Metastatic Breast Cancer, Non Small Cell Lung Cancer, Sarcomas, Solid Tumors
Conditions
Keywords
Perifosine
Brief summary
This is an open label trial for patients currently enrolled in other perifosine trials.
Detailed description
Perifosine is an oral anticancer agent with limited toxicity and a novel mechanism of action that is distinctly different from cytotoxic chemotherapies. It has been shown to inhibit and otherwise modify signaling through a number of pathways including Akt, p21, and JNK. Perifosine has been tested in Phase I and Phase II settings in a variety of dosing schedules including daily, weekly, and daily following a loading dose. In general, it has been well tolerated with dose-related nausea, vomiting, diarrhea, and fatigue being the most commonly observed toxicities. Perifosine has induced partial responses or stable disease in solid tumors including but not limited to renal cell, sarcoma, and hepatocellular carcinoma. Perifosine is currently being studied in multiple diseases as a single agent as well as in combination with other cancer therapies. As studies are closed there are patients that have achieved a partial response or stable disease.
Interventions
All patients should continue therapy on their current regimen until disease progression. The trial specific intervention is specified in the arms descriptions.
Trastuzumab was given 6mg/kg i.v. daily or 2 mg/kg i.v. on day 1, 8 and 15.
Endocrine therapy with tamoxifen will be evaluated in combination with perifosine to determine if the combination overcomes resistance to endocrine therapy .
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients must be currently receiving treatment with perifosine on a previously approved protocol. * Patients must have had at least one evaluation following the initiation of treatment and have stable disease, partial response or complete response. * Patient is willing to sign a new consent Regarding the protocol no
Exclusion criteria
are described.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the safety and tolerability | 12 weeks | To evaluate the safety and tolerability of perifosine as a single agent as well as in combination with hormonal therapies or trastuzumab. |