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Study Summary
No. 2006-0354:.......Advanced Cancers; Phase I Studies; Solid Tumors......Aung Naing......Investigational Cancer Therapeutics
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Study Summary Title
Study Summary
Number:
2006-0354
Study Title:A Phase I/IIa, Open-Label, Dose Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Sodium Stibogluconate in Combination with Interferon alpha-2b for Patients with Advanced Malignancies
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Physician New Patient Referral
Name:Aung NaingPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Investigational Cancer TherapeuticsReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-563-0181
Contact us about clinical trials
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General Information
Disease Group:Advanced Cancers
Phase I Studies
Solid Tumors
Supported By:N/A
Phase of Study:Phase I/Phase IIReturn
Visit:
Pts must return to MDACC week 1 and 2 with week three off.
Treatment
Agents:
Sodium StibogluconateHome Care:n/a
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 sodium stibogluconate combined with interferon alfa-2b in the treatment of
patients with advanced cancer that has not responded to standard treatment or
where there is no standard treatment for this type of cancer. The effectiveness
and safety of this drug combination will also be studied.

Researchers also want to study the pharmacokinetics (PKs) of this treatment. PK
testing is the study of how a drug acts in the body over time, including how it
is absorbed into the body, how it moves throughout the body, and how the body
gets rid of the drug.
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Study Objectives / Outcomes
Primary objectives:
  • To determine the maximum tolerated dose (MTD) and dose limiting toxicity (DLT) of SSG in combination with IFN alpha2b in patients with advanced malignancies.

Secondary objective:
  • To correlate the AUC of SSG with clinical toxicity and efficacy;
  • To quantify the effect of SSG on IFN alpha2b induced gene modulation and signal transduction pathways;
  • To characterize the effects of SSG on PTPases SHP-1 and SHP-2.
  • To assess the safety, efficacy, and PK of SSG in combination with IFN alpha2b.
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Study Status Information
Study Activation / Registration Date:09/13/2006
IRB Review and Approval Date:07/19/2006
Study Type:Phase I
Recruitment Status:Terminated
Projected Accrual:54
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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) Patients who sign a written informed consent document and are able to comply with the study protocol for the duration of the study.

2) Patients who have a histologically or cytologically confirmed diagnosis malignancy (patients with measurable or non-measurable disease) who have progressed following effective therapy or for which no effective therapy exists.

3) Patients who are greater than or equal to 18 years of age.

4) Patients who have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-2.

5) Patients who have an estimated life expectancy of 3 months.

6) Patients who have a normal cardiac ejection fraction, >50% estimated by 2 D Echocardiogram or MUGA.

7) Patients who have adequate organ function as indicated by the following laboratory values obtained within 10 days prior to the first dose of SSG: Granulocytes>/=1,500 microliter, Platelets>/= 100,000 microliter, Hemoglobin >/=9.0 g/dL,Creatinine (Cr) </= 1.5 mg/dL, Bilirubin Normal limits, or <2.0 x ULN with liver metastases, Aspartate aminotransferase (AST) <2.5 x ULN or <5.0 x ULN with liver metastases, Alanine aminotransferase (ALT)<2.5 x ULN or <5.0 x ULN with liver metastases.

Exclusion Criteria:1) Patients on concurrent immunotherapy, including IFN therapy (prior therapy is allowed if >/= 4 months since immunotherapy).

2) Patients who have received investigational drugs including immunotherapy, gene therapy, hormone therapy, biologic therapy, radiation therapy, chemotherapy, or had major surgery within 3 weeks of study enrollment

3) Patients who have not recovered from acute toxicity of previous therapy prior to enrollment.

4) Patients with medically uncontrolled cardiovascular illness, unstable angina, congestive heart failure, history of myocardial infarction, electrocardiogram (ECG) abnormalities suggestive of cardiac conduction delay (QTc >0.47 seconds), history of atrial fibrillation or flutter, or other serious clinically significant cardiac arrhythmia

5) Patients who have an active, uncontrolled systemic infection considered opportunistic, life threatening, or clinically significant.

6) Pregnant or lactating women, and fertile women or men unless surgically sterile or using effective contraception; All female patients of childbearing potential or < 1 year postmenopausal must have a negative beta human chorionic gonadotropin (βhCG) pregnancy test at baseline and be practicing a medically acceptable method of birth control (oral contraceptives for at least 3 months, implantation of an intrauterine device at least 2 months, or barrier methods [e.g. vaginal diaphragm, vaginal sponge, or condom with spermicidal jelly]). These must be continued for 3 months after study initiation

7) Patients who use daily glucocorticoids except for physiological replacement.

8) Patients who are known to be positive for Hepatitis B surface antigen, Hepatitis C or human immunodeficiency virus (HIV).

9) Patients with prior history of solid organ allografts or allogeneic bone marrow transplant.

10) Patients who have a psychiatric disorder(s) that would interfere with consent, study participation, or follow-up.

11) Patients who have any other severe concurrent disease, which, in the judgment of the investigator, would make the patient inappropriate for entry into this study.

12) Patient who have symptomatic or untreated central nervous system metastases.

13) Patients taking the following medications will not be eligible: Amiodarone (Cordarone); Disopyramide (Norpace); Dofetilide (Tikosyn); Procainamide (Procanbid, Pronestyl); Quinidine (Quinaglute); Sotalol (Betapace); Erythromycin; Azithromycin (Z-pack), cont'd

14) Clarithromycin (Biaxin); Pentamidine (Pentacarinat); Trimethoprim-sulfamethoxazole (Bactrim); Bepridil (Vascor); Phenothiazines-prochlorperazine (Compazine), promethazine (Phenergan), chlorpromazine (Thorazine) or any antipsychotic medication; Butyrophenones-Haloperidol (Haldol), cont'd

15) Risperidone (Risperdal); Tricyclic or tetracyclic antidepressants—imipramine (Tofranil), amitriptyline (Elavil), desipramine (Norpramin), nortriptyline (Pamelor); Monoamine oxidase inhibitors; High dose methadone; Arsenic trioxide; Dolasetron (Anzemet); Any herbal preparations; or • Chronic need for colony stimulating factors (i.e., GM-CSF), erythropoietin use is permitted.

16) Patients with a history of hypersensitivity to IFN a-2b or SSG or any of their components.

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Links
Registration Number: NCT00629200
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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