Study of Intermittent OSI-906 Dosing

Inclusion Criteria:

Histologically or cytologically documented malignancy that is now advanced and/or metastatic and refractory to established forms of therapy or for which no effective therapy exists
Patients with Eastern Cooperative Oncology Group (ECOG) performance status Predicted life expectancy ≥ 12 weeks

Patients may have had prior therapy, providing the following conditions are met:

Chemotherapy: A minimum of 3 weeks (4 weeks for carboplatin or investigational anticancer agents and 6 weeks for nitrosoureas and mitomycin C) must have elapsed between the end of treatment and registration into this study. Prior tyrosine kinase inhibitor therapy is permitted. Patients must have recovered from any treatment-related toxicities (except for alopecia, fatigue, and grade 1 neurotoxicity) prior to registration
Hormonal therapy: Patients may have had prior anticancer hormonal therapy provided it is discontinued prior to registration into this study. However, patients with prostate cancer with evidence of progressive disease may continue on therapy that produces medical castration (eg, goserelin or leuprorelin), provided this therapy was commenced at least 3 months earlier
Radiation: Patients may have had prior radiation therapy provided they have recovered from the acute, toxic effects of radiotherapy prior to registration. A minimum of 21 days must have elapsed between the end of radiotherapy and registration into the study unless the radiotherapy was palliative and nonmyelosuppressive
Surgery: Previous surgery is permitted provided that wound healing has occurred prior to registration
Fasting glucose ≤ 125 mg/dL (7 mmol/L) at baseline
Potassium, calcium, and magnesium must be within normal limits (WNL). Electrolyte abnormalities will be permitted if they are not clinically significant and if treatment for the abnormality is initiated prior to Day 1

Adequate hematopoietic, hepatic, and renal function defined as follows:

Neutrophil count ≥ 1.5 x 10^9/L and platelet count ≥ 100 x 10^9/L
Bilirubin ≤ 1.5 x ULN or ≤ 3 x ULN if patient has Gilbert's disease
AST and/or ALT ≤ 2.5 x ULN or ≤ 5 x UNL if patient has documented liver metastases
Serum creatinine ≤ 1.5 x ULN
Patients must be accessible for repeat dosing and follow-up, including pharmacokinetic sampling
Patients - both males and females - with reproductive potential (ie, menopausal for less than 1 year and not surgically sterilized) must practice effective contraceptive measures (ie, barrier methods, eg, condom or diaphragm, with spermicide) throughout the study. Women of childbearing potential must provide a negative pregnancy test (serum or urine) within 14 days prior to registration
Patients must provide written informed consent to participate in the study

Exclusion Criteria:

Documented history of diabetes mellitus
History of significant cardiac disease unless the disease is well-controlled. Significant cardiac diseases includes second/third degree heart block; significant ischemic heart disease; QTc interval > 450 msec at baseline; poorly controlled hypertension; congestive heart failure of New York Heart Association (NYHA)Class II or worse (slight limitation of physical activity; comfortable at rest, but ordinary physical activity results in fatigue, palpitation, or dyspnea)
Any type of active seizure disorder
Concurrent anticancer therapy (with the exception of hormonal therapy as described above)
Use of drugs with a risk of causing QT interval prolongation within 14 days prior to Day 1 and while on study
Use of glucocorticoids within 14 days prior to Day 1 dosing and while on study, with the exception of hormone replacement therapy or inhalers
History of any kind of stroke
Previously diagnosed brain metastases (includes active brain metastases)
Active or uncontrolled infections or serious illnesses or medical conditions that could interfere with the patient's ongoing participation in the study
History of any psychiatric condition that might impair the patient's ability to understand or to comply with the requirements of the study or to provide informed consent
Pregnant or breast-feeding females
History of allergic reactions attributed to compounds of similar chemical or biologic composition to the study drug