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Temsirolimus and Bryostatin 1 in Treating Patients With Unresectable or Metastatic Solid Tumors

Primary Purpose

Recurrent Melanoma, Recurrent Renal Cell Cancer, Stage IV Melanoma

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
bryostatin 1
temsirolimus
Sponsored by
National Cancer Institute (NCI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Recurrent Melanoma

Eligibility Criteria

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

Inclusion Criteria: Histologically confirmed solid tumor, including melanoma or renal cell carcinoma Metastatic or unresectable disease Must have evidence of residual, recurrent, or metastatic disease by radiography Measurable disease At least 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques (CT scan, MRI, or x-ray) OR ≥ 10 mm by spiral CT scan Must show clear evidence of disease progression within the lesion if the only site of measurable disease is within a previously irradiated volume Standard curative or palliative measures do not exist OR are no longer effective No history of or known brain metastases Performance status - ECOG 0-1 At least 3 months WBC ≥ 3,000/mm^3 Absolute neutrophil count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 AST and ALT ≤ 2.5 times upper limit of normal (ULN) Bilirubin normal Creatinine ≤ 1.5 times ULN Creatinine clearance ≥ 50 mL/min No symptomatic congestive heart failure No unstable angina pectoris No cardiac arrhythmia Fasting cholesterol ≤ 350 mg/dL* Triglycerides ≤ 400 mg/dL* Not pregnant or nursing Negative pregnancy test Fertile female patients must use effective contraception for ≥ 1 month before, during, and for ≥ 3 months after completion of study treatment (during and for ≥ 3 months after completion of study treatment for male patients) No history of allergic reaction attributed to compounds of similar chemical or biological composition to study drugs No ongoing or active bacterial or viral infection No psychiatric illness or social situation that would preclude study compliance No dementia or altered mental status that would preclude giving informed consent No other uncontrolled illnesses More than 3 weeks since prior immunotherapy Prior biological therapy (e.g., interferon or interleukin 2, vaccine, antibody-based and tyrosine kinase inhibitors) allowed No concurrent prophylactic hematopoietic colony-stimulating factors except for epoetin alfa No prior cytotoxic chemotherapy No prior bryostatin 1, temsirolimus, everolimus, or AP23573 for this malignancy More than 3 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) No concurrent steroids except for topical or inhaled use No other concurrent experimental agents No prior radiotherapy to > 25% of bone marrow More than 3 weeks since prior radiotherapy More than 3 weeks since prior major surgery, including nephrectomy Minor surgical procedures allowed Recovered from prior therapy More than 3 weeks since prior other anticancer investigational agents Concurrent CYP3A4 inducers or inhibitors allowed provided patient has been on a stable dose for ≥ 1 week before study entry No concurrent combination antiretroviral therapy for HIV-positive patients No other concurrent antineoplastic agents or therapies

Sites / Locations

  • Fox Chase Cancer Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment (bryostatin, temsirolimus)

Arm Description

Patients receive bryostatin 1 IV over 1 hour on days 1, 8, 15, and 22 and temsirolimus IV over 30 minutes once on days 8, 15, and 22 during course 1. On subsequent courses patients receive bryostatin 1 and temsirolimus once on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

Outcomes

Primary Outcome Measures

MTD of CCI-779 and Bryostatin-1 administered in combination, graded according to NCI Common Toxicity Criteria, Version 3.0
A dose-limiting toxicity is defined as a toxicity that is >= grade 3 and drug-related.

Secondary Outcome Measures

Changes in sum of RECIST measurements
AKT activity, measured by immunohistochemistry (IHC), classified as none, weak, moderate, or strong

