Unspecified Adult Solid Tumor, Protocol SpecificPhase 1NCT00357747
AEG35156 and Docetaxel in Treating Patients With Solid Tumors
A Phase 1 study testing AEG35156 and docetaxel in people with Unspecified Adult Solid Tumor, Protocol Specific, run by NCIC Clinical Trials Group at 3 sites in Canada.
Trial summary
RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. AEG35156 may help docetaxel work better by making tumor cells more sensitive to the drug. Read more about this study
- Who is it for?
- Ages 18 to 120 years
- Conditions the study is for
- Unspecified Adult Solid Tumor, Protocol Specific
- What is being tested?
- AEG35156 and docetaxel
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 3 sitesCanada
- Study dates
- 9 Jun 2005to 7 Jun 2010
- 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 to 120 years
- All sexes
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS:
- Histologically confirmed solid tumor
- Locally advanced, metastatic, or recurrent disease that is refractory to standard curative therapy or for which no curative therapy exists
- Clinically and/or radiographically documented disease
- Docetaxel single-agent therapy must be a reasonable treatment option
- No newly diagnosed CNS metastases
- Previously treated, intracranial disease that has been stable for ≥ 6 months allowed
PATIENT CHARACTERISTICS:
- ECOG performance status 0-2
- Life expectancy ≥ 12 weeks
- Absolute granulocyte count ≥ 1,500/mm³
- Platelet count ≥ 100,000/mm³
- Bilirubin normal
- Creatinine normal
- AST and ALT ≤ 1.5 times upper limit of normal
- PT or INR normal
- PTT normal
- No known bleeding disorder
- No preexisting peripheral neuropathy ≥ grade 2
- No prior serious allergic reaction to taxanes (e.g., paclitaxel or docetaxel)
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No other serious illness or medical condition that would be aggravated by treatment or preclude study requirements, including any of the following:
- Serious uncontrolled infection
- Significant cardiac dysfunction
- Significant neurological disorder
PRIOR CONCURRENT THERAPY:
- No more than 2 prior chemotherapy regimens for metastatic or recurrent disease
- No more than 1 prior adjuvant chemotherapy regimen
- No more than 1 prior taxane-containing regimen
- At least 4 weeks since prior chemotherapy and recovered
- At least 4 weeks since prior external-beam radiotherapy provided < 30% of marrow-bearing areas are irradiated*
- At least 4 weeks since prior investigational agents or new anticancer therapy
- At least 2 weeks since prior hormonal therapy or immunotherapy
- At least 2 weeks since prior surgery and recovered
- No prior nephrectomy
- No concurrent anticoagulant therapy in therapeutic doses
- Nontherapeutic dose anticoagulant therapy (e.g., 1 mg warfarin once daily) allowed
- No other concurrent experimental drugs or anticancer therapy
- No other concurrent cytotoxic therapy or radiotherapy
- Small-volume, nonmyelosuppressive palliative radiotherapy allowed NOTE: *Exceptions are made for prior low-dose non-myelosuppressive radiotherapy
Trial locations and contacts
3 sites in 1 country.
Canada3 sites
McGill University - Dept. Oncology
Montreal, Quebec, H2W 1S6
Univ. Health Network-Princess Margaret Hospital
Toronto, Ontario, M5G 2M9
BCCA - Vancouver Cancer Centre
Vancouver, British Columbia, V5Z 4E6
About this study
Official title: A Phase I Study of AEG35156 in Combination With Docetaxel in Patients With Solid Tumors
RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. AEG35156 may help docetaxel work better by making tumor cells more sensitive to the drug.
PURPOSE: This phase I trial is studying the side effects and best dose of AEG35156 when given together with docetaxel in treating patients with solid tumors.
Read the detailed description
OBJECTIVES:
Primary
- Determine the maximum tolerated dose and define the recommended phase II dose of AEG35156 in combination with docetaxel in patients with solid tumors.
Secondary
- Determine the qualitative and quantitative toxicities of AEG35156 and docetaxel and define duration and reversibility of those toxicities.
