A Phase II Study Of SU011248 In Patients With Metastatic Colorectal Cancer Who Have Previously Failed Treatment With Irinotecan, Oxaliplatin, And Fluoropyrimidine, With And Without Bevacizumab
Inclusion Criteria
DISEASE CHARACTERISTICS:
- Histologically or cytologically confirmed colorectal adenocarcinoma not amenable to
surgery, radiotherapy, or combined modality therapy with curative intent
- Must have received prior irinotecan, oxaliplatin, and a fluoropyrimidine in the
adjuvant and/or advanced disease setting with or without bevacizumab (in the advanced
disease setting) AND developed resistance to these prior therapies, as defined by one
of the following:
- Irinotecan-, oxaliplatin-, or fluoropyrimidine-resistant disease, defined as
relapse or progression during treatment OR within 6 months after completing the
most recent regimen
- Bevacizumab-resistant disease, defined as disease progression during treatment
OR within 6 months after completing bevacizumab
- At least one unidimensionally measurable lesion at least 20 mm by conventional
radiographic techniques or MRI OR at least 10-16 mm by spiral CT scan
- The following lesions are not considered measurable:
- Bone lesions
- Ascites
- Peritoneal carcinomatosis or miliary lesions
- Pleural or pericardial effusions
- Lymphangitis of the skin or lung
- Cystic lesions
- Irradiated lesions
- Disease documented by indirect evidence only (e.g., by laboratory test,
such as alkaline phosphatase)
- No known brain or leptomeningeal disease
PATIENT CHARACTERISTICS:
Age
- 18 and over
Performance status
- ECOG 0-1
Life expectancy
- Not specified
Hematopoietic
- Absolute neutrophil count ≥ 1,500/mm^3
- Platelet count ≥ 100,000/mm^3
- Hemoglobin ≥ 9.0 g/dL
Hepatic
- AST and ALT ≤ 2.5 times upper limit of normal (ULN) (5 times ULN if abnormalities are
due to underlying malignancy)
- Albumin ≥ 3.0 g/dL
- Bilirubin ≤ 1.5 times ULN
- PT and PTT ≤ 1.5 times ULN
Renal
- Creatinine ≤ 1.5 times ULN
Cardiovascular
- LVEF above lower limit of normal by MUGA
- No ongoing cardiac dysrhythmias ≥ grade 2
- No atrial fibrillation of any grade
- No prolongation of the QTc interval to > 450 msec (for males) or > 470 msec (for
females)
- None of the following conditions within the past 12 months:
- Myocardial infarction
- Severe/unstable angina
- Symptomatic congestive heart failure
- Cerebrovascular accident
- Transient ischemic attack
- Deep vein thrombosis
- Other thromboembolic event
Pulmonary
- No pulmonary embolism within the past 12 months
Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- Amylase and lipase ≤ ULN
- Adrenocorticotrophic hormone stimulation test normal
- No known HIV infection
- No AIDS-related illness
- No other severe acute or chronic medical or psychiatric condition or laboratory
abnormality that would preclude study participation
- No other malignancy within the past 5 years except adequately treated basal cell or
squamous cell skin cancer or carcinoma in situ of the cervix
PRIOR CONCURRENT THERAPY:
Biologic therapy
- See Disease Characteristics
- At least 3 weeks since prior immunotherapy and recovered
- No prior vascular endothelial growth factor inhibitors (except bevacizumab)
- No concurrent biological response modifiers
- No concurrent immunotherapy
Chemotherapy
- See Disease Characteristics
- At least 3 weeks since prior chemotherapy
- No more than 3 prior systemic chemotherapy-based regimens for advanced disease
- Prior chemoembolization therapy allowed provided areas of measurable disease are not
affected
- No concurrent chemotherapy
Endocrine therapy
- No concurrent hormonal therapy
Radiotherapy
- See Disease Characteristics
- At least 3 weeks since prior radiotherapy and recovered
- Areas of measurable disease must not be affected
- No concurrent radiotherapy to the sole site(s) of measurable disease
- Concurrent palliative radiotherapy allowed provided the measurable lesions
(study target lesions) are not included in the irradiated field
Surgery
- Recovered from prior surgery
- Prior surgery allowed provided areas of measurable disease are not affected
- More than 12 months since prior coronary/peripheral artery bypass graft
- No concurrent surgery in the sole site(s) of measurable disease
Other
- Prior intrahepatic therapy or cryotherapy allowed provided areas of measurable
disease are not affected
- No prior tyrosine kinase inhibitors (except bevacizumab)
- No other concurrent anticancer treatment
- No other concurrent investigational drugs
- No concurrent participation in another clinical trial