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SB-715992 in Treating Patients With Locally Advanced, Recurrent, or Metastatic Liver Cancer

Primary Purpose

Liver Cancer

Status
Completed
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
ispinesib
Sponsored by
NCIC Clinical Trials Group
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Liver Cancer focused on measuring adult primary hepatocellular carcinoma, advanced adult primary liver cancer, localized unresectable adult primary liver cancer, recurrent adult primary liver cancer

Eligibility Criteria

18 Years - 120 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Histologically or cytologically confirmed hepatocellular carcinoma Locally advanced, recurrent, or metastatic disease Histologically confirmed disease must have archival paraffin-fixed tumor specimen available Measurable disease At least 1 unidimensionally measurable site of disease ≥ 20 mm by x-ray, physical exam, or non-spiral CT scan OR ≥ 10 mm by spiral CT scan Outside of previously irradiated area Patients whose sole site of disease is in a previously irradiated field are eligible provided there is evidence of disease progression OR new lesions documented in the irradiated field Bone metastases are not considered measurable disease Not curable by standard therapies No cholangiocarcinoma PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy At least 12 weeks Hematopoietic Absolute granulocyte count ≥ 1,500/mm^3 Platelet count ≥ 80,000/mm^3 Hepatic Bilirubin ≤ 2 times upper limit of normal (ULN) AST ≤ 5 times ULN Must have hepatic reserve of Child-Turcotte-Pugh class A or better Renal Creatinine clearance ≥ 60 mL/min Cardiovascular No myocardial infarction within the past 6 months No symptomatic congestive heart failure No unstable angina pectoris No cardiac arrhythmia No active cardiomyopathy No uncontrolled hypertension Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No clinical evidence of encephalopathy No ongoing or active infection No history of allergic reaction attributed to compounds of similar chemical or biological composition to SB-715992 No psychiatric illness or social situation that would preclude study compliance No other uncontrolled illness No other malignancies within the past 5 years except adequately treated nonmelanoma skin cancer, curatively treated carcinoma in situ of the cervix, or other curatively treated solid tumors with no evidence of disease for at least 5 years PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy At least 4 weeks since prior intra-hepatic chemotherapy as a component of trans-arterial chemoembolization and recovered Documented disease progression No prior systemic chemotherapy Endocrine therapy Not specified Radiotherapy See Disease Characteristics At least 4 weeks since prior radiotherapy Exceptions may be made for low-dose, nonmyelosuppressive radiotherapy Surgery At least 4 weeks since prior major surgery Prior liver transplantation allowed Other No other prior systemic therapy At least 4 weeks since prior local ablative therapy (e.g., radiofrequency ablation or ethanol injection) and recovered Documented disease progression More than 28 days since prior investigational agents More than 14 days since prior and no concurrent use of any of the following CYP3A4 inhibitors or inducers: Clarithromycin Erythromycin Troleandomycin Itraconazole Ketoconazole Fluconazole (dose > 200 mg/day) Voriconazole Nefazodone Fluvoxamine Verapamil Diltiazem Grapefruit juice Bitter orange Phenytoin Carbamazepine Phenobarbital Oxcarbazepine Rifampin Rifabutin Rifapentine Hypericum perforatum (St. John's wort) Modafinil At least 6 months since prior and no concurrent amiodarone No concurrent combination antiretroviral therapy for HIV-positive patients No other concurrent anticancer therapy No other concurrent investigational agents

Sites / Locations

  • BCCA - Vancouver Cancer Centre
  • Juravinski Cancer Centre at Hamilton Health Sciences
  • Cancer Centre of Southeastern Ontario at Kingston
  • Univ. Health Network-Princess Margaret Hospital

Outcomes

Primary Outcome Measures

Response

Secondary Outcome Measures

Toxicity
Pharmacokinetics at day 1 of course 1 (day 1 of course 2 if dose is adjusted)
Molecular correlates on archival tumor specimens and peripheral blood mononuclear cells (PBMCs)

