Romanian
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)

XAD - Xelox (Capecitabine + Oxaliplatin) + Bevacizumab + Dasatinib

Numai utilizatorii înregistrați pot traduce articole
Log In / Înregistrare
Linkul este salvat în clipboard
stareEfectuat
Sponsorii
Herbert Hurwitz, MD
Colaboratori
Bristol-Myers Squibb

Cuvinte cheie

Abstract

The primary purpose of this study is to find the highest tolerated dose of the study drugs: capecitabine, oxaliplatin, bevacizumab, and dasatinib given in combination to subjects with advanced solid tumors. This will occur in the first part of the study (Phase I). Once this dose has been determined, it will be given to subjects with advanced metastatic colorectal cancer in the second part of the study (Phase II).
By giving these drugs in combination, researchers hope to evaluate the side effects of the study drugs in both groups, and to determine if this combination could possibly decrease or stabilize the cancer being treated.
Subjects will be enrolled at Duke University Medical Center (DUMC) and Rocky Mountain Cancer Center.
After satisfying eligibility and screening criteria, patients will be treated on 21 day cycles.
ABOUT THE STUDY DRUGS
- Capecitabine (Xeloda™) is an oral (taken by mouth) chemotherapy drug in tablet form made by Roche Laboratories Inc. Capecitabine has been approved for use by the Food and Drug Administration (FDA) for first line treatment (treatment that should be used for cancer that has not been treated yet) of metastatic colorectal cancer and also for metastatic breast cancer.
- Oxaliplatin (Eloxatin™) is an intravenous (given by injection into a vein) chemotherapy drug made by Sanofi-Synthélabo. This drug is also approved by the FDA for use in metastatic colorectal cancer.
- Bevacizumab (Avastin™) is a type of intravenous cancer treatment called anti-angiogenic therapy (a type of therapy to treat cancer that interferes with blood flow to the tumor, thereby stopping tumor growth, and possibly leading to tumor shrinkage) made by Genentech Inc. Bevacizumab is approved by the FDA for first line treatment of metastatic colorectal cancer in combination with other chemotherapy.
- Dasatinib (Sprycel™) is an oral drug made by Bristol Myers Squib, Inc (BMS). Dasatinib is approved by the FDA for the treatment of chronic myeloid leukemia (CML), acute lymphoblastic leukemia or for patients that are resistant to a medicine called imatinib mesylate (Gleevec™ ).

Datele

Ultima verificare: 01/31/2016
Primul depus: 06/09/2009
Inscriere estimată trimisă: 06/10/2009
Prima postare: 06/14/2009
Ultima actualizare trimisă: 02/01/2016
Ultima actualizare postată: 02/02/2016
Data actuală de începere a studiului: 04/30/2009
Data estimată de finalizare primară: 04/30/2010
Data estimată de finalizare a studiului: 07/31/2014

Stare sau boală

Solid Tumor
Metastatic Colorectal Cancer

Intervenție / tratament

Drug: Dasatinib 50mg

Drug: Dasatinib 50mg

Drug: Dasatinib 50mg

Drug: Dasatinib 50mg

Fază

Fază 1

Grupuri de brațe

BraţIntervenție / tratament
Experimental: Dasatinib 50mg
Cohort 1
Drug: Dasatinib 50mg
dasatinib at 50 mg PO BID)

Criterii de eligibilitate

Vârste eligibile pentru studiu 18 Years La 18 Years
Sexe eligibile pentru studiuAll
Acceptă voluntari sănătoșida
Criterii

Inclusion Criteria:

Criteria Specific for Dose Escalation (Phase I)

1. Patients must have histologically confirmed solid tumor malignancy that is metastatic or unresectable and for which standard curative or palliative measures do not exist or are no longer effective, or for whom capecitabine, oxaliplatin, and/or bevacizumab would be considered a standard therapy or therapeutic option.

2. Patients must not have had radiation therapy, hormonal therapy, biologic therapy or chemotherapy for cancer within the 28 days prior to study day 1.

Criteria Specific for Expanded Cohort Portion of Trial Only

1. Histologically documented adenocarcinoma of the colon or rectum that is metastatic/recurrent disease

2. No prior chemotherapy for metastatic/recurrent colorectal cancer. Patients may have received a radiosensitizing dose of 5-fluorouracil or capecitabine for the treatment of local disease in the localized or metastatic setting.

3. No history of other carcinomas within the last five years, except cured non-melanoma skin cancer, curatively treated in-situ cervical cancer, or localized prostate cancer

4. Disease must be measurable by Response Evaluation Criteria In Solid Tumors (RECIST) criteria

Inclusion Criteria for All Participants

1. Age >18 years.

2. Karnofsky performance status > 70%.

3. Life expectancy of at least 3 months.

4. Patients must have adequate organ and marrow function as defined below:

5. Sexually active women of childbearing potential must use an effective method of birth control during the course of the study, in a manner such that risk of failure is minimized.

