Part 1
Inclusion Criteria:
- Histologically or cytologically confirmed solid tumour refractory to standard therapy
or for whom no established therapy exists
- Age >= 18 years
- Karnofsky performance status of >= 70%
- Life expectancy of >= 3 months
- Absolute neutrophil count of >= 1.5 × 109/l, platelet count of ³ 100 × 109/l,
haemoglobin level of ³ 10 g/dl (>= 6.2 mmol/l) (prior transfusion is permitted)
- Normal hepatic and renal function as defined by serum bilirubin £ 1.5 times the upper
limit of normal, ALT and AST £ 2.5 times the upper limit of normal (£ 5 times the
upper limit of normal in the presence of hepatic metastases), creatinine clearance ³
50 ml/min (by Cockroft-Gault formula)
- Male and female patients
- Written informed consent to participate in the study
Part 1 Exclusion Criteria:
- More than two previous courses of documented myelosuppresive chemotherapy (epidermal
growth factor targeted therapy does not constitute a course of chemotherapy)
- CNS metastases (a CT or MRI scan should be done if there is a clinical suspicion of
CNS metastases)
- Major surgery, chemotherapy or radiation therapy (except palliative) within 4 weeks
of treatment start
- Previous investigational cytotoxic treatment for malignant disease within 30 days
before the start of the study
- Any treatment with non-oncological investigational drugs within 30 days before the
start of the study
- Pregnancy or breast feeding (all women of childbearing potential must have a
pregnancy test before inclusion in the study; post-menopausal women must be
amenorrhoeic for at least 12 months). Female patients must use adequate contraceptive
protection.
- Fertile males not willing to use contraception or whose female partners are not using
adequate contraceptive protection
- Uncontrolled infections
- Clinically significant cardiac impairment or unstable ischaemic heart disease
including a myocardial infarction within three months of study entry
- History of alcoholism, drug addiction, or any psychiatric or psychological condition
which in the opinion of the investigator would impair study compliance
- History of hypersensitivity to sulphonamides
- Prior severe or unexpected reaction to fluoropyrimidine therapy (which may be
explained by dihydropyrimidine dehydrogenase deficiency or hypersensitivity to 5-FU)
- Malabsorption syndrome or other condition which may affect absorption of drug
- Concurrent or previous malignancy of a different tumour type within five years of
starting the study except for adequately treated non-melanoma skin cancer or cervical
intraepithelial neoplasia
- Treatment within two weeks before the start of the study with any of the following:
coumarin anti-coagulants, terfenadine, cisapride, cyclosporin, tacrolimus,
theophylline, diazepam, sulphonylurea hypoglycaemics, phenytoin, or carbamazepine
- Legal incapacity
Part 2
Inclusion Criteria:
- Ambulant patients with progressive metastatic CRC who have received prior treatment
with 5 FU and irinotecan and/or oxaliplatin either as single agents or in
combination. Either 5 FU and/or irinotecan and/or oxaliplatin may have been
administered in the adjuvant setting or for the treatment of metastatic disease.
Patients who have received both 5-FU and irinotecan or oxaliplatin in the adjuvant
setting only must have experienced disease recurrence within one year of starting
chemotherapy.
- At least one unidimensionally measurable lesion according to the RECIST criteria
- Age ³ 18 years
- Karnofsky performance status of ³ 70%
- Life expectancy of ³ 3 months
- Absolute neutrophil count of ³ 1.5 × 109/l, platelet count of ³ 100 × 109/l,
haemoglobin level of ³ 10 g/dl (³ 6.2 mmol/l) (prior transfusion is permitted)
- Normal hepatic and renal function as defined by serum bilirubin £ 1.5 times the upper
limit of normal, ALT and AST £ 2.5 times the upper limit of normal (£ 5 times the
upper limit of normal in the presence of hepatic metastases), creatinine clearance ³
50 ml/min (by Cockroft-Gault formula)
- Male and female patients
- Written informed consent to participate in the study
Part 2 Exclusion Criteria:
- Prior chemotherapy other than 5-FU, irinotecan and/or oxaliplatin
- CNS metastases (a CT or MRI scan should be done if there is a clinical suspicion of
CNS metastases)
- Major surgery, chemotherapy or radiation therapy (except palliative) within 4 weeks
of treatment start
- Previous investigational cytotoxic treatment for malignant disease within 30 days
before the start of the study
- Any treatment with non-oncological investigational drugs within 30 days before the
start of the study
- Pregnancy or breast feeding (all women of childbearing potential must have a negative
pregnancy test before inclusion in the study; post-menopausal women must be
amenorrhoeic for at least 12 months). Female patients must use adequate contraceptive
protection.
- Fertile males not willing to use contraception or whose female partners are not using
adequate contraceptive protection
- Uncontrolled infections
- Clinically significant cardiac impairment or unstable ischaemic heart disease
including a myocardial infarction within three months of study start
- History of alcoholism, drug addiction, or any psychiatric or psychological condition
which in the opinion of the investigator would impair study compliance
- History of hypersensitivity to sulphonamides
- Prior severe or unexpected reaction to fluoropyrimidine therapy (which may be
explained by dihydropyrimidine dehydrogenase deficiency or hypersensitivity to 5-FU)
- Malabsorption syndrome or other condition which may affect absorption of drug
- Concurrent or previous malignancy of a different tumour type within five years of
starting the study except for adequately treated non-melanoma skin cancer or cervical
intraepithelial neoplasia
- Treatment within two weeks before the start of the study with any of the following:
coumarin anti-coagulants, terfenadine, cisapride, cyclosporin, tacrolimus,
theophylline, diazepam, sulphonylurea hypoglycaemics, phenytoin, or carbamazepine
- Legal incapacity