Full Information

First Posted
November 9, 2004
Last Updated
August 3, 2023
Sponsor
NCIC Clinical Trials Group
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00095992
Brief Title
SB-715992 in Treating Patients With Locally Advanced, Recurrent, or Metastatic Liver Cancer
Official Title
A Phase II Study Of SB-715992 (NSC 727990) In Patients With Locally Advanced, Recurrent Or Metastatic Hepatocellular Carcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
April 2020
Overall Recruitment Status
Completed
Study Start Date
March 8, 2005 (Actual)
Primary Completion Date
September 26, 2006 (Actual)
Study Completion Date
September 22, 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
NCIC Clinical Trials Group
Collaborators
National Cancer Institute (NCI)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy, such as SB-715992, work in different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: This phase II trial is studying how well SB-715992 works in treating patients with locally advanced, recurrent, or metastatic liver cancer.
Detailed Description
OBJECTIVES: Determine the efficacy of SB-715992, in terms of response rate and stable disease rate, in patients with locally advanced, recurrent, or metastatic hepatocellular carcinoma. Determine the toxicity of this drug in these patients. Determine the early progression rate and response duration in patients treated with this drug. Determine the pharmacokinetics of this drug in these patients. Correlate pharmacokinetics with safety and efficacy of this drug in these patients. Correlate tumor expression of β-tubulin and kinesin spindle protein with clinical outcomes in patients treated with this drug. OUTLINE: This is a non-randomized, multicenter study. Patients receive SB-715992 IV over 1 hour on day 1. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. All patients are followed at 4 weeks. Patients with ongoing stable or responding disease are followed every 3 months until relapse. PROJECTED ACCRUAL: A total of 15-30 patients will be accrued for this study within 12-14 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Liver Cancer
Keywords
adult primary hepatocellular carcinoma, advanced adult primary liver cancer, localized unresectable adult primary liver cancer, recurrent adult primary liver cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
ispinesib
Intervention Description
SB-715992 will be given as a 1 hour intravenous infusion in a dose of 18 mg/m2 once every 3 weeks
Primary Outcome Measure Information:
Title
Response
Time Frame
4 years
Secondary Outcome Measure Information:
Title
Toxicity
Time Frame
4 years
Title
Pharmacokinetics at day 1 of course 1 (day 1 of course 2 if dose is adjusted)
Time Frame
4 years
Title
Molecular correlates on archival tumor specimens and peripheral blood mononuclear cells (PBMCs)
Time Frame
4 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
120 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed hepatocellular carcinoma Locally advanced, recurrent, or metastatic disease Histologically confirmed disease must have archival paraffin-fixed tumor specimen available Measurable disease At least 1 unidimensionally measurable site of disease ≥ 20 mm by x-ray, physical exam, or non-spiral CT scan OR ≥ 10 mm by spiral CT scan Outside of previously irradiated area Patients whose sole site of disease is in a previously irradiated field are eligible provided there is evidence of disease progression OR new lesions documented in the irradiated field Bone metastases are not considered measurable disease Not curable by standard therapies No cholangiocarcinoma PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy At least 12 weeks Hematopoietic Absolute granulocyte count ≥ 1,500/mm^3 Platelet count ≥ 80,000/mm^3 Hepatic Bilirubin ≤ 2 times upper limit of normal (ULN) AST ≤ 5 times ULN Must have hepatic reserve of Child-Turcotte-Pugh class A or better Renal Creatinine clearance ≥ 60 mL/min Cardiovascular No myocardial infarction within the past 6 months No symptomatic congestive heart failure No unstable angina pectoris No cardiac arrhythmia No active cardiomyopathy No uncontrolled hypertension Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No clinical evidence of encephalopathy No ongoing or active infection No history of allergic reaction attributed to compounds of similar chemical or biological composition to SB-715992 No psychiatric illness or social situation that would preclude study compliance No other uncontrolled illness No other malignancies within the past 5 years except adequately treated nonmelanoma skin cancer, curatively treated carcinoma in situ of the cervix, or other curatively treated solid tumors with no evidence of disease for at least 5 years PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy At least 4 weeks since prior intra-hepatic chemotherapy as a component of trans-arterial chemoembolization and recovered Documented disease progression No prior systemic chemotherapy Endocrine therapy Not specified Radiotherapy See Disease Characteristics At least 4 weeks since prior radiotherapy Exceptions may be made for low-dose, nonmyelosuppressive radiotherapy Surgery At least 4 weeks since prior major surgery Prior liver transplantation allowed Other No other prior systemic therapy At least 4 weeks since prior local ablative therapy (e.g., radiofrequency ablation or ethanol injection) and recovered Documented disease progression More than 28 days since prior investigational agents More than 14 days since prior and no concurrent use of any of the following CYP3A4 inhibitors or inducers: Clarithromycin Erythromycin Troleandomycin Itraconazole Ketoconazole Fluconazole (dose > 200 mg/day) Voriconazole Nefazodone Fluvoxamine Verapamil Diltiazem Grapefruit juice Bitter orange Phenytoin Carbamazepine Phenobarbital Oxcarbazepine Rifampin Rifabutin Rifapentine Hypericum perforatum (St. John's wort) Modafinil At least 6 months since prior and no concurrent amiodarone No concurrent combination antiretroviral therapy for HIV-positive patients No other concurrent anticancer therapy No other concurrent investigational agents
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jennifer Knox, MD
Organizational Affiliation
Princess Margaret Hospital, Canada
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Sharlene Gill, MD
Organizational Affiliation
British Columbia Cancer Agency
Official's Role
Study Chair
Facility Information:
Facility Name
BCCA - Vancouver Cancer Centre
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 4E6
Country
Canada
Facility Name
Juravinski Cancer Centre at Hamilton Health Sciences
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8V 5C2
Country
Canada
Facility Name
Cancer Centre of Southeastern Ontario at Kingston
City
Kingston
State/Province
Ontario
ZIP/Postal Code
K7L 5P9
Country
Canada
Facility Name
Univ. Health Network-Princess Margaret Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
18196204
Citation
Knox JJ, Gill S, Synold TW, Biagi JJ, Major P, Feld R, Cripps C, Wainman N, Eisenhauer E, Seymour L. A phase II and pharmacokinetic study of SB-715992, in patients with metastatic hepatocellular carcinoma: a study of the National Cancer Institute of Canada Clinical Trials Group (NCIC CTG IND.168). Invest New Drugs. 2008 Jun;26(3):265-72. doi: 10.1007/s10637-007-9103-2. Epub 2008 Jan 15.
Results Reference
result

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SB-715992 in Treating Patients With Locally Advanced, Recurrent, or Metastatic Liver Cancer

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