Completed

A Phase I/2 Study of GTI-2040 Combined With Docetaxel In Metastatic Or Unresectable Locally Advanced Non-Small Cell Lung Cancer

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What is being tested

GTI-2040

+ docetaxel

+ laboratory biomarker analysis

BiologicalDrugOther
Who is being recruted

Urogenital Diseases+15

+ Genital Diseases

+ Bronchial Neoplasms

Over 18 Years
See all eligibility criteria
How is the trial designed

Treatment Study

Phase 1 & 2
Interventional
Study Start: October 2003
See protocol details

Summary

Principal SponsorNational Cancer Institute (NCI)
Last updated: January 27, 2026
Sourced from a government-validated database.Claim as a partner

Study start date: October 1, 2003

Actual date on which the first participant was enrolled.

OBJECTIVES: I. Determine the recommended phase II dose of GTI-2040 and docetaxel in patients with recurrent, metastatic, or unresectable locally advanced non-small cell lung cancer, prostate cancer, or other solid tumors (phase I study closed to accrual as of 8/5/2004). II. Determine the toxicity of this regimen in these patients. III. Determine the objective tumor response rate in patients treated with this regimen. IV. Determine the stable disease rate, time to disease progression, objective response duration, and duration of stable disease in patients treated with this regimen. V. Determine the pharmacokinetics of GTI-2040 when administered in combination with docetaxel in these patients. VI. Correlate the pharmacokinetics of GTI-2040 with the biological and toxic effects of this regimen in these patients. VII. Correlate baseline and post-treatment levels of ribonucleotide reductase activity in tumor biopsies and peripheral blood mononuclear cells and tumoral expression of c-myc, ras, pRAF1, pMAPK, and markers of apoptosis with clinical outcome in patients treated with this regimen. OUTLINE: This is an open-label, dose-escalation, multicenter study. Phase I (closed to accrual as of 8/5/2004): Patients receive GTI-2040 IV continuously on days 1-14. Patients also receive docetaxel IV over 1 hour on day 3 during course 1 and on day 1 for all subsequent courses. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of GTI-2040 and docetaxel until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. The recommended phase II dose (RP2D) is defined as the dose preceding the MTD. Phase II: Patients receive GTI-2040 and docetaxel at the RP2D as in phase I. Patients are followed every 3 months. PROJECTED ACCRUAL: A total of 12-48 patients (12-18 for phase I \[closed to accrual as of 8/5/2004\] and 15-30 for phase II) will be accrued for this study within 4-16 months.

Official TitleA Phase I/2 Study of GTI-2040 Combined With Docetaxel In Metastatic Or Unresectable Locally Advanced Non-Small Cell Lung Cancer
NCT00074022
Principal SponsorNational Cancer Institute (NCI)
Last updated: January 27, 2026
Sourced from a government-validated database.Claim as a partner

Protocol

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

48 patients to be enrolled

Total number of participants that the clinical trial aims to recruit.

Treatment Study

These studies test new ways to treat a disease, condition, or health issue. The goal is to see if a new drug, therapy, or approach works better or has fewer side effects than existing options.



Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Conditions
Criteria

Any sex

Biological sex of participants that are eligible to enroll.

Over 18 Years

Range of ages for which participants are eligible to join.

Healthy volunteers not allowed

If individuals who are healthy and do not have the condition being studied can participate.

Conditions

Pathology

Urogenital DiseasesGenital DiseasesBronchial NeoplasmsCarcinoma, BronchogenicCarcinoma, Non-Small-Cell LungGenital Diseases, MaleGenital Neoplasms, MaleLung DiseasesLung NeoplasmsNeoplasmsNeoplasms by SiteProstatic DiseasesProstatic NeoplasmsRespiratory Tract DiseasesRespiratory Tract NeoplasmsThoracic NeoplasmsUrogenital NeoplasmsMale Urogenital Diseases

Criteria

Inclusion Criteria: * Histologically or cytologically confirmed diagnosis of 1 of the following: * Solid tumor malignancy (phase I only)\* * Prostate cancer (phase I only)\* * Non-small cell lung cancer (phase I and II)\* * Recurrent, metastatic, locally advanced unresectable, or treatment-refractory disease * Measurable disease * At least 1 unidimensionally measurable lesion at least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan * Previously irradiated lesions are considered measurable provided they have demonstrated progression before study entry * No bone-only disease * Must have measurable disease other than bone lesions * No stage IIIA or IIIB non-small cell lung cancer without a malignant pleural or pericardial effusion that is eligible for first-line radical combined chemotherapy and radiotherapy * No known progressive or symptomatic brain metastases * Asymptomatic brain metastases allowed * Performance status - ECOG 0-2 * Performance status - Karnofsky 60-100% * More than 3 months * WBC at least 3,000/mm\^3 * Absolute neutrophil count at least 1,500/mm\^3 * Platelet count at least 100,000/mm\^3 * No history of coagulopathy * Bilirubin no greater than 1.5 times upper limit of normal (ULN) * AST/ALT no greater than 2 times ULN (3.5 times ULN if liver metastases are present) * INR no greater than 1.3 * APTT no greater than 1.25 times ULN * Creatinine no greater than 1.5 times ULN * Creatinine clearance at least 50 mL/min * No symptomatic congestive heart failure * No evidence of cardiac dysfunction * No unstable angina pectoris * No cardiac arrhythmia * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * No active peptic ulcer disease * No poorly controlled diabetes mellitus * No pre-existing grade 2 or greater neuropathy * No ongoing or active infection * No contraindication to corticosteroids * No psychiatric illness or social situation that would limit compliance with study requirements * No prior allergic reaction attributed to compounds of similar chemical or biological composition to study drugs * No other concurrent uncontrolled illness * One, and only one, prior chemotherapy regimen for advanced disease (not including adjuvant therapy) allowed * Neoadjuvant/adjuvant chemotherapy allowed * More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas and mitomycin) and recovered * Prior multiple lines of endocrine therapy for advanced solid tumors allowed * More than 4 weeks since prior endocrine therapy and recovered * Concurrent steroids allowed * See Disease Characteristics * More than 4 weeks since prior radiotherapy and recovered * No concurrent radiotherapy to sole site of measurable disease * Prior surgery allowed * No concurrent anticoagulant therapy * Concurrent low-dose warfarin for central line thrombosis prophylaxis allowed * No concurrent combination antiretroviral therapy for HIV-positive patients * No other concurrent investigational or commercial agents or therapies intended to treat the malignancy * Concurrent bisphosphonates allowed

Study Plan

Find out more about all the medication administered in this study, their detailed description and what they involve.
Treatment Groups
Study Objectives

One single intervention group is designated in this study

This study does not include a placebo group 

Treatment Groups

Group I

Experimental
Phase I (closed to accrual as of 8/5/2004): Patients receive GTI-2040 IV continuously on days 1-14. Patients also receive docetaxel IV over 1 hour on day 3 during course 1 and on day 1 for all subsequent courses. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of GTI-2040 and docetaxel until the MTD is determined. The MTD is defined as the dose at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. The RP2D is defined as the dose preceding the MTD. Phase II: Patients receive GTI-2040 and docetaxel at the RP2D as in phase I.

Study Objectives

Primary Objectives

Secondary Objectives

Study Centers

These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.

This study has 1 location

Suspended

Princess Margaret Hospital Phase 2 Consortium

Toronto, CanadaOpen Princess Margaret Hospital Phase 2 Consortium in Google Maps
CompletedOne Study Center