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Cilengitide (EMD 121974) in Treating Patients With Advanced Solid Tumors or Lymphoma



Cilengitide (EMD 121974) in Treating Patients With Advanced Solid Tumors or Lymphoma

For Condition: Leukemia,adult solid tumor,Lymphoma
Status: Recruiting
Sponsor(s): University of Chicago Cancer Research Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: Cilengitide (EMD 121974) may stop the growth of cancer cells by stopping blood flow to the cancer. PURPOSE: Phase I trial to study the effectiveness of EMD 121974 in treating patients who have solid tumors or lymphoma.
Details: OBJECTIVES: Primary - Determine the dose-limiting toxicity, maximum feasible dose, and recommended phase II dose of cilengitide (EMD 121974) in patients with advanced solid tumors or lymphoma. - Determine the safety and tolerability of this drug in these patients. Secondary - Determine the pharmacokinetics of this drug in these patients. - Determine the antineoplastic activity of this drug in these patients. OUTLINE: This is a dose-escalation study. Patients receive cilengitide (EMD 121974) IV continuously on weeks 1-4. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of EMD 121974 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. PROJECTED ACCRUAL: A total of 16-26 patients will be accrued for this study within 5.3-13 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed solid tumor or lymphoma - Refractory to standard therapy or no standard therapy exists - Measurable or evaluable disease - No active brain metastases - Previously treated brain metastases allowed provided the patient is not currently receiving corticosteroids - Primary brain neoplasms allowed, regardless of corticosteroid use PATIENT CHARACTERISTICS: Age - 18 and over Performance status - Karnofsky 70-100% Life expectancy - Not specified Hematopoietic - WBC 3,000/mm^3 - Absolute neutrophil count 1,500/mm^3 - Platelet count 100,000/mm^3 - No life-threatening bleeding diathesis within the past 6 months Hepatic - Bilirubin normal (unless due to Gilbert's syndrome) Renal - Not specified Cardiovascular - No symptomatic congestive heart failure - No unstable angina pectoris - No cardiac arrhythmia Gastrointestinal - No prior proven gastric or duodenal ulcer - No clinically significant gastrointestinal blood loss within the past 6 weeks Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - No prior CNS hemorrhage - No psychiatric illness or social situation that would preclude study compliance - No other concurrent uncontrolled illness - No ongoing or active infection PRIOR CONCURRENT THERAPY: Biologic therapy - No prior cilengitide (EMD 121974) - No other concurrent biologic therapy Chemotherapy - More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered - No concurrent chemotherapy Endocrine therapy - See Disease Characteristics Radiotherapy - More than 4 weeks since prior radiotherapy and recovered - No concurrent palliative radiotherapy Surgery - Not specified Other - No other concurrent anticancer agents or therapies intended to treat the malignancy - No other concurrent investigational agents - No concurrent anticoagulation therapy that increases INR or aPTT above the normal range - Line prophylaxis allowed
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
WalterStadler,  Study Chair,  University of Chicago Cancer Research Center

University of Chicago Cancer Research Center *Recruiting*
Chicago,  Illinois,  60637-1470
United States
Recruiting Walter  Stadler 773-702-4400


Additional Information:
Study ID Numbers:
  CDR0000349535;  UCCRC-12774A,NCI-6362
Study Start Date: 
Record last reviewed: January 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00077155

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