A Phase I Safety, Pharmacodynamic, Anti-Tumor Activity, and Pharmacokinetic Study of PXD101 Alone and in Combination With 5-Fluorouracil in Patients With Advanced Solid Tumors
Inclusion Criteria:
- Histologically confirmed solid tumors
- Advanced colorectal cancer or other adenocarcinomas
- Tumor progression after standard chemotherapy, or where none yet approved
- At least one unidimensionally measurable lesion
- Karnofsky performance >= 70%
- Life expectancy of at least 3 months
- Age >= 18 years
- Signed, written Institutional Review Board (IRB)-approved informed consent
- Acceptable liver function:
- Bilirubin <= 1.5 x upper limit of normal (ULN)
- AST (SGOT) and ALT (SGPT) <= 2.5 x ULN, OR
- AST (SGOT) and ALT (SGPT) <= 5 x ULN if liver metastasis
- Acceptable renal function:
- Serum creatinine within normal limits, OR
- Calculated creatinine clearance of >= 60 mL/min/1.73 m2 for certain patients
- Acceptable hematologic status:
- Absolute neutrophil count (ANC) >= 1500 cells/mm3
- Platelet count >= 100,000 (plt/mm3)
- Hemoglobin >= 9 g/dL
- Urinalysis: No clinically significant abnormalities
- Acceptable coagulation status:
- Prothrombin time (PT)/partial thromboplastin time (PTT) within normal limits, OR
- For patients on anticoagulation therapy, status within therapeutic range
- For men and women of child-producing potential, use of effective contraception
- Tumors accessible for needle biopsy
Exclusion Criteria:
- Significant cardiovascular disease.
- A marked baseline prolongation of QT/QTc interval
- Long QT syndrome
- Required use of medication on dosing days that may cause torsade de pointes.
- Infections requiring intravenous (IV) systemic therapy
- Pregnant or nursing women
- Treatment with chemotherapy or investigational therapy < 4 weeks (28 days) prior to
study entry (6 weeks for nitrosoureas, mitomycin C, or Avastin).
- Treatment with radiation therapy or surgery either within 2 weeks prior to study
entry, or not yet recovered if 2-4 weeks prior to study entry.
- Unwillingness or inability to comply with protocol procedures.
- Known active uncontrolled infection with HIV, hepatitis B, or hepatitis C
- Serious nonmalignant disease (e.g. hydronephrosis, liver failure, or other
conditions) that could compromise protocol objectives in the opinion of the
investigator and/or the sponsor
- Concurrent use of other investigational agent(s)
- Serious concurrent medical illness