A Phase I, Open Label, Multiple Dose, Dose Escalation Study OF GW786034 In Patients With Solid Tumors
Inclusion Criteria
DISEASE CHARACTERISTICS:
- Histologically confirmed advanced solid tumor
- Refractory to standard therapy or for which no standard therapy exists
- No untreated leptomeningeal or brain metastases
- Previously treated brain metastases are allowed if currently asymptomatic and
patient is off steroids and antiseizure medications for more than 3 months
before study entry
PATIENT CHARACTERISTICS:
Age
- 21 and over
Performance status
- Karnofsky 70-100%
Life expectancy
- At least 12 weeks
Hematopoietic
- Absolute granulocyte count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
- Hemoglobin at least 9 g/dL
Hepatic
- Bilirubin no greater than 1.5 mg/dL
- AST and ALT no greater than 2 times upper limit of normal (ULN) (5 times ULN if tumor
involvement)
Renal
- Creatinine clearance at least 60 mL/min
Cardiovascular
- No uncontrolled hypertension (systolic blood pressure greater than 160 mm Hg or
diastolic blood pressure greater than 100 mm Hg on 2 consecutive measurements
separated by 1 week)
- No arterial or venous thrombosis (including cerebrovascular accident) within the past
3 months
- No myocardial infarction within the past 3 months
- No unstable angina within the past 3 months
- No cardiac angiopathy or stenting within the past 3 months
- No cardiac pacemaker
Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 21 days after study
treatment
- Able to swallow and retain oral medication
- Good venous access
- No prior or concurrent gastrointestinal disease
- No prior or concurrent condition known to interfere with the absorption,
distribution, metabolism, or excretion of drugs
- No known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs
chemically related to study drug
- No other unstable, pre-existing major medical condition
- No orthopedic pins or rods or other embedded metal that would preclude undergoing an
MRI
- No psychological, familial, sociological, or geographical condition that would
preclude study compliance
PRIOR CONCURRENT THERAPY:
Biologic therapy
- More than 4 weeks since prior immunotherapy
- Concurrent epoetin alfa allowed
- No concurrent anticancer biologic therapy
Chemotherapy
- More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin)
- No concurrent anticancer cytotoxic chemotherapy
Endocrine therapy
- See Disease Characteristics
- More than 4 weeks since prior hormonal or steroid therapy (other than replacement)
- No concurrent anticancer hormonal therapy (except for replacement)
- No concurrent dexamethasone or prednisone
Radiotherapy
- More than 4 weeks since prior radiotherapy
- No concurrent anticancer radiotherapy
Surgery
- More than 4 weeks since prior major surgery
- No concurrent surgery for cancer
Other
- Recovered from prior therapy
- More than 4 weeks since prior investigational agents
- More then 28 days since prior alteration of antihypertensive medications
- Concurrent bisphosphonates allowed
- No other concurrent anticancer therapy
- No concurrent antidepressants (e.g., amitriptyline, fluoxetine, or fluvoxamine)
- No concurrent oral hypoglycemics (e.g., glipizide, glyburide, rosiglitazone, or
tolbutamide)
- No concurrent therapeutic anticoagulation (e.g., warfarin at therapeutic doses)
- Low-dose anticoagulation for prophylaxis allowed
- No concurrent cyclosporine
- No concurrent grapefruit juice
- No concurrent amiodarone, mibefradil, phenobarbital, or pioglitazone
- No concurrent Hypericum perforatum (St. John's Wort)
- No concurrent rifabutin or diethyldithiocarbamate
- No concurrent gestodene, mifepristone, or modafinil
- No concurrent herbal supplements, vitamins, or non-traditional compounds