Terminé

Alanosine in Treating Patients With Cancer

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Ce qui est testé

L-alanosine

Médicament
Qui peut participer

Lung Cancer
+1

+ Malignant Mesothelioma
+ Pancreatic Cancer
À partir de 13 ans
Comment se déroule l'étude

Étude thérapeutique

Phase 2
Interventionnel
Date de début : mars 2003

Résumé

Sponsor principalMemorial Sloan Kettering Cancer Center
Dernière mise à jour : 26 juin 2013
Issu d'une base de données validée par les autorités. Revendiquer cette étude
Date de début de l'étude : 1 mars 2003Date à laquelle le premier participant a commencé l'étude.

RATIONALE: Drugs used in chemotherapy such as alanosine use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: This phase II trial is studying how well alanosine works in treating patients with soft tissue sarcoma, sarcoma of the bone, mesothelioma, non-small cell lung cancer, or pancreatic cancer. OBJECTIVES: * Determine the response rates in patients with methylthioadenosine phosphorylase (MTAP)-deficient cancer when treated with alanosine. * Determine the time to response and duration of response in patients treated with this drug. * Determine the progression-free survival of patients treated with this drug. * Determine the pharmacodynamic activity of this drug in these patients, based on special imaging to measure tumor adenosine triphosphate depletion. * Determine the pharmacokinetic activity of this drug in these patients. * Determine the safety and tolerability of this drug in these patients. OUTLINE: This is a nonrandomized, open-label, multicenter study. Patients receive alanosine IV continuously on days 1-5. Treatment repeats every 21 days for up to 9 courses in the absence of disease progression or unacceptable toxicity. Patients are followed at 28 days. PROJECTED ACCRUAL: A total of 50-145 patients (10-29 per tumor type) will be accrued for this study.

Titre officielA Phase II, Open-Label, Non-Randomized, Multicenter, Single Agent Study of Intravenous SDX-102 for the Treatment of Patients With MTAP-Deficient Cancer 
Sponsor principalMemorial Sloan Kettering Cancer Center
Dernière mise à jour : 26 juin 2013
Issu d'une base de données validée par les autorités. Revendiquer cette étude

Protocole

Cette section fournit des détails sur le plan de l'étude, y compris la manière dont l'étude est conçue et ce qu'elle évalue.
Détails du design
Traitement
Cette étude teste un ou plusieurs traitements pour évaluer leur efficacité contre une maladie ou un problème de santé spécifique. L'objectif est de voir si un nouveau médicament ou une thérapie fonctionne mieux, ou provoque moins d'effets secondaires que les options existantes.

Comment la nature du traitement est tenue confidentielle
Dans une étude en ouvert, tous les participants ainsi que les chercheurs savent quel traitement est administré. Ce type de protocole est utilisé lorsqu'il n'est pas nécessaire ou pas possible de masquer les traitements.

Autres méthodes de masquage
Simple aveugle
: les participants ignorent le traitement reçu, mais les chercheurs le connaissent.

Double aveugle
: ni les participants ni les chercheurs ne savent quel traitement est administré.

Triple aveugle
: Les participants, les chercheurs et les personnes qui analysent les résultats ne savent pas quel traitement est administré.

Quadruple aveugle
: Les participants, les chercheurs, les personnes qui analysent les résultats et les professionnels de santé en charge du suivi ne savent pas non plus quel traitement est administré.

Éligibilité

Les chercheurs recherchent des patients correspondant à une certaine description appelée critères d'éligibilité : état de santé général ou traitements antérieurs du patient.
Conditions
Critères
Tout sexeLe sexe biologique des participants éligibles à s'inscrire.
À partir de 13 ansTranche d'âge des participants éligibles à participer.
Volontaires sains non autorisésIndique si les individus en bonne santé et ne présentant pas la condition étudiée peuvent participer.
Conditions
Pathologie
Lung Cancer
Malignant Mesothelioma
Pancreatic Cancer
Sarcoma
Critères

DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed malignancy of any of the following types: * Soft-tissue sarcoma * High grade * Chemotherapy naïve or progressive or metastatic after no more than 2 prior cytotoxic treatment regimens (not including adjuvant therapy) * Sarcoma of the bone (including osteosarcoma\* and chondrosarcoma) * High grade * Progressive or recurrent after no more than 2 prior cytotoxic treatment regimens * No newly diagnosed or chemotherapy naïve disease NOTE: \*Prior treatment with cisplatin and doxorubicin required * Mesothelioma * Unresectable * Chemotherapy naïve or progressive after no more than 1 prior cytotoxic chemotherapy regimen * Not amenable to curative treatment with surgery * Evidence of gross unresectability includes, but is not limited to, direct extension into the chest wall, mediastinal or hilar lymphadenopathy, pulmonary or cardiac function that is inadequate to tolerate resection, and sarcomatoid or mixed histology * Non-small cell lung cancer * Stage III with malignant pleural or pericardial effusion, stage IV, or progressive after no more than 2 prior cytotoxic chemotherapy regimens * No newly diagnosed or chemotherapy naïve disease * Pancreatic cancer * Stage IV adenocarcinoma after no more than 1 prior cytotoxic treatment regimen * No newly diagnosed or chemotherapy naïve disease * No Ewing's sarcoma of the soft tissue or bone * Documented absence of methylthioadenosine phosphorylase on fixed tumor specimens * Measurable disease * For all tumor types, at least 1 lesion measurable by MRI or CT scan * Chest x-ray allowed only for clearly defined lesions surrounded by aerated lung * Soft tissue component of bone disease considered measurable provided it can be measured by MRI or CT scan * Must be outside of a previously irradiated area * No uncontrolled CNS metastases of primary tumor under study * Patients with brain metastases are eligible only if the brain metastases have been treated with prior radiotherapy and/or surgery, are neurologically stable with no progressing symptoms, and are off steroids and anticonvulsants PATIENT CHARACTERISTICS: Age * 18 and over (13 and over for osteosarcoma only) Performance status * WHO 0-2 Life expectancy * At least 3 months Hematopoietic * Absolute granulocyte count at least 1,500/mm\^3 * Platelet count at least 100,000/mm\^3 Hepatic * Bilirubin no greater than 1.5 times upper limit of normal (ULN) * Alkaline phosphatase no greater than 2.5 times ULN * AST and ALT no greater than 2.5 times ULN (5 times ULN if liver metastases are present) Renal * Creatinine no greater than 1.5 times ULN Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective barrier contraception during and for 4 weeks after study treatment * No premalignant bony lesions (e.g., Paget's disease) * No other concurrent active malignancy except completely excised nonmelanoma skin cancer or carcinoma in situ of the cervix or bladder * No serious infection * No medical or psychiatric condition that would preclude the achievement of the study objectives PRIOR CONCURRENT THERAPY: Biologic therapy * Not specified Chemotherapy * See Disease Characteristics * More than 42 days since prior nitrosoureas or mitomycin Endocrine therapy * See Disease Characteristics Radiotherapy * See Disease Characteristics * At least 28 days since prior brain radiotherapy * More than 28 days since prior radiotherapy to more than 50% of the bone marrow Surgery * See Disease Characteristics * At least 28 days since prior thoracic or other major surgery Other * Recovered from prior therapy * More than 28 days since prior cytotoxic agents * More than 28 days since prior anticancer investigational agents * No other concurrent anti-tumor treatment



Centres d'étude

Ce sont les hôpitaux, cliniques ou centres de recherche où l'essai est conduit. Vous pouvez trouver le site le plus proche de vous ainsi que son statut.
Cette étude comporte 12 sites
Suspendu
University of Alabama at Birmingham Comprehensive Cancer CenterBirmingham, United StatesVoir le site
Suspendu
Arizona Cancer Center at University of Arizona Health Sciences CenterTucson, United States
Suspendu
Wilshire Oncology Medical Group, Incorporated - La VerneLa Verne, United States
Suspendu
Cedars-Sinai Comprehensive Cancer Center at Cedars-Sinai Medical CenterLos Angeles, United States

Terminé12 Centres d'Étude