Phase II Trial of AZD0530 for Patients With Relapsed/Refractory Thymic Malignancies (Thymoma and Thymic Carcinoma)
Inclusion Criteria:
- Histologically confirmed invasive thymoma or thymic carcinoma, meeting the following
criteria:
- Relapsed or refractory disease
- Metastatic, unresectable disease
- Locally invasive disease allowed provided it is not resectable and has been
previously treated
- Progressive disease
- Measurable disease, defined as >= 1 unidimensionally measurable lesion >= 20 mm by
conventional techniques or >= 10 mm by spiral CT scan
- Must have received >= 1 prior chemotherapy regimen
- No active brain metastases
- Patients with previously treated brain metastases (surgical resection or
radiotherapy) are eligible provided they have documented stable brain disease for >=
1 month after completion of therapy and are asymptomatic
- ECOG performance status 0-2
- Leukocytes >= 3,000/mm^3
- ANC >= 1,500/mm^3
- Platelet count >= 100,000/mm^3
- Hemoglobin > 9 g/dL
- Serum bilirubin < 2.0 times upper limit of normal (ULN)
- Transaminases =< 2.5 times ULN (< 5.0 times ULN if liver metastasis is present)
- Serum creatinine < 1.5 times ULN OR creatinine clearance > 50 mL/min
- Urine protein:creatinine ratio < 0.5 OR urine protein < 1,000 mg by 24-hour urine
collection
- QTc < 460 msec
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 30 days after
completion of study treatment
- No known history of allergic reactions attributed to compounds of similar chemical or
biological composition to AZD0530
- No other malignancies within the past 3 years, except curatively treated in situ
carcinoma of the cervix or completely resected nonmelanoma skin cancer
- No concurrent active malignancies other than thymic malignancy
- No condition that impairs the ability to swallow AZD0350 tablets (e.g.,
gastrointestinal tract disease resulting in an inability to take oral medication or a
requirement for IV alimentation, prior surgical procedures affecting absorption, or
active peptic ulcer disease)
- No cardiac dysfunction including, but not limited to, any of the following:
- Symptomatic congestive heart failure
- Unstable angina pectoris
- Cardiac arrhythmia
- History of ischemic heart disease
- Myocardial infarction within the past year
- No QTc prolongation or other significant ECG abnormalities
- No poorly controlled hypertension (i.e., systolic blood pressure [BP] ≥ 150 mm
Hg or diastolic BP ≥ 95 mm Hg)
- No evidence of severe or uncontrolled systemic conditions that would make it
undesirable to participate in the study or that would jeopardize compliance with the
study, including any of the following:
- Severe hepatic impairment
- Interstitial lung disease (bilateral, diffuse, or parenchymal lung disease)
- Unstable or uncompensated respiratory condition
- Unstable or uncompensated cardiac condition
- No uncontrolled illness including, but not limited to, any of the following:
- Ongoing or active infection
- Mental health issues or social circumstances that would limit compliance with
study requirements
- No prior src inhibitors
- At least 4 weeks since prior systemic therapy (6 weeks for carmustine or mitomycin C)
- At least 8 weeks since prior immunotherapy
- At least 4 weeks since prior octreotide
- Concurrent octreotide for pure red cell aplasia allowed provided patient continues on
the same dose and schedule, has had a response to this drug, and has demonstrated
progressive thymoma by radiography or physical exam
- At least 4 weeks since prior surgery and recovered
- At least 4 weeks since prior investigational agents
- At least 4 weeks since prior radiotherapy to measurable disease sites (2 weeks for
palliative radiotherapy to metastatic sites) and recovered
- At least 7 days since prior and no concurrent active CYP3A4 agents or substances
- No other concurrent investigational or anticancer agents
- No concurrent combination antiretroviral therapy for HIV-positive patients
- Concurrent steroids allowed for treatment of a pre-existing autoimmune disorder or as
antiemetic therapy