1 |
NCT00087451 |
completed |
|
0 |
phase 1 |
['malignant glioma', 'glioblastoma', 'gliosarcoma'] |
["['R18.0', 'C17.3', 'G21.0', 'J91.0', 'C05.2', 'C10.0', 'C16.0']"] |
['ap23573'] |
['CO[C@@H]1C[C@H](C[C@@H](C)[C@@H]2CC(=O)[C@H](C)\\C=C(C)\\[C@@H](O)[C@@H](OC)C(=O)[C@H](C)C[C@H](C)\\C=C\\C=C\\C=C(C)\\[C@H](C[C@@H]3CC[C@@H](C)[C@@](O)(O3)C(=O)C(=O)N3CCCC[C@H]3C(=O)O2)OC)CC[C@H]1OP(C)(C)=O'] |
Inclusion Criteria (Patients must meet each of the following criteria to be eligible for
participation in the trial):
- Male or female patients ≥ 18 years of age
- Patients must have a radiographically suspected progressive or recurrent primary
malignant glioma (glioblastoma multiforme or gliosarcoma) and must have failed
standard therapy. Patients may not have received any systemic therapy for the
treatment of this recurrence or relapse
- Patients must be candidates for surgical resection or open biopsy of the tumor
- Patients who have had previous surgical resection(s) are eligible
- Patients must have had minimum prior therapy of radiotherapy and documented
progression of disease thereafter
- Patients must have had a tissue proven malignant glioma
- A minimum interval of at least four weeks prior to the first dose of AP23573 must have
elapsed for all patients enrolling after either prior surgery or completion of prior
external beam radiotherapy for initial primary diagnosis
- A minimum interval of four weeks prior to the first dose of AP23573 must have elapsed
since receipt of any investigational therapy or any other chemotherapy
- Patients in the EIAC cohorts must be presently receiving a stable dose of EIAC (e.g.,
dilantin, phenytoin, etc.) for at least two weeks prior to the first dose of AP23573
- For patients on corticosteroids, the dose must be stable for at least one week prior
to the first dose of AP23573
- Patients must be neurologically stable for at least two weeks prior to the first dose
of AP23573
- Patients must have an ECOG performance status of 0 or 1
- Patients must either not be of childbearing potential or have agreed to use a
medically effective method of contraception
- Patients must have adequate hematologic, renal and liver function as specified in the
protocol
- Patients must be able to understand and give written informed consent
Exclusion Criteria (Patients meeting any of the following criteria are ineligible for
participation in the trial):
- Women who are pregnant or lactating
- Patients with known or suspected hypersensitivity to either drugs formulated with
polysorbate 80 (Tween) or any other excipient contained in the study drug formulation
- Patients with known hypersensitivity to macrolide antibiotics (e.g., clarithromycin,
erythromycin, azithromycin)
- Patients with significant cardiovascular disease, as specified in the protocol
- Patients with known HIV infection
- Patients with any active infection requiring prescribed intervention
- Patients receiving immunosuppressive agents other than prescribed corticosteroids
- Patients who have had prior therapy with rapamycin, any rapamycin analog or tacrolimus
- Patients with inadequate recovery from any prior surgical procedure or patients having
undergone any major surgical procedure within two weeks prior to the first dose of
AP23573
- Patients with any other life-threatening illness or organ system dysfunction which, in
the opinion of the Investigator, would either compromise the patient's safety or
interfere with evaluation of the safety of the study drug
- Patients with a psychiatric disorder or altered mental status that would preclude
understanding of the informed consent process and/or completion of the necessary
studies
- Patients with another primary malignancy within the past three years (except for
non-melanoma skin cancers and cervical carcinomas in situ)
- Patients with the inability, in the opinion of the Investigator, to comply with the
protocol requirements
- Patients are not permitted any chemotherapeutic agents or other antineoplastic agents
either during or within four weeks prior to the first dose of AP23573. Additional
excluded drugs and treatments are specified in the protocol
|
2 |
NCT01832766 |
terminated |
unable to find subjects with schizophrenia that were using only cannabis
|
0 |
phase 1/phase 2 |
['schizophrenia'] |
["['F20.0', 'F20.1', 'F20.2', 'F20.3', 'F20.5', 'F20.89', 'F20.9']"] |
['dronabinol'] |
['[H][C@@]12C=C(C)CC[C@@]1([H])C(C)(C)OC1=C2C(O)=CC(CCCCC)=C1'] |
Inclusion Criteria:
- Male and females
- 18 and 50 years of age
- Diagnosis of schizophrenia
- Chronic cannabis users who have used for at least 1 year
- Using cannabis at least once weekly
- Currently being treated with antipsychotic medication
- Must be on a the same dose of antipsychotic medication for at least 3 months.
- Females of childbearing potential must use an adequate form of birth control while
participating.
- Participants will be required to have blood pressures greater than 90/60 and less than
140/90.
Exclusion Criteria:
- Use of illicit drugs other than cannabis
- Any psychiatric hospitalizations within 3 months
- pregnancy in females
- taking clozapine
|
3 |
NCT00324623 |
completed |
|
1 |
phase 1 |
['melanoma (skin)'] |
["['C43.51', 'C43.9', 'C43.52', 'D03.51', 'C43.8', 'Z85.820', 'D03.52']"] |
['cyclophosphamide', 'fludarabine phosphate'] |
['ClCCN(CCCl)P1(=O)NCCCO1', 'NC1=NC(F)=NC2=C1N=CN2[C@@H]1O[C@H](CO)[C@@H](O)[C@@H]1O'] |
DISEASE CHARACTERISTICS:
- Diagnosis of metastatic melanoma
- Progressive disease after receiving prior Melan-A peptide vaccine on an immunotherapy
protocol of the Ludwig Institute AND achieved a detectable immune response (increase
of specific CD8^+ TET^+ Melan-A)
- Tumor must express MART-1/Melan-A antigen
- HLA-A2 positive
- Not eligible for other protocols due to progressive disease OR maximum number of
vaccine injections with stable disease has been attained
PATIENT CHARACTERISTICS:
- Performance status 0-2
- Whole blood counts normal
- Pulmonary status normal
- Transaminases < 1.5 times upper limit of normal (ULN)
- Gamma-glutamyl-transferase < 1.5 times ULN
- Bilirubin normal
- Creatinine clearance > 70 mL/min
- No major uncontrolled heart disease
- No arterial hypertension
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- Prior chemotherapy, biologic therapy, radiotherapy, and/or surgery allowed
|
4 |
NCT01451632 |
completed |
|
1 |
phase 1 |
['colorectal cancer', 'squamous cell head and neck cancer', 'non-small cell lung cancer', 'triple negative breast cancer', 'other tumors with egfr dependence'] |
["['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']", "['C78.00', 'C78.01', 'C78.02', 'D14.30', 'D14.31', 'D14.32', 'C34.2']", "['C79.81', 'D24.1', 'D24.2', 'D24.9', 'D49.3', 'C44.501', 'D48.60']"] |
['mm-121', 'irinotecan', 'cetuximab'] |
['CC[C@@]1(O)C(=O)OCC2=C1C=C1N(CC3=CC4=CC=CC=C4N=C13)C2=O', '[H][C@]12SCC(COC(C)=O)=C(N1C(=O)[C@H]2NC(=O)C(=N/OC)\\C1=CSC(N)=N1)C(O)=O'] |
Inclusion Criteria:
- No standard options remaining
- Adequate liver and kidney functions
- 18 years of age or above
Exclusion Criteria:
- History of any secondary active cancer in the last 3 years.
- Pregnant or breast feeding
- History of severe allergic reactions or contraindications to cetuximab or irinotecan
|
5 |
NCT00093704 |
terminated |
study could not recruit any more patients
|
0 |
phase 1 |
['lymphoma', 'lymphoproliferative disorder'] |
["['S33.110S', 'S33.111S', 'S33.120S', 'S33.121S', 'S33.130S', 'S33.131S', 'S33.140S']", "['D47.Z1']"] |
['bortezomib + ganciclovir'] |
['NC1=NC2=C(N=CN2COC(CO)CO)C(=O)N1'] |
Inclusion Criteria:
- Histologically confirmed Epstein Barr virus-positive lymphoma, including the following
subtypes:
- Post-transplantation lymphoma
- Burkitt's lymphoma
- Hodgkin's lymphoma
- T-/NK-cell lymphoma
- Unresponsive to, or relapsed after, at least 1 prior chemotherapy regimen
- Bidimensionally measurable disease by CT scan
- At least 1 lesion ≥ 1.5 cm in the greatest diameter
- Age 18 and over
- ECOG 0-2 OR
- Karnofsky 50-100%
- Life expectancy More than 3 months
- Hematopoietic
- Absolute neutrophil count ≥ 1,000/mm^3 (no growth factor support within the past
4 weeks)
- Hemoglobin ≥ 9.0 g/dL
- Platelet count ≥ 50,000/mm^3 (no platelet transfusions within the past 4 weeks)
- Hepatic
- Bilirubin ≤ 2.0 times upper limit of normal (ULN)
- AST and ALT ≤ 2.5 times ULN (5 times ULN in patients with liver involvement)
- No active hepatitis B or C
- Renal
- Creatinine clearance ≥ 60 mL/min
- Sodium > 130 mmol/L
- Negative pregnancy test
- Fertile patients must use effective contraception
- HIV negative
- At least 4 weeks since prior immunotherapy
- At least 4 weeks since prior chemotherapy
- At least 4 weeks since prior radiotherapy
- More than 4 weeks since prior major surgery unless fully recovered
- Recovered from all prior therapy
- At least 4 weeks since prior investigational agents
Exclusion Criteria:
- primary or secondary CNS lymphoma or HIV-related lymphoma
- known brain metastases
- myocardial infarction within the past 6 months
- acute ischemia or new conduction system abnormalities by electrocardiogram
- symptomatic congestive heart failure
- unstable angina pectoris
- cardiac arrhythmia
- hospitalized
- pregnant or nursing
- other uncontrolled illness
- ongoing or active systemic infection
- psychiatric illness or social situation that would preclude study compliance
- history of allergic reaction attributable to compounds of similar chemical or
biological composition to study drugs
- sensitivity to boron, mannitol, bortezomib, or ganciclovir
- concurrent corticosteroids (≥ 10 mg of prednisone or equivalent)
- concurrent radiotherapy
- other concurrent anticancer therapy
- other concurrent investigational agents
|
6 |
NCT01291914 |
completed |
|
1 |
phase 1/phase 2 |
['osteoarthritis, knee'] |
["['M17.9', 'M17.0', 'M17.10', 'M17.11', 'M17.12', 'M17.2', 'M17.30']"] |
['fx005', 'placebo 1 (carrier)', 'placebo 2 (diluent)'] |
['CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O', '[H][C@]12C[C@@H](O)[C@H](\\C=C\\[C@@H](O)CCCCC)[C@@]1([H])C\\C(O2)=C\\CCCC(O)=O'] |
Inclusion Criteria:
- Male or female ≥40 years of age
- Diagnosis of unilateral or bilateral osteoarthritis of the knee for at least 6 months;
confirmation of osteoarthritis according to American College of Rheumatology Criteria
(clinical and radiological)
- Kellgren-Lawrence grades II or III
- Mean score for the WOMAC A subscale (pain) between 2.0 and 3.5 for the index knee
- Score of 2-3 for the WOMAC A1 score (pain on walking) for the index knee
- Body mass index ≤ 40 kg/m2
- Willingness to abstain from use of restricted medications during the study
- Willingness and ability to comply with the study procedures and visit schedule
Exclusion Criteria:
- Kellgren-Lawrence Grade 0, I or IV radiographic stage of the index knee
- Clinically apparent tense effusion in index knee
- Presence of surgical hardware or other foreign body in the index knee
- Clinical signs and symptoms of active knee infection or crystal disease
- Intra-articular corticosteroid within 3 months of Screening
- Intra-articular hyaluronic acid within 6 months of Screening
- Other intra-articular therapy within 3 months of Screening
- Prior arthroscopic or open surgery of the index knee within 12 months of Screening
- Planned/anticipated surgery of the index knee during the study period
- History of malignancy or other serious, non-malignant, significant, acute or chronic
medical (e.g.. uncontrolled diabetes) or active psychiatric illness
- Skin breakdown at the knee where the injection would take place
- Women who are pregnant, nursing or likely to become pregnant during the time of the
study
- Women of child-bearing potential (not surgically sterile or post-menopausal for at
least 1 year) not using effective contraception
|
7 |
NCT00565227 |
terminated |
closed due to toxicity
|
0 |
phase 1 |
['non-small-cell lung carcinoma', 'prostate cancer', 'bladder cancer', 'urothelial carcinoma'] |
["['D02.20', 'D02.21', 'D02.22']", "['C61', 'D29.1', 'D40.0', 'Z15.03', 'Z80.42', 'Z85.46', 'Z12.5']", "['D30.3', 'C67.5', 'C67.9', 'C79.11', 'C67.0', 'C67.1', 'D41.4']", "['C22.0', 'C22.1', 'C4A.9', 'C7B.1', 'D09.9', 'C4A.0', 'C4A.31']"] |
['vorinostat (suberoylanilide hydroxamic acid)', 'docetaxel'] |
['ONC(=O)CCCCCCC(=O)NC1=CC=CC=C1', '[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1'] |
Inclusion Criteria:
1. There is no limit on prior courses of chemotherapy as long as the regimen did not
contain docetaxel. Prior use of paclitaxel (Taxol) or other taxanes is permissible.
2. Only patients with non-small cell lung, prostate, and bladder/urothelial cancer that
has progressed after chemotherapy or after hormone therapy.
Exclusion Criteria:
1. Patients who have had chemotherapy or radiotherapy within 3 weeks.
2. Patients may not be receiving any other investigational agents nor had prior treatment
with histone deacetylase (HDAC) inhibitors (i.e. Valproic acid, PXD-001, Depsipeptide,
MS-275 and LAQ-824)
3. Significant cardiovascular disease including congestive heart failure
|
8 |
NCT01259089 |
completed |
|
0 |
phase 1/phase 2 |
['adenocarcinoma of the lung', 'non-small cell lung cancer'] |
["['D02.20', 'D02.21', 'D02.22']", "['C78.00', 'C78.01', 'C78.02', 'D14.30', 'D14.31', 'D14.32', 'C34.2']"] |
['erlotinib hydrochloride', 'hsp90 inhibitor auy922'] |
['COCCOC1=CC2=C(C=C1OCCOC)C(NC1=CC(=CC=C1)C#C)=NC=N2', 'CCNC(=O)C1=NOC(=C1C1=CC=C(CN2CCOCC2)C=C1)C1=CC(=C(O)C=C1O)C(C)(C)C'] |
Inclusion Criteria:
- All patients must have pathologic evidence of advanced lung adenocarcinoma (stage IIIB
or stage IV) confirmed histologically/cytologically at NU, MSKCC, or DFCI and EITHER
previous RECIST-defined response (CR or PR) to an EGFR-TKI (erlotinib or gefitinib) or
an investigational EGFR TK inhibitor OR a documented mutation in the EGFR gene (G719X,
exon 19 deletion, L858R, L861Q)
- Radiographic progression by RECIST during treatment with erlotinib/gefitinib
- Received treatment with erlotinib/gefitinib throughout the one month prior to
enrollment and at least six months at any time
- Measurable (RECIST) indicator lesion not previously irradiated
- Must have undergone a biopsy after the development of acquired resistance
- Karnofsky Performance Status >= 70% OR ECOG/WHO Performance Status 0-1
- Signed informed consent
- Effective contraception and negative serum pregnancy test obtained within two weeks
prior to the first administration of AUY922 in all pre-menopausal women (ie., last
menstrual period =< 24 months ago) and women < 2 years after onset of menopause;
menopause is defined as the time at which fertility ceases, where a woman has had no
menstruation for > 24 months
- Total bilirubin =< 1.5 x Upper Limit of Normal (ULN)
- AST/SGOT and ALT/SGPT =< 3.0 x ULN, or =< 5.0 x ULN if liver metastasis present
- Absolute neutrophil count (ANC) >= 1.5 x10^9/L
- Hemoglobin (Hgb) >= 9g/dL
- Platelets (plts) >= 100 x 10^9/L
- Serum creatinine =< 1.5 x ULN or 24 hour clearance >= 50 mL/min
Exclusion Criteria:
- Symptomatic CNS metastases which are symptomatic and /or requiring escalating doses of
steroids
- Prior treatment with any HSP90 inhibitor compounds
- Conventional chemotherapy, radiation or monoclonal antibodies within 4 weeks
(erlotinib/gefitinib therapy within the past 4 weeks IS allowed)
- Palliative radiation within 2 weeks
- Unresolved diarrhea >= CTCAE grade 2
- Pregnant or lactating women
- Women of childbearing potential (WCBP) (i.e. women able to become pregnant) not using
double-barrier methods of contraception (abstinence, oral contraceptives, intrauterine
device or barrier method of contraception in conjunction with spermicidal jelly, or
surgically sterile); male patients whose partners are WCBP not using double-barrier
methods of contraception
- Acute or chronic liver or renal disease
- Other concurrent severe and/or uncontrolled medical conditions that could cause
unacceptable safety risks or compromise compliance with the protocol
- Major surgery =< 2 weeks prior to randomization or who have not recovered from such
therapy
- History (or family history) of long QT syndrome
- Mean QTc >= 450 msec on baseline ECG
- History of clinically manifested ischemic heart disease =< 6 months prior to study
start
- History of heart failure or left ventricular (LV) dysfunction (LVEF =< 45%) by MUGA or
ECG
- Clinically significant resting bradycardia (< 50 beats per minute)
- Clinically significant ECG abnormalities including 1 or more of the following: left
bundle branch block (LBBB), right bundle branch block (RBBB) with left anterior
hemi-block (LAHB); ST segment elevation or depression > 1mm, or 2nd (Mobitz II), or
3rd degree AV block
- History ventricular tachycardia
- Other clinically significant heart disease including congestive heart failure (New
York Heart Association class III/IV) or uncontrolled hypertension (> 160/90 despite
intensive medical management)
- Patients who are currently receiving treatment with any medication which has a
relative risk of prolonging the QTcF interval and cannot be switched or discontinued
to an alternative drug prior to commencing AUY922
- Known diagnosis of HIV infection (HIV testing is not mandatory)
- Patients with a history of another primary malignancy that is currently clinically
significant or currently requires active intervention
- Patients who are receiving warfarin (Coumadin®) will be excluded unless =< 2 mg/d,
with an INR < 1.5
- Patients with known disorders due to a deficiency in bilirubin glucuronidation (e.g.
