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CCI-779 in Treating Patients With Soft Tissue Sarcoma or Gastrointestinal Stromal Tumor

Primary Purpose

Gastrointestinal Stromal Tumor, Recurrent Adult Soft Tissue Sarcoma, Stage I Adult Soft Tissue Sarcoma

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
temsirolimus
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 Gastrointestinal Stromal Tumor

Eligibility Criteria

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

Inclusion Criteria: Histologically or cytologic confirmed soft tissue sarcoma Measurable disease; for patients having only lesions measuring at least 1 cm to less than 2 cm, must use spiral CT imaging for both pre- and post-treatment tumor assessments Absolute neutrophil count (ANC) >= 1,500/μL Platelets (PLTS) >= 100,000/μL Hgb >= 10.0 g/dL Direct bilirubin =< 1.5 x ULN (upper limit normal) AST(SGOT) =< 2.5 x ULN or =< 5 x ULN* if liver metastases are present ALT(SGPT) =< 2.5 x ULN or =< 5 x ULN* if liver metastases are present Creatinine =< 1.5 x ULN, or if greater, creatinine clearance >= 50 mL/min/1.73 m^2 Baseline glucose levels Fasting serum cholesterol =< 350 mg/dL (9.0 mmol/L) Fasting triglycerides =< 400 mg/dL (4.56 mmol/L) ECOG Performance Status (PS) 0, 1 or 2 Life expectancy >= 12 weeks Capable of understanding the investigational nature, potential risks and benefits of the study, and able to provide valid informed consent Exclusion Criteria: Any of the following as this regimen may be harmful to a developing fetus or nursing child: Pregnant women Breast-feeding women Men or women of childbearing potential or their sexual partners who are unwilling to employ adequate contraception ( diaphragm, birth control pills, injections, intrauterine device [IUD], surgical sterilization, subcutaneous implants, or abstinence, etc.) Any of the following: Nitrosoureas or mitomycin =< 6 weeks prior to study entry Other chemotherapy =< 4 weeks prior to study entry Radiotherapy =< 4 weeks prior to study entry Concurrent use of any other investigation agent Adverse events due to agents administered =< 4 weeks prior to study entry History of allergic reactions attributed to compounds of similar chemical or biologic composition to CCI-779 Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, diabetes, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements Known HIV-positive patients receiving combination anti-retroviral therapy Prior chemotherapy for metastatic disease Exceptions: Patients with GIST who fail Gleevec are eligible Patients who have had adjuvant/neoadjuvant chemotherapy are also eligible Known brain metastases Exception: Patients with treated brain metastatic disease with stable symptoms after treatment for >= 1 month

Sites / Locations

  • Mayo Clinic

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment (temsirolimus)

Arm Description

Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving a complete response (CR) receive 2 additional courses beyond CR.

Outcomes

Primary Outcome Measures

Proportion of confirmed tumor responses, defined to be either a CR or PR noted as the objective status on 2 consecutive evaluations at least 4 weeks apart

Secondary Outcome Measures

Survival time
The distribution of survival time will be estimated using the method of Kaplan-Meier.
Time to disease progression
The distribution of time to progression will be estimated using the method of Kaplan-Meier.
Duration of response is defined for all evaluable patients who have achieved an objective response as the date at which the patient's objective status is first noted to be either a CR or PR to the date progression is documented
Time to treatment failure

