Unspecified Adult Solid Tumor, Protocol Specific
Conditions
Keywords
unspecified adult solid tumor, protocol specific
Brief summary
RATIONALE: Drugs used in chemotherapy, such as PR-104, 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 PR-104 in treating patients with advanced solid tumors.
Detailed description
OBJECTIVES: Primary * Evaluate the safety and tolerability of PR-104 in patients with advanced solid tumors. * Determine the maximum tolerated dose of PR-104 in these patients. Secondary * Characterize the pharmacokinetics of PR-104 and its alcohol metabolite in these patients. * Assess evidence of antitumor activity of this drug in these patients. Tertiary * Examine metabolic changes in tumors of these patients using fludeoxyglucose F 18 positron emission tomography scanning. OUTLINE: This is a multicenter, open-label, prospective, uncontrolled, dose-escalation study. Patients receive PR-104 IV over 60 minutes on day 1. Treatment repeats every 21 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of PR-104 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. Blood is collected at baseline and then periodically during study treatment for pharmacokinetic and tumor marker studies. Patients undergo fludeoxyglucose F 18 positron emission tomography scanning before beginning study treatment and after completion of course 2 to assess metabolic activity of the tumor. After completion of study treatment, patients are followed at 30 days. PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed solid tumor, meeting 1 of the following criteria: * Not amenable to standard therapy * Refractory to conventional therapy * Measurable or evaluable disease PATIENT CHARACTERISTICS: * Karnofsky performance status 70-100% * Life expectancy \> 3 months * Absolute neutrophil count ≥ 1,500/mm³ * Platelet count ≥ 100,000/mm³ * Hemoglobin \> 9 g/L (transfusion independent) * Bilirubin ≤ 1.5 times upper limit of normal (ULN) * ALT and AST ≤ 2.5 times ULN * Creatinine clearance ≥ 60 mL/min * PT/INR or aPTT ≤ 1.1 times ULN * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception during and for 30 days after completion of study treatment * No significant cardiac comorbidity including any of the following: * New York Heart Association class III-IV congenital heart failure * LVEF \< 40% * Unstable angina * Myocardial infarction within the past 6 months * Ventricular arrhythmias requiring drug therapy * Pacemaker or implanted defibrillator * No ongoing coagulopathy * No uncontrolled infection or infection requiring parenteral antibiotics * No other significant clinical disorder or laboratory finding that would preclude study treatment * No known HIV positivity * No known positivity for hepatitis B surface antigen or hepatitis C with abnormal liver tests * No known allergy to nonplatinum-containing alkylating agents PRIOR CONCURRENT THERAPY: * Recovered from prior therapy * More than 2 weeks since prior hormonal therapy (except for androgen-deprivation therapy) * More than 4 weeks since prior major surgery * More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin C) * More than 4 weeks since prior radiotherapy * More than 1 month since prior investigational drugs, therapies, or devices * No prior radiotherapy to \> 25% of bone marrow * No prior high-dose chemotherapy, either myeloablative or nonmyeloablative (mini-allogeneic transplant) * No more than 3 prior myelosuppressive chemotherapy regimens * Concurrent steroids allowed provided dose is stable for ≥ 2 weeks and clinical condition is stable for 1 month * Nasal, opthalmologic, and topical glucocorticoid preparations allowed * Physiologic hormone replacement therapies allowed (i.e., oral replacement glucocorticoid therapy for adrenal insufficiency) * No concurrent prophylactic hematopoietic growth factors * No concurrent radiotherapy, including local palliative radiotherapy or systemic radioisotopes * Radioisotopes for protocol specified positron emission tomography allowed * No other concurrent investigational agents * No other concurrent chemotherapy, radiotherapy (including palliative local radiotherapy), hormonal therapy (except for androgen-deprivation therapy), and/or biological therapy (including immunotherapy)
Countries
United States