Gilbert's syndrome)
|
9 |
NCT01448200 |
completed |
|
1 |
phase 1 |
['hepatitis c, chronic'] |
["['B18.2', 'B18.0', 'B18.1', 'B18.8', 'B18.9', 'K71.3', 'K71.4']"] |
['ppi-668', 'placebo'] |
['CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
In order to participate in the study, volunteers for Part I and patients for Part II must
meet all of the following key entry criteria, as well as other entry criteria specified in
the full protocol:
Key Inclusion Criteria
1. Male or female, between 18 and 65 years of age. Female patients must be surgically
sterile or two years post-menopausal.
2. Body Mass Index (BMI) 18 - 35 kg/m2
3. In good health, in the judgment of the Principal Investigator
4. Able and willing to comply with all protocol requirements and to sign an informed
consent.
Key Exclusion Criteria:
1. Seropositive for HIV antibody, or HBV surface antigen (HBsAg) at Screen. Volunteer
subjects for Part I must also be negative for HCV antibody.
2. Any medical condition that may interfere with the absorption, distribution or
elimination of study drug (PPI-668), or with the clinical and laboratory assessments
in this study.
3. Poorly controlled or unstable hypertension; or sustained systolic BP > 150 or
diastolic BP > 95 at Screen.
4. History of Diabetes Mellitus treated with insulin or hypoglycemic agents
5. History of alcohol abuse or illicit drug use which, in the investigator's judgment,
could interfere with a patient's compliance, with the protocol requirements or with
the safety or efficacy assessments of the study
6. History of malignancy unless the malignancy has been in complete remission and without
additional medical or surgical interventions during the preceding three years
7. No clinically significant laboratory abnormalities at Screen for healthy volunteers in
Part I. For Screen laboratory parameters for HCV patients in Part II, refer to the
'Additional Criteria for HCV Patients' below.
Additional Key Entry Criteria for HCV patients (Part II):
1. Clinical diagnosis of chronic hepatitis C, documented by:
1. Clinical findings compatible with chronic hepatitis C, and absence of other known
liver disease
2. Seropositive for HCV antibody or HCV RNA at least once previously, and at Screen
3. Serum HCV RNA > 5 log10 IU/mL at Screen, by the PCR assay at the central study
laboratory
4. HCV genotype-1 (1a or 1b, or non-subtypable genotype-1), or HCV genotype-2a or
genotype-3a
2. ALT must be <5 x ULN at screen
3. No previous treatment with interferon, pegIFN, or ribavirin for genotype-1 patients
4. No history of signs or symptoms of decompensated liver disease
5. Any of the following laboratory values at Screening will be exclusionary for study
participation:
- Hgb <11 g/dL in women or 12 g/dL in men.
- White blood cell count < 4,000/mm3.
- Absolute neutrophil count (ANC) < 1800 per mm3.
- Platelet count < 100,000 per mm3.
- Serum creatinine >ULN at the central study laboratory.
- Serum albumin < 3.4 g/dL.
- Total bilirubin > 2.0 mg/dL
- Clinically significant abnormality in the electrocardiograms (ECGs) at Screen
|
10 |
NCT00667420 |
terminated |
closed due to slow accrual
|
0 |
phase 1/phase 2 |
['esophageal adenocarcinoma', 'gastric adenocarcinoma'] |
["['C22.0', 'C22.1', 'C4A.9', 'C7B.1', 'D09.9', 'C4A.0', 'C4A.31']", "['C22.0', 'C22.1', 'C4A.9', 'C7B.1', 'D09.9', 'C4A.0', 'C4A.31']"] |
['panitumumab, epirubicin, oxaliplatin, xeloda'] |
['[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1'] |
Inclusion Criteria:
- Patients must have histologically or cytologically confirmed diagnosis of
adenocarcinoma of the stomach, gastroesophageal junction, or lower third of the
esophagus, AJCC stage II-IIIB (gastric) or IIA-IVA (esophageal). M1a disease will be
included, but not T4 lesions.
- No prior radiation or chemotherapy including anti-EGFR or vascular endothelial growth
factor (VEGF) antibody or tyrosine kinase inhibitor treatments.
- All patients must have staging endoscopic ultrasound (EUS) prior to enrollment.
- Men or Women >18 years of Age
- ECOG performance status <2 (Karnofsky >60%, see Appendix A).
- Cardiac ejection fraction >45% by echocardiogram or MUGA scan.
- Must be able to either swallow pills or have gastrostomy tube in place for
administration of enteral medications.
- Patients must have normal organ, metabolic and marrow function as defined below:
- Hematologic function, as follows:
- Absolute neutrophil count (ANC) ≥ 1.5 x 109/L
- Platelet count ≥ 100 x 109/L
- Hemoglobin ≥ 9.0 g/dL
- Renal function, as follows:
- Creatinine < or = 1.5 mg/dL x ULN
Hepatic function, as follows:
- Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT)< or = 3 x ULN
- Total bilirubin < 1.5 x ULN
Metabolic function, as follows:
- Magnesium ≥ lower limit of normal
- Calcium < or = lower limit of normal -Human IgG is known to cross the placental
barrier; therefore, Panitumumab may be transmitted from the mother to the developing
fetus. In women of childbearing potential, appropriate contraceptive measures must be
used during treatment with panitumumab and for 6 months following the last dose of
panitumumab. If panitumumab is used during pregnancy or if the patient becomes
pregnant while receiving this drug, she should be apprised of the potential risk for
loss of the pregnancy or potential hazard to the fetus.
3.1.10 Ability to understand and the willingness to sign and date a written IEC/IRB
approved informed consent form.
Exclusion Criteria:
- Evidence of distant metastatic disease.
- T4 tumor on initial staging studies.
- History of another primary cancer, except:
- Curatively treated in situ cervical cancer
- Curatively resected non-melanoma skin cancer
- Other primary solid tumor curatively treated with no known active disease present and
no treatment administered for ³ 5 years prior to enrollment
- Relative or absolute contraindications to surgery which in the opinion of the
investigator make the patient a poor candidate for surgical resection.
- History of allergic reactions attributed to compounds of similar chemical or biologic
composition to panitumumab or other agents used in study.
- Subjects requiring chronic use of immunosuppressive agents (e.g., methotrexate,
cyclosporine).
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active
infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac
arrhythmia, or psychiatric illness/social situations that would limit compliance with
study requirements.
- History of interstitial lung disease e.g. pneumonitis or pulmonary fibrosis or any
evidence of interstitial lung disease on baseline chest CT scan.
- History of any medical or psychiatric condition or laboratory abnormality that in the
opinion of the investigator may increase the risks associated with the study
participation or investigational product(s) administration or may interfere with the
interpretation of the results.
- Subject unwilling or unable to comply with study requirements.
- Women who test positive for serum or urine pregnancy test < 72 hours before
randomization or are breast feeding.
- Known positive test(s) for human immunodeficiency virus infection, hepatitis C virus,
acute or chronic active hepatitis B infection.
- Major surgery with 28 days or minor surgery within 14 days of study enrollment.
- Men or women of child-bearing potential (women who are post-menopausal < 52 weeks, not
surgically sterilized, or not abstinent) not consenting to use adequate contraception
(per institutional standard of care) during the course of the study and after the last
investigational product(s) administration (24 weeks for women, 4 weeks for men).
- Subjects with > grade 1 neuropathy at baseline.
- Contraindication to port-a-cath placement.
|
11 |
NCT00156013 |
completed |
|
1 |
phase 1/phase 2 |
['lymphoma, b-cell', 'lymphoma, non-hodgkin'] |
["['S33.110S', 'S33.111S', 'S33.120S', 'S33.121S', 'S33.130S', 'S33.131S', 'S33.140S']", "['S33.110S', 'S33.111S', 'S33.120S', 'S33.121S', 'S33.130S', 'S33.131S', 'S33.140S']"] |
['clofarabine'] |
['[H][C@@]12C[C@@H](C)[C@](O)(C(=O)CO)[C@@]1(C)C[C@H](O)[C@@]1(F)[C@@]2([H])CCC2=CC(=O)C=C[C@]12C'] |
Inclusion Criteria:
- Adult patients who are at least 18 years old with histology confirmed diffuse large
cell B-cell NHL who have failed prior systemic chemotherapy with or without monoclonal
antibody-based therapies.
- Measurable disease determined by Ct or PET scans or bone marrow involvement, defined
as lesions that can be accurately measured in two dimensions by CT or PET scan with
the longest diameter accurately as greater than or equal to 1.0 cm or palpable lesions
with both diameters greater than or equal to 2.0 cm. PET scan measurable disease is
defined based on SUV value as determined by nuclear medicine evaluation.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0,1,or 2.
- Life expectancy greater than 12 weeks.
- Laboratory values obtained less than or equal to 14 days prior to registration:
- Absolute neutrophil count (ANC) greater than or equal to 1500.
- White blood cell (WBC) count greater than 3.0.
- Platelets greater than or equal to 100.
- Hemoglobin (HG) greater than 9.0 g/dL.
- Total bilirubin less than or equal to 2.0 mg/dL.
- Aspartate transaminase (AST)/alanine transaminase (ALT) less than or equal to 3
times the upper limit of normal (ULN). Higher values are acceptable if it is
deemed that they are related to liver involvement with NHL.
- Serum creatinine less than or equal to 2.0 mg/dL.
- Cardiac function on pretreatment MUGA scan or echocardiogram that is considered normal
by institutional standards.
- Capable of understanding the investigational nature, potential risks and benefits of
the study, and able to provide valid informed consent.
- Female patients of childbearing potential must have a negative serum pregnancy test
within 2 weeks prior to enrollment.
- Male and female patients must use an effective contraceptive method during the study
and for a minium of 6 months after study treatment.
Exclusion Criteria:
- Previously untreated NHL.
- Received previous treatment with clofarabine.
- History of T-cell lymphoma.
- Bulky disease (ie, any single mass greater than 10 cm or circulating malignant cells
greater than or equal to 24,000 cells/ul.
- Patients with known AIDS-related or HIV-positive lymphoma.
- Autologous bone marrow or stem cell transplant within 3 months of study entry.
- History of allogeneic bone marrow transplant or organ transplant.
- Prior radiotherapy to the only site of measurable disease.
- Any medical condition that requires chronic use of oral high-dose corticosteroids. (
in excess of 1 mg/kg/day).
- Autoimmune thrombocytopenia.
- Use if investigational agents within 30 days or any anticancer therapy within 3 weeks
before study entry. The patient must have recovered from all acute toxicities from any
previous therapy.
- Patients with an active, uncontrolled systemic infection considered to be
opportunistic, life threatening, or clinically significant at the time of treatment or
with a known or suspected fungal infection (ie, patients of parenteral antifungal
therapy).
- HIV-positive status.
- Active secondary malignancy.
- Pregnant or lactating patients.
- Any significant concurrent disease, illness , or psychiatric disorder that would
compromise patient safety or compliance, interfere with consent, study participation,
follow-up, or interpretation of study results.
- Patients with active or untreated central nervous lymphoma (CNS) lymphoma.
|
12 |
NCT00551122 |
unknown status |
|
1 |
phase 1/phase 2 |
['brain and central nervous system tumors', 'extragonadal germ cell tumor', 'ovarian cancer', 'testicular germ cell tumor'] |
["['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']", "['E29.0', 'E29.1', 'E29.8', 'E29.9', 'E89.5', 'N50.811', 'N50.812']"] |
['cisplatin', 'gemcitabine hydrochloride', 'ifosfamide', 'paclitaxel'] |
['[H][C@@]12N(C)C3=CC(OC)=C(C=C3[C@@]11CCN3CC=C[C@](CC)([C@@]13[H])[C@@]([H])(OC(C)=O)[C@]2(O)C(=O)OC)[C@]1(C[C@@]2([H])CN(CC(CC)=C2)CC2=C1NC1=CC=CC=C21)C(=O)OC', 'NC1=NC(=O)N(C=C1)[C@@H]1O[C@H](CO)[C@@H](O)C1(F)F', 'N[C@@H](CCCNC(N)=N)C(O)=O', '[H][C@@]1(C[C@@H](C)[C@]2([H])CC(=O)[C@H](C)\\C=C(C)\\[C@@H](O)[C@@H](OC)C(=O)[C@H](C)C[C@H](C)\\C=C\\C=C\\C=C(C)\\[C@H](C[C@]3([H])CC[C@@H](C)[C@@](O)(O3)C(=O)C(=O)N3CCCC[C@@]3([H])C(=O)O2)OC)CC[C@@H](OCCO)[C@@H](C1)OC'] |
DISEASE CHARACTERISTICS:
- Meets the following criteria:
- Histologically confirmed extracranial primary germ cell cancer, seminoma, or
nonseminoma
- Unresectable metastatic disease
- No completely resected cancer
- Rising serum markers (i.e., alpha-fetoprotein and human chorionic gonadotropin)
on sequential measurement or biopsy-proven unresectable germ cell cancer
- In first relapse after a single prior cisplatin-containing combination chemotherapy
- Patients with late relapse (i.e., > 2 years post initial chemotherapy) should be
considered for surgery rather than chemotherapy, if technically feasible
- No patients with cerebral metastases alone
- Progressive cerebral and systemic disease may be considered for this study,
provided cranial irradiation is also considered as a component of care
PATIENT CHARACTERISTICS:
- Medically and psychologically fit to receive this intensive chemotherapy schedule
- WBC > 3.5 times 10^9/L
- Platelet count > 130 times 10^9/L
- Glomerular filtration rate ≥ 50 mL/min (as determined by 24 hour creatinine clearance
or nuclear medicine technique)
- Fertile patients must use effective contraception
- No other prior malignancy except successfully treated nonmelanoma skin cancer or
superficial bladder cancer
- No prior allergic reactions to cisplatin or other platinum compounds
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
|
13 |
NCT00903006 |
terminated |
low accrual
|
0 |
phase 1/phase 2 |
['breast cancer'] |
["['C79.81', 'D24.1', 'D24.2', 'D24.9', 'D49.3', 'C44.501', 'D48.60']"] |
['fulvestrant', 'mk-0646', 'dasatinib'] |
['[H][C@@]12CC[C@H](O)[C@@]1(C)CC[C@]1([H])C3=CC=C(O)C=C3C[C@@H](CCCCCCCCCS(=O)CCCC(F)(F)C(F)(F)F)[C@@]21[H]', '[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1', 'CC1=NC(NC2=NC=C(S2)C(=O)NC2=C(C)C=CC=C2Cl)=CC(=N1)N1CCN(CCO)CC1'] |
Inclusion Criteria:
1. For the Phase I: Patients with histologically or cytologically confirmed diagnosis of
metastatic hormone receptor-positive HER2-negative breast cancer who have received up
to one line of endocrine therapy for metastatic disease.
2. Measurable disease by Response Evaluation Criteria In Solid Tumors (RECIST) or
evaluable disease (e.g., bone metastasis, or lesions which do not fulfill RECIST
criteria for metastatic disease)
3. Age >/= 18 years
4. Eastern Cooperative Oncology Group (ECOG) performance status of </= 2
5. Required laboratory values: Absolute neutrophil count (ANC)>/= 1500 cells/mm^3,
platelet count >/= 100,000 cells/mm^3, hemoglobin >/= 9 gm/L; bilirubin </= 1.5 *
upper limit of normal (ULN), alanine aminotransferase (ALT) and aspartate
aminotransferase (AST) </= 2.5 * ULN; serum creatinine </= 2.0 * ULN
6. Ability to understand the requirements of the study, provided written informed consent
and authorization of use and disclosure of protected health information, and agree to
abide by the study restrictions and to return for the required assessments.
7. Patients must be postmenopausal (> 12 months of amenorrhea, bilateral oophorectomy).
8. Patients must have received prior anti-estrogen therapy in the adjuvant setting.
9. Patients may have easily accessible tumors for biopsy (confirmed by interventional
radiology).
10. Patients must consent to biopsies.
11. For the Phase II: Patients with histologically or cytologically confirmed diagnosis of
metastatic hormone receptor-positive, HER2-negative, breast cancer who have received
up to one line of endocrine therapy for metastatic disease.
12. Measurable disease by RECIST or evaluable disease (e.g., bone metastasis, or lesions
which do not fulfill RECIST criteria for metastatic disease)
13. Age >/= 18 years
14. ECOG performance status of </= 2
15. Required Laboratory Values: ANC >/= 1500 cells/mm^3, platelet count >/= 100,000
cells/mm^3, hemoglobin >/= 9 gm/L, Bilirubin </= 1.5 * ULN, alanine aminotransferase
(ALT) and aspartate aminotransferase (AST) </= 2.5 * ULN
16. Serum creatinine </= 2.0 * ULN
17. Ability to understand the requirements of the study, provide written informed consent
and authorization of use and disclosure of protected health information, and agree to
abide by the study restrictions and to return for the required assessments.
18. Patients must be postmenopausal (> 12 months of amenorrhea, bilateral oophorectomy).
19. Patients must have received prior anti-estrogen therapy in the adjuvant setting.
20. Patients may have easily accessible tumors for biopsy (confirmed by interventional
radiology).
