Completed

A Phase I Pharmacokinetic Study of PS-341 in Patients With Advanced Malignancies and Varying Degrees of Liver Dysfunction for the CTEPSponsored Organ Dysfunction Working Group

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What is being tested

bortezomib

+ pharmacological study

DrugOther
Who is being recruted

Digestive System Diseases

+ Liver Diseases

+ Neoplasms

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

Treatment Study

Phase 1
Interventional
Study Start: July 2004
See protocol details

Summary

Principal SponsorNational Cancer Institute (NCI)
Last updated: December 11, 2025
Sourced from a government-validated database.Claim as a partner

Study start date: July 1, 2004

Actual date on which the first participant was enrolled.

PRIMARY OBJECTIVES: I. Determine the maximum tolerated dose of bortezomib in patients with advanced malignancies and varying degrees of liver dysfunction. II. Determine the safety and tolerability of this drug in these patients. III. Determine the pharmacokinetics and pharmacodynamics of this drug in these patients with mild, moderate, or severe liver insufficiency. IV. Examine the dietary influences on bortezomib disposition and efficacy. V. Examine the influences of proteasome inhibition on CYP 450 activity. OUTLINE: This is a multicenter, dose-escalation study. Patients are stratified according to hepatic function (normal vs mild dysfunction vs moderate dysfunction vs severe dysfunction). Patients receive bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients per stratum receive escalating doses of bortezomib until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. \[Note: Patients with normal hepatic function do not receive escalating doses of bortezomib.\]

Official TitleA Phase I Pharmacokinetic Study of PS-341 in Patients With Advanced Malignancies and Varying Degrees of Liver Dysfunction for the CTEPSponsored Organ Dysfunction Working Group 
NCT00091117
Principal SponsorNational Cancer Institute (NCI)
Last updated: December 11, 2025
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

80 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

Digestive System DiseasesLiver DiseasesNeoplasms

Criteria

Inclusion Criteria: * Histologically confirmed malignancy for which no known standard therapy that is potentially curative or definitely capable of extending life expectancy exists * Tumor types may include any of the following: solid tumors: * Non-Hodgkin's lymphoma * Hepatocellular carcinoma, as evidenced by liver mass, elevated alpha-fetoprotein level (\>= 500 ng/mL), and positive serology for hepatitis * Pathological confirmation is not required * Confirmatory evidence for a prior Hepatitis B infection (HBsAg, HBcAb and/or HBsAb) required * No symptomatic CNS metastases * Brain metastasis allowed if the following criteria are met: * Received prior definitive treatment (radiation and/or surgery * Stable disease for \>= 4 weeks * Not currently on enzyme-inducing anticonvulsants and steroids * Life expectancy of at least 12 weeks * Absolute neutrophil count \>= 1,000/mm\^3 * Platelet count \>= 100,000/mm\^3 * Biliary obstruction for which a shunt has been placed allowed provided the shunt has been in place for \>= 10 days AND liver function is stable, defined as 2 measurements taken \>= 2 days apart that qualify the patient for the same hepatic dysfunction stratum * No biliary sepsis * Creatinine =\< 1.5 mg/dL * No symptomatic congestive heart failure * No unstable angina pectoris * No cardiac arrhythmia * No New York Heart Association class III or IV heart disease * Not pregnant or nursing * Negative pregnancy test * No preexisting neuropathy \>= grade 2 * No ongoing or active infection * No other concurrent uncontrolled illness that would preclude study participation * No psychiatric illness or social situation that would preclude study compliance * More than 4 weeks since prior immunotherapy * More than 4 weeks since prior biologic therapy * No concurrent prophylactic colony-stimulating factors * No concurrent immunotherapy * No concurrent thalidomide * Concurrent epoetin alfa or darbepoetin alfa for management of cancer-associated anemia allowed * Recovered from prior chemotherapy (not including liver function) * More than 3 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) * No concurrent chemotherapy * More than 2 weeks since prior radiotherapy * No prior radiotherapy to \> 50% of the bone marrow * No concurrent radiotherapy * More than 3 weeks since prior surgery * No prior bortezomib * No concurrent antiretroviral therapy for HIV-positive patients * No other concurrent investigational agents * Concurrent cytochrome P450 interacting agents are allowed provided they are used with caution * Concurrent bisphosphonate therapy allowed (e.g., pamidronate or zoledronate), except during course 1 of bortezomib administration * ECOG 0-2 * Fertile patients must use effective contraception during and for 30 days after study participation

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
Patients receive bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Study Objectives

Primary 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 3 locations

Suspended

City of Hope Medical Center

Duarte, United StatesSee the location
Suspended

Johns Hopkins University

Baltimore, United States
Suspended

Wayne State University

Detroit, United States
Completed3 Study Centers