 days prior to study entry * Non-cytotoxic cancer therapy within 14 days prior to study entry * Portal hypertension with bleeding esophageal or gastric varices within the past 3 months * Ascites that is refractory to conservative management * Inability to take oral medication * Active peptic ulcer disease * Known hypersensitivity to 5-FU or ADH300004 * Stroke, major surgery, or other major tissue injury within 30 days before study entry
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Part 1: To determine the DLTs and MTD of the combination of ADH300004 and 5 FU administered orally in a weekly regimen, for 3 weeks with 1 week rest per cycle, in subjects with incurable solid tumors | 4 weeks |
| Part 2: To determine the DLTs and MTD of the combination of ADH300004 and 5-FU administered orally as a split dose for 3 out of 4 weeks in subjects with HCC, NSCLC, gastric cancer, cervical cancer, prostate cancer, and breast cancer | 4 weeks |
Countries
United States