21. Patients must consent to biopsies.
Exclusion Criteria:
1. For the Phase I: History of prior malignancies within the past 5 years with the
exception of curatively treated basal or squamous cell carcinomas of the skin or
carcinoma in situ of the cervix
2. Concurrent severe or uncontrolled medical disease (i.e., systemic infection, diabetes,
hypertension, coronary artery disease, congestive heart failure, ongoing or recent
gastrointestinal bleed, hepatic or cardiac compromise, hypocalcemia, or known platelet
function abnormality).
3. Concomitant medication known to prolong QT interval, unless discontinued >/= 7 days of
starting dasatinib therapy.
4. Newly diagnosed (within 3 months before enrollment) or poorly controlled (defined as a
fasting serum glucose > 160 mg/dl or hemoglobin A1c > 8% at screening), type 1 or 2
diabetes mellitus.
5. Active or untreated brain metastasis
6. Pleural or pericardial effusion of any grade
7. Bone only metastases
8. Patients for whom endocrine therapy is not appropriate (i.e. life threatening
metastatic disease).
9. Patients requiring therapeutic anticoagulation (Warfarin 1 mg for port maintenance is
allowed).
10. For the Phase II: History of prior malignancies within the past 5 years with the
exception of curatively treated basal or squamous cell carcinomas of the skin or
carcinoma in situ of the cervix
11. Concurrent severe or uncontrolled medical disease (i.e., systemic infection, diabetes,
hypertension, coronary artery disease, congestive heart failure, ongoing or recent
gastrointestinal bleed, hepatic or cardiac compromise, hypocalcemia, or known platelet
function abnormality).
12. Concomitant medication known to prolong QT interval, unless discontinued >/= 7 days of
starting dasatinib therapy.
13. Newly diagnosed (within 3 months before enrollment) or poorly controlled (defined as a
fasting serum glucose > 160 mg/dl or hemoglobin A1c > 8% at screening), type 1 or 2
diabetes mellitus.
14. Active or untreated brain metastasis
15. Pleural or pericardial effusion of any grade
16. Bone only metastases
17. Patients for whom endocrine therapy is not appropriate (i.e. life threatening
metastatic disease).
18. Patients requiring therapeutic anticoagulation (Warfarin 1 mg for port maintenance is
allowed).
|
14 |
NCT01298401 |
completed |
|
0 |
phase 1 |
['pancreatic cancer'] |
["['C25.3']"] |
['capecitabine', 'gemcitabine hydrochloride'] |
['[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1', 'NC1=NC(=O)N(C=C1)[C@@H]1O[C@H](CO)[C@@H](O)C1(F)F'] |
DISEASE CHARACTERISTICS:
- Pathologically confirmed (histologic or cytologic) locally advanced adenocarcinoma of
the pancreas
- Patients must have unresectable disease based on institutional standardized
criteria of unresectability or medical inoperability
- Patients with or without regional adenopathy are eligible
- No distant metastases based upon the following minimum diagnostic workup:
- History and/or physical examination, including collection of weight and vital
signs, within 28 days prior to study entry
- Abdominal and/or pelvic CT scan with IV contrast or MRI scan within 21 days prior
to study entry
- Chest CT scan or whole-body PET/CT within 21 days prior to study entry
- No second malignancy or peritoneal seeding
PATIENT CHARACTERISTICS:
- Zubrod performance status 0-1
- Absolute neutrophil count (ANC) ≥ 1,500/mm³
- Platelet count ≥ 100,000/mm³
- Hemoglobin (Hgb) ≥ 10.0 g/dL (the use of transfusion or other intervention to achieve
Hgb ≥ 10.0 g/dL is acceptable)
- Glycosylated hemoglobin (HgbA1c) ≤ 8%
- Serum creatinine ≤ 1.5 mg/dL
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) < 3 times upper
limit of normal (ULN)
- Total bilirubin < 3.0 mg/dL
- Alkaline phosphatase < 3 times ULN
- Fasting blood glucose < 160 mg/dL
- Patients with a non-fasting blood glucose > 160 mg/dL (8.9 mmol/L) must have a
fasting blood glucose ≤ 160 mg/dL (8.9 mmol/L) in order to be eligible
- No grade 2 or worse hearing impairment
- Negative serum pregnancy test (if applicable)
- Women of childbearing potential and men who are sexually active must be willing/able
to use medically acceptable forms of contraception during the course of the study, and
for 3 months (6 months for men) after the last study drug administration
- Not pregnant or nursing
- Ability to swallow oral medications
- At least 3 years since prior malignancy except non-melanomatous skin cancer or
carcinoma in situ of the breast, oral cavity, or cervix
- No severe active co-morbidity, defined as any of the following:
- Unstable angina and/or congestive heart failure requiring hospitalization within
the last 6 months
- Transmural myocardial infarction within 6 months prior to study entry
- Acute bacterial or fungal infection requiring intravenous antibiotics at the time
of registration
- Chronic obstructive pulmonary disease exacerbation or other respiratory illness
requiring hospitalization, or precluding study therapy within 30 days before
registration
- Uncontrolled malabsorption syndrome significantly affecting gastrointestinal
function
- Any unresolved bowel or bile duct obstruction
- Major resection of the stomach or small bowel that could affect the absorption of
capecitabine
- Acquired immune deficiency syndrome (AIDS) based upon current Centers for Disease
Control and Prevention (CDC) definition
- HIV testing is not required for entry into this protocol
- Existing venous thromboembolism requiring anti-coagulation therapy
- No prior allergic reaction to capecitabine or gemcitabine hydrochloride
PRIOR CONCURRENT THERAPY:
- No prior systemic chemotherapy for pancreatic cancer
- Prior chemotherapy for malignancies other than pancreatic cancer is allowed
provided chemotherapy was completed > 3 years prior to study entry
- No prior radiotherapy to the region of the study cancer that would result in overlap
of radiation therapy fields
- More than 28 days since any prior major surgery
- Insertion of a vascular access device, insertion of a biliary stent, exploratory
laparotomy, or laparoscopy are not considered major surgery
- No prior ganitumab
- Patients requiring concurrent oral anticoagulants (e.g., Coumadin, warfarin) are
eligible provided there is increased vigilance with respect to monitoring
international normalized ratio (INR)
- No concurrent participation in another clinical treatment trial
- No concurrent intensity-modulated radiotherapy
- No other concurrent therapy including the following:
- Other investigational or approved chemotherapeutic agents
- Other monoclonal antibody
- Sorivudine or brivudine A
- Cimetidine
- G-CSF agents
|
15 |
NCT00621725 |
completed |
|
0 |
phase 1 |
['advanced cancer', 'hepatic impairment'] |
["['K74.02', 'G47.22', 'H35.3133', 'H35.3134', 'H35.3113', 'H35.3114', 'H35.3123']", "['Z73.82', 'G31.84', 'M10.38', 'M10.30', 'M10.311', 'M10.312', 'M10.319']"] |
['azd2171'] |
['COC1=CC2=C(C=C1OCCCN1CCCC1)N=CN=C2OC1=C(F)C2=C(NC(C)=C2)C=C1'] |
Inclusion Criteria:
- Written informed consent
- Advanced solid tumour (not prostate cancer) for which no standard therapy exists
- WHO performance status 0-2
- Bilirubin levels within the target range
Exclusion Criteria:
- Unstable brain/meningeal metastases
- Inadequate bone marrow reserve
- Biochemistry/haematology results outside of required ranges
- History of significant GI impairment
|
16 |
NCT01942382 |
completed |
|
0 |
phase 1 |
['schizophrenia'] |
["['F20.0', 'F20.1', 'F20.2', 'F20.3', 'F20.5', 'F20.89', 'F20.9']"] |
['paliperidone palmitate'] |
['CC1=C(CCN2CCC(CC2)C2=NOC3=C2C=CC(F)=C3)C(=O)N2CCCC(O)C2=N1'] |
Inclusion Criteria:- Participants had to have the capability to provide informed consent in
writing to participate in the study
- Participants with a diagnosis of schizophrenia in accordance with the diagnostic
criteria for Diagnostic and Statistical Manual of Mental Disorders -IV-TR (DSM-IV-TR)
- Participants whose psychiatric symptom is considered stable by the
investigator/subinvestigator at the time of giving informed consent
- Participants with a Positive and Negative Syndrome Scale (PANSS) score of less than or
equal to 4 (moderate) in the following 9 items at screening: delusion, conceptual
disorganization, hallucinatory behavior, excitement, grandiosity,
suspiciousness/persecution, hostility, uncooperativeness, poor impulse control
- Participants with an experience of taking a risperidone formulation or a paliperidone
formulation by 8 days before the initial day (Day 1) of the study treatment
Exclusion Criteria:- DSM-IV-TR diagnosis other than schizophrenia
- DSM-IV-TR diagnosis of substance-related disorders within 180 days before the date of
screening
- At a risk of suicide or other-injurious behavior as considered by the
investigator/subinvestigator , and participants with a history of suicide attempts
- Concurrent condition of Parkinson's disease (except for drug-induced extrapyramidal
syndrome) - Concurrent condition or history of symptomatic cerebrovascular accident
|
17 |
NCT01050764 |
terminated |
safety
|
0 |
phase 1/phase 2 |
['leukemia, acute', 'chronic myelogenous leukemia (cml)', 'myelodysplastic syndrome (mds)', 'non-hodgkin lymphoma (nhl)', 'chronic lymphocytic leukemia (cll)', 'acute myelogenous leukemia (aml)', 'acute lymphoblastic leukemia (all)'] |
["['D46.Z', 'D46.9', 'C94.6', 'D46.C']", "['S33.110S', 'S33.111S', 'S33.120S', 'S33.121S', 'S33.130S', 'S33.131S', 'S33.140S']", "['A87.2', 'K52.832', 'D72.111', 'C91.11', 'C91.12', 'C91.10']"] |
['regulatory t-cells', 'conventional t-cells', 'melphalan', 'thiotepa', 'anti-thymocyte globulin, rabbit', 'clinimacs cd34 reagent system'] |
['[H][C@]12SCC(CSC3=NN=C(C)S3)=C(N1C(=O)[C@H]2NC(=O)CN1C=NN=N1)C(O)=O', 'N[C@@H](CC1=CC=C(C=C1)N(CCCl)CCCl)C(O)=O', 'CN(C)CCOC(C)(C1=CC=CC=C1)C1=CC=CC=N1'] |
Inclusion Criteria
RECIPIENT
- Histopathologically-confirmed:
- Acute leukemia (in first remission with poor risk factors and molecular prognosis)
- Acute myelogenous leukemia (AML) with -5,-7, t (6;9), tri8, -11
- Acute lymphoblastic leukemia (ALL) with Ph+ t (9;22), t (4;22), (q34;q11)
- Acute leukemia with refractory disease or > Complete Remission (CR) 1
- Chronic myelogenous leukemia (CML) (accelerated, blast or second chronic phase)
- Myelodysplastic syndrome (in high and high intermediate risk categories)
- Non-Hodgkin's lymphoma (NHL) with poor risk features and not suitable for autologous
transplantation
- Refractory Chronic lymphocytic leukemia (CLL)
- At least 21 days from the end of most recent prior therapy to start of the transplant
conditioning regimen
- Must be < 60 years old at time of registration.
- Karnofsky Performance Status (KPS) > 70%
Must have related donor who is:
- Genotypically human leukocyte antigen (HLA) -A, B,C and DR beta 1 (DRB1), DQ loci
haploidentical to the recipient (but differing for 2 to 3 HLA alleles on the unshared
haplotype in the graft-versus-host disease (GvHD) direction)
- No HLA-matched sibling or matched-unrelated donor is identified.
- Adequate cardiac and pulmonary function (left ventricular ejection fraction (LVEF) >
45%, diffusing capacity of the lungs for carbon monoxide (DLCO) >50% corrected for
hemoglobin)
- Serum creatinine < 1.5 mg/dL OR Creatinine clearance > 50 mL/min for those above serum
creatinine at least 1.5 mg/dL
- Serum bilirubin < 2.0 mg/dL
- Alanine transaminase (ALT) < 2x upper normal limit (ULN) (unless secondary to disease)
- No prior myeloablative therapy or hematopoietic cell transplantation
DONOR:
- Age ≤ 70 years
- Weight ≥ 25 kg.
- Medical history and physical examination confirm good health status as defined by
institutional standards
- Seronegative for HIV Ag within 30 days of apheresis collection for:
- Hepatitis B surface antigen (sAg) or polymerase chain reaction (PCR) +
- Hepatitis C ab or PCR+
- Genotypically haploidentical as determined by HLA typing
- Female donors (child-bearing potential) must have a negative serum or urine beta-human
chorionic gonadotropin (HCG) test within 3 weeks of mobilization
- Capable of undergoing leukapheresis
- Has adequate venous access
- Willing to undergo insertion of a central catheter if leukapheresis via peripheral
vein is inadequate
- Capable of agreeing to second donation of peripheral blood progenitor cell (PBPC) (or
a bone marrow harvest) should the patient fail to demonstrate sustained engraftment
following the transplant
- Institutional review board (IRB)-approved consent form signed by donor or legal
guardian > 18 years of age
Donor Selection in the priority order:
- Recipient's biological mother preferred, if available
- Other available haploidentical donors will be selected based upon the presence of
natural killer (NK) alloreactivity between donor and recipient by high-resolution HLA
typing of the C locus. An NK-alloreactive donor will be preferentially chosen.
Recipients lacking a killer immunoglobulin-like receptor (KIR)-ligand present in the
donor along with the corresponding KIR defines "NK alloreactivity".
- If more than one NK-alloreactive donor is available, preference is to cytomegalovirus
(CMV)-seronegative donor
Exclusion Criteria
RECIPIENT:
- Suitable candidate for autologous transplantation or allogeneic transplantation with
an available matched-related or matched-unrelated donor
- Seropositive for:
- HIV ab
- Hepatitis B sAg or PCR+
- Hepatitis C ab or PCR+
- History of invasive Aspergillosis
- Any active, uncontrolled bacterial, viral or fungal infection
- Uncontrolled central nervous system (CNS) disease involvement
- Lactating female
DONOR:
- Evidence of active infection or viral hepatitis
- Factors of increased risk for complications from leukapheresis or granulocyte-colony
stimulating factor (G-CSF) therapy
- Lactating female
- HIV-positive
|
18 |
NCT00374985 |
completed |
|
1 |
phase 1/phase 2 |
['esophageal neoplasms', 'stomach neoplasms'] |
["['K22.2', 'K22.81', 'Q39.4', 'P78.83', 'I85.00', 'I85.01', 'I85.10']", "['D13.1', 'C16.9', 'C16.1', 'C16.2', 'D37.1', 'C16.8', 'C16.5']"] |
['docetaxel, oxaliplatin'] |
['[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1'] |
Inclusion Criteria:
- adenocarcinoma of gastric-esophagal junction
- stage II to III
- unidimensional measurable disease
Exclusion Criteria:
- surgery of primary tumor
- metastasis
- prior chemo- or radiotherapy
|
19 |
NCT00350844 |
terminated |
low subject accrual
|
0 |
phase 1/phase 2 |
['sickle cell disease', 'pulmonary hypertension'] |
["['D57.1', 'D57.20', 'D57.212', 'D57.219', 'D57.211', 'D57.213', 'D57.218']", "['I27.0', 'I27.20', 'I27.21', 'I27.24', 'I27.29', 'P29.30', 'I27.22']"] |
['hydroxyurea'] |
['NC(=O)NO'] |
Inclusion Criteria:
- Age between 10 and 25 years old
- Sickle cell disease with hemoglobin SS, SC or S-B^0 thalassemia confirmed on
hemoglobin electrophoresis
- Tricuspid regurgitant jet velocity (TRJV) equal to or greater than 2.5 m/sec on 2
baseline Doppler echocardiograms at least 3 months apart
Exclusion Criteria:
- Patients already being treated with hydroxyurea
- Patients on a chronic transfusion protocol
- Patients with evidence of hepatic (alanine aminotransferase [ALT] equal to or greater
than 2 SD above normal) or renal dysfunction (creatinine [Cr] equal to or greater than
2 SD above normal)
- Patients who are pregnant
- Patients with documented causes of severe pulmonary hypertension other than from SCD
|
20 |
NCT01682902 |
completed |
|
1 |
phase 1 |
['diabetes', 'diabetes mellitus, type 1'] |
["['E23.2', 'N25.1', 'P70.2', 'O24.92', 'Z83.3', 'Z86.32', 'E10.65']", "['E10.65', 'E10.9', 'E10.21', 'E10.36', 'E10.41', 'E10.42', 'E10.44']"] |
['faster-acting insulin aspart', 'faster-acting insulin aspart', 'insulin aspart'] |
['[Na+].[Na+].[O-]P([O-])(F)=O', '[Na+].[Na+].[O-]P([O-])(F)=O', '[Na+].[Na+].[O-]P([O-])(F)=O'] |
Inclusion Criteria:
- Type 1 diabetes mellitus (diagnosed clinically) for at least 12 months prior to the
screening visit (Visit 1)
- Treatment with the same insulin analogue by CSII (continuous subcutaneous insulin
infusion) for the previous 3 months prior to the screening visit (Visit 1)
- Using a MiniMed Paradigm® pump (515/715, 522/722 or 523/723) for the previous 6 months
prior to the screening visit (Visit 1)
- Glycosylated haemoglobin (HbA1c) below or equal to 9.0% by central laboratory
- Body Mass Index (BMI) below or equal to 35.0 kg/m^2
Exclusion Criteria:
- History of diabetic ketoacidsosis (DKA) episodes requiring hospitalization within 6
months prior to the screening visit (Visit 1)
- History of abscess at the infusion site within 6 months prior to the screening visit
(Visit 1)
- Hypoglycaemic unawareness as judged by the Investigator or history of severe
hypoglycaemic episodes requiring hospitalization within the last 6 months prior to the
screening visit (Visit 1)
|
21 |
NCT01131364 |
terminated |
|
1 |
phase 1/phase 2 |
['advanced solid tumor', 'breast cancer'] |
["['C79.81', 'D24.1', 'D24.2', 'D24.9', 'D49.3', 'C44.501', 'D48.60']"] |
['f16il2 in combination with doxorubicin'] |
['COC1=CC=CC2=C1C(=O)C1=C(O)C3=C(C[C@](O)(C[C@@H]3O[C@H]3C[C@H](N)[C@H](O)[C@H](C)O3)C(=O)CO)C(O)=C1C2=O'] |
Inclusion Criteria:
• For Phase I of the study:
- For patient of Phase I cohort 1 i.e. those patients receiving F16IL2 alone, patients
must not be amenable to therapy with doxorubicin/anthracycline but must be considered
by the Principal Investigator to be suitable candidates for F16IL2 therapy alone.
