A Trial of CCI-779 in Patients With Soft Tissue Sarcoma.
temsirolimus
+ laboratory biomarker analysis
Enfermedades del Sistema Digestivo+5
+ Neoplasias del sistema digestivo
+ Enfermedades Gastrointestinales
Estudio de Tratamiento
Resumen
Fecha de inicio: 1 de junio de 2004
Fecha en la que se inscribió al primer participante.PRIMARY OBJECTIVES: I. To assess the antitumor activity of CCI-779 in this patient population. SECONDARY OBJECTIVES: I. To assess the following in patients with soft tissue sarcomas and following treatment with CCI-779: duration of response, time to progression, survival. TERTIARY OBJECTIVES: I. To describe and correlate the following with patient characteristics and outcome in this patient population and following treatment with CCI-779: relative levels of 4EBP1 to eIF4E, phospho 4EBP1, total and phospho ribosomal S6 on pretreatment tumor tissue, expression levels of EGFR, activated EGFR, Her2, c-Myc, phospho Akt, total Akt, phospho-mTOR and total mTOR on pretreatment tumor tissue, drug induced inhibition of p70S6 kinase activity, and phosphorylation of S6 in PBMC, relative levels of serum sirolimus in post-treatment samples. OUTLINE: Patients receive CCI-779 IV over 30 minutes on days 1, 8, 15, and 22. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving a complete response (CR) receive 2 additional courses beyond CR. Patients are followed every 3 months for 1 year, every 4 months for 1 year, and then every 6 months for 3 years.
Protocolo
Esta sección proporciona detalles del plan del estudio, incluyendo cómo está diseñado y qué se está evaluando.Se reclutarán 55 pacientes
Número total de participantes que el ensayo clínico espera reclutar.Estudio de Tratamiento
Elegibilidad
Los investigadores buscan pacientes que cumplan ciertos criterios, conocidos como criterios de elegibilidad: estado general de salud o tratamientos previos.Cualquier sexo
Sexo biológico de los participantes elegibles para inscribirse.A partir de 18 años
Rango de edades de los participantes que pueden unirse al estudio.Voluntarios sanos no permitidos
Indica si personas sanas, sin la condición que se estudia, pueden participar.Condiciones
Patología
Criterios
Inclusion Criteria: * Histologically or cytologic confirmed soft tissue sarcoma * Measurable disease; for patients having only lesions measuring at least 1 cm to less than 2 cm, must use spiral CT imaging for both pre- and post-treatment tumor assessments * Absolute neutrophil count (ANC) \>= 1,500/μL * Platelets (PLTS) \>= 100,000/μL * Hgb \>= 10.0 g/dL * Direct bilirubin =\< 1.5 x ULN (upper limit normal) * AST(SGOT) =\< 2.5 x ULN or =\< 5 x ULN\* if liver metastases are present * ALT(SGPT) =\< 2.5 x ULN or =\< 5 x ULN\* if liver metastases are present * Creatinine =\< 1.5 x ULN, or if greater, creatinine clearance \>= 50 mL/min/1.73 m\^2 * Baseline glucose levels * Fasting serum cholesterol =\< 350 mg/dL (9.0 mmol/L) * Fasting triglycerides =\< 400 mg/dL (4.56 mmol/L) * ECOG Performance Status (PS) 0, 1 or 2 * Life expectancy \>= 12 weeks * Capable of understanding the investigational nature, potential risks and benefits of the study, and able to provide valid informed consent Exclusion Criteria: * Any of the following as this regimen may be harmful to a developing fetus or nursing child: * Pregnant women * Breast-feeding women * Men or women of childbearing potential or their sexual partners who are unwilling to employ adequate contraception ( diaphragm, birth control pills, injections, intrauterine device \[IUD\], surgical sterilization, subcutaneous implants, or abstinence, etc.) * Any of the following: * Nitrosoureas or mitomycin =\< 6 weeks prior to study entry * Other chemotherapy =\< 4 weeks prior to study entry * Radiotherapy =\< 4 weeks prior to study entry * Concurrent use of any other investigation agent * Adverse events due to agents administered =\< 4 weeks prior to study entry * History of allergic reactions attributed to compounds of similar chemical or biologic composition to CCI-779 * Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, diabetes, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements * Known HIV-positive patients receiving combination anti-retroviral therapy * Prior chemotherapy for metastatic disease * Exceptions: * Patients with GIST who fail Gleevec are eligible * Patients who have had adjuvant/neoadjuvant chemotherapy are also eligible * Known brain metastases * Exception: Patients with treated brain metastatic disease with stable symptoms after treatment for \>= 1 month
Plan de Estudio
Conoce todos los tratamientos administrados en este estudio, su descripción detallada y en qué consisten.Un solo grupo de intervención está designado en este estudio
0% de probabilidad de ser asignado al grupo placebo
Grupos de Tratamiento
Grupo I
ExperimentalObjetivos del Estudio
Objetivos Primarios
Objetivos Secundarios
Centros del Estudio
Estos son los hospitales, clínicas o centros de investigación donde se lleva a cabo el estudio. Puedes encontrar la ubicación más cercana a ti y su estado de reclutamiento.Este estudio tiene una ubicación