An Open Label Phase II Study of Indisulam in Combination With Irinotecan in Patients With Metastatic Colorectal Cancer Who Have Been Previously Treated With 5-Fluorouracil/Leucovorin and Oxaliplatin

Eisai

Status and phase

Completed

Phase 2

Conditions

Colorectal Cancer

Treatments

Drug: E7070

Study type

Interventional

Funder types

Industry

Identifiers

NCT00165867

E7070-E044-214

Details and patient eligibility

About

The overall purpose of this study is to determine the efficacy, safety and tolerability of indisulam in combination with irinotecan as a treatment for patients with metastatic colorectalcancer previously treated with 5-fluorouracil/leucovorin and oxaliplatin (FOLFOX).

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Ambulant male or female patients with metastatic colorectal cancer who have been previously treated with 5-fluorouracil/leucovorin and oxaliplatin. Patients must fulfill the following criteria to be included in the study:
At least 4 doses of previous treatment with oxaliplatin
All previous treatment (including surgery and radiotherapy) must have been completed at least four weeks prior to study entry and any acute toxicities must have resolved
At least one uni-dimensionally measurable lesion according to RECIST criteria (the following do not qualify as measurable lesions: bone, leptomeningeal disease, ascites, pleural/pericardial effusion, lymphangitis cutis/pulmonis, abdominal masses that are not confirmed and followed by imaging techniques, and cystic lesions)
Aged greater than or equal to 18 years
Histologically or cytologically confirmed colorectal cancer
Karnofsky performance status greater than or equal to 70%
Written informed consent to participate in the study

Exclusion criteria

Patients with the following characteristics will not be included in the study:

More than three previous lines of chemotherapy (including neo-adjuvant and adjuvant)
Prior treatment with cytotoxics other than 5- fluorouracil/leucovorin (capecitabine and UFT are permitted) and oxaliplatin. Prior epidermal growth factor receptor targeted and anti-angiogenic therapy is permitted.
Untreated brain metastases (patients who have been treated for CNS metastases must be asymptomatic and radiologically stable for 4 weeks prior to entry). Patients must not have clinical symptoms from brain metastases and must not be taking corticosteroids for the treatment of brain metastases. Patients must not have leptomeningeal metastases
Any of the following laboratory parameters:
1. hemoglobin <10 g/dl;
2. neutrophils <1.5 x 109/L;
3. platelets <100 x 109/L;
4. serum bilirubin >25 mmol/l (1.5 mg/dl);
5. other liver parameters >2.5 x upper normal limit (ULN) (> 5 x upper normal limit in the presence of hepatic metastases);
6. serum creatinine >1.5 x ULN;
7. serum calcium (corrected for albumin) >=11.5 mg/dl. 5. History of Gilbert's Disease or conjugated hyperbilirubinemia 6. Concurrent or previous malignancy of a different tumor type within five years of starting the study except for adequately treated non- melanoma skin cancer or cervical intraepithelial neoplasia
Uncontrolled infections
Clinically significant cardiac impairment or unstable ischemic heart disease including a myocardial infarction within six months of study start
Chronic inflammatory bowel disease and/or bowel obstruction
History of hypersensitivity to sulfonamides
History of severe hypersensitivity reactions to one of the excipients of irinotecan
Treatment within two weeks before the start of the stud y with any of the following: coumarin anti-coagulants, terfenadine, cisapride, cyclosporin, tacrolimus, theophylline, diazepam, sulphonylurea hypoglycaemics, phenytoin, or carbamazepine
Any treatment with investigational drugs within 30 days before the start of the study
Pregnancy or lactation (all women of childbearing potential must have a negative pregnancy test before inclusion in the study; post-menopausal women must be amenorrheic for at least 12 months). Female patients must use adequate contraceptive protection
Fertile males not willing to use contraception or whose female partners are not using adequate contraceptive protection
History of alcoholism, drug addiction, or any psychiatric or psychological condition which, in the opinion of the investigator, would impair study compliance.
Legal incapacity