- Determine the pharmacokinetic profile of this regimen.
- Assess, preliminarily, the antitumor activity of this regimen in patients with measurable disease.
- Assess the pharmacodynamic effects of AEG35156 administration on X-linked inhibitor of apoptosis protein (XIAP) levels and apoptosis in peripheral blood mononuclear cells and, in selected patients, in tumor tissue.
- Evaluate M30/M65 cytokeratin 18 level, a marker of apoptosis/necrosis of epithelial tumors, in these patients.
OUTLINE: This is a multicenter, open-label, dose-escalation study of AEG35156.
Patients receive AEG35156 IV continuously on days -2 and -1. Patients then receive AEG35156 IV continuously over 24 hours on days 1, 8, and 15. Beginning with course 2, patients also receive docetaxel IV over 1 hour on day 1. Treatment repeats every 3 weeks for up to 6 courses in the absence of disease progression or unacceptable toxicity.
Cohorts of 3-6 patients receive escalating doses of AEG35156 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.
Blood is collected at baseline and periodically during study treatment for pharmacokinetic and pharmacodynamic assessment.
After completion of study treatment, patients are followed at 4 weeks and then every 3 months thereafter.
PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.
- Being tested
- AEG35156, docetaxel
- Keywords
- unspecified adult solid tumor, protocol specific
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AEG35156Drug
After a recommended phase II dose (RPTD) of AEG35156 has been determined with docetaxel 75 mg/m2, patients will be accrued to the RPTD-1 plus docetaxel 100 mg/m2, and possibly RPTD plus docetaxel 100 mg/m2, to determine the RPTD of AEG35156 in combination with docetaxel 100 mg/m2 given every three weeks.
docetaxelDrug
After a recommended phase II dose (RPTD) of AEG35156 has been determined with docetaxel 75 mg/m2, patients will be accrued to the RPTD-1 plus docetaxel 100 mg/m2, and possibly RPTD plus docetaxel 100 mg/m2, to determine the RPTD of AEG35156 in combination with docetaxel 100 mg/m2 given every three weeks.
| Study group | Role | What they receive |
|---|---|---|
| AEG35156 plus docetaxel | Experimental | Not described Receives: Drug: AEG35156; Drug: docetaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety and toxicity evaluated according to the NCI CTCAE version 3.0
Measured: Every 3 weeks
Response and progression using RECIST criteria
Measured: Every 6 weeks
Response duration measured from the time complete response or partial response (whichever is first recorded) is documented until the first date that recurrent or progressive disease is objectively documented
After completion of protocol therapy, patients with PR/CR ongoing assessed q3 months until relapse.
Measured: Every 3 months
Stable disease duration measured from the time of start of therapy until the criteria for progression are met
After completion of protocol therapy, patients with ongoing SD assess q 3months until progression.
Measured: Every 3 months
Pharmacokinetics
Measured: cycle 1 and 2
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jul 2006 (estimated)
- Study start9 Jun 2005
- Primary completion26 Sep 2006
- Study completion7 Jun 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Unspecified Adult Solid Tumor, Protocol SpecificStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- NCIC Clinical Trials Group
- Sponsor type
- Research network
- Responsible party
- Sponsor
- Investigators
- Gerald Batist, MD, Study chair, Jewish General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00357747
- Sponsor's protocol ID
- I166
- Other IDs
- CAN-NCIC-IND166, CDR0000481440
- Status last verified
- Apr 2020
- First submitted
- 26 Jul 2006
- Last updated
- 4 Aug 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 4 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I Study of AEG35156 in Combination With Docetaxel in Patients With Solid Tumors
- ClinicalTrials.gov ID
- NCT00357747
- Acronym / sponsor ID
- I166
- Keywords
- unspecified adult solid tumor, protocol specific
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 10 participants (actual)
- Lead sponsor
- NCIC Clinical Trials GroupResearch network
- Study start
- 9 Jun 2005 (actual)
- Primary completion
- 26 Sep 2006 (actual)
- Study completion
- 7 Jun 2010 (actual)
- First posted
- 27 Jul 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. AEG35156 may help docetaxel work better by making tumor cells more sensitive to the drug.
