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Study Summary
No. 2004-0557:.......Lung......Frank V. Fossella......Thoracic and Head and Neck Med
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Study Summary Title
Study Summary
Number:
2004-0557
Study Title:A Phase I, Open-Label, Dose Escalation Study of Daily Dosing with BB-10901
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Physician New Patient Referral
Name:Frank V. FossellaPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Thoracic and Head and Neck MedReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-6363
Contact us about clinical trials
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General Information
Disease Group:LungSupported By:N/A
Phase of Study:Phase IReturn
Visit:
One month after completing study treatment then every six weeks. In addition,
patient will be contacted approximately, every 3 months for questions about
his/her overall health.
Treatment
Agents:
BB-10901Home Care:None
Treatment Loc:Independent Multicenter Arrangements
Estimated
Length of Stay
in Houston:
N/A
Description/
Intervention:
The goal of this clinical research study is to find the highest tolerable dose
of BB-10901 that can be given to treat lung cancer, Merkel Cell cancer, ovarian
cancer, or other cancers. Researchers want to find out what the side effects
of BB-10901 are, and whether the drug will help treat your type of cancer.
Researchers will also measure the level of study drug in your blood at certain
time points; this is called pharmacokinetic (PK) testing.
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Study Objectives / Outcomes
Primary:

To determine the safety, tolerability and MTD of BB-10901

Secondary:

To determine the pharmacokinetics (PK) of BB-10901

Preliminary assessment of the efficacy including: the objective response rate, disease control rate, duration of response, time to progression, progression free survival and overall survival for up to 3 years.
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Study Status Information
Study Activation / Registration Date:09/07/2005
IRB Review and Approval Date:09/01/2004
Study Type:Therapeutic
Recruitment Status:Closed
Projected Accrual:A total of approximately 100 patients.
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) During the dose escalation phase; histologically or cytologically proven SCLC or other pulmonary tumours of neuroendocrine origin which includes neuroendocrine carcinoma and non-small cell lung cancer with neuroendocrine features, non-pulmonary small cell carcinomas, metastatic carcinoid tumour or other CD56 solid tumours. Continued in inclusion #2.

2) During the MTD expansion phase; enrollment will be limited to patients with relapsed or refractory SCLC, locally advanced or metastatic Merkel carcinomas or Ovarian carcinomas. Patients with uncontrolled carcinoid syndrome (flushing, uncontrolled diarrhoea, labile blood pressure) are specifically excluded.

3) Diagnoses other than SCLC or Merkel cell carcinoma must have confirmation of tumour CD56 expression prior to enrollment.

4) Confirm either relapsed or refractory disease (as applicable).

5) With the exception of carcinoid and neuroendocrine tumours, (which may not have been treated with chemotherapy previously), patients must have received at least one, and no more than 3 prior chemotherapy regimens during the dose escalation phase. Continued in inclusion #6.

6) During the MTD expansion phase; SCLC patients must have received one but no more than one prior chemotherapy regimen, and patients with locally advanced or metastatic Merkel Cell carcinomas or Ovarian carcinomas must have received at least one prior chemotherapy regimen. Prior chemotherapy for patients with resistant or refractory ovarian cancer must have consisted of at least one platinum-based regimen. Patients must have recovered from any acute toxicities of previous chemotherapy

7) Must have measurable disease defined as: Lesions that can be accurately measured in at least one dimension (longest diameter to be recorded) as >/= 20 mm with conventional techniques or as >/= 10 mm with spiral CT scan.

8) Predicted survival of 3 months or more.

9) ECOG performance status 0-2

10) Absolute neutrophilis greater than or equal to 1.5 x 10*9/ l, haemoglobin greater than or equal to 10gm/dl and platelets greater than or equal to 100 x 10*9/ l.

11) Renal function within the limit specified (creatinine less than or equal to 1.5 times upper limit of normal).

12) Liver function within the limit specified (AST/ALT less than or equal to 2.5 times upper limit of normal and bilirubin less than or equal to 3 times the upper limit of normal. Patients with rapidly LFTs should be excluded).

13) Women of childbearing potential must provide a negative pregnancy test at screening and both men and women must use adequate contraception in the opinion of the investigator, for the duration of the study.

14) Age greater than or equal to 18 years.

15) Must be capable of understanding the nature of the trial and must give written informed consent prior to any screening procedure.

16) Pancreatic function, amylase and lipase (when available at the site), within the upper limits of normal.

Exclusion Criteria:1) Significant residual neurological or cardiac toxicity (greater than or equal to grade 2) following previous chemotherapy. In addition, patients who have received prior anthracyclines should not be enrolled if their total cumulative dosage is approaching that likely to cause cardiotoxicity.

2) Have received chemotherapy or wide-field radiation therapy (e.g.>/= 30% of marrow bearing bones) within 4 weeks prior to study entry, or focal radiation within 2 weeks prior to study entry, or have planned surgery. Patient must have recovered or stabilized from all adverse effects of prior radiotherapy.

3) Concurrently receiving other anti-neoplastic treatment (chemotherapy, radiotherapy or immunotherapy including steroid therapy).

4) Myocardial infarction within 6 months of study entry, unstable angina pectoris, uncontrolled congestive heart failure, uncontrolled arrhythmia, severe aortic stenosis, a history of multiple sclerosis, or other demyeliminating disease, Eaton-Lambert syndrome, history of haemorrhagic stroke, any CNS injury with residual neurologic deficit, ischaemic stroke within the last 6 months, history of pancreatitis, current active varicella-zoster virus (shingles) or cytomegalovirus infection, chronic alcoholism, serious concomitant infection or any other concomitant illness.

5) Other investigational agents during the study or within 4 weeks prior to study entry.

6) Known hypersensitivity to previous monoclonal antibody therapy.

7) Patients with active brain metastases. However, patients with well treated central nervous system metastases are eligible as long as there is no evidence of active disease and there is no requirement for anticonvulsant medications or steroids to control residual symptoms.

8) Previous malignancy with less than 3 year disease-free interval from the last therapeutic intervention, except for adequately treated basal cell carcinoma of the skin or carcinoma in situ of the cervix.

9) Unwilling or unable to tolerate and comply with the requirements of the study.

10) Pregnant of lactating females.

11) Patients who have any known recent biochemical or clinical evidence of pancreatitis or extensive metastatic disease involving the pancreas will be excluded. (Enrolment of patients with metastatic disease to, or around, the pancreas may be allowed only with agreement between the Medical Monitor and the Investigator).

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Links
Registration Number: NCT00346385
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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