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SarcomaPhase 1NCT00006222

EMD 121974 in Treating Patients With HIV-Related Kaposi's Sarcoma

A Phase 1 study testing cilengitide in people with Sarcoma, run by National Cancer Institute (NCI) at 3 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Phase I trial to study the effectiveness of EMD 121974 in treating patients who have HIV-related Kaposi's sarcoma. EMD 121974 may stop the growth of Kaposi's sarcoma by stopping blood flow to the tumor. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Sarcoma
What is being tested?
cilengitide
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
3 sitesUnited States
Study dates
Sep 2000to Mar 2001
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

DISEASE CHARACTERISTICS:

  • Histologically proven Kaposi's sarcoma
  • Systemic chemotherapy not required
  • Minimum of 2 lesions amenable to biopsy
  • Measurable or evaluable disease HIV positive

PATIENT CHARACTERISTICS:

  • Age: 18 and over
  • Performance status: Karnofsky 70-100%
  • Life expectancy: At least 3 months
  • Hemoglobin at least 8.0 g/dL
  • Absolute neutrophil count at least 750/mm3
  • Platelet count at least 75,000/mm3
  • PT/PTT normal Bilirubin normal (bilirubin no greater than 3.5 mg/dL if secondary to indinavir therapy, provided direct bilirubin no greater than upper limit of normal (ULN))
  • AST (SGOT) no greater than 2.5 times ULN
  • Creatinine no greater than 1.5 mg/dL OR creatinine clearance at least 60 mL/min
  • No prior ischemic coronary artery disease including prior myocardial infarction
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 2 months after study
  • No concurrent active infection (nonsystemic infection, e.g., herpes simplex, oral thrush, or warts, allowed)
  • No gastric or duodenal ulcer within past 6 weeks unless healed

PRIOR CONCURRENT THERAPY:

  • At least 2 weeks since prior antineoplastic biologic therapy and recovered
  • At least 3 weeks since prior myeloid growth factor
  • Growth factors and transfusion allowed if dose requirement is stable for 4 weeks prior to therapy
  • At least 2 weeks since prior chemotherapy (6 weeks since prior nitrosourea or mitomycin) and recovered
  • Concurrent hydroxyurea as antiretroviral therapy allowed if dose stable for 4 weeks prior to study
  • No concurrent systemic cytotoxic chemotherapy
  • Recovered from prior endocrine therapy
  • At least 2 weeks since prior radiotherapy and recovered
  • No concurrent radiotherapy
  • At least 3 weeks since major surgery or 10 days since minor surgery and recovered
  • At least 4 weeks since prior experimental therapy for Kaposi's sarcoma and recovered
  • At least 2 weeks since prior local therapy to any indicator lesion
  • No concurrent investigational drugs (except antiretroviral therapy)
  • At least 2 weeks since prior acute treatment for infection or other serious medical illness
  • Antiretroviral therapy must be stable for 4 weeks prior to study

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • University of California San Diego Cancer Center

    La Jolla, California, 92093-0658

  • Vanderbilt Cancer Center

    Nashville, Tennessee, 37232-6838

  • UCSF Cancer Center and Cancer Research Institute

    San Francisco, California, 94115-0128

Other trials in United States

About this study

Official title: A Phase I Trial of EMD 121974 in Patients With HIV Related Kaposi's Sarcoma

Phase I trial to study the effectiveness of EMD 121974 in treating patients who have HIV-related Kaposi's sarcoma. EMD 121974 may stop the growth of Kaposi's sarcoma by stopping blood flow to the tumor.

Read the detailed description

OBJECTIVES:

  1. Determine the safety and toxicity of EMD 121974 in patients with HIV related Kaposi's sarcoma.

II. Determine the antiangiogenic activity of this drug in these patients. III. Determine the antitumor activity of this drug in these patients. IV. Determine the effect of this drug on CD4 and CD8 cell counts and percentages, and on HIV viral load in these patients.

  1. Determine the pharmacokinetics of this drug in these patients.

OUTLINE: This is a dose escalation study.

Patients receive EMD 121974 IV twice a week for four weeks. Courses repeat every 4 weeks in the absence of disease progression. 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 at which no more than 1 of 6 patients experiences dose limiting toxicities.

Patients are followed for at least 1 month.

PROJECTED ACCRUAL: A total of 18-30 patients will be accrued for this study within 1 year.

Conditions
Sarcoma
Being tested
cilengitide
Keywords
AIDS-related Kaposi sarcoma, recurrent Kaposi sarcoma
Medical subject headings
Sarcoma, AIDS-related Kaposi sarcoma, Sarcoma, Kaposi

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • cilengitideDrug

Study groups in NCT00006222
Study groupRoleWhat they receive
Arm IExperimentalPatients receive EMD 121974 IV twice a week for four weeks. Courses repeat every 4 weeks in the absence of disease progression. 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 at which no more than 1 of 6 patients experiences dose limiting toxicities.
Receives: Drug: cilengitide

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 May 2004 (estimated)
  2. Study startSep 2000
  3. Primary completionMar 2001
  4. Study completionMar 2001

Why it stopped: Administratively complete.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00006222
Sponsor's protocol ID
NCI-2012-02358
Other IDs
AMC-023, CDR0000068142
Status last verified
Apr 2001
First submitted
11 Sep 2000
Last updated
3 Jun 2013
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing cilengitide in people with Sarcoma, run by National Cancer Institute (NCI) at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 3 Jun 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: Administratively complete.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jun 2013.

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