Phase I Trial of Bortezomib (PS-341; NSC 681239) and Alvocidib (Flavopiridol NSC 649890) in Patients With Recurrent or Refractory Indolent B-Cell Neoplasms
Bortezomib
+ Alvocidib Hydrochloride
+ Pharmacological Study
Blood Protein Disorders+23
+ Cardiovascular Diseases
+ Hematologic Diseases
Treatment Study
Summary
Study start date: March 1, 2004
Actual date on which the first participant was enrolled.PRIMARY OBJECTIVES: I. To determine the recommended phase II dose of bortezomib and flavopiridol in patients with recurrent or refractory indolent B-cell neoplasms. SECONDARY OBJECTIVES: I. To determine the toxic effects and maximum tolerated dose of this regimen in these patients. II. To determine disease-related effects of this regimen in these patients. III. To determine the pharmacodynamics of this regimen in patients with myeloma. IV. To determine the pharmacokinetics of this regimen in these patients. OUTLINE: This is a dose-escalation, multicenter study. Patients receive bortezomib IV over 3-5 seconds followed by flavopiridol IV over 1 hour on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.93 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.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
Criteria
Inclusion Criteria: * WBC \< 50,000/mm\^3 for patients with circulating tumor cells * No prior allergic reaction to compounds of similar chemical or biological composition to and presumably able to tolerated bortezomib, flavopiridol, allopurinol, sodium polystyrene sulfonate, or dexamethasone * No neuropathy \>= grade 2 * No other condition that would preclude study participation * Not pregnant or nursing * Fertile patients must use effective contraception during and for 3 months after study participation * Prior autologous stem cell transplantation is allowed * No prior allogeneic stem cell transplantation * No other concurrent anticancer agents * No other concurrent investigational agents * Hemoglobin \>= 8 g/dL * Platelet count \>= 100,000/mm\^3 * Absolute neutrophil count \>= 1,500/mm\^3 * Bilirubin =\< 2 times upper limit of normal (ULN) * AST/ALT =\< 3 times ULN * Creatinine =\< 2 times ULN or Creatinine clearance \>= 50 mL/min
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.One single intervention group is designated in this study
This study does not include a placebo group
Treatment Groups
Group I
ExperimentalStudy 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 5 locations
University of Pittsburgh Cancer Institute
Pittsburgh, United StatesUniversity of Pittsburgh
Pittsburgh, United StatesMedical University of South Carolina
Charleston, United States