中文(简体)
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

只有注册用户可以翻译文章
登陆注册
链接已保存到剪贴板
状态已完成
赞助商
sigma-tau i.f.r. S.p.A.
合作者
Southern Europe New Drug Organization

关键词

抽象

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.

描述

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.

日期

最后验证: 05/31/2012
首次提交: 06/11/2012
提交的预估入学人数: 12/09/2012
首次发布: 12/11/2012
上次提交的更新: 12/09/2012
最近更新发布: 12/11/2012
实际学习开始日期: 05/31/2007
预计主要完成日期: 05/31/2011
预计完成日期: 11/30/2011

状况或疾病

Solid Tumors

干预/治疗

Drug: ST1968

相 1

手臂组

干预/治疗
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

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

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

结果

主要结果指标

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)

次要成果指标

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

加入我们的脸书专页

科学支持的最完整的草药数据库

  • 支持55种语言
  • 科学支持的草药疗法
  • 通过图像识别草药
  • 交互式GPS地图-在位置标记草药(即将推出)
  • 阅读与您的搜索相关的科学出版物
  • 通过药效搜索药草
  • 组织您的兴趣并及时了解新闻研究,临床试验和专利

输入症状或疾病,并阅读可能有用的草药,输入草药并查看所使用的疾病和症状。
*所有信息均基于已发表的科学研究

Google Play badgeApp Store badge