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OSI-7904L and Oxaliplatin in Treating Patients With Refractory or Recurrent Advanced Colorectal Cancer

Primary Purpose

Colorectal Cancer

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
OSI-7904L
oxaliplatin
Sponsored by
European Organisation for Research and Treatment of Cancer - EORTC
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer focused on measuring recurrent colon cancer, stage III colon cancer, stage IV colon cancer, recurrent rectal cancer, stage III rectal cancer, stage IV rectal cancer

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed colorectal cancer Radiologic evidence of advanced disease At least 1 measurable lesion at least 20 mm OR at least 10 mm by spiral CT scan Indicator lesions in a previously irradiated field are allowed provided the irradiated lesion has clearly progressed OR a new lesion has developed in the irradiated field Failed 1, and only 1, line of prior chemotherapy for advanced/metastatic disease Disease progression during chemotherapy OR within 6 months after completion of treatment No symptomatic brain metastases meeting any of the following criteria: Unstable Inadequately controlled with fixed-dose oral steroids Potentially life-threatening Required radiotherapy with the past 28 days PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy Not specified Hematopoietic Neutrophil count > 1,500/mm^3 Platelet count > 100,000/mm^3 Hepatic AST and ALT < 2.5 times upper limit of normal (ULN) (5 times ULN if liver metastases are present) Bilirubin < 1.5 times ULN No hepatitis No cirrhosis Renal Creatinine < 1.5 times ULN Other Not pregnant Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study participation HIV negative No preexisting neuropathy ≥ grade 2 No active or uncontrolled infection No other serious illness or medical condition No chronic alcohol abuse No known hypersensitivity to systemic liposomal formulations or compounds chemically related to OSI-7904L or oxaliplatin No prior psychiatric or neurologic condition that would preclude study compliance or giving informed consent PRIOR CONCURRENT THERAPY: Biologic therapy At least 21 days since prior immunotherapy At least 21 days since prior monoclonal antibody therapy Chemotherapy See Disease Characteristics At least 21 days since prior chemotherapy and recovered* No prior oxaliplatin NOTE: *Alopecia allowed Endocrine therapy See Disease Characteristics At least 21 days since prior hormonal therapy Radiotherapy See Disease Characteristics At least 21 days since prior radiotherapy and recovered No prior radiotherapy to more than 25% of bone marrow reserve Surgery Recovered from prior surgery Other At least 21 days since prior tyrosine kinase inhibitor therapy More than 21 days since prior investigational agents No other concurrent anticancer therapy No other concurrent investigational agents

Sites / Locations

  • Medizinische Hochschule Hannover
  • Christie Hospital N.H.S. Trust

Outcomes

Primary Outcome Measures

Maximum tolerated dose and recommended dose for future trials as measured by CTC v3.0

Secondary Outcome Measures

Safety profile as measured by CTC v3.0
Response as measured by RECIST every 6 weeks (2 courses)
Pharmacodynamics as measured by drug concentration in the blood during course 1
Time to progression as measured by Kaplan Meier and RECIST every 6 weeks during treatment and then every 8 weeks

Full Information

First Posted
April 7, 2004
Last Updated
June 11, 2013
Sponsor
European Organisation for Research and Treatment of Cancer - EORTC
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1. Study Identification

Unique Protocol Identification Number
NCT00081237
Brief Title
OSI-7904L and Oxaliplatin in Treating Patients With Refractory or Recurrent Advanced Colorectal Cancer
Official Title
A Phase I Study of OSI-7904L In Combination With Oxaliplatin In Patients With Advanced Colo-Rectal Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
February 2004 (undefined)
Primary Completion Date
August 2005 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
European Organisation for Research and Treatment of Cancer - EORTC

