Status:
COMPLETED
PTC299 in Treating Young Patients With Refractory or Recurrent Primary Central Nervous System Tumors
Lead Sponsor:
Pediatric Brain Tumor Consortium
Collaborating Sponsors:
National Cancer Institute (NCI)
PTC Therapeutics
Conditions:
Brain and Central Nervous System Tumors
Eligibility:
All Genders
3-21 years
Phase:
PHASE1
Brief Summary
RATIONALE: PTC299 may stop the growth of tumor cells by blocking blood flow to the tumor. PURPOSE: This phase I trial is studying the side effects and the best dose of PTC299 in treating young patien...
Detailed Description
OBJECTIVES: Primary * To estimate the maximum-tolerated dose and the recommended phase II dose of VEGF inhibitor PTC299 (PTC299) in pediatric patients with recurrent or progressive primary central n...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Histologically confirmed diagnosis of primary central nervous system (CNS) malignancy at time of diagnosis or recurrence
- Histology verification not required for intrinsic brain stem tumors and optic pathway gliomas
- Must have radiographic evidence of progression
- Recurrent, progressive, or refractory disease to standard therapy and for which there is no known curative therapy
- PATIENT CHARACTERISTICS:
- Karnofsky performance status (PS) 50-100% (patients \> 16 years of age) OR Lansky PS 50-100% (patients ≤ 16 years of age)
- Body weight ≥ 15 kg and ≤ 100 kg
- Patients with neurological deficits allowed provided they are stable for ≥ 1 week
- Able to swallow capsules
- ANC ≥ 1,000/μL (unsupported)
- Platelet count ≥ 100,000/μL (unsupported)
- Hemoglobin ≥ 8 g/dL (may be supported)
- Creatinine clearance or radioisotope glomerular filtration rate (GFR) ≥ 70 mL/min/1.73 m\^2 OR serum creatinine normal based on age as follows:
- 8 mg/dL (≤ 5 years of age)
- 0 mg/dL (\> 5 to ≤ 10 years of age)
- 2 mg/dL (\> 10 to ≤ 15 years of age)
- 5 mg/dL (\> 15 years of age)
- Urine protein/creatinine ratio \< 1.0
- Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
- ALT and AST ≤ 2.5 times ULN
- Albumin ≥ 2.5 g/dL
- PT and activated PTT ≤ 1.2 times ULN
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No clinically significant unrelated systemic illness that would compromise the patient's ability to tolerate protocol therapy, or would likely interfere with the study procedures or results, including any of the following:
- Serious infections including ongoing systemic bacterial, fungal, or viral infection
- Significant cardiac, pulmonary, hepatic, or other organ dysfunction
- Willing and able to comply with schedule visits, drug administration plan, laboratory tests, including pharmacokinetic and pharmacodynamic assessments, or other study procedures
- No known coagulopathy or bleeding diathesis
- No known history of drug-induced liver injury
- No CNS, pulmonary, gastrointestinal, or urinary bleeding within the past month
- No uncontrolled systemic hypertension (systolic BP or diastolic BP \> 95% percentile for age)
- No alcohol or drug addiction
- Able to tolerate periodic MRI scans and gadolinium contrast
- PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- Recovered from the acute toxic of all prior therapy (excluding alopecia and neurotoxicity)
- At least 3 weeks since prior myelosuppressive anticancer chemotherapy (6 weeks for nitrosourea)
- At least 14 days since prior investigational or biological agent
- At least 3 half-lives since prior biological agents that have a prolonged half-life
- At least 3 half-lives since prior monoclonal antibody
- At least 2 weeks since prior local palliative radiotherapy
- At least 6 weeks since prior total-body irradiation, craniospinal radiotherapy, or radiotherapy to ≥ 50% of the pelvis
- At least 90 days since prior allogeneic bone marrow transplantation
- No active graft-versus-host disease
- Concurrent dexamethasone or other corticosteroids allowed provided dose is stable for ≥ 7 days
- At least 1 week since prior colony-forming growth factors (e.g., filgrastim, sargramostim, erythropoietin)
- At least 14 days since long-acting colony-forming growth factor formulations (e.g., pegfilgrastim)
- More than 4 weeks since prior major surgical procedures
- More than 2 weeks since prior intermediate surgical procedures
- More than 7 days since minor surgical procedures
- No other concurrent anticancer or investigational drug therapy
Exclusion
Key Trial Info
Start Date :
November 1 2010
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
January 1 2015
Estimated Enrollment :
28 Patients enrolled
Trial Details
Trial ID
NCT01158300
Start Date
November 1 2010
End Date
January 1 2015
Last Update
May 4 2015
Active Locations (8)
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1
UCSF Cancer Center and Cancer Research Institute
San Francisco, California, United States, 94143-0128
2
Children's National Medical Center
Washington D.C., District of Columbia, United States, 20010-2970
3
Children's Memorial Hospital - Chicago
Chicago, Illinois, United States, 60614
4
Duke Comprehensive Cancer Center
Durham, North Carolina, United States, 27710