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A Phase I, Open-Label, Dose-Seeking Study of AZD2171 Given Daily Orally in Combination With Selected Standard Chemotherapy Regimens (CT) in Patients With Advanced Incurable Non-Small Cell Lung Cancer (NSCLC) or Colorectal Cancer


Phase 1
18 Years
N/A
Not Enrolling
Both
Colorectal Cancer, Lung Cancer

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Trial Information

A Phase I, Open-Label, Dose-Seeking Study of AZD2171 Given Daily Orally in Combination With Selected Standard Chemotherapy Regimens (CT) in Patients With Advanced Incurable Non-Small Cell Lung Cancer (NSCLC) or Colorectal Cancer


OBJECTIVES:

- Determine the recommended phase II dose of AZD2171 when administered with standard
combination chemotherapy in patients with advanced non-small cell lung cancer or
colorectal cancer.

- Determine the safety, tolerability, toxicity profile, dose-limiting toxicities, and
pharmacokinetic profile of this treatment regimen.

- Assess the antitumor activity of this treatment regimen in patients with measurable
disease.

- Correlate the toxicity profile with pharmacokinetics.

OUTLINE: This is a multicenter, open-label, dose-escalation study of AZD2171. Patients are
assigned to 1 of 2 treatment groups according to disease.

- Group 1 (non-small cell lung cancer): Patients receive gemcitabine hydrochloride IV on
days 1 and 8 and cisplatin IV on day 1. Patients also receive oral AZD2171 once daily
beginning on day 2. Treatment repeats every 21 days in the absence of disease
progression or unacceptable toxicity.

- Group 2 (colorectal cancer): Patients receive oxaliplatin IV over 2 hours and
leucovorin calcium IV over 2 hours on day 1 and fluorouracil IV continuously over 46
hours on days 1 and 2. Patients also receive oral AZD2171 once daily beginning on day
3. Treatment repeats every 14 days in the absence of disease progression or
unacceptable toxicity.

In both groups, cohorts of 3-6 patients receive escalating doses of AZD2171 until the
maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at
which at least 2 of 6 patients experience dose-limiting toxicity.

After completion of study treatment, patients are followed at 4 weeks and then every 3
months thereafter.

PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Histologically or cytologically confirmed diagnosis of 1 of the following:

- Non-small cell lung cancer (NSCLC), meeting 1 of the following criteria:

- Stage IIIB disease

- No pleural effusion and not a candidate for a combined modality
treatment

- Stage IV disease

- Local or metastatic failure after surgery and/or radiotherapy

- Colorectal cancer (CRC)

- Advanced and/or metastatic disease

- Suitable for first-line therapy with oxaliplatin, leucovorin calcium, and
fluorouracil (FOLFOX-6)

- Clinically or radiologically documented disease

- No tumor marker elevation as sole evidence of disease

- No necrotic/hemorrhagic metastases or tumor

- No untreated brain or meningeal metastases

- Previously treated, radiologic or clinical evidence of stable brain metastases
allowed provided disease is asymptomatic and corticosteroids are not required

PATIENT CHARACTERISTICS:

- ECOG performance status 0-2

- Hemoglobin normal

- Absolute granulocyte count ≥ 1,500/mm³

- Platelet count ≥ 100,000/mm³

- Creatinine ≤ 1.5 times upper limit of normal (ULN) OR creatinine clearance ≥ 50
mL/min

- Bilirubin ≤ 1.5 times ULN

- AST or ALT ≤ 2 times ULN (5 times ULN if liver involvement)

- Proteinuria ≤ grade 1

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- No history of other malignancies except adequately treated nonmelanoma skin cancer or
other solid tumors curatively treated with no evidence of disease for ≥ 5 years

- No untreated and/or uncontrolled cardiovascular conditions or symptomatic cardiac
dysfunction

- No resting blood pressure (BP) consistently higher than systolic BP > 150 mm Hg and
diastolic BP > 100 mm Hg (in the presence or absence of a stable dose of
antihypertensive medication)

- No poorly controlled hypertension, history of labile hypertension, or poor compliance
with antihypertensive medication

- No overt bleeding (≥ 30 mL bleeding/episode) within the past 3 months

- No clinically relevant hemoptysis (≥ 5 mL fresh blood) within the past 4 weeks

- Flecks of blood in sputum allowed

- No active or uncontrolled infections

- No serious illnesses or medical conditions that would preclude compliance with study
requirements

- No mean QTc with Bazett's correction > 470 msec

- No history of familial long QT syndrome

- No peripheral neuropathy > grade 1

- No dihydropyrimidine dehydrogenase deficiency or history of severe hand-foot syndrome
after fluoropyrimidines (for patients with CRC)

PRIOR CONCURRENT THERAPY:

- See Disease Characteristics

- Recovered from prior therapy

- At least 6 months since prior adjuvant or neoadjuvant therapy

- At least 6 months since prior adjuvant radiotherapy

- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas and mitomycin C)
(for patients with NSCLC)

- At least 4 weeks since prior and no concurrent corticosteroids

- At least 3 weeks since prior palliative radiotherapy and recovered

- Concurrent palliative radiotherapy allowed

- At least 2 weeks since prior epidermal growth factor receptor inhibitor therapy

- At least 2 weeks since prior major surgery

- No more than 1 prior single-agent, nonplatinum-containing chemotherapy regimen for
metastatic disease (for patients with NSCLC)

- No prior gemcitabine hydrochloride (for patients with NSCLC)

- No prior oxaliplatin (for patients with CRC)

- No prior angiogenesis inhibitor

- No prior chemotherapy for advanced/metastatic disease (for patients with CRC)

- No other concurrent experimental drugs or anticancer therapy

Type of Study:

Interventional

Study Design:

Masking: Open Label, Primary Purpose: Treatment

Principal Investigator

Gerald Batist, MD

Investigator Role:

Study Chair

Investigator Affiliation:

Jewish General Hospital

Authority:

United States: Federal Government

Study ID:

I175

NCT ID:

NCT00343408

Start Date:

August 2005

Completion Date:

September 2008

Related Keywords:

  • Colorectal Cancer
  • Lung Cancer
  • recurrent non-small cell lung cancer
  • stage IIIB non-small cell lung cancer
  • stage IV non-small cell lung cancer
  • recurrent colon cancer
  • stage III colon cancer
  • stage IV colon cancer
  • recurrent rectal cancer
  • stage III rectal cancer
  • stage IV rectal cancer
  • Carcinoma, Non-Small-Cell Lung
  • Colorectal Neoplasms
  • Lung Neoplasms

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