Phase I Study of the Vascular Disrupting Agent NPI-2358 Administered Via Intravenous Infusion in Patients With Advanced Solid Tumor Malignancies or Lymphoma
Inclusion Criteria:
- ECOG performance status ≤ 2
- Pathologically or histologically confirmed solid tumor malignancy
- Patients must not be candidates for regimens known to provide clinical benefit.
- All adverse events of any prior chemotherapy, surgery, or radiotherapy, must have
resolved to National Cancer Institute Common Terminology Criteria for Adverse Events
(NCI CTCAE) (v. 3.0) Grade ≤ 2, except for neurological toxicity that must have
resolved to Grade ≤ 1.
- Adequate bone marrow reserve, hepatic and renal function
- Signed informed consent
Exclusion Criteria:
- Administration of chemotherapy, biological, immunotherapy or investigational agent
(therapeutic or diagnostic) within 21 days prior to receipt of study medication (6
weeks for nitrosoureas or mitomycin C; 12 weeks for radioimmunotherapy). Major
surgery, other than diagnostic surgery, within 6 weeks before first study drug
administration. Radiotherapy within 4 weeks (some types of radiation therapy are
excluded regardless of interval since treatment).
- Significant cardiac history or findings
- Underlying conditions or medications associated with bleeding diathesis
- Disorders associated with significant vascular pathology
- Lung cancer with central chest tumors
- Prior treatment with vascular disruptive agents
- Seizure disorder requiring anticonvulsant therapy; prior transient ischemic attack or
cerebrovascular accident
- Brain metastases
- Severe chronic obstructive pulmonary disease (COPD) with hypoxemia
- Active uncontrolled bacterial, viral, or fungal infection, requiring systemic therapy
- Known infection with human immunodeficiency virus (HIV), active hepatitis A, B, or C
- Patients with a prior hypersensitivity reaction to any product containing Solutol
and/or propylene glycol
- Pregnant or breast-feeding women. Female patients must be postmenopausal, surgically
sterile or they must agree to use acceptable methods of birth control. Female
patients with childbearing potential must have a negative serum pregnancy test. Male
patients must be surgically sterile or agree to use an acceptable method of
contraception.
- Concurrent, active second malignancy for which the patient is receiving therapy,
excluding basal cell carcinoma of the skin or carcinoma in situ of the cervix