A Phase I, Open-Label, Dose-Seeking Study of AZD2171 Given Daily Orally in Combination With Standard Chemotherapy Regimens (CT) in Patients With Advanced Incurable Non-Small Cell Lung Cancer (NSCLC) or Colorectal Cancer or Other Tumor Types Suitable for Treatment With Capecitabine
OBJECTIVES:
- Determine the maximum tolerated dose and recommended phase II dose of AZD2171 when
administered in combination with standard chemotherapy comprising either paclitaxel and
carboplatin OR capecitabine in patients with advanced incurable non-small cell lung
cancer (closed to accrual as of 8/9/07), colorectal cancer, or other tumor types
suitable for treatment with capecitabine.
- Determine the safety and tolerability of these regimens in these patients.
- Determine the toxicity profile and dose-limiting toxic effects of these regimens in
these patients.
- Determine the pharmacokinetic profile of these regimens in these patients.
- Correlate the toxicity profile with the pharmacokinetic profile of these regimens in
these patients.
- Determine the antitumor activity of these regimens in patients with measurable disease.
- Correlate patient outcome (response) with baseline (using tumor samples) and serial
(using urine and plasma samples) biomarkers in patients treated with these regimens.
OUTLINE: This is an open-label, multicenter, dose-escalation study of AZD2171. Patients are
assigned to 1 of 2 treatment groups according to diagnosis.
- Group 1 (non-small cell lung cancer) (closed to accrual as of 8/9/07): Patients receive
paclitaxel IV and carboplatin IV on day 1. Patients also receive oral AZD2171 once
daily on days 2-21 of course 1 and on days 1-21 of all subsequent courses. Treatment
with paclitaxel and carboplatin repeats every 21 days for up to 8 courses in the
absence of disease progression or unacceptable toxicity. Treatment with AZD2171 repeats
every 21 days in the absence of disease progression or unacceptable toxicity.
- Group 2 (colorectal or other tumor types): Patients receive oral capecitabine twice
daily on days 1-14. Patients also receive oral AZD2171 once daily on days 8-21 of
course 1 and on days 1-21 of all subsequent courses. Treatment with capecitabine
repeats every 21 days for up to 6 courses in the absence of disease progression or
unacceptable toxicity. Treatment with AZD2171 repeats every 21 days in the absence of
disease progression or unacceptable toxicity.
In both groups, patients achieving a complete response (CR) OR a stable partial response
(SPR) receive 2 additional courses beyond CR or SPR.
Cohorts of 3-6 patients per group receive escalating doses of AZD2171 until the maximum
tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2
of 6 patients experience dose-limiting toxicity. Up to 30 additional patients (20 in group 1
and 10 in group 2) will be treated at the MTD.
After completion of study treatment, patients are followed at 4 weeks and then every 3
months until disease relapse.
PROJECTED ACCRUAL: A total of 3-35 patients will be accrued for this study.
Interventional
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Dose limiting toxicity
To recommend phase II dose of AZD2171 when given orally daily in combination with standard chemotherapy in patients with advanced NSCLC or colon cancer or other tumour types suitable for treatment with capecitabine.
Each dose level
Yes
Derek Jonker, MD
Study Chair
Ottawa Regional Cancer Centre
Canada: Health Canada
I171
NCT00107250
January 2005
January 2011
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