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A Phase I Dose Finding Study of XRP6258 Administered as a Weekly 1-hour Intravenous Infusion to Patients With Advanced Solid Tumors


Phase 1
18 Years
70 Years
Not Enrolling
Both
Advanced Solid Tumor

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Trial Information

A Phase I Dose Finding Study of XRP6258 Administered as a Weekly 1-hour Intravenous Infusion to Patients With Advanced Solid Tumors


The duration of the study will include the following periods:

- Pretreatment: 28 to 7 days before first infusion

- Treatment: Weekly for the first four consecutive weeks during 5-week treatment cycle

- Post-treatment: 3 - 4 weeks after last infusion.

Treatment may be continued until disease progression or unacceptable toxicity or patient
refusal.

Inclusion Criteria


Inclusion criteria:

1. Signed informed consent prior to beginning protocol specific procedures

2. Histologically proven cancer at the first diagnosis. At study entry, it was desirable
but not required to have histological or cytological proof of metastasis in the case
of a 1 single metastatic target lesion.

3. Advanced neoplastic disease that was refractory to conventional treatment or for
which no standard therapy existed

4. Progressive disease

5. Age 18-70 years

6. ECOG (Eastern Cooperative Oncology Group) performance status of 0 to 2

7. Off previous anticancer (radio- or chemo-) therapy for at least 4 weeks and 6 weeks
if prior nitrosoureas, mitomycin C; recovery from the toxic effects of prior
treatment (Grade ≤1, except alopecia any grade)

8. Off previous immunotherapy for at least 1 week provided that patients did not have
any residual signs of any toxicity

9. Adequate organ function including: neutrophils ≥2.0 × 109/L; platelets ≥100 × 109/L,
creatinine <120 μmol/L (if borderline creatinine values, the creatinine clearance had
to be ≥60 mL/min); total bilirubin within normal limit; alanine aminotransferase
(ALT)/aspartate aminotransferase (AST)/alkaline phosphatase (ALP) ≤2.5-fold the upper
normal limits of the institutional norms (ALP ≤2.5 UNL)

10. Patients registered in this trial had to be treated and followed at the participating
centers

11. Patients who had received previous treatment with paclitaxel or docetaxel could be
included provided that they did not have any residual signs of taxane toxicity
(except alopecia any grade and peripheral neuropathy Grade 1)

Exclusion Criteria:

1. Hematological malignancies

2. Pregnant or lactating women or women of childbearing potential (eg, not using
adequate contraception)

3. Symptomatic brain metastases

4. Previous extensive radiotherapy (>20% of bone marrow area)

5. Current peripheral neuropathy of any origin including significant residual symptoms
due to the use of eg, vinca-alkaloids or platinum ≥Grade 2 according to the National
Cancer Institute common terminology criteria for adverse events.

6. Other serious illness or medical conditions:

- Congestive heart failure or angina pectoris even if medically controlled,
previous history of myocardial infarction within 1 year from study entry,
uncontrolled hypertension or arrhythmias

- Existence of significant neurological or psychiatric disorders including
dementia or seizures

- Active infection

- Uncontrolled peptic ulcer, unstable diabetes mellitus, or other
contraindications for the use of corticosteroids

7. Concurrent treatment with other experimental drugs. Participation in another clinical
trial with any investigational drug within 30 days prior to patient registration

8. Concurrent treatment with any other anticancer therapy

9. Concomitant radiotherapy

10. Concomitant treatment with corticosteroids. However, patients receiving chronic
treatment with corticosteroids (≤20 mg of methylprednisolone or ≤4 mg of
dexamethasone or equivalent dose of other corticosteroids), for whatever reason, were
eligible.

11. More than 2 prior chemotherapy regimens containing mitomycin C or nitrosoureas

12. More than 2 prior chemotherapy regimens for advanced disease

13. Prior history of severe allergic reaction to docetaxel or paclitaxel

14. Prior intensive chemotherapy with autologous stem cell rescue

The above information is not intended to contain all considerations relevant to a
patient's potential participation in a clinical trial.

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Dose-limiting toxicity

Outcome Time Frame:

Up to 35 months

Safety Issue:

Yes

Principal Investigator

Clinical Sciences & Operations

Investigator Role:

Study Director

Investigator Affiliation:

Sanofi

Authority:

France: Agence Nationale de Sécurité du Médicament et des produits de santé

Study ID:

TED6189

NCT ID:

NCT01755390

Start Date:

October 1999

Completion Date:

October 2002

Related Keywords:

  • Advanced Solid Tumor
  • Neoplasms

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