A Trial of CCI-779 in Patients With Soft Tissue Sarcoma.
temsirolimus
+ laboratory biomarker analysis
Maladies du système digestif+7
+ Néoplasmes du système digestif
+ Maladies Gastro-intestinales
Étude thérapeutique
Résumé
Date de début de l'étude : 1 juin 2004
Date à laquelle le premier participant a commencé l'étude.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.
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.55 participants à inclure
Nombre total de participants que l'essai clinique vise à recruter.Traitement
Éligibilité
Les chercheurs recherchent des patients correspondant à une certaine description appelée critères d'éligibilité : état de santé général ou traitements antérieurs du patient.Tout sexe
Le sexe biologique des participants éligibles à s'inscrire.À partir de 18 ans
Tranche d'âge des participants éligibles à participer.Volontaires sains non autorisés
Indique si les individus en bonne santé et ne présentant pas la condition étudiée peuvent participer.Conditions
Pathologie
Critères
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 l'étude
Découvrez tous les traitements administrés dans cette étude, leur description détaillée et ce qu'ils impliquent.Un seul groupe d'intervention est désigné dans cette étude
Cette étude ne comporte pas de groupe placebo.
Groupes de traitement
Groupe I
ExpérimentalObjectifs de l'étude
Objectifs principaux
Objectifs secondaires
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 1 site