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Study Summary
No. 2008-0384:.......Advanced Cancers......Daniel Karp......Investigational Cancer Therapeutics
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Study Summary Title
Study Summary
Number:
2008-0384
Study Title:A Phase I Trial of Doxil, Bevacizumab and Temsirolimus
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Physician New Patient Referral
Name:Daniel KarpPatients 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:713-563-1930
Contact us about clinical trials
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General Information
Disease Group:Advanced CancersSupported By:N/A
Phase of Study:Phase IReturn
Visit:
Days 1, 8 and 15 of every 3 week cycle
Treatment
Agents:
Bevacizumab
Doxil
Temsirolimus
Home Care:As available above
Treatment Loc:Only at MDACC
Estimated
Length of Stay
in Houston:
not applicable
Description/
Intervention:
The goal of this clinical research study is to learn the highest safe doses of
the combination of Doxil (liposomal doxorubicin), Avastin (bevacizumab), and
Torisel (Temsirolimus) that can be given to patients with advanced cancer that
has spread or is unable to be surgically removed. The safety and effectiveness
of this combination of drugs will also be studied.
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Study Objectives / Outcomes
      Primary objective:
          -To determine the maximum tolerated doses (MTDs) and dose-limiting toxicities (DLTs) of combination treatment with doxil, bevacizumab and temsirolimus.

Secondary objectives:

-Preliminary descriptive assessment of anti-tumor efficacy.
-Assessment of anti-angiogenesis and anti-HIF-1A correlates
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Study Status Information
Study Activation / Registration Date:08/21/2008
IRB Review and Approval Date:08/21/2008
Study Type:Phase I
Recruitment Status:Open
Projected Accrual:N/A
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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 with advanced or metastatic cancer that is refractory to standard therapy, relapsed after standard tehrapy, or has no standard therapy that improves survival by at least three months.

2) All patients must have an estimated life expectancy of at least 12 weeks.

3) Patients must have measurable or evaluable disease

4) Patients must have been off previous chemotherapy or radiotherapy for the three weeks prior to entering this study. Six weeks will be required if the patient has received therapy which is known to have delayed toxicity (mitomycin or a nitrosurea). Five half-lives will be required for biologic/targeted therapies with short (<24 hour) half-lives and pharmacodynamic effects. Patients may have received palliative radiation immediately before (or during) treatment provided radiation is not to the only target lesion available.

5) ECOG performance status </= 2 (Karnofsky >/= 60%).

6) Patients must have organ and marrow function defined as: absolute neutrophil count >/= 1,500/mL; platelets >/=100,000/mL; creatinine </= 3 X ULN; total bilirubin </= 2.0; ALT(SGPT) </= 5 X ULN. In patients with significant liver disease and chronically elevated liver transaminases, ALT may be elevated as high as 8 X ULN.

7) Cardiac ejection fraction >/= 50% without evidence of CHF

8) Women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation, and for 90 days after the last dose.

9) Ability to understand and the willingness to sign a written informed consent document.

10) Patients may not be receiving any other investigational agents and/or any other concurrent anticancer agents or therapies except hormonal maintenance treatment for prostate cancer.

Exclusion Criteria:1) Patients with clinically significant unexplained bleeding within 28 days prior to entering the study

2) Poorly controlled systemic vascular hypertension (Systolic blood pressure > 140 mmHg, diastolic blood pressure > 90 mmHg)

3) Patients with clinically significant cardiovascular disease: - History of CVA within 6 months - Myocardial infarction or unstable angina within 6 months - Unstable angina pectoris - New York Heart Association Class CHF score ≥ II

4) Prior cumulative doxorubicin dose > 300 mg/m2

5) Pregnant or lactating women

6) History of hypersensitivity to doxil, doxorubicin, HCL, temsirolimus or it's metabolites (including sirolimus), polysorbate 80, bevacizumab or murine products

7) Serious medical or psychiatric illness likely to interfere with participation in this clinical study

8) Patients < 12 years of age

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Links
Registration Number: NCT00761644
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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