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A Phase I Study of a Second Generation Clusterin Antisense Oligonucleotide (OGX-011) in Combination With Docetaxel


Phase 1
18 Years
N/A
Not Enrolling
Both
Bladder Cancer, Breast Cancer, Kidney Cancer, Lung Cancer, Ovarian Cancer, Prostate Cancer, Unspecified Adult Solid Tumor, Protocol Specific

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Trial Information

A Phase I Study of a Second Generation Clusterin Antisense Oligonucleotide (OGX-011) in Combination With Docetaxel


OBJECTIVES:

Primary

- Determine the dose-limiting toxicity and recommended phase II dose of OGX-011 when
administered with docetaxel in patients with metastatic or locally recurrent solid
tumors.

Secondary

- Determine the pharmacokinetic profile of this regimen in these patients.

- Assess the effect of OGX-011 on serum clusterin levels and clusterin expression in
peripheral blood mononuclear cells and accessible tumors.

- Assess objective response in patients treated with this regimen.

OUTLINE: This is an open-label, multicenter, dose-escalation study of OGX-011. Patients are
sequentially assigned to 1 of 2 treatment schedules.

- Schedule A: Patients receive OGX-011 IV over 2 hours on days 1, 3, 5, 8, 15, 22, 29,
and 36 of course 1 and once weekly in weeks 1-6 of all subsequent courses. Patients
also receive docetaxel IV over 1 hour once weekly in weeks 1-5. Treatment repeats every
6 weeks for up to 4 courses in the absence of disease progression or unacceptable
toxicity.

- Schedule B: Patients receive OGX-011 IV over 2 hours on days -7, -5, -3, 1, 8, and 15
of course 1 and days 1, 8, and 15 of all subsequent courses. Patients also receive
docetaxel IV over 1 hour on day 1. Treatment repeats every 3 weeks (course 1 is 4 weeks
in duration) for up to 4 courses in the absence of disease progression or unacceptable
toxicity.

Cohorts of 3-6 patients receive escalating doses of OGX-011 (in each schedule) until the
recommended phase II dose (RPTD) is determined. The RPTD is defined as the dose preceding
that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.

Patients undergo serum collection periodically for pharmacokinetic and pharmacodynamic
analysis.

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 solid tumors that have been shown to
overexpress clusterin, including but not limited to, any of the following:

- Prostate cancer

- Renal cell carcinoma

- Non-small cell lung cancer

- Bladder cancer

- Breast cancer

- Ovarian cancer

- Metastatic or locally recurrent disease

- Refractory to standard curative therapy or no standard curative therapy exists

- Patients with prostate cancer must be hormone refractory (i.e., have documented
evidence of progression while receiving androgen ablative therapy)

- Measurable or nonmeasurable disease

- Measurable disease defined as measurable lesion ≥ 20 mm by x-ray, physical exam,
or nonspiral CT scan or ≥ 10 mm by spiral CT scan

- No documented CNS metastases

- Hormone receptor status not specified

PATIENT CHARACTERISTICS:

- Menopausal status not specified

- ECOG performance status 0-2

- Life expectancy ≥ 12 weeks

- Absolute granulocyte count ≥ 1,500/mm³

- Platelet count ≥ 100,000/mm³

- Bilirubin normal

- Creatinine ≤ 2 times upper limit of normal (ULN)

- AST and ALT ≤ 1.5 times ULN

- PT/INR and PTT normal

- No uncontrolled pain

- No known bleeding disorder

- No history of serious allergic reaction to taxane (paclitaxel or docetaxel)

- No preexisting peripheral neuropathy ≥ grade 2

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- No other serious illness or medical conditions that would preclude study compliance,
including any of the following:

- Active uncontrolled infection

- Significant cardiac dysfunction

- No significant neurological disorder that would preclude giving informed consent

PRIOR CONCURRENT THERAPY:

- No prior strontium chloride Sr 89

- No more than 2 prior chemotherapy regimens, including adjuvant or neoadjuvant
chemotherapy (for patients assigned to schedule B [docetaxel once every 3 weeks])

- More than 4 weeks since prior chemotherapy and recovered

- At least 4 weeks since prior antiandrogens

- More than 4 weeks since prior external-beam radiotherapy, except low-dose
nonmyelosuppressive radiotherapy

- No prior radiotherapy to ≥ 30% of marrow-bearing areas (for patients assigned to
schedule B [docetaxel once every 3 weeks])

- At least 28 days since prior new anticancer therapy

- At least 28 days since prior and no other concurrent investigational agents

- No concurrent radiotherapy, except low-dose nonmyelosuppressive radiotherapy

- No other concurrent cytotoxic therapy

- Concurrent luteinizing hormone-releasing hormone agonist allowed (if already
initiated in patients with prostate cancer)

- No concurrent anticoagulant therapy (i.e., heparin, warfarin)

Type of Study:

Interventional

Study Design:

Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Dose-limiting toxicity

Safety Issue:

Yes

Principal Investigator

Kim N. Chi, MD

Investigator Role:

Study Chair

Investigator Affiliation:

British Columbia Cancer Agency

Authority:

United States: Federal Government

Study ID:

I154

NCT ID:

NCT00471432

Start Date:

March 2003

Completion Date:

December 2009

Related Keywords:

  • Bladder Cancer
  • Breast Cancer
  • Kidney Cancer
  • Lung Cancer
  • Ovarian Cancer
  • Prostate Cancer
  • Unspecified Adult Solid Tumor, Protocol Specific
  • recurrent prostate cancer
  • stage IV prostate cancer
  • recurrent renal cell cancer
  • stage IV renal cell cancer
  • recurrent non-small cell lung cancer
  • stage IV non-small cell lung cancer
  • recurrent bladder cancer
  • stage IV bladder cancer
  • recurrent breast cancer
  • stage IV breast cancer
  • recurrent ovarian epithelial cancer
  • stage IV ovarian epithelial cancer
  • unspecified adult solid tumor, protocol specific
  • male breast cancer
  • Urinary Bladder Neoplasms
  • Breast Neoplasms
  • Carcinoma, Renal Cell
  • Kidney Neoplasms
  • Lung Neoplasms
  • Ovarian Neoplasms
  • Prostatic Neoplasms

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