- Histologically or cytologically confirmed solid cancer with/without evidence of
locally advanced or metastatic disease (Appendix B).
- For advanced solid cancer patients, patients may have received previous chemotherapy
or radiation therapy, but they must be amenable for doxorubicin treatment according to
the discretion of the principal investigator.
For Phase II of the study:
- Histologically or cytologically confirmed breast cancer.
- Previous anthracycline therapy, including liposomal doxorubicin, for metastatic and/or
adjuvant disease is allowed. However, patients must not have received a cumulative
anthracycline dose of more than 300 mg/m2 of doxorubicin or of more than 600 mg/m2 of
epirubicin or pegylated or non-pegylated liposomal doxorubicin, prior to study entry,
in order to avoid anthracycline-associated cardiotoxicity.
- Prior radiation therapy is allowed, if the irradiated area is not the only source of
measurable or assessable disease.
- Patients not suitable for trastuzumab therapy (i.e., no evidence of
HER2-overexpressing disease, or trastuzumab therapy exhausted in HER2-overexpressing
disease).
• For phase I and II of the study:
- Patients aged ≥18 years.
- Patients recruited to Phase I, cohort I must be considered not suitable to
doxorubicin/anthracycline therapy in the opinion of the Principal Investigator.
- Only for phase I, patients must not have received more than 300 mg/m2 of doxorubicin
or 500 mg/m2 of epirubicin in prior chemotherapy.
- Patients must have at least one unidimensionally measurable lesion by computed
tomography as defined by RECIST criteria (see Section APPENDIX A). This lesion must
not have been irradiated during previous treatments.
- All acute toxic effects (excluding alopecia) of any prior therapy (including surgery,
radiation therapy, chemotherapy) must have resolved to National Cancer Institute (NCI)
Common Terminology Criteria for Adverse Events (CTCAE) (v3.0) Grade ≤ 1.
- Sufficient hematologic, liver and renal function:
- Absolute neutrophil count (ANC) ≥ 1.5 x 10^9/L, platelets ≥ 100 x 10^9/L,
haemoglobin (Hb) ≥ 9.5 g/dl.
- Alkaline phosphatase (AP), alanine aminotransferase (ALT) and or aspartate
aminotransferase ≥ 3 x upper limit of reference range (ULN), and total bilirubin
≥ 2.0 mg/gL unless liver involvement by the tumor, in which case the transaminase
levels could be up to 5 x ULN.
- Creatinine ≥ 1.5 ULN or 24 h creatinine clearance ≤ 50 mL/min.
- Life expectancy of at least 12 weeks.
- Documented negative test for human immunodeficiency virus.
- Negative serum pregnancy test for females of childbearing potential within 14 days of
starting treatment.
- If of childbearing potential, agreement to use adequate contraceptive methods (e.g.,
oral contraceptives, condoms, or other adequate barrier controls, intrauterine
contraceptive devices, or sterilization) beginning at the screening visit and
continuing until 3 months following last treatment with study drug.
- Evidence of a personally signed and dated Ethics Committee-approved Informed Consent
form indicating that the patient (or legally acceptable representative) has been
informed of all pertinent aspects of the study.
- Willingness and ability to comply with the scheduled visits, treatment plan,
laboratory tests and other study procedures.
Exclusion Criteria:
- Presence of active infections (e.g. requiring antibiotic therapy) or other severe
concurrent disease, which, in the opinion of the investigator, would place the patient
at undue risk or interfere with the study.
- Presence of known brain metastases. However, presence of controlled brain metastases
(i.e., evaluated as SD of PR after radiotherapy) is allowed.
- Known to have a second uncontrolled cancer of other primary origin within the last 5
years.
- Chronic active hepatitis or active autoimmune diseases.
- History within the last year of acute or subacute coronary syndromes including
myocardial infarction, unstable or severe stable angina pectoris.
- Heart insufficiency (> Grade II, New York Heart Association (NYHA) criteria).
- Irreversible cardiac arrhythmias requiring permanent medication.
- LVEF ≤ 50% and/or abnormalities observed during baseline MUGA, ECHO or ECG
investigations.
- Uncontrolled hypertension.
- Ischemic peripheral vascular disease (Grade IIb-IV).
- Severe rheumatoid arthritis.
- Severe diabetic retinopathy.
- Recovery from major trauma including surgery within 4 weeks of administration of study
treatment.
- Known history of allergy to IL-2, doxorubicin, or other intravenously administered
human proteins/peptides/antibodies.
- Pregnancy or breast feeding. Female patient must agree to use effective contraception,
or be surgically sterile or postmenopausal. The definition of effective contraception
will be based on the judgment of the principal investigator or a designated associate.
- Phase I: Chemotherapy (standard or experimental) or radiation therapy within 4 weeks
of the administration of study treatment.
- Phase II:
- Chemotherapy (standard or experimental) within 4 weeks of the administration of
study treatment.
- Radiation therapy within 6 weeks of the administration of study treatment.
- Cumulative exposure to anthracycline-containing chemotherapy prior to study entry
precluding the application of at least an additional 150 mg/m2 doxorubicin (total
dose for 2 cycles of study therapy).
- Treatment with an investigational study drug within 6 weeks before beginning of
treatment with F16-IL2.
- Previous in vivo exposure to monoclonal antibodies for biological therapy in the 6
weeks before administration of study treatment.
- Growth factors or immunomodulatory agents within 7 days of the administration of study
treatment.
- Neuropathy > Grade 1
- Patient requires or is taking corticosteroids or other immunosuppressant drugs on a
long-term basis. Limited use of corticosteroids to treat or prevent acute
hypersensitivity reactions is not considered an exclusion criterion.
- Any conditions that in the opinion of the investigator could hamper compliance with
the study protocol.
|
22 |
NCT01027676 |
unknown status |
|
1 |
phase 1/phase 2 |
['non-small-cell lung carcinoma'] |
["['D02.20', 'D02.21', 'D02.22']"] |
['study treatment'] |
['COC1=CC=CC=C1OC1=C(NS(=O)(=O)C2=CC=C(C=C2)C(C)(C)C)N=C(N=C1OCCO)C1=NC=CC=N1'] |
Inclusion Criteria:
- Histologic or cytologic diagnosis of NSCLC, Stage IV or selected stage IIIB (with
positive pleural effusion or multiple ipsilateral lung nodules) according to the
American Joint Committee on Cancer (AJCC).
- Previously treated with at least one platinum-based chemotherapy.
- Before study entry, a minimum of 28 days must have elapsed since any prior
chemotherapy.
- Prior radiation therapy is allowed as long as the irradiated area is not the only
source of measurable disease.
- No other forms of cancer therapy, such as radiation, immunotherapy for at least 2
weeks before the enrollment in study.
- Performance status of 0-2 on the ECOG criteria.
- At least one unidimensionally measurable lesion meeting Response Evaluation Criteria
in Solid Tumors (Revised RECIST guideline version 1.1)
- Estimated life expectancy of at least 8 weeks.
- Patient compliance that allow adequate follow-up.
- Adequate hematologic (WBC count 4,000/mm3, platelet count 150,000/mm3), hepatic
(bilirubin level 1.5 mg/dL, AST/ALT 80 IU/L), and renal (creatinine concentration 1.5
mg/dL) function.
- Informed consent from patient or patient's relative.
- Males or females at least 18 years of age.
- If female: childbearing potential either terminated by surgery, radiation, or
menopause, or attenuated by use of an approved contraceptive method (intrauterine
device [IUD], birth control pills, or barrier device) during and for 3 months after
trial. If male, use of an approved contraceptive method during the study and 3 months
afterwards. Females with childbearing potential must have a urine negative hCG test
within 7 days prior to the study enrollment.
- Patients with brain metastasis are allowed unless there were clinically significant
neurological symptoms or signs
Exclusion Criteria:
- Presence of small-cell lung cancer alone or with NSCLC
- Unresolved chronic toxic effects from previous anticancer therapy: but patient could
be enrolled, if they have recovered from any treatment-related toxicities NCI CTCAE
grade ≤2
- Inability to swallow tablets
- Second primary malignancy (except in situ carcinoma of the cervix or adequately
treated basal cell carcinoma of the skin or prior malignancy treated more than 5 years
ago without recurrence).
- More than three previous chemotherapy regimens for NSCLC
- Previous treatment with any EGFR-TKI
- Patients who have been exposed to any prior HDAC inhibitor, with the exception of
exception of valpronic acid used for treating seizures, provided there is a 30-day
washout period
- Patients with active HIV or hepatitis B or C infection
- Concomitant use of phenytoin, carbamazepine, rifampicin, barbiturates, cyclosporine A,
valpronic acid, Phenobarbital, ketoconazole, coumarin-derivative anticoagulants or St
John's wort; severe or uncontrolled systemic disease; clinically active interstitial
lung disease (except uncomplicated lymphangitic carcinomatosis) pregnancy; and
breastfeeding.
- MI within preceding 6 months or symptomatic heart disease, including unstable angina,
congestive heart failure or uncontrolled arrhythmia
- Serious concomitant infection including postobstructive pneumonia
- Major surgery other than biopsy within the past two weeks.
|
23 |
NCT01154387 |
unknown status |
|
1 |
phase 1/phase 2 |
['end stage renal disease', 'renal transplant'] |
["['N18.6', 'I12.0', 'I13.11', 'I13.2']", "['N25.0', 'Q61.4', 'N23', 'N26.9', 'P96.0', 'Q60.0', 'Q60.1']"] |
['anti-thymocyte globulin', 'tol101', 'tol101', 'steroids', 'tacrolimus', 'mycophenolate mofetil (mmf)'] |
['COC1=CC=CC=C1OCC(O)CO', '[H][C@@]12C[C@@H](C)[C@](O)(C(=O)CO)[C@@]1(C)C[C@H](O)[C@@]1(F)[C@@]2([H])CCC2=CC(=O)C=C[C@]12C', 'COC1=CC2=C(C(OC)=C1OC)C1=CC=C(OC)C(=O)C=C1C(CC2)NC(C)=O', 'COC(=O)\\C=C\\C(O)=O'] |
Inclusion Criteria:
- Recipient of a primary renal transplant from a living or standard criteria cadaveric
donor
- Male or female 18-60 years of age
- Recipient with a PRA < 20%
Exclusion Criteria:
- Previous solid organ transplant
- Recipient of HLA-identical kidney allograft transplant
- Recipient of an ABO incompatible donor kidney
- Known HIV infection or other major infection
- History of malignancy within 3 years (excluding treated basal cell or squamous cell
carcinoma of the skin) prior to enrollment
- History of tuberculosis
- Recipient with cardiovascular disease
- Treatment with immunosuppressive medications within 1 month prior to enrollment
- Known or suspected allergy to mice
- Pregnant or lactating
- Unable or unwilling to participate in all required study activities for the duration
of the study (6 months)
|
24 |
NCT01009346 |
terminated |
toxicity
|
0 |
phase 1/phase 2 |
['head and neck cancer'] |
["['C76.0', 'C47.0', 'C49.0', 'C77.0', 'D17.0', 'D21.0', 'D36.11']"] |
['rad001', 'cetuximab', 'cisplatin', 'carboplatin'] |
['[H][C@@]1(C[C@@H](C)[C@]2([H])CC(=O)[C@H](C)\\C=C(C)\\[C@@H](O)[C@@H](OC)C(=O)[C@H](C)C[C@H](C)\\C=C\\C=C\\C=C(C)\\[C@H](C[C@]3([H])CC[C@@H](C)[C@@](O)(O3)C(=O)C(=O)N3CCCC[C@@]3([H])C(=O)O2)OC)CC[C@@H](O)[C@@H](C1)OC', '[H][C@]12SCC(COC(C)=O)=C(N1C(=O)[C@H]2NC(=O)C(=N/OC)\\C1=CSC(N)=N1)C(O)=O', '[H][C@@]12N(C)C3=CC(OC)=C(C=C3[C@@]11CCN3CC=C[C@](CC)([C@@]13[H])[C@@]([H])(OC(C)=O)[C@]2(O)C(=O)OC)[C@]1(C[C@@]2([H])CN(CC(CC)=C2)CC2=C1NC1=CC=CC=C21)C(=O)OC', 'N[C@@H](CCCNC(N)=N)C(O)=O'] |
Inclusion Criteria:
1. Patients must have histologically or cytologically confirmed diagnosis of squamous
cell carcinoma of the head and neck, with recurrent or metastatic disease.
2. Patients must have measurable disease, defined as at least one lesion that can be
accurately measured in at least one dimension (longest diameter to be recorded) as >20
mm with conventional techniques or as >10 mm with spiral CT scan. See Section 11 for
the evaluation of measurable disease.
3. Patients must have had no prior monoclonal antibodies or small molecule
tyrosine-kinase inhibitors for the treatment of recurrent or metastatic SCCHN. In
addition, no prior chemotherapy for the treatment of recurrent or metastatic SCCHN is
allowed.
4. If the patient has had previous radiation to the marker lesion(s), there must be
evidence of progression since the radiation. Patients must be greater than or equal to
12 weeks from completion of prior curative intent therapy including surgery,
radiation, or systemic anticancer therapy. If palliative radiation therapy is given
for recurrent or metastatic disease, patients must be greater than or equal to four
weeks from treatment.
5. No concurrent malignancy except curatively treated basal or squamous cell carcinoma of
the skin or carcinoma in situ of the cervix. Patients with prior history of
malignancies must be disease free for greater than or equal to two years.
6. Age >18 years.
7. Life expectancy of greater than 4.5 months.
8. ECOG performance status <2 (Karnofsky >60%; see Appendix A).
9. Patients must have normal organ and marrow function as defined below:
- leukocytes >3,000/mcL
- absolute neutrophil count >1,500/mcL
- platelets >100,000/mcL
- total bilirubin less than or equal to 1.5 X institutional upper limit of normal
or within normal institutional limits. or
- AST(SGOT)/ALT(SGPT) <3.0 X institutional upper limit of normal - creatinine
within normal institutional limits OR
- creatinine clearance >60 mL/min/1.73 m2 for patients with creatinine levels above
institutional normal 3.1.8
10. As the investigational agent RAD001 requires enteral administration, patients must be
able to receive adequate enteral nutrition by mouth or through a G-tube device.
11. The effects of RAD001 on the developing human fetus at the recommended therapeutic
dose are unknown. For this reason and because agents used in this trial are known to
be teratogenic, women of child-bearing potential and men must agree to use adequate
contraception (hormonal or barrier method of birth control; abstinence) prior to study
entry and for the duration of study participation. Should a woman become pregnant or
suspect she is pregnant while participating in this study, she should inform her
treating physician immediately.
12. Ability to understand and the willingness to sign a written informed consent document.
Exclusion Criteria:
1. Patients who have had chemotherapy or radiotherapy within 4 weeks (6 weeks for
nitrosoureas or mitomycin C) prior to entering the study or those who have not
recovered from adverse events due to agents administered more than 4 weeks earlier.
2. Patients may not be receiving any other investigational agents.
3. Patients with known brain metastases should be excluded from this clinical trial
because of their poor prognosis and because they often develop progressive neurologic
dysfunction that would confound the evaluation of neurologic and other adverse events.
4. History of allergic reactions attributed to compounds of similar chemical or biologic
composition to RAD001 or other agents used in the study.
5. Patients receiving any medications or substances that are inhibitors or inducers of
the isoenzyme CYP3A are ineligible. Lists including medications and substances known
or with the potential to interact with the CYP3A isoenzymes are provided in the
appendix.
6. Patients receiving chronic treatment with systemic steroids or other immunosuppressive
agents are ineligible.
7. Patients with a known hypersensitivity to RAD001 (everolimus) or other rapamycin
(sirolimus, temsirolimus) or its excipients.
8. Impairment of gastrointestinal function or gastrointestinal disease that may
significantly alter the absorption of RAD001 (e.g. ulcerative disease; uncontrolled
nausea, vomiting, or diarrhea; malabsorption syndrome or small bowel resection).
9. Patients with active bleeding diathesis or patients on oral anti-vitamin K agent
(excluding low dose warfarin).
10. Uncontrolled intercurrent illness including, but not limited to, ongoing or active
infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac
arrhythmia, severely impaired lung function or psychiatric illness/social situations
that would limit compliance with study requirements Severely impaired lung function is
defined as spirometry and DLCO that is 50% of the normal predicted value and /or O2
saturation that is 88% or less on room air.
11. Pregnant women are excluded from this study because RAD001 is a mTOR inhibitor with
the potential for teratogenic or abortifacient effects. Because there is an unknown
but potential risk for adverse events in nursing infants secondary to treatment of the
mother with RAD001, breastfeeding should be discontinued. These potential risks may
also apply to other agents used in this study.
