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Randomized, Crossover, Pharmacokinetic Study Of Paclitaxel (Taxol) And ABI-007 (A Cremophor EL-Free, Protein Stabilized, Nanoparticle Paclitaxel) In Patients With Advanced Solid Tumors


Phase 1
18 Years
N/A
Not Enrolling
Both
Unspecified Adult Solid Tumor, Protocol Specific

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Trial Information

Randomized, Crossover, Pharmacokinetic Study Of Paclitaxel (Taxol) And ABI-007 (A Cremophor EL-Free, Protein Stabilized, Nanoparticle Paclitaxel) In Patients With Advanced Solid Tumors


OBJECTIVES:

Primary

- Determine whether a change in the formulation alters the pharmacokinetic profile of
paclitaxel in the plasma of patients with incurable locally advanced or metastatic
solid tumors treated with ABI-007 and paclitaxel.

Secondary

- Correlate pharmacokinetic data of this regimen with decrease in the neutrophil count at
nadir in these patients.

- Determine the intra- and interindividual pharmacokinetic variability of ABI-007 in
these patients.

- Determine protein binding of paclitaxel via measurement of α-1-acid glycoprotein and
serum albumin levels in patients treated with this regimen.

OUTLINE: This is a randomized, pilot study.

- Courses 1 and 2: Patients are randomized to 1 of 2 treatment arms.

- Arm I: Patients receive paclitaxel IV over 3 hours on day 1 and ABI-007 IV over 30
minutes on day 22.

- Arm II: Patients receive ABI-007 IV over 30 minutes on day 1 and paclitaxel IV
over 3 hours on day 22.

- Courses 3 and beyond: All patients receive ABI-007 IV over 30 minutes on day 1. Courses
repeat every 21 days in the absence of disease progression or unacceptable toxicity.

PROJECTED ACCRUAL: A total of 20 patients will be accrued for this study.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Histologically confirmed malignant solid tumor

- Considered incurable

- Locally advanced or metastatic disease

- Likely to be responsive to taxane-based therapy

- Patients who are refractory to prior paclitaxel are ineligible

- No symptomatic or untreated brain metastasis or carcinomatous meningitis

- No patients who are unable to remain free of corticosteroid therapy for > 4
weeks due to CNS disease

- No previously untreated locally advanced breast cancer

- No hematologic malignancy

PATIENT CHARACTERISTICS:

Age

- 18 and over

Performance status

- ECOG 0-2

Life expectancy

- At least 3 months

Hematopoietic

- Granulocyte count ≥ 1,500/mm^3

- Platelet count ≥ 100,000/mm^3

Hepatic

- Bilirubin normal

- ALT and AST ≤ 1.5 times upper limit of normal

Renal

- Creatinine normal OR

- Creatinine clearance ≥ 60 mL/min

Cardiovascular

- LVEF ≥ 40%

- No clinical signs or symptoms of heart failure

- No symptomatic congestive heart failure

- No unstable angina pectoris

Other

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception during and for 2 months after study
participation

- No history of allergic reaction attributed to compounds of similar chemical or
biologic composition to paclitaxel (e.g., docetaxel, Cremophor^® EL [CrEL],
polysorbate 80 [Tween 80], or CrEL-containing medications [e.g., cyclosporine])

- No history of seizure disorder requiring anticonvulsant therapy

- No active serious infection

- No psychiatric illness or social situation that would preclude study compliance

- No other uncontrolled illness

PRIOR CONCURRENT THERAPY:

Biologic therapy

- No concurrent immunotherapy

- No concurrent filgrastim (G-CSF) during courses 1 and 2

Chemotherapy

- See Disease Characteristics

- At least 3 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin)

- No other concurrent chemotherapy

Endocrine therapy

- See Disease Characteristics

- At least 2 weeks since prior hormonal therapy

- Concurrent luteinizing hormone-releasing hormone agonists for prostate cancer allowed

Radiotherapy

- At least 3 weeks since prior radiotherapy

- No concurrent radiotherapy

Surgery

- Not specified

Other

- More than 2 weeks since prior drugs, herbal preparations, or dietary supplements
known to influence CYP3A4 (e.g., phenytoin, rifampin, Hypericum perforatum [St.
John's wort], garlic supplements, or grapefruit juice) and/or CYP2C8

- No concurrent substances known or likely to interfere with the pharmacokinetics of
paclitaxel (e.g., verapamil or cyclosporine)

- No other concurrent investigational agents

- No other concurrent anticancer therapy

Type of Study:

Interventional

Study Design:

Primary Purpose: Treatment

Principal Investigator

William D. Figg, PharmD

Investigator Role:

Study Chair

Investigator Affiliation:

National Cancer Institute (NCI)

Authority:

United States: Federal Government

Study ID:

040280

NCT ID:

NCT00095914

Start Date:

September 2004

Completion Date:

March 2009

Related Keywords:

  • Unspecified Adult Solid Tumor, Protocol Specific
  • unspecified adult solid tumor, protocol specific
  • Neoplasms

Name

Location

Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support Bethesda, Maryland  20892-1182