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BCX-1777 in Treating Patients With Refractory Cancer


2003-04


2005-01


N/A


N/A

Study Overview

BCX-1777 in Treating Patients With Refractory Cancer

RATIONALE: BCX-1777 may stop the growth of cancer cells by blocking the enzymes necessary for their growth. PURPOSE: Phase I trial to study the effectiveness of BCX-1777 in treating patients who have refractory cancer.

OBJECTIVES: Primary * Determine the maximum tolerated dose of BCX-1777 in patients with refractory T-cell or non-T-cell malignancies. * Determine the safety and dose-limiting toxicity of this drug in these patients. Secondary * Determine the pharmacokinetics of single oral and single and multiple IV doses of this drug in these patients. * Determine the oral bioavailability of this drug in these patients. * Determine, preliminarily, the antitumor activity of this drug in these patients. OUTLINE: This is an open-label, nonrandomized, dose-escalation, multicenter study. * Courses 1 and 2: Patients receive oral BCX-1777 on days 1 and 15* and BCX-1777 IV over 30 minutes on days 8* and 22*. * Course 3: Beginning approximately 6 days* after the completion of courses 1 and 2, patients receive BCX-1777 IV over 30 minutes once daily on days 1-5 and 8-12 (total of 10 doses). NOTE: *+/- 1 day Patients with stable disease or better and no dose-limiting toxicity (DLT) may receive an additional 10-dose treatment course (as in course 3) after a 10- to 16-day drug-free interval. Treatment continues in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of BCX-1777 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience DLT. Patients are followed at 14 and 30 days. PROJECTED ACCRUAL: A total of 3-24 patients will be accrued for this study.

  • Cancer
  • DRUG: forodesine hydrochloride
  • BIOCRYST-1777BC-101
  • CDR0000341332 (REGISTRY Identifier) (REGISTRY: PDQ (Physician Data Query))
  • CCF-5909

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2003-12-10  

N/A  

2013-05-29  

2003-12-10  

N/A  

2013-05-30  

2003-12-11  

N/A  

2004-07  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
N/A


Interventional Model:
N/A


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
Secondary Outcome MeasuresMeasure DescriptionTime Frame

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    DISEASE CHARACTERISTICS:

  • Histologically confirmed diagnosis of 1 of the following:


  • Hematologic malignancy that is refractory to at least 1 prior curative treatment
  • Non-hematologic tumor that is refractory to at least 2 prior therapies, with or without measurable disease, including the following:


  • Gastrointestinal adenocarcinoma of 1 of the following sites:


  • Pancreatic
  • Biliary
  • Gastric
  • Colorectal
  • Esophageal
  • Melanoma
  • Ovarian cancer
  • Astrocytoma brain tumor
  • Not immediately eligible for any other treatment that would be potentially curative or life-prolonging, in the opinion of the investigator


  • Patients who may be candidates for future bone marrow transplantation are eligible
  • No brain metastases (other than astrocytomas)
  • No clinically significant pleural effusion
  • No complete tumor obstruction (e.g., bronchus, ureter, or bowel)

  • PATIENT CHARACTERISTICS:
    Age

  • 18 and over

  • Performance status

  • ECOG 0-2 OR
  • Karnofsky 50-100%

  • Life expectancy

  • Not specified

  • Hematopoietic

  • WBC at least 3,500/mm^3
  • Absolute neutrophil count at least 1,500/mm^3
  • Platelet count greater than 50,000/mm^3
  • Hematocrit stable without the need for transfusion (epoetin alfa support allowed)

  • Hepatic

  • Bilirubin less than 1.5 times upper limit of normal (ULN) (unless due to Gilbert's syndrome)
  • SGOT and SGPT less than 2 times ULN
  • No active hepatitis B or C

  • Renal

  • Creatinine clearance at least 50 mL/min

  • Cardiovascular

  • No American Heart Association class III or IV cardiac disease

  • Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • HIV negative
  • No active systemic infection requiring IV antibiotics

  • PRIOR CONCURRENT THERAPY:
    Biologic therapy

  • Not specified

  • Chemotherapy

  • Not specified

  • Endocrine therapy

  • Concurrent corticosteroids allowed provided the patient is on a stable regimen

  • Radiotherapy

  • Not specified

  • Surgery

  • Not specified

  • Other

  • Recovered from prior therapy


  • No grade 2-4 toxicity
  • More than 3 weeks since prior antineoplastic and/or investigational therapy
  • No other concurrent systemic antineoplastic or investigational therapy

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • STUDY_CHAIR: Alex Shalaurov, MD, PhD, Inveresk Research Group, Incorporated

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available