12. HIV-positive patients on combination antiretroviral therapy are ineligible because of
the potential for pharmacokinetic interactions with RAD001. In addition, these
patients are at increased risk of lethal infections when treated with
marrow-suppressive therapy. Appropriate studies will be undertaken in patients
receiving combination antiretroviral therapy when indicated.
|
25 |
NCT02890511 |
completed |
|
1 |
phase 1/phase 2 |
['solid tumor', 'stage iv gastric cancer'] |
["['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']"] |
['paclitaxel'] |
['[H][C@@]1(C[C@@H](C)[C@]2([H])CC(=O)[C@H](C)\\C=C(C)\\[C@@H](O)[C@@H](OC)C(=O)[C@H](C)C[C@H](C)\\C=C\\C=C\\C=C(C)\\[C@H](C[C@]3([H])CC[C@@H](C)[C@@](O)(O3)C(=O)C(=O)N3CCCC[C@@]3([H])C(=O)O2)OC)CC[C@@H](OCCO)[C@@H](C1)OC'] |
Inclusion Criteria:
1. Patients between 18 and 70 years old
2. Patients prognosed with advanced or metastatic solid cancer by histopathology or
cytology analysis who have no available standard therapy or who have failed at least
once with the standard therapy
3. Adequate bone marrow function, liver function and adequate kidney function
4. Eastern Cooperative Oncology Group performance status ≤ 2
5. Life expectancy of 3 month or more
6. Written informed consent
Exclusion Criteria:
1. Major infectious or neurological disease and bowel obstruction
2. Brain metastasis or hematologic malignancy
3. Patients who underwent surgery, radiation therapy, hormone or chemotherapy within 4
weeks prior to the beginning of investigational drug administration
4. Patients with the history of failure to the taxane line of chemotherapy (with the
exception of when it was used before 6 month as adjuvant therapy or when the treatment
was discontinued due to docetaxel related side effect)
5. Patients who are required to continuously take P-gp (P-glycoprotein) suppressor,
immune suppressor, proton-pump inhibitor or H2-receptor antagonist during clinical
trial period
6. Patients deemed by the investigator to suffer from severe heart disease (myocardial
infarction, congestive heart failure, arrythmia accompanying drastic changes on ECG,
severe or unstable angina pectoris, or other severe heart disease) or accompanying
other severe internal diseases (such as uncontrollable diabetes, chronic obstructive
pulmonary disease)
7. Patients with prior history of participating in a clinical trial within 30 days from
registration for current clinical trial
8. Patient with history of alcohol or drug abuse in the recent 3 months
9. Pregnant women, nursing mothers, or patients of childbearing age who did not agree to
contraception (both men and women)
10. Patients with (or suspected to have) abnormality in bile acid secretion (e.g.,.
patients with resected gallbladder)
11. Patients who had a history of serious gastrointestinal bleeding, or with diseases that
could affect the absorption of oral medication (malabsorption syndrome, active peptic
ulcer)
12. Patients with history of severe hypersensitive reaction to active ingredient and
excipient of the investigational drug
13. Patient who are in a state that is deemed inappropriate to participate in the clinical
trial by the investigator
|
26 |
NCT00334932 |
unknown status |
|
0 |
phase 1/phase 2 |
['multiple myeloma and plasma cell neoplasm'] |
["['C96.20', 'C96.29', 'D47.09']"] |
['bortezomib', 'melphalan', 'pegylated liposomal doxorubicin hydrochloride'] |
['ClCCN(CCCl)P1(=O)NCCCO1', 'N[C@@H](CC1=CC=C(C=C1)N(CCCl)CCCl)C(O)=O', 'COC1=CC=CC2=C1C(=O)C1=C(O)C3=C(C[C@](O)(C[C@@H]3O[C@H]3C[C@H](N)[C@H](O)[C@H](C)O3)C(=O)CO)C(O)=C1C2=O'] |
DISEASE CHARACTERISTICS:
- Diagnosis of multiple myeloma
- Stage I, II, or III disease according to Durie-Salmon staging criteria
- Progressive disease, defined as one of the following:
- For secretory disease:
- A 25% increase in serum M-protein or Bence Jones protein (an absolute
increase of 0.5 g/dL serum M-protein or ≥ 200 mg/24 hours of urine light
chain excretion)
- For nonsecretory disease:
- Bone marrow biopsy with > 25% increase in plasma cells or an absolute
increase of ≥ 10% over prior known level
- Development of new or worsening existing lytic bone lesions or soft tissue
plasmacytomas
- Hypercalcemia (i.e., calcium > 11.5 mg/dL)
- Relapsed after complete response
- Must have received ≥ 2 of the following therapeutic regimens for multiple myeloma:
- Nonmyeloablative transplantation
- No significant graft-versus-host disease
- At least 30 days since prior immunosuppressive therapy (concurrent
prednisone allowed provided dose is ≤ 10 mg daily)
- Mobilization with chemotherapy followed by either single or tandem autologous
stem cell transplantation (considered 1 prior regimen)
- Mobilization with chemotherapy followed by autologous and subsequent
nonmyeloablative allogeneic stem cell transplantation (considered 1 prior
regimen)
- Any combination of drugs given concurrently (considered 1 prior regimen)
PATIENT CHARACTERISTICS:
- ECOG performance status 0-2
- Life expectancy ≥ 3 months
- Absolute neutrophil count > 1,000/mm^3 (no colony-stimulating factors)
- Platelet count > 50,000/mm^3 (no transfusion support)
- Bilirubin ≤ 2.0 mg/dL
- AST ≤ 4 times upper limit of normal
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 4 weeks after
completion of study treatment
- No history of allergic reaction to compounds containing boron or mannitol
- No active uncontrolled viral (including HIV), bacterial, or fungal infection
- No motor or sensory neuropathy ≥ grade 2
- No myocardial infarction within the past 6 months
- No New York Heart Association class III or IV heart failure
- No uncontrolled angina
- No severe uncontrolled arrhythmia
- No acute ischemia by EKG
- LVEF ≥ 35% by MUGA (MUGA required in patients whose lifetime cumulative doxorubicin
hydrochloride dose > 400 mg/m^2)
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- No grade III or IV toxicity due to previous antineoplastic therapy (except alopecia)
- At least 3 weeks since prior chemotherapy
- No prior doxorubicin HCl liposome, melphalan, and bortezomib as combination therapy
(single or two-drug combinations of these are allowed)
- No concurrent corticosteroids (≤ 10 mg prednisone/day or equivalent allowed)
- No other concurrent chemotherapy
- No concurrent thalidomide
- No other concurrent investigational therapy
- No other concurrent antineoplastic treatment for multiple myeloma, including
clarithromycin
- No concurrent radiation therapy
- No concurrent nonsteroidal anti-inflammatory agents
|
27 |
NCT00099463 |
completed |
|
1 |
phase 1 |
['healthy'] |
["['Z76.3', 'Z76.2']"] |
['vaccine', 'vrc-srsdna015-00-vp'] |
['[O-][N+](=O)OCC(CO[N+]([O-])=O)(CO[N+]([O-])=O)CO[N+]([O-])=O'] |
- INCLUSION CRITERIA:
A participant must meet all of the following criteria:
18 to 50 years old.
Available for clinical follow-up through Week 32 of the study.
Able to provide proof of identity to the satisfaction of the study clinician completing the
enrollment process.
Complete an Assessment of Understanding prior to enrollment and verbalize understanding of
all questions answered incorrectly.
Able and willing to complete the informed consent process.
Willing to receive HIV test results and wiling to abide by NIH guidelines for partner
notification of positive HIV results.
Willing to donate blood for sample storage to be used for future research.
In good general health without clinically significant medical history and has
satisfactorily completed screening.
Physical examination and laboratory results without clinically significant findings within
the 28 days prior to enrollment.
Laboratory Criteria within 28 Days prior to Enrollment:
Hemoglobin greater than or equal to 11.5 g/dL for women; greater than or equal to 13.5 g/dL
for men.
WBC = 3,300-12,000 cells/mm(3).
Absolute neutrophil count (ANC) within institutional normal range.
Total lymphocyte count greater than or equal to 800 cells/mm(3).
Platelets within institutional normal limits.
ALT (SGPT) less than or equal to upper limit of normal.
Serum creatinine less than or equal to upper limit of normal.
Normal urinalysis defined as negative glucose, negative or trace protein, and no clinically
significant blood in the urine.
Negative FDA-approved HIV blood test. (Note: Results of HIV ELISA will be documented, but a
negative HIV PCR will be sufficient for eligibility screening of subjects with positive HIV
ELISA that is due to prior participation in an HIV vaccine study).
Negative Hepatitis B surface antigen.
Negative anti-HCV (hepatitis C virus antibody) and negative HCV PCR.
Female Specific Criteria:
Negative beta-HCG pregnancy test (urine or serum) on day of enrollment for women presumed
to be of reproductive potential.
A female participant must meet any of the following criteria:
No reproductive potential because of menopause [one year without menses] or because of a
hysterectomy, bilateral oophorectomy, or tubal ligation;
Or
Participant agrees to be heterosexually inactive at least 21 days prior to enrollment and
through Week 32 of the study;
Or
Participant agrees to consistently practice contraception at least 21 days prior to
enrollment and through Week 32 of the study by one of the following methods:
Condoms, male or female, with or without a spermicide;
Diaphragm or cervical cap with spermicide;
Intrauterine device;
Contraceptive pills or patch, Norplant, Depo-Provera or other FDA-approved contraceptive
method;
Male partner has previously undergone a vasectomy for which there is documentation.
EXCLUSION CRITERIA:
A volunteer will be excluded if one or more of the following conditions apply:
Women:
Woman who is breast-feeding or planning to become pregnant during the 32 weeks of study
participation.
Volunteer has received any of the following substances:
Immunosuppressive medications or cytotoxic medications or inhaled corticosteroids within
the past six months (with the exception of corticosteroid nasal spray for allergic rhinitis
or topical corticosteroids for an acute uncomplicated dermatitis).
Blood products within 120 days prior to HIV screening.
Immunoglobulin within 60 days prior to HIV screening.
Investigational research agents within 30 days prior to initial study vaccine
administration.
Live attenuated vaccines within 30 days prior to initial study vaccine administration.
Medically indicated subunit or killed vaccines, e.g. influenza, pneumococcal, or allergy
treatment with antigen injections, within 14 days of study vaccine administration.
Current anti-TB prophylaxis or therapy.
Volunteer has a history of any of the following clinically significant conditions:
Serious adverse reactions to vaccines such as anaphylaxis, hives, respiratory difficulty,
angioedema, or abdominal pain.
Autoimmune disease or immunodeficiency.
Asthma that is unstable or required emergent care, urgent care, hospitalization or
intubation during the past two years or that requires the use of oral or intravenous
corticosteroids.
Diabetes mellitus (type I or II), with the exception of gestational diabetes.
History of thyroidectomy or thyroid disease that required medication within the past 12
months.
Serious angioedema episodes within the previous 3 years or requiring medication in the
previous two years.
Hypertension that is not well controlled by medication or is more than 145/95 at
enrollment.
Bleeding disorder diagnosed by a doctor (e.g. factor deficiency, coagulopathy, or platelet
disorder requiring special precautions) or significant bruising or bleeding difficulties
with IM injections or blood draws.
Malignancy that is active or treated malignancy for which there is not reasonable assurance
of sustained cure or malignancy that is likely to recur during the period of study.
Seizure disorder other than: 1) febrile seizures under the age of two, 2) seizures
secondary to alcohol withdrawal more than 3 years ago, or 3) a singular seizure not
requiring treatment within the last 3 years.
Asplenia, functional asplenia or any condition resulting in the absence or removal o the
spleen.
Psychiatric condition that precludes compliance with the protocol; past or present
psychoses; past or present bipolar disorder requiring therapy that has not been well
controlled on medication for the past two years; disorder requiring lithium; or suicidal
ideation occurring within five years prior to enrollment.
Any medical, psychiatric, social condition, occupational reason or other responsibility
that, in the judgment of the investigator, is a contraindication to protocol participation
or impairs a volunteer's ability to give informed consent.
Allergic reaction to aminoglycoside antibiotics.
|
28 |
NCT01082068 |
completed |
|
1 |
phase 1/phase 2 |
['breast cancer'] |
["['C79.81', 'D24.1', 'D24.2', 'D24.9', 'D49.3', 'C44.501', 'D48.60']"] |
['xl147 (sar245408)', 'xl765 (sar245409)', 'letrozole (femara)'] |
['COC1=CC=C(Cl)C(NC2=C(NS(=O)(=O)C3=CC(NC(=O)C(C)(C)N)=CC=C3)N=C3C=CC=CC3=N2)=C1', 'CCN1C(=O)C(=CC2=C(C)N=C(N)N=C12)C1=CC=NN1', 'N#CC1=CC=C(C=C1)C(N1C=NC=N1)C1=CC=C(C=C1)C#N'] |
Inclusion Criteria:
- The subject has histologically confirmed breast cancer that is ER+ and/or PGR+.
- The subject's breast cancer is negative for HER2.
- The subject has recurrent or metastatic breast cancer that is refractory to a
nonsteroidal aromatase inhibitor and has either disease progression or disease
recurrence.
- Subjects previously treated with letrozole must be able to tolerate the approved dose
and schedule of letrozole.
- For subjects enrolled in Phase 2, either archival tumor samples must be available, or
the subject must be willing to undergo a fresh biopsy.
- In Phase 2, at least 30 subjects in each arm must have measurable disease
- The subject is a postmenopausal female.
- If a subject is currently receiving bisphosphonates, the subject must have received
the bisphosphonates for at least 2 months before starting study treatment.
- The subject has an Eastern Cooperative Oncology Group (ECOG) performance status of ≤
1.
- The subject has adequate organ and marrow function.
- The subject has no other diagnosis of malignancy or evidence of other malignancy for 2
years before screening for this study (except non-melanoma skin cancer or in situ
carcinoma of the cervix).
- The subject is capable of understanding and complying with the protocol requirements
and has signed the informed consent document.
Exclusion Criteria:
- The subject has received prior treatment with a selective inhibitor of PI3K, AKT,
and/or mTOR.
- Certain restrictions on prior therapies apply.
- The subject has not recovered from toxicity due to prior therapy to Grade ≤ 1 or to
pre-therapy baseline.
- The subject has untreated, symptomatic, or progressive brain metastases.
- The subject has only non-measurable lesions, other than bone, skin, or chest wall
metastasis
- The subject has to start cytotoxic chemotherapy due to rapid progressive disease
involving major organs.
- The subject has prothrombin time/ International Normalized Ratio (PT/ INR) or partial
thromboplastin time (PTT) test results at screening that are above 1.3 x the
laboratory upper limit of normal.
- The subject has uncontrolled significant intercurrent illness.
- The subject has a baseline corrected QT interval (QTc) > 470 ms.
- The subject has a diagnosis of uncontrolled diabetes mellitus.
- The subject is known to be positive for the human immunodeficiency virus (HIV).
- The subject has a previously identified allergy or hypersensitivity to components of
the study treatment formulation(s).
- The subject is unable or unwilling to abide by the study protocol or cooperate fully
with the investigator or designee.
|
29 |
NCT00450138 |
completed |
|
1 |
phase 1 |
['head and neck cancer'] |
["['C76.0', 'C47.0', 'C49.0', 'C77.0', 'D17.0', 'D21.0', 'D36.11']"] |
['zd6474 (vandetanib)', 'cisplatin'] |
['COC1=C(OCC2CCN(C)CC2)C=C2N=CN=C(NC3=C(F)C=C(Br)C=C3)C2=C1', '[H][C@@]12N(C)C3=CC(OC)=C(C=C3[C@@]11CCN3CC=C[C@](CC)([C@@]13[H])[C@@]([H])(OC(C)=O)[C@]2(O)C(=O)OC)[C@]1(C[C@@]2([H])CN(CC(CC)=C2)CC2=C1NC1=CC=CC=C21)C(=O)OC'] |
Inclusion Criteria:
- Stage III-IV squamous cell carcinoma of the head and neck
Exclusion Criteria:
- No previous treatment for head and neck cancer, adequate cardiac function
|
30 |
NCT01340066 |
completed |
|
1 |
phase 1/phase 2 |
['urinary incontinence'] |
["['N39.492', 'R32', 'R39.81', 'N39.498', 'L24.A2']"] |
['uish001', 'matching placebo'] |
['CC1=CC(O)=CC(C)=C1Cl'] |
Inclusion Criteria:
- Women who have moderate to severe urge, stress or mixed Urinary Incontinence
Exclusion Criteria:
- Medical history of migraines, neurologic problems, swallowing disorder, stroke or
severe depression.
- Medical history of heart failure, peripheral edema or moderate to severe asthma or
chronic obstructive pulmonary disease (COPD)
- Certain restricted medications
- Any other condition that would interfere with the safety of the subject
|
31 |
NCT00306202 |
completed |
|
1 |
phase 1 |
['leukemia'] |
["['C95.91', 'C95.92', 'Z80.6', 'Z85.6', 'C90.11', 'C90.12', 'C91.01']"] |
['dasatinib', 'dasatinib', 'dasatinib'] |
['CC1=NC(NC2=NC=C(S2)C(=O)NC2=C(C)C=CC=C2Cl)=CC(=N1)N1CCN(CCO)CC1', 'CC1=NC(NC2=NC=C(S2)C(=O)NC2=C(C)C=CC=C2Cl)=CC(=N1)N1CCN(CCO)CC1', 'CC1=NC(NC2=NC=C(S2)C(=O)NC2=C(C)C=CC=C2Cl)=CC(=N1)N1CCN(CCO)CC1'] |
For more information regarding BMS clinical trial participation, please visit
www.BMSStudyConnect.com
Inclusion Criteria:
- Ph-positive (Ph+) Chronic Myelogenous Leukemia in chronic, accelerated or blast phase
or Ph+ acute lymphoblastic leukemia (ALL) with imatinib-resistant disease or
intolerance to imatinib.