4. Oversight

5. Study Description

Brief Summary
RATIONALE: OSI-7904L may stop the growth of tumor cells by blocking the enzymes necessary for their growth. Drugs used in chemotherapy, such as oxaliplatin, work in different ways to stop tumor cells from dividing so they stop growing or die. Combining OSI-7904L with oxaliplatin may kill more tumor cells. PURPOSE: This phase I trial is studying the side effects and best dose of OSI-7904L and oxaliplatin in treating patients with refractory or recurrent advanced colorectal cancer.
Detailed Description
OBJECTIVES: Primary Determine the dose-limiting toxicity of OSI-7904L and oxaliplatin in patients with refractory or recurrent advanced colorectal cancer. Determine the maximum tolerated dose of this regimen in these patients. Determine a safe dose for this regimen in these patients. Secondary Determine the pharmacokinetic profile of this regimen in these patients. Determine the safety profile of this regimen in these patients. Determine the antitumor activity of this regimen in these patients. OUTLINE: This is a nonrandomized, multicenter, open-label, dose-escalation study. Patients receive oxaliplatin IV over 2 hours followed by OSI-7904L IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of OSI-7904L and oxaliplatin until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. A maximum of 12 patients receive treatment at the MTD. Patients are followed every 8 weeks. PROJECTED ACCRUAL: A total of 3-25 patients will be accrued for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer
Keywords
recurrent colon cancer, stage III colon cancer, stage IV colon cancer, recurrent rectal cancer, stage III rectal cancer, stage IV rectal cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Masking
None (Open Label)
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
OSI-7904L
Intervention Type
Drug
Intervention Name(s)
oxaliplatin
Primary Outcome Measure Information:
Title
Maximum tolerated dose and recommended dose for future trials as measured by CTC v3.0
Secondary Outcome Measure Information:
Title
Safety profile as measured by CTC v3.0
Title
Response as measured by RECIST every 6 weeks (2 courses)
Title
Pharmacodynamics as measured by drug concentration in the blood during course 1
Title
Time to progression as measured by Kaplan Meier and RECIST every 6 weeks during treatment and then every 8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed colorectal cancer Radiologic evidence of advanced disease At least 1 measurable lesion at least 20 mm OR at least 10 mm by spiral CT scan Indicator lesions in a previously irradiated field are allowed provided the irradiated lesion has clearly progressed OR a new lesion has developed in the irradiated field Failed 1, and only 1, line of prior chemotherapy for advanced/metastatic disease Disease progression during chemotherapy OR within 6 months after completion of treatment No symptomatic brain metastases meeting any of the following criteria: Unstable Inadequately controlled with fixed-dose oral steroids Potentially life-threatening Required radiotherapy with the past 28 days PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy Not specified Hematopoietic Neutrophil count > 1,500/mm^3 Platelet count > 100,000/mm^3 Hepatic AST and ALT < 2.5 times upper limit of normal (ULN) (5 times ULN if liver metastases are present) Bilirubin < 1.5 times ULN No hepatitis No cirrhosis Renal Creatinine < 1.5 times ULN Other Not pregnant Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study participation HIV negative No preexisting neuropathy ≥ grade 2 No active or uncontrolled infection No other serious illness or medical condition No chronic alcohol abuse No known hypersensitivity to systemic liposomal formulations or compounds chemically related to OSI-7904L or oxaliplatin No prior psychiatric or neurologic condition that would preclude study compliance or giving informed consent PRIOR CONCURRENT THERAPY: Biologic therapy At least 21 days since prior immunotherapy At least 21 days since prior monoclonal antibody therapy Chemotherapy See Disease Characteristics At least 21 days since prior chemotherapy and recovered* No prior oxaliplatin NOTE: *Alopecia allowed Endocrine therapy See Disease Characteristics At least 21 days since prior hormonal therapy Radiotherapy See Disease Characteristics At least 21 days since prior radiotherapy and recovered No prior radiotherapy to more than 25% of bone marrow reserve Surgery Recovered from prior surgery Other At least 21 days since prior tyrosine kinase inhibitor therapy More than 21 days since prior investigational agents No other concurrent anticancer therapy No other concurrent investigational agents
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Patrick Schoffski, MD, MPH
Organizational Affiliation
Hannover Medical School
Official's Role
Study Chair
Facility Information:
Facility Name
Medizinische Hochschule Hannover
City
Hannover
ZIP/Postal Code
D-30625
Country
Germany
Facility Name
Christie Hospital N.H.S. Trust
City
Manchester
State/Province
England
ZIP/Postal Code
M20 4BX
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
17520255
Citation
Clamp AR, Schoffski P, Valle JW, Wilson RH, Marreaud S, Govaerts AS, Debois M, Lacombe D, Twelves C, Chick J, Jayson GC; EORTC New Drug Development Group. A phase I and pharmacokinetic study of OSI-7904L, a liposomal thymidylate synthase inhibitor in combination with oxaliplatin in patients with advanced colorectal cancer. Cancer Chemother Pharmacol. 2008 Apr;61(4):579-85. doi: 10.1007/s00280-007-0509-5. Epub 2007 May 23.
Results Reference
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OSI-7904L and Oxaliplatin in Treating Patients With Refractory or Recurrent Advanced Colorectal Cancer

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