Full Information

First Posted
June 2, 2005
Last Updated
May 1, 2013
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00112476
Brief Title
Temsirolimus and Bryostatin 1 in Treating Patients With Unresectable or Metastatic Solid Tumors
Official Title
A Phase I Study of Intravenous CCI-779 in Combination With Bryostatin-1 in Solid Tumors (10038414)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2013
Overall Recruitment Status
Completed
Study Start Date
March 2005 (undefined)
Primary Completion Date
July 2010 (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 I trial is studying the side effects and best dose of temsirolimus when given together with bryostatin 1 in treating patients with unresectable or metastatic solid tumors. Drugs used in chemotherapy, such as temsirolimus and bryostatin 1, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells.
Detailed Description
PRIMARY OBJECTIVES: I. Determine the maximum tolerated dose and recommended phase II dose of temsirolimus when given together with bryostatin 1 in patients with unresectable or metastatic solid tumors. II. Determine the dose-limiting toxic effects of this regimen in these patients. SECONDARY OBJECTIVES: I. Correlate the extent and duration of inhibition of p70^S6kinase phosphorylation in peripheral blood mononuclear cells with tumor growth or reduction in these patients. II. Correlate the phosphorylation total and phospho-AKT and total and phospho ribosomal S6 protein (indicators of mTOR activation) with antitumor effects of this regimen in these patients. III. Correlate tumor expression of phospho-ERK1 and -ERK2 with antitumor effects of this regimen in these patients. IV. Determine the pharmacokinetics of this regimen in these patients. OUTLINE: This is a dose-escalation study of temsirolimus. Patients receive bryostatin 1 IV over 1 hour on days 1, 8, 15, and 22 and temsirolimus IV over 30 minutes once on days 8, 15, and 22 during course 1. On subsequent courses patients receive bryostatin 1 and temsirolimus once on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of temsirolimus 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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Recurrent Melanoma, Recurrent Renal Cell Cancer, Stage IV Melanoma, Stage IV Renal Cell Cancer, 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
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment (bryostatin, temsirolimus)
Arm Type
Experimental
Arm Description
Patients receive bryostatin 1 IV over 1 hour on days 1, 8, 15, and 22 and temsirolimus IV over 30 minutes once on days 8, 15, and 22 during course 1. On subsequent courses patients receive bryostatin 1 and temsirolimus once on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Intervention Type
Drug
Intervention Name(s)
bryostatin 1
Other Intervention Name(s)
B705008K112, BRYO, Bryostatin
Intervention Description
Given IV
Intervention Type
Drug
Intervention Name(s)
temsirolimus
Other Intervention Name(s)
CCI-779, cell cycle inhibitor 779, Torisel
Intervention Description
Given IV
Primary Outcome Measure Information:
Title
MTD of CCI-779 and Bryostatin-1 administered in combination, graded according to NCI Common Toxicity Criteria, Version 3.0
Description
A dose-limiting toxicity is defined as a toxicity that is >= grade 3 and drug-related.
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Changes in sum of RECIST measurements
Time Frame
Baseline up to 30 days after completion of study treatment
Title
AKT activity, measured by immunohistochemistry (IHC), classified as none, weak, moderate, or strong
Time Frame
Up to 30 days after completion of study treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed solid tumor, including melanoma or renal cell carcinoma Metastatic or unresectable disease Must have evidence of residual, recurrent, or metastatic disease by radiography Measurable disease At least 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques (CT scan, MRI, or x-ray) OR ≥ 10 mm by spiral CT scan Must show clear evidence of disease progression within the lesion if the only site of measurable disease is within a previously irradiated volume Standard curative or palliative measures do not exist OR are no longer effective No history of or known brain metastases Performance status - ECOG 0-1 At least 3 months WBC ≥ 3,000/mm^3 Absolute neutrophil count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 AST and ALT ≤ 2.5 times upper limit of normal (ULN) Bilirubin normal Creatinine ≤ 1.5 times ULN Creatinine clearance ≥ 50 mL/min No symptomatic congestive heart failure No unstable angina pectoris No cardiac arrhythmia Fasting cholesterol ≤ 350 mg/dL* Triglycerides ≤ 400 mg/dL* Not pregnant or nursing Negative pregnancy test Fertile female patients must use effective contraception for ≥ 1 month before, during, and for ≥ 3 months after completion of study treatment (during and for ≥ 3 months after completion of study treatment for male patients) No history of allergic reaction attributed to compounds of similar chemical or biological composition to study drugs No ongoing or active bacterial or viral infection No psychiatric illness or social situation that would preclude study compliance No dementia or altered mental status that would preclude giving informed consent No other uncontrolled illnesses More than 3 weeks since prior immunotherapy Prior biological therapy (e.g., interferon or interleukin 2, vaccine, antibody-based and tyrosine kinase inhibitors) allowed No concurrent prophylactic hematopoietic colony-stimulating factors except for epoetin alfa No prior cytotoxic chemotherapy No prior bryostatin 1, temsirolimus, everolimus, or AP23573 for this malignancy More than 3 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) No concurrent steroids except for topical or inhaled use No other concurrent experimental agents No prior radiotherapy to > 25% of bone marrow More than 3 weeks since prior radiotherapy More than 3 weeks since prior major surgery, including nephrectomy Minor surgical procedures allowed Recovered from prior therapy More than 3 weeks since prior other anticancer investigational agents Concurrent CYP3A4 inducers or inhibitors allowed provided patient has been on a stable dose for ≥ 1 week before study entry No concurrent combination antiretroviral therapy for HIV-positive patients No other concurrent antineoplastic agents or therapies
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gary Hudes
Organizational Affiliation
Fox Chase Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fox Chase Cancer Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111-2497
Country
United States

12. IPD Sharing Statement

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Temsirolimus and Bryostatin 1 in Treating Patients With Unresectable or Metastatic Solid Tumors

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