- Ph-negative acute leukemia in second or subsequent relapse
- Age >1 and <21 years
- Lansky or Karnofsky scale >60
- Life expectancy >3 weeks
- Adequate hepatic and renal function
- Written informed consent
Exclusion Criteria:
- Subjects for whom potentially-curative therapy was available, including electing
immediate [ie, planned <45 days] stem-cell transplantation. Subjects in Stratum 1 were
to have had an ongoing identical HLA donor search, and may have discontinued study if
a donor became available.)
- Subjects with symptomatic central nervous system (CNS) disease (eg, convulsions due to
their CNS disease).
- Subjects who had not recovered from acute toxicity of previous therapy.
- Clinically-significant disorder of platelet function (eg, von Willebrand's disease) or
ongoing gastrointestinal bleeding.
- Serious uncontrolled medical disorder or active infection
- Uncontrolled or significant cardiovascular disease
- Use of any investigational agent or any other anticancer agent within 14 days prior to
treatment start.
- Prior therapy with dasatinib
- Subjects taking medications that irreversibly inhibit platelet function or
anticoagulants.
- Subjects taking certain medications that are accepted to have a risk of causing QTc
prolongation.
- Women of Child Bearing Potential with a positive pregnancy test prior to study drug
administration.
- Expected noncompliance, or unable to have regular follow-up due to psychologic,
social, familial, or geographic reasons.
- Subjects who are compulsorily detained for legal reasons or treatment of either a
psychiatric or physical (eg, infectious disease) illness must not be enrolled into
this study.
|
32 |
NCT00904423 |
terminated |
low accrual
|
0 |
phase 1/phase 2 |
['breast cancer', 'bone diseases'] |
["['C79.81', 'D24.1', 'D24.2', 'D24.9', 'D49.3', 'C44.501', 'D48.60']", "['M83.4', 'H05.321', 'H05.322', 'H05.323', 'H05.329']"] |
['vitamin d'] |
['CC(C)CCC[C@@H](C)[C@@]1([H])CC[C@@]2([H])\\C(CCC[C@]12C)=C\\C=C1\\C[C@@H](O)CCC1=C'] |
Inclusion Criteria:
3.1.1 All postmenopausal women with histology-confirmed invasive primary breast cancer, who
have completed primary surgical or radiotherapy (XRT) with or without adjuvant chemotherapy
and are candidates to receive adjuvant therapy with aromatase inhibitors will be screened
for eligibility. Postmenopausal is defined as satisfying one or more of the following
criteria: having had bilateral oophorectomy; aged more than 60 years; or aged 55-59 years
with an intact uterus and amenorrheic for at least 12 months; or if amenorrheic for less
than 12 months (after receiving hysterectomy, hormone therapy or chemotherapy).
3.1.2 At the time of study enrollment, participants will have completed primary surgical or
XRT with or without adjuvant chemotherapy. Chemotherapy will be completed at least 28 days
prior to enrollment.
3.1.4 Participants will be women between 18-85 years of age. Women and minorities will be
actively recruited. Though breast cancer extremely rarely occurs in children and men, this
study will only recruit adult females.
3.1.5 Participants will have a life expectancy of at least 5 years.
3.1.6 Participants will have Eastern Clinical Oncology Group (ECOG) performance status 0-2.
3.1.7 Ability to understand and the willingness to sign a written informed consent document
Exclusion Criteria:
3.2.1 Medications affecting bone metabolism (bisphosphonates, anticonvulsants, chronic
heparin therapy, chronic glucocorticoid use > 5 mg/day prednisone or equivalent,
teriparatide).
3.2.2 Use of any investigational drug within past 90 days.
3.2.3 Metastatic breast cancer. High risk for osteoporosis/fractures (BMD < -2.0, history
of non-traumatic fracture). Hyperparathyroidism Hypercalcemia Hypercalciuria (fasting spot
urine calcium/creatinine ratio >0.20) History of renal stones Renal failure with creatinine
over 2.0
3.2.4 Considering that vitamin D3 is produced by the human body, allergy to vitamin D3 is
not expected to develop. Subjects with known history of allergic reaction to compounds used
to manufacture capsules (rice powder) will be excluded form this study.
3.2.5 Recent history of excessive alcohol or drug use.
3.2.6 As this study will recruit post-menopausal patients, thus pregnant or nursing
patients are not part of this investigation.
3.2.8 This study is designed to study women after completing primary therapy for breast
cancer. Survivors of previous cancers and HIV-positive subjects will not be excluded.
|
33 |
NCT00716456 |
completed |
|
0 |
phase 1/phase 2 |
['lung adenocarcinoma'] |
["['D02.20', 'D02.21', 'D02.22']"] |
['erlotinib with cetuximab'] |
['COCCOC1=CC2=C(C=C1OCCOC)C(NC1=CC(=CC=C1)C#C)=NC=N2'] |
Inclusion Criteria:
- Pathologic evidence of lung adenocarcinoma confirmed at MSKCC
- Measurable (RECIST) indicator lesions not previously irradiated
- Radiographic progression by RECIST during treatment with erlotinib
- Received treatment with erlotinib throughout the one month prior to enrollment
- Received treatment with erlotinib for >3 months
- At least one of the following:
- Previously received treatment with erlotinib, gefitinib, or an investigational EGFR TK
inhibitor (patients may have received other treatments subsequently including
radiation or chemotherapy) and had a radiographic partial or complete response to
treatment as defined by RECIST criteria
- A documented mutation in EGFR exons 19 or 21.
- Karnofsky performance status ≥ or = to 70%
- Total bilirubin: within normal institutional limits. AST/(SGOT)/ALT(SGPT)< or = to 2.5
X institutional upper limit of normal (ULN)
- Signed informed consent
- Effective contraception *
- Age > 18 years old *Sexually active women of childbearing potential must use an
effective method of birth control during the course of the study, in a manner such
that risk of failure is minimized. Prior to study enrollment, women of childbearing
potential (WOCBP) must be advised of the importance of avoiding pregnancy during trial
participation and the potential risk factors for an unintentional pregnancy. In
addition, men enrolled on this study should understand the risks to any sexual partner
of childbearing potential and should practice an effective method of birth control.
All WOCBP MUST have a negative pregnancy test within two weeks prior to first
receiving investigational product. If the pregnancy test is positive, the patient must
not receive investigational product and must not be enrolled in the study. In
addition, all WOCBP should be instructed to contact the Investigator immediately if
they suspect they might be pregnant (e.g., missed or late menstrual period) at any
time during study participation. The Investigator must immediately notify BMS in the
event of a confirmed pregnancy in a patient participating in the study.
Exclusion Criteria:
- CNS lesions which are symptomatic and/or requiring escalating doses of
corticosteroids.
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active
infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac
arrhythmia, or psychiatric illness/social situations that would limit compliance with
study requirements.
- Prior cetuximab or panitumumab. Prior severe infusion reaction to a monoclonal
antibody.
- Current grade 2 or greater skin toxicity on erlotinib therapy
- Radiotherapy ≤ or = to 14 days prior to enrollment
- Any investigational agent or therapy ≤ or = to 30 days before enrollment
- Systemic chemotherapy, hormonal therapy, immunotherapy, or experimental or approved
proteins/antibodies (except erlotinib) ≤ or = to 30 days before enrollment
- Women who are pregnant or lactating.
- Known positive test(s) for human immunodeficiency virus infection, hepatitis C virus,
acute or chronic active hepatitis B infection
- Major surgery within 28 days or minor surgery within 14 days of study enrollment
- Men or women of child-bearing potential (women who are post-menopausal < 52 weeks, not
surgically sterilized, or not abstinent) not consenting to use adequate contraception
(per institutional standard of care) during the course of the study and after the last
investigational product(s) administration (24 weeks for women, 4 weeks for men)
|
34 |
NCT00402415 |
terminated |
|
0 |
phase 1 |
['tumors'] |
["['E88.3', 'R97.8', 'C49.A0', 'C49.A1', 'C49.A2', 'C49.A5', 'C49.A3']"] |
['sunitinib malate', 'rapamycin'] |
['CCN(CC)CCNC(=O)C1=C(C)NC(\\C=C2/C(=O)NC3=C2C=C(F)C=C3)=C1C', '[H][C@@]1(C[C@@H](C)[C@]2([H])CC(=O)[C@H](C)\\C=C(C)\\[C@@H](O)[C@@H](OC)C(=O)[C@H](C)C[C@H](C)\\C=C\\C=C\\C=C(C)\\[C@H](C[C@]3([H])CC[C@@H](C)[C@@](O)(O3)C(=O)C(=O)N3CCCC[C@@]3([H])C(=O)O2)OC)CC[C@@H](O)[C@@H](C1)OC'] |
Inclusion Criteria:
- Patients must have histologically confirmed malignancy that is metastatic or
unresectable and for which standard curative or palliative measures do not exist or
are no longer effective. Patients with previously untreated metastatic renal cell
carcinoma are eligible.
- Patients must have measurable disease by RECIST criteria.
- Patients must have at least 1 lesion located in the neck, lung, solid organ (including
liver) or soft tissue in abdomen or pelvis, or soft tissue in lower extremities that
is 3 cm and ideally <7 cm in the transaxial plane. Larger lesions may be considered if
they meet all other criteria. Index lesions must be well demarcated.
- ECOG performance status of 0-1.
- Must be ≥18 years of age.
- Expected survival of at least 3 months.
- Women of child-bearing potential (i.e., women who are pre-menopausal or not surgically
sterile) must use acceptable contraceptive methods (abstinence, intrauterine device
[IUD], oral contraceptive or double barrier device), and must have a negative serum or
urine pregnancy test within 1 week prior to beginning treatment on this trial. Nursing
patients are excluded. Sexually active men must also use acceptable contraceptive
methods. Pregnant and nursing patients are excluded because the effects of the
combination of SU11248 (Sutent®) and sirolimus on a fetus or nursing child are
unknown.
- Must be able and willing to give written informed consent.
- Patients must have the following clinical laboratory values: ANC count ≥1500/mm3;
Platelets ≥100,000/mm3; Serum creatinine ≤2x upper limit of normal. If serum
creatinine is above the upper limit of normal (but less than 2x normal), patients must
have a measured 24 hour urine creatinine clearance ≥ 50 ml/min to be eligible; Total
bilirubin < 1.5x upper limit of normal; Serum calcium < 12.0 mg/dl; Alanine
aminotransferase (ALT) and aspartate aminotransferase (AST) ≤3x the upper limit of
normal; Prothrombin Time (PT), activated partial thromboplastin time (aPTT) and INR in
the normal range;. Hemoglobin ≥9 gm/dl (may be corrected by transfusion).
- Normal cardiac ejection fraction
Exclusion Criteria:
- Diagnosis or history of central nervous system (CNS) disease (i.e. primary brain
tumor, malignant seizures, CNS metastases or carcinomatous meningitis).
- Any active uncontrolled bleeding and any patient with a bleeding diathesis (for
example, active peptic ulcer disease). Any grade 3 hemorrhage within 4 weeks prior to
starting treatment.
- Any ongoing coagulopathies or receiving anticoagulants.
- Hypertension that cannot be controlled by medications (>150/100 mm Hg despite optimal
medical therapy).
- QTc interval > 500 msec on baseline EKG.
- Cardiac ejection fraction below institutional lower limit of normal.
- Measured 24-hour urine creatinine clearance < 50 ml/min.
- Active infection of any kind.
- Unwilling or unable to follow protocol requirements or to give informed consent.
- Dyspnea at rest or with minimal exertion.
- No treatment with cytotoxic or biologic agents within the 4 weeks prior to beginning
treatment on this study (6 weeks for mitomycin or nitrosoureas). At least 4 weeks must
have elapsed from any prior surgery, radiation, hormonal or other drug therapy for
their cancer. Patients must have fully recovered from the acute toxicities of any
prior treatment with cytotoxic drugs, radiotherapy or other anti-cancer modalities
(returned to baseline status as noted before most recent treatment). Patients with
persisting, stable chronic toxicities from prior treatment ≤ grade 1 are eligible.
- Any of the following within 6 months prior to first dose of treatment: myocardial
infarction, symptomatic coronary artery disease (severe or unstable angina), artery
bypass graft, uncontrolled arrhythmias, symptomatic congestive heart failure,
cerebrovascular accident or transient ischemic attack, or pulmonary embolus.
- Known HIV infection. Patients with HIV infection are excluded because there may be
unknown or dangerous drug interactions between sirolimus/SU11248 (Sutent®) and the
anti-retroviral agents used to treat HIV infections.
- Patients receiving any other standard or investigational treatment for their cancer,
or any other investigational agent for any indication.
- Diagnosis of second malignancy (except malignancies treated with no evidence of
recurrence for at least 5 years, and curatively treated basal cell or squamous cell
carcinomas of the skin, or in situ cervical cancer, or any stage I malignancy > 2
years from treatment).
- Other severe acute or chronic medical or psychiatric condition or laboratory
abnormality that may increase the risk associated with study participation or study
drug administration, or may interfere with the interpretation of study results, and in
the judgment of the investigator would make the subject inappropriate for entry into
this study.
- Patients taking concurrent medications of any kind which are strong inducers or
inhibitors of CYP3A4. Patients receiving any of the following will be excluded:
ketoconazole, itraconazole, clarithromycin, atazanavir, indinavir, nefazodone,
nelfinavir, ritonavir, saquinavir, telithromycin, voriconazole, dexamethasone,
phenytoin, carbamazepine, rifampin, rifabutin, rifapentin, phenobarbital, St. John's
Wort.
|
35 |
NCT00598091 |
terminated |
low accrual, unable to meet endpoint in timely manner
|
0 |
phase 1 |
['refractory solid tumors', 'pancreatic adenocarcinoma'] |
["['D46.4', 'D46.1', 'D46.A', 'D46.0', 'D46.20', 'D46.21', 'D46.22']", "['C22.0', 'C22.1', 'C4A.9', 'C7B.1', 'D09.9', 'C4A.0', 'C4A.31']"] |
['gemcitabine', 'dasatinib', 'gemcitabine', 'dasatinib'] |
['[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1', 'CC1=NC(NC2=NC=C(S2)C(=O)NC2=C(C)C=CC=C2Cl)=CC(=N1)N1CCN(CCO)CC1', '[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1', 'CC1=NC(NC2=NC=C(S2)C(=O)NC2=C(C)C=CC=C2Cl)=CC(=N1)N1CCN(CCO)CC1'] |
Inclusion Criteria:
Eligibility Criteria Specific for Dose Escalation Phase
- Patients must have histologically confirmed solid tumor malignancy that is metastatic
or unresectable and for which standard therapy would include gemcitabine or for which
standard curative or palliative measures do not exist or are no longer effective.
- Patients must not have had radiation therapy, hormonal therapy, biologic therapy or
chemotherapy for cancer within the 28 days prior to study day 1.
Eligibly Criteria Specific for Expansion Phase at Recommended Phase II Dose
- Histologically or cytologically documented adenocarcinoma of the pancreas.
- Metastatic pancreatic cancer as documented by radiologic study or surgical evidence of
metastatic disease.
- No prior chemotherapy for metastatic pancreatic disease. Patients may have received a
radiosensiting dose of 5-fluorouracil or capecitabine or other agents used as
radiosensitizers with concurrent radiation therapy.
- Last dose of adjuvant chemotherapy must be at least 4 weeks prior to day 1 of the
study drug treatment
- Prior radiation therapy is allowed. prior to day 1 of the study drug treatment. At
least 4 weeks must have elapsed to baseline or grade 1.
- No prior treatment with gemcitabine or dasatinib in the adjuvant or metastatic
setting.
- Prior gemcitabine only allowed if the gemcitabine was administered in the adjuvant
setting and > 6 months has elapsed between diagnosis of metastatic disease and last
gemcitabine treatment.
- No history for other carcinomas within the last five years, except cured non-melanoma
skin cancer, curatively treated in-situ cervical cancer, or localized prostate cancer
with a current PSA of <1.0 mg/dL on 2 successive evaluations, at least 3 months apart,
with the most recent evaluation no more than 4 weeks prior to day 1 of the study drug
treatment. .
Eligibility Criteria for All Subjects
- Age >18 years.
- Karnofsky performance status >70%.
- Life expectancy of at least 3 months.
- Ability to understand and the willingness to sign a written informed consent document.
- Must meet lab requirements as defined in the protocol
- Patients should be capable of taking oral medications for prolonged compliance.
- Sexually active women of childbearing potential must use an effective method of birth
control.
- All WOCBP MUST have a negative pregnancy test within 7 days prior to first receiving
investigational product.
- Pregnant and/or lactating women will be excluded from this study.
Exclusion Criteria:
- Patients who have had radiation therapy, hormonal therapy, biologic therapy, or
chemotherapy for cancer within 28 days prior to day 1 of the study drug treatment.
Patients receiving hormonal therapy for metastatic prostate or breast cancer may
continue hormonal therapy.
- Major surgical procedure, open biopsy, or significant traumatic injury within 28 days
prior to day 1 of the study drug treatment
- Core biopsy or other minor surgical procedure excluding study-related procedures or
placement of a vascular access device within 7 days prior to expected start of
treatment.
- Patients who have received any other investigational agents within the 28 days prior
to day 1 of the study drug treatment.
- Impairment of gastrointestinal function or gastrointestinal disease that may
significantly alter drug absorption
- History of myocardial infarction, unstable angina, cardiac or other vascular stenting,
angioplasty, or surgery within 6 months prior to day 1 of the study drug treatment.
- History of stroke or transient ischemic attack within 6 months prior to day of the
study drug treatment.