6. All women of child bearing potential (WOCBP) MUST have a negative pregnancy test within 7 days prior to first receiving investigational product.

7. Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria for ALL Subjects:

1. Patients who have had radiation therapy, hormonal therapy, biologic therapy, or chemotherapy for cancer within the 28 days prior to day 1 of the study (ie - first day of study drug treatment).

2. Patients who have received any other investigational agents within the 28 days prior to day 1 of study drug treatment.

3. Patients with known central nervous system (CNS) metastases.

4. Inadequately controlled hypertension

5. Significant vascular disease (e.g., aortic aneurysm, aortic dissection)

6. Symptomatic peripheral vascular disease

7. Evidence of bleeding diathesis or coagulopathy. Patients on full-dose anticoagulation are permitted to enroll provided that they have been clinically stable on anti- coagulation.

8. Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to day 1 of study drug treatment

9. Core biopsy or other minor surgical procedure excluding placement of a vascular access device, within 7 days prior to expected start of treatment.

10. History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to study day 1

11. Serious, non-healing wound, ulcer, or bone fracture

12. Proteinuria at screening

13. Any prior history of hypertensive crisis or hypertensive encephalopathy

14. New York Heart Association (NYHA) Grade II or greater congestive heart failure

15. History of myocardial infarction, unstable angina, cardiac or other vascular stenting, angioplasty, or surgery within 6 months prior to study treatment day 1

16. History of stroke or transient ischemic attack within 6 months prior to study treatment day 1

17. History of intolerance or hypersensitivity to prior treatment with capecitabine, oxaliplatin, bevacizumab and/or dasatinib.

18. No previous treatment with dasatinib.

19. Prior unanticipated severe reaction to fluoropyrimidine therapy, or known hypersensitivity to 5-fluorouracil, or known dihydropyrimidine dehydrogenase (DPD) deficiency.

20. Patient with grade 2 or greater peripheral neuropathy

21. Chronic treatment with systemic steroids or another immunosuppressive agent.

22. Other concurrent severe and/or poorly controlled medical condition that could compromise safety of treatment as so judged by treating physician.

23. A known history of HIV seropositivity,hepatitis C virus, acute or chronic active hepatitis B infection, or other serious chronic infection requiring ongoing treatment.

24. Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter drug absorption (e.g., inflammatory bowel disease, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome or significant small bowel resection)

25. Patients unwilling to or unable to comply with the protocol

26. Diagnosed or congenital long QT syndrome

27. Any history of clinically significant ventricular arrhythmias

28. Prolonged corrected QT (QTc) interval on pre-entry electrocardiogram (> 450 msec)

29. Pleural effusion grade > 2.

30. Patients currently taking drugs that are generally accepted to have a risk of causing Torsades de Pointes including:

31. History of significant bleeding disorder unrelated to cancer

32. Patients actively taking proton pump inhibitors or H2 antagonists will be excluded from this study.

33. Any psychiatric illness/social situations that would limit safety or compliance with study requirements

34. Medications that inhibit platelet function (except low dose aspirin as defined in study protocol)

35. Use of medications that are either Cytochrome P450 3A4 (CYP3A4) inhibitors or inducers

Rezultat

Măsuri de rezultate primare

1. To determine the maximum tolerated dose(MTD)/recommended phase II dose (RPTD) of capecitabine/oxaliplatin/bevacizumab/dasatinib for patients with advanced solid tumors. [9 months]

Măsuri de rezultate secundare

1. To further describe dose-limiting and non-dose-limiting toxicities associated with this regimen. [12 months]

2. To describe clinical activity (partial response (PR), complete response (CR) or stable disease (SD)>6 months, time to progression, and overall survival) associated with this regimen for patients with previously untreated metastatic and/or re [2 years]

3. To explore any correlation between blood, urine, and paraffin biomarkers and clinical outcomes [3 years]

Alăturați-vă paginii
noastre de facebook

Cea mai completă bază de date cu plante medicinale susținută de știință

  • Funcționează în 55 de limbi
  • Cure pe bază de plante susținute de știință
  • Recunoașterea ierburilor după imagine
  • Harta GPS interactivă - etichetați ierburile în locație (în curând)
  • Citiți publicațiile științifice legate de căutarea dvs.
  • Căutați plante medicinale după efectele lor
  • Organizați-vă interesele și rămâneți la curent cu noutățile de cercetare, studiile clinice și brevetele

Tastați un simptom sau o boală și citiți despre plante care ar putea ajuta, tastați o plantă și vedeți boli și simptome împotriva cărora este folosit.
* Toate informațiile se bazează pe cercetări științifice publicate

Google Play badgeApp Store badge