A Phase 1b Study Of Axitinib In Combination With Crizotinib In Patients With Advanced Solid Tumors
Status: | Active, not recruiting |
---|---|
Conditions: | Cancer |
Therapuetic Areas: | Oncology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 1/5/2018 |
Start Date: | February 26, 2014 |
End Date: | July 31, 2018 |
A Phase 1b, Open Label, Dose Escalation Study To Evaluate Safety, Pharmacokinetics And Pharmacodynamics Of Axitinib (Ag-013736) In Combination With Crizotinib (Pf-02341066) In Patients With Advanced Solid Tumors
Despite the success of anti-angiogenic therapy in multiple treatment settings, a fraction of
patients are refractory to vascular endothelial growth factor (VEGF) inhibitor treatment,
while the majority of patients will eventually develop evasive resistance. It is proposed
that mesenchymal-epithelial transition factor (c-MET) and its ligand hepatocyte growth factor
(HGF or scatter factor) contribute to VEGF inhibitor resistance, such that combining a c-MET
inhibitor with a VEGF inhibitor will provide additional clinical activity compared to VEGF
inhibitor alone. This hypothesis will be tested using the cMET/ALK inhibitor, crizotinib, in
combination with the VEGF inhibitor, axitinib.Since this will be the first study of axitinib
given in combination with crizotinib, the study will primarily assess the safety and
tolerability of the combination regimen.
patients are refractory to vascular endothelial growth factor (VEGF) inhibitor treatment,
while the majority of patients will eventually develop evasive resistance. It is proposed
that mesenchymal-epithelial transition factor (c-MET) and its ligand hepatocyte growth factor
(HGF or scatter factor) contribute to VEGF inhibitor resistance, such that combining a c-MET
inhibitor with a VEGF inhibitor will provide additional clinical activity compared to VEGF
inhibitor alone. This hypothesis will be tested using the cMET/ALK inhibitor, crizotinib, in
combination with the VEGF inhibitor, axitinib.Since this will be the first study of axitinib
given in combination with crizotinib, the study will primarily assess the safety and
tolerability of the combination regimen.
Inclusion Criteria:
- Diagnosis - Dose Escalation Phase: Histologically or cytologically confirmed diagnosis
of advanced solid tumor that is resistant to standard therapy or for which no standard
therapy is available.
- Diagnosis - Dose Expansion Phase: Histologically or cytologically confirmed advanced
RCC with a component of clear cell subtype
- Dose Expansion Phase: at least one measureable lesion as defined by RECIST [Response
Evaluation Criterion in Solid Tumors] version 1.1.
- ECOG [Eastern Cooperative Oncology Group] Performance Status 0 or 1.
Exclusion Criteria:
- Major surgery <4 weeks or radiation therapy <2 weeks of patient registration.
- History of or known active seizure disorder, brain metastases, spinal cord
compression, or carcinomatous meningitis, or new evidence of brain or leptomeningeal
disease.
- Dose Expansion Phase only: diagnosis of any other malignancy within 2 years prior to
registration.
We found this trial at
16
sites
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Cleveland Clinic Cleveland Clinic is committed to principles as presented in the United Nations Global...
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University of Chicago Medical Center The University of Chicago Medicine has been at the forefront...
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600 Highland Ave
Madison, Wisconsin 53792
Madison, Wisconsin 53792
(608) 263-6400
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University of Wisconsin Hospital and Clinics UW Health strives to meet the health needs of...
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2450 Riverside Ave
Minneapolis, Minnesota 55454
Minneapolis, Minnesota 55454
(612) 273-3000
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University of Minnesota Medical Center, Fairview Improving patients' lives drives the innovation that makes University...
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