- Uncontrolled congestive heart failure defined as New York Heart Association (NYHA)
class II or greater
- Known cardiomyopathy with decreased ejection fraction (less than institutional normal
limits)
- Diagnosed or congenital long QT syndrome
- Any history of clinically significant ventricular arrhythmias (such as ventricular
tachycardia, ventricular fibrillation, or Torsades de pointes)
- Prolonged QTc interval on pre-study electrocardiogram (> 450 msec)
- Patients with a history of significant bleeding episodes (e.g., hemoptysis, upper or
lower GI bleeding) within the previous 6 months of day 1 of the study drug treatment
- Evidence of bleeding diathesis or coagulopathy. Patients on therapeutic
anticoagulation may be enrolled provided that they have been clinically stable on
anti-coagulation for at least 2 weeks prior to day 1 of the study drug treatment
- History of significant bleeding disorder unrelated to cancer
- Medications that inhibit platelet function
- Fluid retention (i.e. pleural effusion, ascites, edema) grade > 2.
- A known history of HIV seropositivity, hepatitis C virus, acute or chronic active
hepatitis B infection, or other serious chronic infection requiring ongoing treatment.
- Patients currently taking drugs that are generally accepted to have a risk of causing
Torsades de Pointes
- Patients actively taking inhibitors or inducers of CYP3A4
- Patients actively taking proton pump inhibitors or H2 antagonists
- Other concurrent severe and/or poorly controlled medical condition that could
compromise safety of treatment
- Any psychiatric illness/social situations that would limit safety or compliance with
study requirements or may interfere with the interpretation of the results.
- Patients unwilling to or unable to comply with the protocol.
|
36 |
NCT00513214 |
completed |
|
1 |
phase 1/phase 2 |
['type 2 diabetes'] |
["['E11.65', 'E11.9', 'E11.21', 'E11.36', 'E11.41', 'E11.42', 'E11.44']"] |
['xoma 052', 'placebo'] |
['CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
- American Diabetes Association (ADA) diagnostic criteria for T2D - Fasting blood
glucose concentration ≥ 126 mg/dL (≥ 7.0 mmol/L) (must be measured within 35 days
prior to Day 0) OR Symptoms of hyperglycemia (e.g., thirst, polyuria, weight loss,
visual blurring) AND a casual/random plasma glucose value of ≥ 200 mg/dL (≥ 11.1
mmol/L) (must be measured within 35 days prior to Day 0)
- HbA1c ≥ 7.5% and ≤ 12% (DCCT standard)
- Current T2D of duration > 6 months at Screening
- T2D and other diseases must be stable. Stable disease is defined as disease that is
judged stable by the investigator and which did not require a change in medications or
dosing level on 4 or more consecutive days or 7 days in total within 35 days prior to
Day 0.
- Age ≥ 18 and ≤ 70 at Screening
- Weight ≥ 80 lbs (36.3 kg) and ≤ 325 lbs (147.4 kg)
- BMI ≥ 23 and ≤ 40 kg/m2
- For female subjects of child-bearing age, a negative serum pregnancy test. For
subjects with reproductive potential, a willingness to use contraceptive measures
adequate to prevent the subject or the subject's partner from becoming pregnant during
the study.
- Agree not to change diet and exercise regimen during the trial
Exclusion Criteria:
- Use of the following medications - Anti-inflammatory therapy other than aspirin ≤ 100
mg/day; Immunosuppressive treatment; Beta 2 and non-selective adrenergic blockers
(Note: selective beta 1 blockers are permitted); Thiazolidinediones; Glucagon-like
peptide (GLP) agonists including DPP4 inhibitors
- Change in medication for diabetes within 35 days prior to Day 0, defined as a change
in dosing level on 4 or more consecutive days or 7 days in total
- Fasting C-peptide < 400 pM (< 1.20 μg/L)
- Hemoglobin < 8.0 g/dL, WBC < 3.0 X 103/mm3, platelet count < 125 X 103/mm3, creatinine
> 1.5 mg/dL, AST/ALT > 2 X ULN, alkaline phosphatase > 2 X ULN
- Positive for GAD65 or IA-2 auto-antibodies
- Known HIV antibody, hepatitis B surface antigen, and/or hepatitis C antibody
- History of malignancy within 5 years prior to study entry other than carcinoma in situ
of the cervix, or adequately treated, non-metastatic squamous or basal cell carcinoma
of the skin
- History of severe allergic or anaphylactic reactions to humanized or murine monoclonal
antibodies
- History of tuberculosis, positive PPD test, active atopic disease requiring
medication, or asthma
- Infectious disease - CRP > 30 mg/L, fever, or infection requiring treatment with
antibiotics within 3 weeks prior to Screening; History of recurrent infection or
predisposition to infection; Active leg or foot ulcer
- Immunodeficiency
- Female subjects who are pregnant, planning to become pregnant during the course of the
study, or breast-feeding
- History or symptoms of a demyelinating disease
- Clinically significant diabetic macular edema and/or proliferative diabetic
retinopathy by history or fundoscopy
- Receipt of a live (attenuated) vaccine within 3 months prior to Screening
- Major surgery within 35 days prior to Day 0
- Participation in an investigational drug or device trial within 30 days prior to
Screening
- Use of a therapeutic monoclonal antibody within 90 days prior to Screening
- Any condition which, in the opinion of the investigator, would jeopardize the
subject's safety following exposure to the study drug
|
37 |
NCT00121290 |
completed |
|
1 |
phase 1 |
['unspecified adult solid tumor, protocol specific'] |
["['H01.009', 'H02.209', 'H02.009', 'H02.109', 'H04.209', 'H05.409', 'H10.509']"] |
['sjg-136'] |
['COC1=CC2=C(C=C1OCCCOC1=CC3=C(C=C1OC)C(=O)N1CC(=C)C[C@H]1C=N3)N=C[C@@H]1CC(=C)CN1C2=O'] |
Inclusion Criteria:
- Patients must have histologically confirmed solid tumor malignancy that is metastatic
or unresectable and for which standard curative or palliative measures do not exist or
are no longer effective
- Prior chemotherapy or immunotherapy allowed
- Time interval must be at least 4 weeks since prior chemotherapy or immunotherapy, 6
weeks if the last regimen included BCNU or mitomycin C
- Radiation therapy to < 25% of hematopoietic bone marrow is allowed
- ECOG performance status =<2 (Karnofsky >= 60%)
- Life expectancy of greater than three months
- Recovered from prior therapy
- Women of child-bearing potential and men must agree to use adequate contraception
(hormonal or barrier method of birth control; abstinence) prior to study entry and for
the duration of study participation
- Ability to understand and the willingness to sign a written informed consent document
- WBC >= 3,000/mm^3
- Absolute neutrophil count >= 1,500/mm^3
- Platelet count >= 100,000/mm^3
- Bilirubin normal
- AST and ALT =< 2.5 times upper limit of normal
- Creatinine =< 1.5 mg/dL OR creatinine clearance ≥ 60 mL/min
- No unstable angina pectoris
Exclusion Criteria:
- Patients receiving any other investigational agents
- Uncontrolled intercurrent illness including, but not limited to ongoing or active
infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac
arrhythmia, or psychiatric illness/social situations that would limit compliance with
study requirements
- Pregnant women are excluded from this study
- Because there is an unknown but potential risk for adverse events in nursing infants
secondary to treatment of the mother with SJG-136, breastfeeding should be
discontinued if the mother is treated with SJG-136
- History of allergic reactions attributed to compounds of similar chemical or biologic
composition to SJG-136
- HIV-positive patients receiving combination anti-retroviral therapy are excluded from
the study because of possible pharmacokinetic interactions with SJG-136
- With the exception of alopecia (and other situations in which the organ dysfunction or
symptoms are considered clinically insignificant or irrelevant to this study),
patients may not have baseline organ dysfunction or symptoms that qualify as Grade 2
or greater by CTC AE v. 3.0
- No other chemotherapy, immunotherapy, radiation therapy, surgery for cancer (including
resection of any metastases), specific antitumor therapy, or experimental medications
will be permitted while the patients are participating in this study
- Patients who have had chemotherapy or radiotherapy within 4 weeks (6 weeks for
nitrosoureas or mitomycin C) prior to entering the study or those who have not
recovered from adverse events due to agents administered more than 4 weeks earlier
- Palliative radiation therapy is not allowed
|
38 |
NCT00512668 |
terminated |
|
0 |
phase 1 |
['adenocarcinoma of the prostate', 'recurrent prostate cancer'] |
["['C22.0', 'C22.1', 'C4A.9', 'C7B.1', 'D09.9', 'C4A.0', 'C4A.31']", "['C61', 'D29.1', 'D40.0', 'Z15.03', 'Z80.42', 'Z85.46', 'Z12.5']"] |
['leuprolide acetate', 'goserelin acetate', 'bicalutamide', 'nilutamide', 'flutamide', 'temsirolimus'] |
['CC(C)C[C@H](NC(=O)[C@@H](COC(C)(C)C)NC(=O)[C@H](CC1=CC=C(O)C=C1)NC(=O)[C@H](CO)NC(=O)[C@H](CC1=CNC2=CC=CC=C12)NC(=O)[C@H](CC1=CN=CN1)NC(=O)[C@@H]1CCC(=O)N1)C(=O)N[C@@H](CCCN=C(N)N)C(=O)N1CCC[C@H]1C(=O)NNC(N)=O', 'CC(C)C[C@H](NC(=O)[C@@H](COC(C)(C)C)NC(=O)[C@H](CC1=CC=C(O)C=C1)NC(=O)[C@H](CO)NC(=O)[C@H](CC1=CNC2=CC=CC=C12)NC(=O)[C@H](CC1=CN=CN1)NC(=O)[C@@H]1CCC(=O)N1)C(=O)N[C@@H](CCCN=C(N)N)C(=O)N1CCC[C@H]1C(=O)NNC(N)=O', '[H][C@]12SCC(C)=C(N1C(=O)[C@H]2NC(=O)[C@H](N)C1=CC=C(O)C=C1)C(O)=O', 'CC1(C)NC(=O)N(C1=O)C1=CC(=C(C=C1)[N+]([O-])=O)C(F)(F)F', 'CC(C)C(=O)NC1=CC(=C(C=C1)[N+]([O-])=O)C(F)(F)F', 'CN1N=NC2=C(N=CN2C1=O)C(N)=O'] |
Inclusion Criteria:
- All patients must sign an informed consent indicating that they are aware of the
investigational nature of this study; patients must also have signed an authorization
for the release of their protected health information
- Patients must have histologically confirmed adenocarcinoma of the prostate recurring
after local therapy (radical prostatectomy and/or radiation therapy) as evidenced by
rising serum PSA
- Prostate-Specific Antigen (PSA) Doubling Time (PSADT) =< 12 months after local therapy
(prostatectomy and/or definitive radiation) as determined by linear regression of all
available PSA values within 6 months of initiation of androgen ablation (for patients
who underwent prostatectomy, at least one PSA measurement of >= 1.0 ng/mL; for
patients who underwent radiation, at least one PSA measurement of >= 3.0 ng/mL and >=
150% postradiation nadir)
- No evidence of metastasis as determined by bone scan or computed tomography (CT) scan
- Initiation of Androgen Ablation of less than 8 weeks' duration prior to study entry is
permitted
- Leukocytes ≥ 3,000/mcl
- Absolute neutrophil count ≥ 1,000/mcl
- Hemoglobin ≥ 8.0g/dl
- Eligibility level for hemoglobin may be reached by transfusion
- Platelet count >= 100,000/μL
- Total bilirubin ≤1.5 X laboratory ULN
- AST and/or ALT ≤ 3 X laboratory ULN
- Creatinine ≤ 1.5 X laboratory ULN OR calculated creatinine clearance ≥ 60 ml/min/1.73
m^2 for patients w/creatinine levels above the laboratory ULN
- Serum cholesterol level < 350 mg/dl
- Triglyceride level < 300mg/dl
- ECOG performance status 0, 1 or 2
- The effects of Temsirolimus on the developing human fetus are unknown; for this reason
men must agree to use contraception from the time of study enrollment continuing for
the duration of study participation
- Patients must be registered in the MDACC institutional database prior to treatment
with study drug
- PSA < 40 ng/ml
Exclusion Criteria:
- Patients with histologic variants other than adenocarcinoma in the primary tumor
- Patients may not be receiving any other investigational agents
- Patients may not be receiving concomitant immunotherapy or immunosuppressive therapy
- Patients may not have received prior systemic treatment for prostate cancer (other
than no more than 3 months of prior treatment with androgen ablation in neoadjuvant
and/or adjuvant setting and at least a year must have elapsed since last
administration) unless initiation of Androgen Ablation of less than 8 weeks' duration
prior to study entry is permitted
- Patient with uncontrolled intercurrent illness including, but not limited to ongoing
or active infection requiring parenteral therapy on day 1 of protocol treatment,
symptomatic congestive heart failure resulting in a resting O2 saturation of < 92% on
room air, unstable angina pectoris, myocardial infarction within the previous 6
months, or use of ongoing maintenance therapy for life-threatening ventricular
arrhythmia, known pulmonary hypertension or pneumonitis
- Patients in a severely compromised immunological state, including being positive for
the human immunodeficiency virus (HIV) due to possible pharmacokinetic interactions
with HAART therapy
- Patients diagnosed with acute or chronic hepatitis B or C
- Patients using immunosuppressive agents, including intravenous corticosteroids, within
3 weeks of study entry
- Patients must not have a history of any other cancer (except nonmelanoma skin cancer),
unless in complete remission and off of all therapy for that disease for a minimum of
3 years
|
39 |
NCT01133912 |
completed |
|
1 |
phase 1 |
['breast cancer'] |
["['C79.81', 'D24.1', 'D24.2', 'D24.9', 'D49.3', 'C44.501', 'D48.60']"] |
['paclitaxel, gemcitabine, lapatinib'] |
['NC1=NC(=O)N(C=C1)[C@@H]1O[C@H](CO)[C@@H](O)C1(F)F'] |
Inclusion Criteria:
- Histologically confirmed and newly diagnosed operable breast cancer
- Documented HER2 positive disease : 3+ overexpression by IHC or HER2 gene amplification
by FISH
- ECOG performance status 0-2
- Age ≥ 18 years
- Clinical stage II or III operable breast cancer
- Axillary node positivity determined by cytology
- No prior hormonal, chemotherapy, or radiotherapy is allowed
- No breast operation other than biopsy to make diagnosis is allowed
- Negative urine pregnancy test within 7 days prior to registration in premenopausal
patients
- Adequate hematopoietic function: Absolute granulocyte count ≥1,500/mm3, platelet
≥100,000/mm3, hemoglobin ≥10g/mm3
- Adequate hepatic function: total bilirubin ≤1.5mg/dL, AST/ALT ≤2 x UNL, alkaline
phosphatase ≤2 x UNL
- Adequate renal function: Serum creatinine ≤1.5mg/dL
- Adequate cardiac function:
1. Normal or nonspecific EKG taken within 1 month of enrollment
2. LVEF ≥50% by MUGA or echocardiogram taken within 4 weeks of enrollment
- Ability to understand and comply with protocol during study period
- Patients should sign a written informed consent before study entry
Exclusion Criteria:
- Pregnant or lactating women
- Patients who received hormonal, chemotherapy or radiotherapy for breast cancer
- Patients with bilateral breast cancer
- Patients who underwent surgery for breast cancer
- Patients with node-negative stage IIA (T2N0) breast cancer
- Patients who have history of cancer other than in situ uterine cervix cancer or
nonmelanotic skin cancer
- Patients with GI tract disease resulting in an inability to take oral medication,
malabsorption syndrome, a requirement for IV alimentation, prior surgical procedures
affecting absorption, uncontrolled GI disease (e.g., Crohn's disease, ulcerative
colitis)
|
40 |
NCT01555268 |
completed |
|
1 |
phase 1 |
['adult acute megakaryoblastic leukemia (m7)', 'adult acute minimally differentiated myeloid leukemia (m0)', 'adult acute monoblastic leukemia (m5a)', 'adult acute monocytic leukemia (m5b)', 'adult acute myeloblastic leukemia with maturation (m2)', 'adult acute myeloblastic leukemia without maturation (m1)', 'adult acute myeloid leukemia with 11q23 (mll) abnormalities', 'adult acute myeloid leukemia with del(5q)', 'adult acute myeloid leukemia with inv(16)(p13;q22)', 'adult acute myeloid leukemia with t(16;16)(p13;q22)', 'adult acute myeloid leukemia with t(8;21)(q22;q22)', 'adult acute myelomonocytic leukemia (m4)', 'adult erythroleukemia (m6a)', 'adult pure erythroid leukemia (m6b)', 'recurrent adult acute myeloid leukemia', 'untreated adult acute myeloid leukemia'] |
["['C94.21', 'C94.22', 'C94.20']", "['C7A.1']", "['C93.01', 'C93.02', 'C93.00']", "['C93.Z1', 'C93.Z2', 'C93.91', 'C93.92', 'C93.01', 'C93.02', 'C93.Z0']", "['C92.01', 'C92.02', 'C92.00']", "['C92.01', 'C92.02', 'C92.00']", "['R19.5', 'H35.09', 'M26.50', 'M26.59', 'Q99.8', 'R06.89', 'R06.9']", "['C95.91', 'C95.92', 'Z80.6', 'Z85.6', 'C90.11', 'C90.12', 'C91.01']", "['C95.91', 'C95.92', 'Z80.6', 'Z85.6', 'C90.11', 'C90.12', 'C91.01']", "['C95.91', 'C95.92', 'Z80.6', 'Z85.6', 'C90.11', 'C90.12', 'C91.01']", "['C95.91', 'C95.92', 'Z80.6', 'Z85.6', 'C90.11', 'C90.12', 'C91.01']", "['C92.51', 'C92.52', 'C93.11', 'C93.12', 'C93.31', 'C93.32', 'C92.50']", "['C94.01', 'C94.02', 'C94.00']", "['G47.13', 'J01.41', 'K11.22', 'K12.0', 'N96', 'F33.8', 'G03.2']", "['C95.91', 'C95.92', 'Z80.6', 'Z85.6', 'C90.11', 'C90.12', 'C91.01']"] |
['cytarabine'] |
['ClCCN(CCCl)P1(=O)NCCCO1'] |
Inclusion Criteria:
- Diagnosis of AML as defined by the World Health Organization (excluding acute
promyelocytic leukemia and chronic myeloid leukemia- blast/accelerated phase) in an
adult patient
- Patients with newly diagnosed untreated AML for whom the treatment of choice is
low-intensity therapy by investigator assessment or who has declined intensive
induction therapy recommended by the investigator OR
- Patients with refractory or relapsed AML following at least one prior treatment
course who are not currently considered eligible for stem cell transplantation at
the time of screening due to non-optimal AML disease control, lack of suitable
transplantation donor, failure to meet other transplantation criteria, or refusal
to undergo transplantation
- Eastern Cooperative Oncology Group (ECOG) status 0-2 (ECOG 3 is excluded)
- Total bilirubin within normal institutional limits
- Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase [SGOT]) and
alanine aminotransferase (ALT) (serum glutamic pyruvate transaminase [SGPT]) =< 2.5 x
institutional upper limit of normal (ULN)
- Creatinine clearance > 40ml/min per 24 hour urine collection or calculated according
to the Cockcroft-Gault formula
- Urinary protein quantitative value of less than 30mg/dL in urine analysis or less than
1+ on dipstick, unless quantitative protein is < 1000mg in a 24 hour urine sample
- Partial thromboplastin time (PTT) or activated (aPTT) =< 1.5 x ULN per institution
laboratory range and international normalized ratio (INR) =< 1.5
- Patient or legal representative must understand the investigational nature of this
study and sign an Independent Ethics Committee/Institutional Review Board approved
written informed consent form prior to receiving any study related procedure
- Individuals of childbearing potential must agree to use acceptable contraceptive
methods (e.g., double barrier) during treatment
Exclusion Criteria:
- History of central nervous system involvement with leukemia
- History of venous or arterial thromboembolism within 12 months prior to enrollment
- History of clinically significant bleeding within 6 months of enrollment
- Unresolved toxicities from prior systemic therapies that are Common Terminology
Criteria for Adverse Events (CTCAE) version 4 >= Grade 2 in severity except alopecia
excluding hematological toxicities attributable to underlying disease
- Currently or previously treated with AMG 386, or other molecules that inhibit the
angiopoietins or Tie2 receptor
- Current or within 30 days prior to enrollment treatment with immune modulators such as
systemic cyclosporine or tacrolimus
- Has not yet completed a 14 day washout period for any previous anti-cancer systemic
therapies (30 days for prior bevacizumab) with the exception of hydroxyurea or
leukapheresis for uncontrolled leukocytosis
- Enrolled in or has not yet completed at least 14 days since ending other
investigational device or drug trials, or currently receiving other investigational
treatments
- Clinically significant cardiovascular disease within 12 months prior to enrollment,
including myocardial infarction, unstable angina, grade 2 or greater peripheral
vascular disease, cerebrovascular accident, transient ischemic attack, congestive
heart failure, or arrhythmias not controlled by outpatient medication or placement of
percutaneous transluminal coronary angioplasty/stent
- Major surgery within 28 days prior to enrollment or still recovering from prior
surgery
- Minor surgical procedures, placement of tunneled central venous access device within 3
days prior to enrollment
- Uncontrolled hypertension as defined as diastolic > 90mmHg OR systolic > 140mmHg; the
use of anti-hypertensive medication to control hypertension is permitted
- Non-healing wound, ulcer (including gastrointestinal) or fracture
- Active uncontrolled infection, including human immunodeficiency virus (HIV) and active
hepatitis infection
- Subject not consenting to the use of highly effective contraceptive, e.g., double
barrier method (i.e., condom plus diaphragm) precautions during the course of the
study and for 6 months after administration of the last study medication
- Subject has known sensitivity to any of the products to be administered during dosing
- History of allergic reactions to bacterially produced proteins
- Subject has previously been enrolled onto this study
- Subject will not be available for follow-up assessment
- Pregnant or nursing female patients
- Active second malignancy other than AML which is not in remission and/or for which the
patient is currently receiving treatment
- Subject has any kind of disorder that compromises the ability of the subject to give
written informed consent and/or to comply with study procedures
- Any condition which in the investigator's opinion makes the patient an unsuitable
candidate for study participation
|
41 |
NCT01867866 |
completed |
|
1 |
phase 1 |
['advanced solid tumors'] |
["['K74.02', 'G47.22', 'H35.3133', 'H35.3134', 'H35.3113', 'H35.3114', 'H35.3123']"] |
['tas-102', 'trifluridine'] |
['ClC1=C(CN2CCCC2=N)NC(=O)NC1=O', 'OC[C@H]1O[C@H](C[C@@H]1O)N1C=C(C(=O)NC1=O)C(F)(F)F'] |
Inclusion Criteria:
1. Has provided written informed consent
2. Has advanced solid tumors (excluding breast cancer) for which no standard therapy
exists
3. ECOG performance status of 0 or 1
4. Is able to take medications orally
5. Has adequate organ function (bone marrow, kidney and liver)
6. Women of childbearing potential must have a negative pregnancy test and must agree to
adequate birth control if conception is possible. Males must agree to adequate birth
control.
