A Pharmacogenetic and Pharmacodynamic Study of Erlotinib (OSI-774) Toxicity in Patients With Advanced Solid Tumors
PRIMARY OBJECTIVES:
I. To determine if a significant correlation exists between the length of the CA
dinucleotide repeat polymorphism in the EGFR gene and observed toxicity in patients treated
with OSI-774.
SECONDARY OBJECTIVES:
I. To study the pharmacodynamic effects of OSI-774 on EGFR activity and MAP kinase signaling
using skin as a surrogate tissue.
II. To determine if interindividual variation of OSI-774 pharmacokinetics is related to a
previously described CYP3A5 genetic polymorphism.
III. To evaluate whether toxicity or inhibition of EGFR phosphorylation correlates with
OSI-774 AUC in patients treated with OSI-774.
IV. To describe the observed anti-tumor response and toxicities in patients with advanced
solid tumors treated with single agent fixed dose of OSI-774.
OUTLINE: This is a multicenter study. Patients are stratified according to length of CA
dinucleotide repeat polymorphism (short vs medium vs long).
Patients receive oral erlotinib on days 1-28. Courses repeat every 28 days in the absence of
disease progression or unacceptable toxicity.
Interventional
Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Rate of diarrhea and skin rash across the short, medium, and long genotype frequencies of the CA polymorphism
Compared using Armitage's test for a trend in proportions. In the event that the relationship between toxicity and length of the polymorphism is not monotone, a two degree-of-freedom chisquare test will be used in place of the trend test. The number of CA repeats treated as a continuous variable by averaging the number of repeats on each chromosome. Logistic regression analysis will then be performed to model the probability of toxicity as a function of the average length.
Baseline
Yes
Charles Rudin
Principal Investigator
University of Chicago Comprehensive Cancer Center
United States: Food and Drug Administration
NCI-2012-03097
NCT00063895
April 2003
Name | Location |
---|---|
University of Chicago Comprehensive Cancer Center | Chicago, Illinois 60637-1470 |