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Study of Irofulven in Combination With Oxaliplatin in Patients With Advanced Solid Tumors

Primary Purpose

Liver Cancer

Status
Completed
Phase
Phase 1
Locations
France
Study Type
Interventional
Intervention
Oxaliplatin
Irofulven
Sponsored by
Eisai Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Liver Cancer focused on measuring Irofulven, Oxaliplatin

Eligibility Criteria

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

Inclusion Criteria:

  1. Signed informed consent obtained prior to initiation of any study-specific procedures and treatment.
  2. Malignant solid tumor confirmed by a biopsy sample.
  3. Pancreatic, endometrial, gastric, and hepatocellular cancer patients that have exhausted standard treatment options.
  4. Measurable disease according to RECIST.
  5. 18 years of age or older.
  6. Eastern Cooperative Oncology Group (ECOG) Performance Status (PS): 0-1.
  7. Life expectancy greater than 3 months.
  8. Previous anticancer treatment must be discontinued at least 4 weeks prior to first dose of study treatment (6 weeks for mitomycin C, 8 weeks for bicalutamide).
  9. Patients of reproductive age must be using effective contraceptive methods.
  10. Negative pregnancy test for patients of reproductive potential.

Exclusion Criteria:

  1. Prior therapy with irofulven or oxaliplatin.
  2. Patients who have had radiation therapy to more than 30% of the bone marrow prior to entry into the study.
  3. Prior chemotherapy with nitrosoureas or high dose carboplatin (AUC > 6), prior mitomycin C cumulative dose greater than or equal to 25 mg/m², prior bone marrow transplant or intensive chemotherapy with stem cell support.
  4. Presence of any serious concomitant systemic disorders incompatible with the study (e.g., uncontrolled congestive heart failure, active infection).
  5. Any previous history of another malignancy (other than cured basal cell carcinoma of the skin or cured in-situ carcinoma of the cervix) within 5 years of study entry, unless the active malignancy can be unmistakably identified by evidence such as recent biopsies or tumor specific markers.
  6. Treatment with any other investigational agent, or participation in another clinical trial within 28 days prior to study entry.
  7. Pregnant or lactating patients or any patient with childbearing potential not using adequate contraception.
  8. Patients with retinopathy or significant visual impairment not correctable by refractory lens will be enrolled on a case by case basis according to the expected benefit ratio, taking into account the malignant disease and the existence of an objective decreased visual acuity and its degree.

Please note: There are additional criteria that must be met in order to be eligible for this study.

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

1

Arm Description

Outcomes

Primary Outcome Measures

Confirmed response rate: Hepatocellular Cancer (HCC) Cohort: Response Evaluation Criteria in Solid Tumors (RECIST) criteria.
Hormone Refractory Prostate Cancer (HRPC) Cohort: Prostate-Specific Antigen Working Group Recommendations (PSAWGR) and RECIST criteria.

Secondary Outcome Measures

Efficacy: HRPC Cohort: confirmed response rate according to RECIST; progression-free survival (PFS) for progression according to RECIST; new bone lesions or skeletal events; PFS according to PSA progression; overall survival.
Efficacy: HCC cohort - PFS (RECIST); overall survival

Full Information

First Posted
September 8, 2006
Last Updated
November 24, 2021
Sponsor
Eisai Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00374660
Brief Title
Study of Irofulven in Combination With Oxaliplatin in Patients With Advanced Solid Tumors
Official Title
Phase I-II Clinical and Pharmacokinetic Study of Irofulven in Combination With Oxaliplatin in Patients With Advanced Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Completed
Study Start Date
June 2003 (undefined)
Primary Completion Date
April 2007 (Actual)
Study Completion Date
April 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eisai Inc.

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine the maximum tolerated dose (MTD) and to investigate the efficacy, safety and pharmacokinetics of irofulven combined with oxaliplatin in patients with advanced solid tumors.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Liver Cancer
Keywords
Irofulven, Oxaliplatin

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
63 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Oxaliplatin
Intervention Description
Oxaliplatin will be administered in a 2-hour infusion on Days 1 and 15 of a 28-day cycle. The dose levels ranged from 40 to 80 mg/m^2 by dose escalations in 10 mg/m2 increments if no dose-limiting toxicity.
Intervention Type
Drug
Intervention Name(s)
Irofulven
Intervention Description
Thirty minutes after completion of oxaliplatin infusion, irofulven will be administered as a 30-minute infusion on Days 1 and 15 of a 28-day cycle. The dose levels ranged from 0.30 to 0.40 mg/kg if no dose-limiting toxicity.
Primary Outcome Measure Information:
Title
Confirmed response rate: Hepatocellular Cancer (HCC) Cohort: Response Evaluation Criteria in Solid Tumors (RECIST) criteria.
Time Frame
Every 8 weeks until progression.
Title
Hormone Refractory Prostate Cancer (HRPC) Cohort: Prostate-Specific Antigen Working Group Recommendations (PSAWGR) and RECIST criteria.
Time Frame
Every 8 weeks until progression.
Secondary Outcome Measure Information:
Title
Efficacy: HRPC Cohort: confirmed response rate according to RECIST; progression-free survival (PFS) for progression according to RECIST; new bone lesions or skeletal events; PFS according to PSA progression; overall survival.
Time Frame
Every 8 weeks until progression.
Title
Efficacy: HCC cohort - PFS (RECIST); overall survival
Time Frame
Every 8 weeks until progression.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed informed consent obtained prior to initiation of any study-specific procedures and treatment. Malignant solid tumor confirmed by a biopsy sample. Pancreatic, endometrial, gastric, and hepatocellular cancer patients that have exhausted standard treatment options. Measurable disease according to RECIST. 18 years of age or older. Eastern Cooperative Oncology Group (ECOG) Performance Status (PS): 0-1. Life expectancy greater than 3 months. Previous anticancer treatment must be discontinued at least 4 weeks prior to first dose of study treatment (6 weeks for mitomycin C, 8 weeks for bicalutamide). Patients of reproductive age must be using effective contraceptive methods. Negative pregnancy test for patients of reproductive potential. Exclusion Criteria: Prior therapy with irofulven or oxaliplatin. Patients who have had radiation therapy to more than 30% of the bone marrow prior to entry into the study. Prior chemotherapy with nitrosoureas or high dose carboplatin (AUC > 6), prior mitomycin C cumulative dose greater than or equal to 25 mg/m², prior bone marrow transplant or intensive chemotherapy with stem cell support. Presence of any serious concomitant systemic disorders incompatible with the study (e.g., uncontrolled congestive heart failure, active infection). Any previous history of another malignancy (other than cured basal cell carcinoma of the skin or cured in-situ carcinoma of the cervix) within 5 years of study entry, unless the active malignancy can be unmistakably identified by evidence such as recent biopsies or tumor specific markers. Treatment with any other investigational agent, or participation in another clinical trial within 28 days prior to study entry. Pregnant or lactating patients or any patient with childbearing potential not using adequate contraception. Patients with retinopathy or significant visual impairment not correctable by refractory lens will be enrolled on a case by case basis according to the expected benefit ratio, taking into account the malignant disease and the existence of an objective decreased visual acuity and its degree. Please note: There are additional criteria that must be met in order to be eligible for this study.
Facility Information:
City
Bordeaux
Country
France
City
Clichy
Country
France
City
Lyon
Country
France
City
Nice
Country
France
City
Paris
Country
France
City
Poitiers
Country
France
City
Saint Cloud
Country
France

12. IPD Sharing Statement

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Study of Irofulven in Combination With Oxaliplatin in Patients With Advanced Solid Tumors

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