PURPOSE: This phase I trial is studying the side effects and best dose of AEG35156 when given together with docetaxel in treating patients with solid tumors.
Detailed description
OBJECTIVES:
Primary
- Determine the maximum tolerated dose and define the recommended phase II dose of AEG35156 in combination with docetaxel in patients with solid tumors.
Secondary
- Determine the qualitative and quantitative toxicities of AEG35156 and docetaxel and define duration and reversibility of those toxicities.
- Determine the pharmacokinetic profile of this regimen.
- Assess, preliminarily, the antitumor activity of this regimen in patients with measurable disease.
- Assess the pharmacodynamic effects of AEG35156 administration on X-linked inhibitor of apoptosis protein (XIAP) levels and apoptosis in peripheral blood mononuclear cells and, in selected patients, in tumor tissue.
- Evaluate M30/M65 cytokeratin 18 level, a marker of apoptosis/necrosis of epithelial tumors, in these patients.
OUTLINE: This is a multicenter, open-label, dose-escalation study of AEG35156.
Patients receive AEG35156 IV continuously on days -2 and -1. Patients then receive AEG35156 IV continuously over 24 hours on days 1, 8, and 15. Beginning with course 2, patients also receive docetaxel IV over 1 hour on day 1. Treatment repeats every 3 weeks for up to 6 courses in the absence of disease progression or unacceptable toxicity.
Cohorts of 3-6 patients receive escalating doses of AEG35156 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.
Blood is collected at baseline and periodically during study treatment for pharmacokinetic and pharmacodynamic assessment.
After completion of study treatment, patients are followed at 4 weeks and then every 3 months thereafter.
PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| AEG35156 plus docetaxel | Experimental | Drug: AEG35156, Drug: docetaxel |
Who may qualify
- Ages
- 18 to 120 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AEG35156After a recommended phase II dose (RPTD) of AEG35156 has been determined with docetaxel 75 mg/m2, patients will be accrued to the RPTD-1 plus docetaxel 100 mg/m2, and possibly RPTD plus docetaxel 100 mg/m2, to determine the RPTD of AEG35156 in combination with docetaxel 100 mg/m2 given every three weeks. | Drug | AEG35156 plus docetaxel |
| docetaxelAfter a recommended phase II dose (RPTD) of AEG35156 has been determined with docetaxel 75 mg/m2, patients will be accrued to the RPTD-1 plus docetaxel 100 mg/m2, and possibly RPTD plus docetaxel 100 mg/m2, to determine the RPTD of AEG35156 in combination with docetaxel 100 mg/m2 given every three weeks. | Drug | AEG35156 plus docetaxel |
Primary outcome
Safety and toxicity evaluated according to the NCI CTCAE version 3.0
Time frame: Every 3 weeks
Response and progression using RECIST criteria
Time frame: Every 6 weeks
Response duration measured from the time complete response or partial response (whichever is first recorded) is documented until the first date that recurrent or progressive disease is objectively documented
Time frame: Every 3 months
After completion of protocol therapy, patients with PR/CR ongoing assessed q3 months until relapse.
Stable disease duration measured from the time of start of therapy until the criteria for progression are met
Time frame: Every 3 months
After completion of protocol therapy, patients with ongoing SD assess q 3months until progression.
Pharmacokinetics
Time frame: cycle 1 and 2
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Aug 2023.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gerald Batist, MD study chair
Jewish General Hospital
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing AEG35156 and docetaxel in people with Unspecified Adult Solid Tumor, Protocol Specific, run by NCIC Clinical Trials Group at 3 sites in Canada.
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: finished, as of the sponsor's last update on 4 Aug 2023. 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 Canada. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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.
What does the primary outcome measure?
Safety and toxicity evaluated according to the NCI CTCAE version 3.0 (time frame: Every 3 weeks). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
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 4 Aug 2023; AzTrials last refreshed its copy on 6 Nov 2026.