Status:

TERMINATED

Sunitinib Malate in Refractory Germ Cell Tumors

Lead Sponsor:

M.D. Anderson Cancer Center

Collaborating Sponsors:

Pfizer

Conditions:

Genitourinary Disease

Eligibility:

MALE

18+ years

Phase:

PHASE2

Brief Summary

The goal of this clinical research study is to learn if Sutent® (sunitinib malate, SU011248) can control the disease in patients with germ cell tumors that are resistant to earlier treatment.

Detailed Description

The Study Drug: Sunitinib malate is designed to block pathways that control important events such as the growth of blood vessels that are essential for the growth of cancer. Within 14 days of enroll...

Eligibility Criteria

Inclusion

  • Progressive metastatic Germ-cell tumors (GCTs) of gonadal or extragonadal origin in males after failure of front-line therapy and at least one salvage regimen.
  • Must have evaluable or measurable disease by clinical or radiological studies. Alternatively, in the absence of radiologically evaluable or measurable disease, two sequentially rising marker values each one week apart attributed by treating physician to germ cell tumor is permitted; either beta human chorionic gonadotropin (hCG) above 50 mIU/ml and/or alpha-fetoprotein (AFP) above 20 ng/ml qualifies as eligible.
  • The Eastern Cooperative Oncology Group (ECOG) Performance Score 0-2
  • Adequate organ function as follows: Calculated creatinine clearance \>/= 35cc/min, Absolute neutrophil count \>/= 1500/mm\^3, hemoglobin \>/= 8 g/dL, serum calcium \</= 12 mg/dL, Platelet count \>/= 75,000/mm\^3, AST (SGOT)/ALT (SGPT) \< 2.5 x upper limit of normal (ULN), Total bilirubin \< 2.0mg/dl.
  • Resolution of all acute toxic effects of prior chemotherapy or radiotherapy or surgical procedures to NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 grade \</= 2.
  • At least 18 years of age as safety of sunitinib in a pediatric population has not been established.
  • Able to provide informed consent
  • Must be able to ingest oral medication
  • Male subjects must be surgically sterile or must agree to use effective contraception during the period of therapy. The definition of effective contraception will be based on the judgment of the principal investigator or a designated associate.
  • Patients who have not received prior high-dose chemotherapy and stem cell rescue as salvage therapy will have this option discussed with them. Only patients ineligible, unwilling or unable to undertake this option will be eligible for this trial.

Exclusion

  • NCI CTCAE Version 3.0 grade 3 hemorrhage within the 4 weeks prior to starting the study treatment.
  • Any of the following within the 12 months prior to study drug administration: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident or transient ischemic attack, or pulmonary embolism.
  • Patients with history of Long QT syndrome.
  • Ongoing cardiac dysrhythmias of NCI CTCAE Version 3.0 grade \>/= 2.
  • Uncontrolled Hypertension (\> 140/90 mm Hg despite optimal medical therapy).
  • Pre-existing thyroid abnormality with thyroid function that cannot be maintained in the normal range with medication.
  • Symptomatic bowel obstruction.
  • Prior VEGFR/PDGFR inhibitor therapy.
  • Known human immunodeficiency virus infection, chronic active hepatitis or liver cirrhosis.

Key Trial Info

Start Date :

May 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2014

Estimated Enrollment :

5 Patients enrolled

Trial Details

Trial ID

NCT00912912

Start Date

May 1 2009

End Date

December 1 2014

Last Update

April 15 2016

Active Locations (1)

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1

University of Texas MD Anderson Cancer Center

Houston, Texas, United States, 77030