Unspecified Adult Solid Tumor, Protocol Specific
Conditions
Keywords
unspecified adult solid tumor, protocol specific
Brief summary
RATIONALE: Angiotensin-(1-7) may stop the growth of solid tumors by blocking blood flow to the tumor. PURPOSE: This phase I trial is studying the side effects and best dose of angiotensin-(1-7) in treating patients with metastatic or unresectable solid tumors.
Detailed description
OBJECTIVES: Primary * Determine the maximum tolerated dose of therapeutic angiotensin-(1-7) in patients with metastatic or unresectable solid tumors. * Determine the pharmacokinetics of this drug in these patients. Secondary * Determine tumor response in patients treated with this drug. OUTLINE: This is a dose-escalation study. Patients receive therapeutic angiotensin-(1-7) subcutaneously on days 1-5. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of therapeutic angiotensin-(1-7) 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 the first 3 weeks of study therapy. At least 6 patients are treated at the MTD. Blood samples are collected from patients after the first and fifth doses of the study drug for pharmacokinetic correlative studies. PROJECTED ACCRUAL: A total of 18 patients will be accrued for this study.
Interventions
sequentially increasing doses 50-1000 mcg/kg
Sponsors
Study design
Eligibility
Inclusion criteria
DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed advanced solid tumor meeting 1 of the following criteria: * Metastatic disease * Unresectable disease * Standard curative or palliative measures do not exist or are no longer effective * Measurable or nonmeasurable disease * Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques or ≥ 10 mm by spiral CT scan * Nonmeasurable disease, defined as all other lesions, including small lesions (i.e., ≥ 1 unidimensionally measurable lesion \< 20 mm by conventional techniques or \< 10 mm by spiral CT scan) and truly nonmeasurable lesions, including any of the following: * Bone lesions * Ascites * Pleural or pericardial effusion * Lymphangitis cutis or pulmonis * Abdominal masses not confirmed and followed by imaging techniques * Cystic lesions * No lung cancer with recent hemoptysis * No brain metastasis PATIENT CHARACTERISTICS: * ECOG performance status 0-2 * Life expectancy \> 4 weeks * No evidence of bleeding diathesis * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * Granulocyte count ≥ 1,500/mm³ * Platelet count ≥ 100,000/mm³ * Creatinine clearance \> 30 mL/min * Bilirubin \< 2 mg/dL * AST and ALT \< 3 times upper limit of normal * No concurrent uncontrolled illness including, but not limited to, any of the following: * Ongoing or active infection * Symptomatic congestive heart failure * Unstable angina pectoris * Cardiac arrhythmia * Uncontrolled hypertension or hypotension * No psychiatric illness or social situation that would preclude informed consent or study compliance PRIOR CONCURRENT THERAPY: * At least 4 weeks since prior major surgery * At least 4 weeks since prior radiotherapy or chemotherapy (6 weeks for melphalan, nitrosoureas, or mitomycin C) * No concurrent therapeutic anticoagulation * No other concurrent investigational agents * No concurrent angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers * No concurrent combination antiretroviral therapy for HIV-positive patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximum tolerated dose | 21 days |
| Toxicity | 105 days |
Secondary
| Measure | Time frame |
|---|---|
| Response rate (complete or partial response) as measured by RECIST criteria | 105 days |
Countries
United States