Full Information

First Posted
July 8, 2004
Last Updated
June 3, 2013
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00087074
Brief Title
CCI-779 in Treating Patients With Soft Tissue Sarcoma or Gastrointestinal Stromal Tumor
Official Title
A Trial of CCI-779 in Patients With Soft Tissue Sarcoma.
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
June 2004 (undefined)
Primary Completion Date
December 2005 (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
This phase II trial is studying how well CCI-779 works in treating patients with soft tissue sarcoma or gastrointestinal stromal tumor. Drugs used in chemotherapy, such as CCI-779, work in different ways to stop tumor cells from dividing so they stop growing or die.
Detailed Description
PRIMARY OBJECTIVES: I. To assess the antitumor activity of CCI-779 in this patient population. SECONDARY OBJECTIVES: I. To assess the following in patients with soft tissue sarcomas and following treatment with CCI-779: duration of response, time to progression, survival. TERTIARY OBJECTIVES: I. To describe and correlate the following with patient characteristics and outcome in this patient population and following treatment with CCI-779: relative levels of 4EBP1 to eIF4E, phospho 4EBP1, total and phospho ribosomal S6 on pretreatment tumor tissue, expression levels of EGFR, activated EGFR, Her2, c-Myc, phospho Akt, total Akt, phospho-mTOR and total mTOR on pretreatment tumor tissue, drug induced inhibition of p70S6 kinase activity, and phosphorylation of S6 in PBMC, relative levels of serum sirolimus in post-treatment samples. OUTLINE: Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving a complete response (CR) receive 2 additional courses beyond CR. Patients are followed every 3 months for 1 year, every 4 months for 1 year, and then every 6 months for 3 years.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastrointestinal Stromal Tumor, Recurrent Adult Soft Tissue Sarcoma, Stage I Adult Soft Tissue Sarcoma, Stage II Adult Soft Tissue Sarcoma, Stage III Adult Soft Tissue Sarcoma, Stage IV Adult Soft Tissue Sarcoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
55 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment (temsirolimus)
Arm Type
Experimental
Arm Description
Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving a complete response (CR) receive 2 additional courses beyond CR.
Intervention Type
Drug
Intervention Name(s)
temsirolimus
Other Intervention Name(s)
CCI-779, cell cycle inhibitor 779, Torisel
Intervention Description
Given IV
Intervention Type
Other
Intervention Name(s)
laboratory biomarker analysis
Intervention Description
Optional correlative studies
Primary Outcome Measure Information:
Title
Proportion of confirmed tumor responses, defined to be either a CR or PR noted as the objective status on 2 consecutive evaluations at least 4 weeks apart
Time Frame
Up to 6 months (6 courses)
Secondary Outcome Measure Information:
Title
Survival time
Description
The distribution of survival time will be estimated using the method of Kaplan-Meier.
Time Frame
Time from registration to death due to any cause, assessed up to 5 years
Title
Time to disease progression
Description
The distribution of time to progression will be estimated using the method of Kaplan-Meier.
Time Frame
Time from registration to documentation of disease progression, assessed up to 5 years
Title
Duration of response is defined for all evaluable patients who have achieved an objective response as the date at which the patient's objective status is first noted to be either a CR or PR to the date progression is documented
Time Frame
Up to 5 years
Title
Time to treatment failure
Time Frame
Time from the date of randomization to the date at which the patient is removed from treatment due to progression, toxicity, or refusal, assessed up to 5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically or cytologic confirmed soft tissue sarcoma Measurable disease; for patients having only lesions measuring at least 1 cm to less than 2 cm, must use spiral CT imaging for both pre- and post-treatment tumor assessments Absolute neutrophil count (ANC) >= 1,500/μL Platelets (PLTS) >= 100,000/μL Hgb >= 10.0 g/dL Direct bilirubin =< 1.5 x ULN (upper limit normal) AST(SGOT) =< 2.5 x ULN or =< 5 x ULN* if liver metastases are present ALT(SGPT) =< 2.5 x ULN or =< 5 x ULN* if liver metastases are present Creatinine =< 1.5 x ULN, or if greater, creatinine clearance >= 50 mL/min/1.73 m^2 Baseline glucose levels Fasting serum cholesterol =< 350 mg/dL (9.0 mmol/L) Fasting triglycerides =< 400 mg/dL (4.56 mmol/L) ECOG Performance Status (PS) 0, 1 or 2 Life expectancy >= 12 weeks Capable of understanding the investigational nature, potential risks and benefits of the study, and able to provide valid informed consent Exclusion Criteria: Any of the following as this regimen may be harmful to a developing fetus or nursing child: Pregnant women Breast-feeding women Men or women of childbearing potential or their sexual partners who are unwilling to employ adequate contraception ( diaphragm, birth control pills, injections, intrauterine device [IUD], surgical sterilization, subcutaneous implants, or abstinence, etc.) Any of the following: Nitrosoureas or mitomycin =< 6 weeks prior to study entry Other chemotherapy =< 4 weeks prior to study entry Radiotherapy =< 4 weeks prior to study entry Concurrent use of any other investigation agent Adverse events due to agents administered =< 4 weeks prior to study entry History of allergic reactions attributed to compounds of similar chemical or biologic composition to CCI-779 Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, diabetes, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements Known HIV-positive patients receiving combination anti-retroviral therapy Prior chemotherapy for metastatic disease Exceptions: Patients with GIST who fail Gleevec are eligible Patients who have had adjuvant/neoadjuvant chemotherapy are also eligible Known brain metastases Exception: Patients with treated brain metastatic disease with stable symptoms after treatment for >= 1 month
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Scott Okuno
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

Learn more about this trial

CCI-779 in Treating Patients With Soft Tissue Sarcoma or Gastrointestinal Stromal Tumor

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