Phase 1 Study of Crizotinib (IND#105573) in Combination With Conventional Chemotherapy for Relapsed or Refractory Solid Tumors or Anaplastic Large Cell Lymphoma
PRIMARY OBJECTIVES:
I. To estimate the recommended phase 2 dose (RP2D) or maximum tolerated dose (MTD) of
crizotinib administered orally twice daily in combination with topotecan (topotecan
hydrochloride) and cyclophosphamide in children with refractory/relapsed solid tumors or
anaplastic large cell lymphoma (ALCL).
II. To define and describe the toxicities of crizotinib in combination with topotecan and
cyclophosphamide administered on this schedule.
III. To estimate the recommended phase 2 dose (RP2D) or maximum tolerated dose (MTD) of
crizotinib administered orally twice daily in combination with vincristine and
doxorubicin/dexrazoxane in children with refractory/relapsed solid tumors or ALCL.
IV. To define and describe the toxicities of crizotinib in combination with vincristine and
doxorubicin/dexrazoxane administered on this schedule.
V. To characterize the pharmacokinetics of crizotinib in children with refractory cancer
when combined with either topotecan and cyclophosphamide or vincristine and
doxorubicin/dexrazoxane.
SECONDARY OBJECTIVES:
I. To preliminarily define the antitumor activity of crizotinib in combination with either
topotecan and cyclophosphamide or vincristine and doxorubicin/dexrazoxane within the
confines of a Phase 1 study.
II. To preliminarily examine the relationship between anaplastic lymphoma kinase (ALK)
status in patients with neuroblastoma or ALCL and response to crizotinib in combination with
either topotecan and cyclophosphamide or vincristine and doxorubicin/dexrazoxane.
III. To preliminarily examine the relationship between minimal residual disease (MRD) status
and clinical response to crizotinib in combination with either topotecan and
cyclophosphamide or vincristine and doxorubicin/dexrazoxane in patients with ALCL.
IV. To use a questionnaire to gather preliminary information on the palatability of the oral
solution formulation of crizotinib.
OUTLINE: This is a dose-escalation study of crizotinib. Patients are assigned to part A or
part B study based on the treating physician's choice and availability of a reservation.
Part A: Patients receive crizotinib orally (PO) twice daily (BID) on days 1-21,
cyclophosphamide IV once daily (QD) on days 1-5, topotecan hydrochloride IV QD on days 1-5,
and filgrastim or pegfilgrastim beginning on day 6 and continuing until blood count
recovers. Treatment repeats every 21 days for up to 35 courses in the absence of disease
progression or unacceptable toxicity.
Part B: Patients receive crizotinib PO BID as in part A. Patients also receive vincristine
sulfate IV on day 1, dexrazoxane hydrochloride IV on day 1, doxorubicin hydrochloride IV
over 15 minutes on day 1, and filgrastim or pegfilgrastim beginning on day 2 and continuing
until blood count recovers. Treatment repeats every 21 days for up to 35 courses in the
absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up for 30 days.
Interventional
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Adverse events as assessed by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0
21 days
Yes
Emily Lipsitz
Principal Investigator
Children's Oncology Group
United States: Food and Drug Administration
ADVL1212
NCT01606878
March 2013
March 2015
Name | Location |
---|---|
Children's Oncology Group | Arcadia, California 91006-3776 |