A Phase I/II Study of GW572016 in Patients With Recurrent Malignant Glioma
OBJECTIVES:
Phase I
- Determine the maximum tolerated dose and recommended phase II dose of lapatinib in
patients with recurrent malignant glioblastoma multiforme who are taking CYP3A4
enzyme-inducing anti-epileptic drugs (EIAEDs).
- Determine the toxic effects of this drug in these patients.
- Determine the pharmacokinetics of this drug in these patients.
Phase II
- Determine the efficacy of this drug, in terms of objective tumor response rate, in
patients who are taking EIAEDs and in those who are not taking EIAEDs.
- Correlate immunohistochemical measures of cellular proteins and receptors from tumor
samples with anti-tumor activity of this drug in these patients.
- Determine the pharmacokinetics of this drug in these patients.
OUTLINE: This is a multicenter, open-label, phase I, dose-escalation study followed by a
phase II study.
- Phase I: Patients receive oral lapatinib twice daily on days 1-28. Courses repeat every
28 days in the absence of unacceptable toxicity or disease progression.
Cohorts of 3-6 patients receive escalating doses of lapatinib until the maximum tolerated
dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2
of 6 patients experience dose-limiting toxicity.
- Phase II: Patients receive lapatinib as in phase I at the MTD. Patients are followed at
1 month and then periodically for survival. Patients with stable or responding disease
who go off therapy are followed every 3 months for up to one year and then periodically
thereafter for survival.
PROJECTED ACCRUAL: A total of 3-24 patients will be accrued for the phase I portion of this
study within 18 months. A total of 15-30 patients will be accrued for the phase II portion
of this study within 18 months.
Interventional
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Toxicity for phase I assessed by CTCAE v.3.0 MacDonald criteria
7 years
Yes
Brian A. Thiessen, MD
Study Chair
British Columbia Cancer Agency
United States: Federal Government
I170
NCT00099060
December 2004
January 2011
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