Phase I Study of CS-7017 and Bexarotene



Status:Terminated
Conditions:Cancer, Blood Cancer, Lymphoma, Hematology
Therapuetic Areas:Hematology, Oncology
Healthy:No
Age Range:18 - Any
Updated:2/15/2017
Start Date:December 2011
End Date:December 2016

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A Phase I Study of a Combination of the Proteosome Proliferator-Activated Receptor Gamma Agonist, CS-7017 and the Retinoid X Receptor Agonist, Bexarotene

This study is for patients with advanced solid tumors. The purpose of this study is to test
the safety and effectiveness of a new combination of drugs, CS-7017 and Bexarotene in
patients with advanced cancer. CS-7017 and Bexarotene both have many effects on cancer
cells, including stopping cancer cells from growing and dividing, and causing the cancer
cells to die. CS-7017 and Bexarotene work on cancer cells in a similar manner and both drugs
together may have an even greater effect against cancer cells, hopefully, increasing the
killing of cancer cells.

CS-7017 is an investigational or experimental anti-cancer agent that has not yet been
approved by the Food and Drug Administration (FDA) for use in any type of cancer. Bexarotene
is an anti-cancer agent that has been approved by the FDA for patients with a specific type
of cancer, cutaneous T-cell lymphoma.

This study will help find out what effects the combination of drugs, CS-7017 and Bexarotene,
has on cancer. This research is being done because it is not known if CS-7017 is safe to be
given with Bexarotene.


Inclusion Criteria:

- Histologically proven advanced malignancy with measurable disease except for acute
leukemias

- Progression on, or intolerance of, or ineligibility for all standard therapies

- Biopsy accessible tumor deposits

- LVEF >/= institutional normal

- No evidence of clinically significant fluid retention

- ECOG Performance status 0-2

- Subjects with no brain metastases or a history of previously treated brain metastases
who have been treated with surgery or stereotactic radiosurgery at least 4 weeks
prior to enrollment and have a baseline MRI that shows no evidence of intracranial
disease and have not had treatment with steroids within one week of study enrollment.

- Adequate hepatic, bone marrow, and renal function

- Partial thromboplastin time must be 1.5. Subjects on anticoagulant will be permitted to enroll as long as the INR is in
the acceptable therapeutic range

- Life expectancy > 12 weeks

- Women of childbearing potential must have a negative serum pregnancy test within 14
days prior to initiation of treatment and/or postmenopausal women must be amenorrheic
for at least 12 months to be considered of non-childbearing potential.

- Subject is capable of understanding and complying with parameters of the protocol and
able to sign and date the informed consent.

Exclusion Criteria:

- Prior CS-7017 treatment

- Treatment with thiazolidinediones (TZDs) within 4 weeks prior to start of study
treatment

- Current need for concomitant use of other TZDs during the study

- Grade 2 or greater fasting hypertriglyceridemia

- Concurrent use of insulin

- Concurrent use of known CYP 3A4 inhibiting or activating medications

- CNS metastases which do not meet the criteria outlines in inclusion criteria

- Active severe infection or known chronic infection with HIV or hepatitis B virus

- Cardiovascular disease including unstable angina, therapy for life-threatening
ventricular arrhythmia, or myocardial infarction, stroke or congestive heart failure
within the last 6 months

- Life-threatening visceral disease or other severe concurrent disease

- Women who are pregnant or breastfeeding

- Anticipated survival under 3 months

- Clinically significant and uncontrolled major medical condition(s)
We found this trial at
1
site
Washington, District of Columbia 20007
?
mi
from
Washington,
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