A Phase I Study of BMS-354825 (Dasatinib) in Children With Recurrent/Refractory Solid Tumors or Imatinib Resistant Ph+ Leukemia (BMS Trial CA180038)
PRIMARY OBJECTIVES:
I. Determine the toxicities and estimate the maximum tolerated dose or the recommended phase
2 dose of dasatinib in pediatric patients with refractory solid tumors.
II. Determine the toxicities of dasatinib in pediatric patients with imatinib
mesylate-resistant Philadelphia chromosome-positive (Ph+) leukemia.
III. Characterize the pharmacokinetics of dasatinib in pediatric patients with refractory
solid tumors or imatinib-resistant Ph+ leukemia.
SECONDARY OBJECTIVES:
I. Preliminarily define the antitumor activity of dasatinib in pediatric patients with
refractory solid tumors within the confines of a phase I study.
II. Obtain pilot data on the activity of dasatinib administered in pediatric patients with
Ph+ leukemia.
III. Assess the biologic activity of dasatinib on tumor cells when available. IV. Determine
the phosphotyrosine state of SRC and ABL substrates and correlate this with dasatinib dosage
and antitumor activity (pharmacodynamics study).
OUTLINE: This is a multicenter, dose-escalation study. Patients are stratified according to
disease (solid tumors vs leukemia).
Stratum 1 (solid tumors): Patients receive oral dasatinib twice daily on days 1-28.
Treatment repeats every 28 days for up to 24 courses in the absence of disease progression
or unacceptable toxicity.
Cohorts of 3-6 patients receive escalating doses of dasatinib until the maximum tolerated
dose (MTD) is determined. The MTD is defined as the dose preceding that at which ≥ 2 of 6
patients experience dose-limiting toxicity (DLT).
Stratum 2 (leukemia): Patients receive dasatinib as in stratum 1. Cohorts of 3-12 patients
receive escalating or de-escalating doses of dasatinib. The MTD is defined as the dose
preceding that at which 7 of 12 patients experience DLT.
After completing study treatment, patients are followed for 1 month.
Interventional
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Maximum tolerated dose defined as the maximum dose at which fewer than 1/3 patients experience dose-limiting toxicities (DLT) graded according to CTCAE
28 days
Yes
Richard Aplenc
Principal Investigator
Children's Oncology Group
United States: Food and Drug Administration
NCI-2012-01824
NCT00316953
March 2006
Name | Location |
---|---|
Children's Oncology Group | Arcadia, California 91006-3776 |