A Phase I Evaluation of the Combination of Pegylated Liposomal Doxorubicin (Doxil®) With PS-341 in Patients With Refractory Hematologic and Solid Malignancies
OBJECTIVES:
Primary
- Determine the maximum tolerated dose of bortezomib when administered with pegylated
doxorubicin hydrochloride liposome in patients with refractory hematologic or solid
tumor malignancies. (Phase I [closed to accrual as of 10/15/2007])
- Determine the dose-limiting toxicity of this regimen in these patients. (Phase I
[closed to accrual as of 10/15/2007])
- Determine the response rate in patients with metastatic breast cancer treated with this
regimen. (Phase II)
Secondary
- Determine the response in patients with hematologic or solid tumor malignancies treated
with this regimen. (Phase I [closed to accrual as of 10/15/2007])
- Determine the time to disease progression in patients with metastatic breast cancer
treated with this regimen. (Phase II)
- Obtain further evidence of the safety of this regimen in patients with metastatic
breast cancer. (Phase II)
OUTLINE: This is a phase I (closed to accrual as of 10/15/2007), dose-escalation study of
bortezomib followed by a phase II study.
- Phase I (closed to accrual as of 10/15/2007): Patients receive bortezomib IV on days 1,
4, 8, and 11 and pegylated doxorubicin hydrochloride liposome IV over 1 hour on day 4.
Treatment repeats every 21 days in the absence of disease progression or unacceptable
toxicity.
- Phase II: Patients receive bortezomib (at the maximum tolerated dose determined in
phase I) and pegylated doxorubicin hydrochloride liposome as in phase I.
After completion of study therapy, patients are followed at 1 week.
PROJECTED ACCRUAL: A total of 72 patients will be accrued for the phase I portion of the
study and 40 for the phase II portion.
Interventional
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Maximum tolerated dose (MTD) of PS-341 in combination with Doxil (Phase I)
When the current dose level exceeds the MTD, the preceding dose-level will be considered to be the MTD if there have been six patients treated at that dose level. Otherwise, 3 additional patients will be treated at the presumed MTD. No further dose escalation will occur. MTD, like dose limiting toxicity (DLT), will be defined based on toxicities seen within the first cycle. Among the additional 3 patients enrolled in a cohort, if one or more DLT is observed, the MTD will be considered to have been exceeded
1 year
Yes
Elizabeth C. Dees, MD
Principal Investigator
UNC Lineberger Comprehensive Cancer Center
United States: Food and Drug Administration
LCCC 2020
NCT00237627
May 2001
January 2010
Name | Location |
---|---|
Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill | Chapel Hill, North Carolina 27599-7570 |