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AT7519M in Treating Patients With Advanced or Metastatic Solid Tumors or Refractory Non-Hodgkin's Lymphoma

A Phase I Study of AT7519M Given Twice Weekly in Patients With Advanced Incurable Malignancy

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00390117
Enrollment
34
Registered
2006-10-19
Start date
2007-01-05
Completion date
2013-01-10
Last updated
2023-08-04

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

Conditions

Lymphoma, Unspecified Adult Solid Tumor, Protocol Specific

Keywords

unspecified adult solid tumor, protocol specific, recurrent adult Burkitt lymphoma, recurrent adult diffuse large cell lymphoma, recurrent adult diffuse mixed cell lymphoma, recurrent adult immunoblastic large cell lymphoma, recurrent adult lymphoblastic lymphoma, recurrent adult diffuse small cleaved cell lymphoma, recurrent grade 1 follicular lymphoma, recurrent grade 2 follicular lymphoma, recurrent grade 3 follicular lymphoma, recurrent mantle cell lymphoma, recurrent marginal zone lymphoma, recurrent small lymphocytic lymphoma, Waldenstrom macroglobulinemia, recurrent adult grade III lymphomatoid granulomatosis, adult nasal type extranodal NK/T-cell lymphoma, nodal marginal zone B-cell lymphoma, splenic marginal zone lymphoma

Brief summary

RATIONALE: AT7519M may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. PURPOSE: This phase I trial is studying the side effects and best dose of AT7519M in treating patients with advanced or metastatic solid tumors or refractory non-Hodgkin's lymphoma.

Detailed description

OBJECTIVES: Primary * Determine the recommended phase II dose of AT7519M in patients with advanced or metastatic solid tumors or refractory non-Hodgkin's lymphoma. * Determine the safety, tolerability, toxicity profile, and dose-limiting toxicities of this drug in these patients. * Determine the pharmacokinetic profile of this drug in these patients. * Correlate the toxicity profile with pharmacokinetics of this drug in these patients. Secondary * Assess, preliminarily, the antitumor activity of this drug in these patients. OUTLINE: This is an open-label, dose-escalation, multicenter study. Patients receive AT7519M IV over 1-3 hours on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of AT7519M 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 during course 1. Once the MTD has been determined, up to 8 additional patients are treated at the MTD. Patients undergo blood collection periodically for pharmacokinetic studies. Patients treated at the MTD also undergo tumor tissue biopsies or aspirates and blood collection periodically for additional pharmacodynamic and correlative biomarker studies. After completion of study therapy, patients are followed at 4 weeks. Patients with complete response, partial response, or stable disease are followed every 3 months thereafter until relapse. PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.

Interventions

DRUGCDKI AT7519

AT7519M (1 hour IV) on days 1, 4, 8 and 11 every 5 weeks.

OTHERlaboratory biomarker analysis

Pharmacokinetic bioanalysis of the AT7519 plasma concentration data will be performed by BioDynamics Northhampton, U.K. The pharmacokinetic parameters for AT7519 will be determined by Astex Therapeutics as data permits.

Sponsors

NCIC Clinical Trials Group
Lead SponsorNETWORK

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
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 diagnosis of 1 of the following: * Advanced and/or metastatic solid tumor * No more than 3 prior regimens for metastatic disease * Refractory non-Hodgkin's lymphoma * Clinically or radiologically documented disease * Patients whose only evidence of disease is tumor marker elevation are not eligible * No untreated brain or meningeal metastases * Patients with radiologic or clinical evidence of stable, treated brain metastases are eligible provided they are asymptomatic AND have no requirement for corticosteroids PATIENT CHARACTERISTICS: * ECOG performance status 0-2 * Absolute granulocyte count ≥ 1,500/mm³ * Platelet count ≥ 100,000/mm³ * Creatinine ≤ 1.25 times upper limit of normal (ULN) OR creatinine clearance ≥ 50 mL/min * Bilirubin normal * ALT and AST ≤ 2 times ULN (5 times ULN if patient has documented liver metastases) * Potassium normal * Calcium normal * Creatine kinase (CK or CPK) ≤ 2 times ULN * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * No pre-existing cardiovascular conditions and/or symptomatic cardiac dysfunction, including any of the following: * Significant cardiac event (including symptomatic heart failure or angina) within the past 3 months or any cardiac disease that, in the opinion of the investigator, increases the risk for ventricular arrhythmia * Any history of ventricular arrhythmia, which was symptomatic or required treatment (CTC grade 3), including multifocal PVCs, bigeminy, trigeminy, or ventricular tachycardia * Uncontrolled hypertension * Previous history of QT prolongation with other medication * Congenital long QT syndrome * QT and QTc, with Bazett's correction, unmeasurable or ≥ 460 msec on screening ECG * LVEF \< 45 % by MUGA for patients with significant cardiac history (i.e., myocardial infarction, severe hypertension, or arrhythmia) or prior doxorubicin (\> 450 mg/m²) * No active or uncontrolled infections * No serious illness or medical condition that would preclude study compliance * No peripheral neuropathy \> grade 1 PRIOR CONCURRENT THERAPY: * See Disease Characteristics * At least 21 days since prior cytotoxic chemotherapy and recovered (solid tumors) * At least 21 days since prior palliative radiotherapy and recovered * Exceptions may be made for low-dose, nonmyelosuppressive radiotherapy * Prior hormonal, immunologic, biologic, or signal transduction inhibitor therapy allowed * At least 14 days since prior major surgery and recovered (no nonhealing wounds) * At least 4 weeks since prior steroids * No other concurrent medications which affect QT/QTc and cannot be discontinued * No other concurrent experimental drugs or anticancer therapy

Design outcomes

Primary

MeasureTime frameDescription
Maximum tolerated dose as assessed by NCI CTCAE v.30from time of 1st dose
Safety, tolerability, toxicity profile, and dose-limiting toxicities as assessed by NCI CTCAE v.30from time of 1st dose
Pharmacokinetic profile as measured on days 1, 2, and 4 in course 1one monthduring cycle 1
Correlation of toxicity profile with pharmacokineticsafter completion of each dose level

Secondary

MeasureTime frameDescription
Overall response (complete and partial response) rateEvery 60 daysafter every second cycle
Response duration (median and range)after progression
Preliminary antitumor activity of treatment in patients with measurable diseaseEvery 60 daysafter every second cycle

Countries

Canada

Outcome results

None listed

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