A Phase I Study of Temozolomide, Oral Irinotecan, and Vincristine for Children With Refractory Solid Tumors
OBJECTIVES:
Primary
- Determine the maximum tolerated dose and recommended phase II dose of irinotecan when
administered with temozolomide and vincristine in young patients with refractory solid
tumors, including brain tumors.
- Determine the toxic effects of this regimen in these patients.
- Compare the toxic effects of this regimen in patients with low- vs high-risk UGT1A1
genotypes.
- Determine the pharmacokinetics of irinotecan in these patients.
Secondary
- Determine, preliminarily, the antitumor activity of this regimen in these patients.
- Correlate UGT1A1, UGT1A7, UGT1A9, and BCRP genotypes with the pharmacokinetics and
pharmacodynamics of irinotecan and its metabolites in these patients.
OUTLINE: This is a multicenter, dose-escalation study of irinotecan. Patients are stratified
according to UGT1A1 genotype (high-risk [7/7 or 6/7 genotype AND bilirubin ≥ 0.6 mg/dL] vs
low-risk [absence of high-risk criteria]) if a high-risk patient experiences a dose-limiting
toxicity (DLT).
Patients receive oral temozolomide on days 1-5 and oral irinotecan on days 1-5 and 8-12.
Patients also receive vincristine IV over 1 minute on days 1 and 8. Treatment repeats every
21 days for up to 17 courses in the absence of disease progression or unacceptable toxicity.
Cohorts of 3-6 patients receive escalating doses of irinotecan until the maximum tolerated
dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6
patients experience DLT.
After completion of study treatment, patients are followed for 1 month and then annually
thereafter.
PROJECTED ACCRUAL: A total of 3-36 patients will be accrued for this study within 18 months.
Interventional
Primary Purpose: Treatment
Lars M. Wagner, MD
Study Chair
Children's Hospital Medical Center, Cincinnati
United States: Federal Government
CDR0000440069
NCT00138216
October 2005
Name | Location |
---|---|
Children's Hospital of Philadelphia | Philadelphia, Pennsylvania 19104 |
Mayo Clinic Cancer Center | Rochester, Minnesota 55905 |
Children's Hospital of Orange County | Orange, California 92668 |
Children's Hospital and Regional Medical Center - Seattle | Seattle, Washington 98105 |
Children's Memorial Hospital - Chicago | Chicago, Illinois 60614 |
Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute | Boston, Massachusetts 02115 |
SUNY Upstate Medical University Hospital | Syracuse, New York 13210 |
Cincinnati Children's Hospital Medical Center | Cincinnati, Ohio 45229-3039 |
Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas | Dallas, Texas 75390 |
Indiana University Melvin and Bren Simon Cancer Center | Indianapolis, Indiana 46202-5289 |
Masonic Cancer Center at University of Minnesota | Minneapolis, Minnesota 55455 |
Herbert Irving Comprehensive Cancer Center at Columbia University Medical Center | New York, New York 10032 |
Stanford Cancer Center | Stanford, California 94305-5824 |
Lehigh Valley Hospital - Muhlenberg | Bethlehem, Pennsylvania 18017 |
Lurleen Wallace Comprehensive Cancer at University of Alabama - Birmingham | Birmingham, Alabama 35294 |
Oregon Health and Science University Cancer Institute | Portland, Oregon 97239-3098 |