Estonian
Albanian
Arabic
Armenian
Azerbaijani
Belarusian
Bengali
Bosnian
Catalan
Czech
Danish
Deutsch
Dutch
English
Estonian
Finnish
Français
Greek
Haitian Creole
Hebrew
Hindi
Hungarian
Icelandic
Indonesian
Irish
Italian
Japanese
Korean
Latvian
Lithuanian
Macedonian
Mongolian
Norwegian
Persian
Polish
Portuguese
Romanian
Russian
Serbian
Slovak
Slovenian
Spanish
Swahili
Swedish
Turkish
Ukrainian
Vietnamese
Български
中文(简体)
中文(繁體)

ST1968 Intravenous (Weekly) in Solid Tumors

Ainult registreeritud kasutajad saavad artikleid tõlkida
Logi sisse
Link salvestatakse lõikelauale
StaatusValmis
Sponsorid
sigma-tau i.f.r. S.p.A.
Kaastöötajad
Southern Europe New Drug Organization

Märksõnad

Abstraktne

ST1968 is a novel camptothecin derivative which interacts with topoisomerase I-DNA complex, inducing S-Phase specific cytotoxicity. It is endowed with a potent antitumor activity and an increased Therapeutic Index with respect to the clinically used analogues (i.e.irinotecan and topotecan) in some xenograft models (ovary, colon, head & neck, cervix). Anti-tumor activity has been also noted in platinum resistant ovarian cell xenografts and in topoisomerase I mutant prostate cell lines. The acceptable toxicity profile in animals and the activity in camptothecin-resistant cell lines make ST1968 a good candidate for clinical trials.

Kirjeldus

Multicenter, open label, uncontrolled Phase I pharmacokinetic trial to determine the Maximum Tolerated Dose (MTD) of ST1968 given intravenously (I.V.) once every week for 2 consecutive weeks every 3 weeks and the MTD of ST1968 given I.V. once every 3 weeks. A starting dose of 1.5mg/m2 given as a flat dose of 2.5mg is defined, given once on Day 1, Day 8 every 21 Days (D1, D8 Q21D schedule), over 2 h. Starting dose for the Day 1 every 21 Days (D1 Q21D schedule) has to be determined from the MTD of D1, D8 Q21D schedule.

Plasma, urine pharmacokinetics in all patients (minimum of 3 pts for each cohort) during the first cycle of treatment and in at least 6 patients at the Recommended Dose (RD).

During the study any hints of anti-tumor activity will also be evaluated by RECIST criteria.

Kuupäevad

Viimati kinnitatud: 05/31/2012
Esmalt esitatud: 06/11/2012
Hinnanguline registreerumine on esitatud: 12/09/2012
Esmalt postitatud: 12/11/2012
Viimane värskendus on esitatud: 12/09/2012
Viimati värskendus postitatud: 12/11/2012
Õppe tegelik alguskuupäev: 05/31/2007
Eeldatav esmane lõpetamise kuupäev: 05/31/2011
Eeldatav uuringu lõpetamise kuupäev: 11/30/2011

Seisund või haigus

Solid Tumors

Sekkumine / ravi

Drug: ST1968

Faas

Faas 1

Käerühmad

ArmSekkumine / ravi
Experimental: ST1968
ST1968 once a week for 2 weeks every 3 weeks (protocol amendment: once every 3 weeks --------------------------------------------------------------------------------
Drug: ST1968
ST1968 once a week for 2 weeks every 3 weeks (protocol amendment: once every 3 weeks

Abikõlblikkuse kriteeriumid

Õppimiseks sobivad vanused 18 Years To 18 Years
Uuringuks kõlblikud soodAll
Võtab vastu tervislikke vabatahtlikkeJah
Kriteeriumid

Inclusion Criteria:

- Histological/cytological diagnosis of solid tumors for which therapy of proven efficacy does not exist.

- Preferably measurable disease

- ECOG performance status ≤ 1.

- Age ≥ 18 years.

- Ongoing toxicity associated with prior anticancer therapy ≤ grade 1 (NCI-CTCAE V3.0).

- Maximum of 2 prior chemotherapy lines for advanced disease (not including neoadjuvant or adjuvant chemotherapy)

- Adequate hematological, liver and renal function

- Hemoglobin ≥ 9 g/dl; ANC ≥ 1.5 x 109/L; platelets ≥ 100 x 109/L;

- Serum bilirubin ≤ upper normal limit (UNL). ALT, AST ≤ UNL but ≤ 2.5 x UNL in case of liver metastases; alkaline phosphatase (liver isoenzyme fraction) ≤ UNL or ≤ 1.5xULN in case of liver metastases; albumin within normal limits;

- Creatinine ≤1.5 mg/dl or calculated creatinine clearance ≥ 60 ml/min.

- Life expectancy of at least 3 months

- Capacity of understanding the nature of the trial and giving written informed consent.

Exclusion Criteria:

- Less than 4 weeks since last chemotherapy, radiotherapy or prior investigational therapy. Less than 2 weeks since last hormone or immunotherapy or signal transduction therapy.

- Active infection.

- Presence of cirrhosis or chronic hepatitis

- Presence of serious cardiac (congestive heart failure, angina pectoris, myocardial infarction within one year prior to study entry, uncontrolled hypertension or arrhythmia), neurological or psychiatric disorder.

- Presence of uncontrolled intercurrent illness or any condition which in the judgement of the investigator would place the subject at undue risk or interfere with the results of the study.

- Symptomatic brain metastases (this does not include primary brain tumors) or leptomeningeal disease.

- Pregnancy or lactation or unwillingness to use adequate method of birth control

Tulemus

Esmased tulemusnäitajad

1. Maximum Tolerated Dose (MTD) of ST1968 given I.V. once every week for 2 consecutive weeks every 3 weeks and MTD of ST1968 given I.V. once every 3 weeks [21 days]

2/6 patients with a Dose Limiting Toxicity (DLT) at the first cycle (21 days)

Sekundaarsed tulemusmõõdud

1. Adverse events, physical examination and laboratory tests (hematology and biochemistry) as a measure of safety and tolerability [21 days of each cycle of therapy]

safety assessments (routine physical examinations and laboratory evaluations) and severity of adverse events based on the NCI-Common Terminology Criteria for Adverse Events V. 3.0 (NCI-CTCAE)

2. Tumor response [4 weeks]

objective tumor response based on RECIST criteria

3. Tmax, Cmax, AUC0-24, AUC-last, T1/2,CL [21 days]

full blood and urine PK

Liitu meie
facebooki lehega

Kõige täiuslikum ravimtaimede andmebaas, mida toetab teadus

  • Töötab 55 keeles
  • Taimsed ravimid, mida toetab teadus
  • Maitsetaimede äratundmine pildi järgi
  • Interaktiivne GPS-kaart - märgistage ürdid asukohas (varsti)
  • Lugege oma otsinguga seotud teaduspublikatsioone
  • Otsige ravimtaimi nende mõju järgi
  • Korraldage oma huvisid ja hoidke end kursis uudisteuuringute, kliiniliste uuringute ja patentidega

Sisestage sümptom või haigus ja lugege ravimtaimede kohta, mis võivad aidata, tippige ürdi ja vaadake haigusi ja sümptomeid, mille vastu seda kasutatakse.
* Kogu teave põhineb avaldatud teaduslikel uuringutel

Google Play badgeApp Store badge