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2-Methoxyestradiol in Treating Patients With Advanced Solid Tumors

Primary Purpose

Refractory Multiple Myeloma, Stage III Multiple Myeloma, Unspecified Adult Solid Tumor, Protocol Specific

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
2-methoxyestradiol
pharmacological study
laboratory biomarker analysis
Sponsored by
National Cancer Institute (NCI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Refractory Multiple Myeloma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Histologically confirmed solid tumor that is clinically unresectable No known standard therapy that is potentially curative or definitely capable of extending life expectancy Patients with multiple myeloma may be enrolled to expansion cohort once the recommended phase II dose is established Tumor amenable to serial biopsy No bone metastases as only site of disease No CNS metastases Performance status - ECOG 0-2 At least 12 weeks Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hemoglobin at least 10.0 g/dL Bilirubin normal AST no greater than 2.5 times upper limit of normal (ULN) Creatinine no greater than 1.5 times ULN No New York Heart Association class III or IV heart disease Adequate oral intake No malabsorption syndrome No disease of terminal small bowel No dysphagia or other condition that would interfere with ability to swallow intact capsules No clinical contraindications (e.g., anticoagulant therapy) to biopsy No uncontrolled infection No seizure disorder Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception More than 4 weeks since prior biologic therapy More than 4 weeks since prior immunotherapy No concurrent immunotherapy More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered No concurrent chemotherapy No concurrent megestrol More than 4 weeks since prior radiotherapy No prior radiotherapy to more than 25% of bone marrow No concurrent radiotherapy No prior extensive resection of terminal small bowel No prior major resection of the stomach or proximal small bowel No other concurrent ancillary investigational therapy

Sites / Locations

  • Mayo Clinic

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment (2-methoxyestradiol)

Arm Description

Patients receive oral 2-methoxyestradiol (2-ME) once daily. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

Outcomes

Primary Outcome Measures

Maximum-tolerated dose (MTD) based on the incidence of dose-limiting toxicity (DLT) as assessed by Common Toxicity Criteria (CTC) version 2.0
Presented primarily in a descriptive fashion.
Number of toxicity incidents as assessed by CTC version 2.0
Frequency distributions and other descriptive measures will form the basis of the analysis of these variables.

Secondary Outcome Measures

Biologic activity rate (BAR)
A rate will be calculated by dividing the number of patients with BA by the number of patients treated at the phase II recommended dose level.
Angiogenesis inhibition via an ex vivo angiogenesis assay
The relationship between each marker and dose level will be explored descriptively.
Number of responses
Responses will be summarized by simple descriptive summary statistics delineating complete and partial responses as well as stable and progressive disease.

Full Information

First Posted
January 4, 2002
Last Updated
January 15, 2013
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00028821
Brief Title
2-Methoxyestradiol in Treating Patients With Advanced Solid Tumors
Official Title
A Phase I and Pharmacologic Study of 2-Methoxyestradiol in Patients With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Completed
Study Start Date
January 2002 (undefined)
Primary Completion Date
April 2006 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
Phase I trial to study the effectiveness of 2-methoxyestradiol in treating patients who have advanced solid tumors. 2-methoxyestradiol may stop or slow the growth of solid tumors by stopping blood flow to the tumor
Detailed Description
PRIMARY OBJECTIVES: I. Determine the optimal biologic dose and/or maximum tolerated dose of 2-methoxyestradiol in patients with advanced solid tumors. II. Determine the qualitative and quantitative toxic effects of this drug in these patients. III. Determine the pharmacokinetics and metabolism of this drug in these patients. IV. Determine the biologic changes within the tumor of these patients when treated with this drug. V. Correlate the pharmacokinetics and toxicity of this drug in these patients. VI. Evaluate the biologic evidence of angiogenesis inhibition in patients receiving this drug. VII. Correlate genetic polymorphisms in cytochrome P450 and sulfotransferases isoforms with the pharmacokinetics of this drug. OUTLINE: This is a dose-escalation study. Patients receive oral 2-methoxyestradiol (2-ME) once daily. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of 2-ME until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Additional patients are treated at the MTD. Patients are followed for 3 months. PROJECTED ACCRUAL: A total of 42-60 patients will be accrued for this study within 19 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Refractory Multiple Myeloma, Stage III Multiple Myeloma, Unspecified Adult Solid Tumor, Protocol Specific

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment (2-methoxyestradiol)
Arm Type
Experimental
Arm Description
Patients receive oral 2-methoxyestradiol (2-ME) once daily. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Intervention Type
Drug
Intervention Name(s)
2-methoxyestradiol
Other Intervention Name(s)
2-ME, 2-Methoxy Estradiol, 2ME2, Panzem
Intervention Description
Given orally
Intervention Type
Other
Intervention Name(s)
pharmacological study
Other Intervention Name(s)
pharmacological studies
Intervention Description
Correlative studies
Intervention Type
Other
Intervention Name(s)
laboratory biomarker analysis
Intervention Description
Correlative studies
Primary Outcome Measure Information:
Title
Maximum-tolerated dose (MTD) based on the incidence of dose-limiting toxicity (DLT) as assessed by Common Toxicity Criteria (CTC) version 2.0
Description
Presented primarily in a descriptive fashion.
Time Frame
28 days
Title
Number of toxicity incidents as assessed by CTC version 2.0
Description
Frequency distributions and other descriptive measures will form the basis of the analysis of these variables.
Time Frame
Up to 3 months after completion of treatment
Secondary Outcome Measure Information:
Title
Biologic activity rate (BAR)
Description
A rate will be calculated by dividing the number of patients with BA by the number of patients treated at the phase II recommended dose level.
Time Frame
At day 1 and at day 28
Title
Angiogenesis inhibition via an ex vivo angiogenesis assay
Description
The relationship between each marker and dose level will be explored descriptively.
Time Frame
At day 1 and at day 28
Title
Number of responses
Description
Responses will be summarized by simple descriptive summary statistics delineating complete and partial responses as well as stable and progressive disease.
Time Frame
Up to 3 months after completion of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed solid tumor that is clinically unresectable No known standard therapy that is potentially curative or definitely capable of extending life expectancy Patients with multiple myeloma may be enrolled to expansion cohort once the recommended phase II dose is established Tumor amenable to serial biopsy No bone metastases as only site of disease No CNS metastases Performance status - ECOG 0-2 At least 12 weeks Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hemoglobin at least 10.0 g/dL Bilirubin normal AST no greater than 2.5 times upper limit of normal (ULN) Creatinine no greater than 1.5 times ULN No New York Heart Association class III or IV heart disease Adequate oral intake No malabsorption syndrome No disease of terminal small bowel No dysphagia or other condition that would interfere with ability to swallow intact capsules No clinical contraindications (e.g., anticoagulant therapy) to biopsy No uncontrolled infection No seizure disorder Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception More than 4 weeks since prior biologic therapy More than 4 weeks since prior immunotherapy No concurrent immunotherapy More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered No concurrent chemotherapy No concurrent megestrol More than 4 weeks since prior radiotherapy No prior radiotherapy to more than 25% of bone marrow No concurrent radiotherapy No prior extensive resection of terminal small bowel No prior major resection of the stomach or proximal small bowel No other concurrent ancillary investigational therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Charles Erlichman
Organizational Affiliation
Mayo Clinic
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mayo Clinic
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States

12. IPD Sharing Statement

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2-Methoxyestradiol in Treating Patients With Advanced Solid Tumors

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