Non Hodgkin Lymphoma Clinical Trial
MP470 in Treating Patients With Unresectable or Metastatic Solid Tumor or Lymphoma
Summary
RATIONALE: MP470 may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.
PURPOSE: This clinical trial is studying the side effects and best dose of MP470 in treating patients with unresectable or metastatic refractory solid tumor, Hodgkin's lymphoma, or non-Hodgkin's lymphoma.
Full Description
OBJECTIVES:
Primary
Estimate the maximum tolerated dose (MTD) and define the safety profile of multitargeted receptor tyrosine kinase inhibitor MP470 in humans.
Secondary
Estimate the therapeutic response rate for patients receiving MP470.
Define the human pharmacokinetic (PK) and pharmacodynamic (PD) profiles of MP470 capsules
Evaluate PK-PD relationships.
OUTLINE: This is a multicenter study.
Patients receive oral multitargeted receptor tyrosine kinase inhibitor MP470 until the maximum tolerated dose is determined.
Pharmacokinetic and pharmacodynamic analyses are carried out to determine changes in phosphorylation of extracellular signal-regulated kinase (ERK), Rad51 expression, number of circulating tumor cells (CTCs), and tumor glucose metabolism measured by 2-[18F]fluoro-2-deoxyglucose positron emission tomography (FDG-PET).
Eligibility Criteria
DISEASE CHARACTERISTICS:
Inclusion criteria:
Histological or cytological diagnosis of unresectable or metastatic solid-tumor cancer that is refractory to standard therapies OR for which no standard therapy exists
Patients with refractory lymphoma (Hodgkin or non-Hodgkin) are also permitted to participate
Exclusion criteria:
Active CNS metastases (primary brain tumors are permitted)
PATIENT CHARACTERISTICS:
Inclusion criteria:
Karnofsky performance status ≥ 70%
Hemoglobin ≥ 9 g/dL
ANC ≥ 1.5 × 10^9/L
Platelet count ≥ 100 × 10^9/L
Total serum bilirubin ≤ 2 mg/dL
AST and ALT ≤ 2.5 × ULN (upper limit of normal for the clinical laboratory), but ≤ 5 × ULN is acceptable if due to hepatic metastases
Serum albumin ≥ 2 g/dL
Serum creatinine ≤ 2 mg/dL
LVEF ≥ 50% on ECHO
No significant abnormalities on the screening ECG (e.g., left bundle branch block, 3rd degree AV block, acute myocardial infarction or QTc interval > 450 msec)
No history of additional risk factors for torsade de pointes (e.g., heart failure, hypokalemia or family history of Long QT Syndrome)
Able to swallow MP470 capsules
Capable of fasting for 6 hours
Not pregnant or nursing
Negative pregnancy test
Fertile patients must use effective contraception during and for 3 months following completion of study treatment
Exclusion criteria:
Life-threatening illness, medical condition, or organ system dysfunction which, in the investigator's opinion, could compromise the patient's safety, interfere with the absorption or metabolism of oral MP470, or put the study outcomes at risk
Any serious, uncontrolled active infection that requires systemic treatment
History of significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, and/or myocardial infarction
PRIOR CONCURRENT THERAPY:
Inclusion criteria:
Recuperated from any prior surgical procedures including at least 4 weeks rest since a major surgery
Exclusion criteria:
Patient has received any anticancer agent(s) within the past 3 weeks, including investigational agents, chemotherapy (6 weeks for nitrosoureas or mitomycin), immunotherapy, biologic, or hormonal therapy other than luteinizing hormone-releasing hormone (LHRH) agonists
Patient has received radiation therapy within the past 4 weeks
Patient has a grade 2 or more severe toxicity (other than alopecia) continuing from prior anticancer therapy
Patient requires treatment with immunosuppressive agents other than corticosteroids that have been at stable doses for at least 2 weeks
Check Your Eligibility
Let’s see if you might be eligible for this study.
What is your age and gender ?
There are 2 Locations for this study
Scottsdale Arizona, 85258, United States
San Antonio Texas, 78229, United States
How clear is this clinincal trial information?
Please confirm you are a US based health care provider:
Yes, I am a health care Provider No, I am not a health care providerSign Up Now.
Take Control of Your Disease Journey.
Sign up now for expert patient guides, personalized treatment options, and cutting-edge insights that can help you push for the best care plan.