Trastuzumab Plus R115777 in Treating Patients With Advanced or Metastatic Cancer

National Cancer Institute (NCI)

Status and phase

Completed

Phase 1

Conditions

Cancer

Treatments

Drug: tipifarnib

Biological: trastuzumab

Study type

Interventional

Funder types

NIH

Identifiers

NCT00005842

UTHSC-IDD-99-26

SACI-IDD-99-26

CDR0000067858

NCI-62

Details and patient eligibility

About

Phase I trial to study the effectiveness of trastuzumab plus R115777 in treating patients who have advanced or metastatic cancer. Monoclonal antibodies such as trastuzumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining trastuzumab with R115777 may kill more tumor cells.

Full description

OBJECTIVES:

I. Determine the maximum tolerated dose of R115777 when administered with trastuzumab (Herceptin) in patients with advanced or metastatic adenocarcinoma.

II. Assess the toxicities and pharmacokinetics of this treatment regimen in this patient population.

III. Determine the antitumor activity of this treatment regimen in these patients.

IV. Determine the relative biologic endpoints of this regimen and correlate them with toxicity and pharmacokinetic parameters in these patients.

OUTLINE: This is a dose escalation, multicenter study of R115777.

Patients receive trastuzumab (Herceptin) IV over 90 minutes on days 1, 8, 15, and 22 plus oral R115777 twice daily for 3 weeks. Treatment continues every 28 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of R115777 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which no more than 1 of 6 patients experiences dose limiting toxicities.

Patients are followed every 30 days until toxicity resolves.

Enrollment

24 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

DISEASE CHARACTERISTICS:

Histologically or cytologically confirmed advanced or metastatic adenocarcinoma
Expression of +1 to 3+ HER2/neu on immunohistochemical or immunocytochemistry staining
No brain metastases unless all of the following is true:
- Previously treated
- Asymptomatic
- Stable dose of decadron
No evidence of edema

PATIENT CHARACTERISTICS:

Age: 18 and over
Performance status: ECOG 0-2
Life expectancy: At least 12 weeks
Absolute granulocyte count at least 1,500/mm3
Platelet count at least 100,000/mm3
Hemoglobin at least 9.0 g/dL
Bilirubin no greater than 1.5 mg/dL
AST/ALT no greater than 3 times upper limit of normal (ULN) (no greater than 5 times ULN in case of liver involvement)
Creatinine no greater than 1.5 mg/dL
LVEF at least 50% by RVG or MUGA
No uncontrolled unstable angina
No history of congestive heart failure or cardiac ischemia
Not pregnant or nursing
Negative pregnancy test
Fertile patients must use effective contraception
No concurrent active infection or serious systemic disorder that would preclude study
No allergies to imidazole compounds

PRIOR CONCURRENT THERAPY:

No prior trastuzumab (Herceptin) No other concurrent immunotherapy
At least 4 weeks since prior chemotherapy (6 weeks since mitomycin or nitrosoureas) and recovered
No other concurrent chemotherapy
No concurrent hormonal cancer therapy except LHRH agonists for prostate cancer
No concurrent radiotherapy
No other concurrent experimental medications