Exclusion Criteria:
1. Has had certain other recent treatment e.g. anticancer therapy, received
investigational agent, within the specified time frames prior to study drug
administration
2. Certain serious illnesses or medical condition(s)
3. Has had either partial or total gastrectomy
4. Has unresolved toxicity of greater than or equal to CTCAE Grade 2 attributed to any
prior therapies
5. Known sensitivity to TAS-102 or its components
6. Is a pregnant or lactating female
7. Refuses to use an adequate means of contraception (including male patients)
|
42 |
NCT00279240 |
completed |
|
1 |
phase 1 |
['diabetes'] |
["['E23.2', 'N25.1', 'P70.2', 'O24.92', 'Z83.3', 'Z86.32', 'E10.65']"] |
['metformin'] |
['CSCC[C@H](N)C(O)=O'] |
Inclusion Criteria:
- Both male and female. 35 - 55 years. No Known history of diabetes. Willing and
available for a three years study.
Exclusion Criteria:
- Pregnant women. Subjects with major illness such as cancer, hepatic or cardiac
diseases. Tranferable jobs.
|
43 |
NCT00500747 |
completed |
|
1 |
phase 1 |
['hepatitis c'] |
["['B18.2', 'B17.10', 'B17.11', 'B19.20', 'B19.21', 'B15.0', 'B15.9']"] |
['placebo'] |
['CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
- Healthy, hepatitis C virus (HCV) negative.
- 18-45 year old healthy adults. Insufficient data are available in adults to judge risk
in children.
- In good general health as determined by medical history, physical examination and the
following screening labs:
- Complete Blood Count (CBC): Total WBC (White Blood Cell): 3.5-14 thousand/microliter
(MCL); Hemoglobin (Hgb): Men: 12.2-18 g/dl and Women: 10.5-17 g/dl.
- Creatinine: Men: less than or equal to 1.4 mg/dl; Women: less than or equal to 1.2
mg/dl.
- Glucose: 50 mg/dl to less than or equal to 109 mg/dl.
- Alanine Aminotransferase (ALT): Men 2-60 units/litre (U/I): Women: 3-40 U/I.
- Aspartate Aminotransferase (AST): Men: 2-50 U/I, Women 2-35 U/I.
- Total bilirubin: Men: less than or equal to 1.5 mg/dl: Women: less than or equal to
1.3 mg/dl.
- Urinalysis: negative or trace protein, negative glucose, less than or equal to 3 Red
Blood Cells (RBC)/High Power Field (HPF) and less than or equal to 5WBC/HPF (in
nonmenstruating females).
- Negative serum cryoglobulin
- Hepatitis B: negative Hepatitis B Surface Antigen (HBsAg) (using standard Food and
Drug Administration FDA approved tests, e.g. Abbott or Organon).
- Hepatitis C: Anti-Hepatitis C Virus (HCV) negative and HCV Ribonucleic Acid (RNA)
negative (using standard FDA approved tests, e.g. Abbott or Organon).
- HIV ELISA negative (using standard FDA approved tests, e.g. Abbott or Organon)
(Written informed consent for HIV antibody testing will be obtained before obtaining
the HIV sample.) Note: HIV vaccine volunteers who test positive by HIV ELISA and HIV
western blot testing due to receipt of HIV vaccine may participate if they test
negative by HIV DNA Polymerase Chain Reaction (PCR).
- Negative urine pregnancy test (females of child bearing potential) obtained at
screening and at the day of each immunization.
- The ability to understand and sign a written informed consent document. Available for
16 months after the first injection so that follow-up may be completed.
Exclusion Criteria:
- Diabetes.
- Cancer other than squamous cell skin cancer which has been excised.
- History of myocardial infarction or arrhythmia requiring hospitalization.
- Syncope requiring hospitalization.
- Unconsciousness other than a simple concussion.
- Seizures other than febrile seizures as a child <5 years of age.
- Current liver disease (not including Gilbert's disease).
- Autoimmune disease (does not include thyroid disease or vitiligo).
- Splenectomy.
- Uncontrolled hypertension [blood pressure (BP) >150/90; anti-hypertensive medications
are acceptable).
- Subjects with identifiable high-risk behavior for HCV infection as characterized by
the following: injection drug use (IVDU) or cocaine snorting within the last year.
- Subject had a tattoo or body piercing within the past 6 months and/or is planning to
acquire any tattoos or body piercing during the period of the study.
- Subjects with tattoos at the bilateral sites of needle insertion.
- Pregnant or lactating women. Women of child bearing potential must be using effective
contraception for at least 30 days prior to initial immunization, unless for
religious, social, or medical reasons they do not intend to have children and are
practicing sexual abstinence. Subjects using birth control must agree to do so for the
entire 64 week study period. Acceptable method of birth control is defined as hormonal
contraceptives, intrauterine device (IUD), diaphragm with spermicide, condoms, a
vasectomized partner or abstinence.
- Concomitant drug exclusion: corticosteroids (other than intranasal sprays or topical
creams) or other known immunosuppressive drugs (such as chemotherapy for cancer); any
experimental agent; any anti-tuberculosis medication, e.g., isoniazid (INH).
- Personnel engaged in the blinding of this study.
- Subjects who for any reason cannot adhere to the schedule of this protocol should not
be enrolled in the study.
- Subjects who in the judgment of the investigator would not be good candidates due to
medical, psychiatric, or social conditions which may interfere with or serve as a
contradiction to adherence to the study protocol.
- Subjects with sex partners with known active Hepatitis B virus (HBV), HCV, or HIV
infection.
- Currently abuses alcohol. Alcohol abuse is defined as requiring hospital admission for
detoxification and therapy or alcohol use that has had a significant impact on
personal relationships or ability to work productively.
- Not accessible by telephone or pager.
- Live attenuated immunization within 4 weeks of each vaccination.
- Inactivated immunization within 2 weeks of each vaccination.
- Febrile illness within 3 days of study entry based on verbal report by the subject.
|
44 |
NCT00618527 |
completed |
|
1 |
early phase 1 |
['multiple sclerosis'] |
["['G35', 'C81.18']"] |
['mycophenolate mofetil (cellcept)', 'human interferon beta 1a (rebif)'] |
['COC1=C(C\\C=C(/C)CCC(=O)OCCN2CCOCC2)C(O)=C2C(=O)OCC2=C1C', 'CNC(=O)C1=NC=CC(OC2=CC=C(NC(=O)NC3=CC(=C(Cl)C=C3)C(F)(F)F)C=C2)=C1'] |
Inclusion Criteria:
- diagnosed with relapsing remitting multiple sclerosis
- eligible to initiate interferon therapy
- between he ages of 18-65, inclusive
Exclusion Criteria:
- have received corticosteroids within 30 days prior to study start
- have ever received cyclophosphamide or mitoxantrone
- have received Imuran or methotrexate in the last 3 months
- females that are pregnant or breastfeeding are excluded
|
45 |
NCT00630786 |
completed |
|
1 |
phase 1/phase 2 |
['colon cancer', 'colorectal cancer', 'rectal cancer', 'metastatic colorectal cancer', 'oncology'] |
["['C18.2', 'C18.4', 'C18.6', 'C18.7', 'C18.9', 'D12.2', 'D12.3']", "['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']", "['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']", "['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']"] |
['panitumumab', 'conatumumab'] |
['NC1=NC(=O)N(C=C1)[C@@H]1O[C@H](CO)[C@@H](O)C1(F)F'] |
Inclusion Criteria:
- Histologically or cytologically confirmed metastatic adenocarcinoma of the colon or
rectum
- Radiographically documented disease progression per modified Response Evaluation
Criteria in Solid Tumors (RECIST) during or following treatment with fluoropyrimidine,
irinotecan, and/or oxaliplatin chemotherapy for Metastatic Colorectal Cancer.
Progressive disease must be documented during or ≤ 6 months after the last dose of the
most recent chemotherapy regimen prior to enrollment.
- At least 1 uni-dimensionally measurable lesion measuring ≥ 20 mm in one dimension per
modified RECIST. Lesion must not be chosen from a previously irradiated field, unless
there has been documented disease progression in that field after irradiation and
prior to enrollment. All sites of disease must be evaluated.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Available archived paraffin-embedded tumor tissue from the primary tumor or metastasis
for submission to the central laboratory
- Man or woman ≥ 18 years of age at the time of enrollment
- Hematologic function within the following limits:
- Absolute neutrophil count (ANC) > 1.0 x 10^9 cells/L
- Platelets ≥ 100 x 10^9/L
- Renal function within the following limits:
- Creatinine < 2.0 mg/dL
- Hepatic function within the following limits:
- Aspartate aminotransferase (AST) ≤ 2.5 x upper limit of normal (ULN) (≤ 5 x ULN
if liver metastases)
- Alanine aminotransferase (ALT) ≤ 2.5 x ULN (≤ 5 x ULN if liver metastases)
- Bilirubin ≤ 2 x ULN
- Metabolic function within the following limits:
- Amylase ≤ 2 x ULN
- Lipase ≤ 2 x ULN
- Magnesium ≥ lower limit of normal
- Negative pregnancy test ≤ 72 hours before enrollment (for woman of childbearing
potential only)
- Must have received 1, 2, or 3 prior chemotherapy regimens for Metastatic Colorectal
Cancer
- Competent to comprehend, sign, and date the independent ethics committee/institutional
review board (IEC/IRB) approved written informed consent
Exclusion Criteria:
- History of other primary cancer, unless:
- Curatively resected non-melanomatous skin cancer
- Curatively treated cervical carcinoma in situ
- Other primary solid tumor curatively treated with no known active disease present
and no treatment administered for ≥ 5 years before enrollment
- Prior treatment with anti-epidermal growth factor receptor (EGFr) inhibitors (eg,
cetuximab, erlotinib, gefitinib), unless treatment was received in the adjuvant
setting ≥ 6 months before enrollment
- Use of systemic chemotherapy and radiotherapy ≤ 30 days before enrollment
- Use of prior anti-tumor therapies with a short serum half-life (less than 1 week)
including prior experimental agents or approved anti-tumor small molecules ≤ 30 days
before enrollment
- Use of anti-tumor therapies with a longer serum half-life (eg, bevacizumab) including
prior experimental or approved protein/antibodies ≤ 42 days before enrollment
- Any investigational agent or therapy ≤ 30 days before enrollment
- Known allergy or hypersensitivity to any component of panitumumab and/or AMG 655
- History of or known presence of central nervous system (CNS) metastases
- History of interstitial lung disease (eg, pneumonitis, pulmonary fibrosis) or evidence
of interstitial lung disease on baseline chest computerized tomography (CT) scan
- Clinically significant cardiovascular disease (including myocardial infarction,
unstable angina, symptomatic congestive heart failure, serious uncontrolled cardiac
arrhythmia) ≤ 1 year before enrollment
- Active inflammatory bowel disease or other active bowel disease causing chronic
diarrhea (defined as ≥ Common Terminology Criteria for Adverse Events [CTCAE] grade 2
[CTCAE version 3.0])
- Known positive test for human immunodeficiency virus (HIV) infection, hepatitis C
virus, acute or chronic hepatitis B infection
- Any co-morbid disease or condition that could increase the risk of toxicity (eg,
significant ascites, significant pleural effusion)
- Any uncontrolled concurrent illness (eg, infection, bleeding) or history of any
medical condition that may interfere with the interpretation of the study results
- Major surgical procedure (requiring general anesthesia) ≤ 28 days or minor surgical
procedure (excluding central venous catheter placement) ≤ 14 days before enrollment.
Patients must have recovered from surgery related toxicities.
- Other investigational procedures are excluded
- Patient is currently pregnant or breast feeding
- Man or woman of childbearing potential who is not willing to use adequate
contraceptive precautions during treatment and for 6 months (for women) or 1 month
(for men) after the last investigational product administration. Adequate
contraceptive precautions includes double barrier contraceptive methods (eg, diaphragm
and condom) or abstinence.
- Previously enrolled into this study
- Patient unwilling or unable to comply with study requirements
|
46 |
NCT00389285 |
completed |
|
1 |
phase 1/phase 2 |
['carcinoma, renal cell'] |
["['C22.0', 'C4A.9', 'C7B.1', 'C4A.0', 'C4A.31', 'C4A.51', 'C4A.8']"] |
['ril-21 only', 'ril-21 + sorafenib'] |
['CNC(=O)C1=NC=CC(OC2=CC=C(NC(=O)NC3=CC(=C(Cl)C=C3)C(F)(F)F)C=C2)=C1'] |
Inclusion Criteria:
- Diagnosis of RCC of predominantly clear cell histology
- Either no prior treatment or a maximum of 2 prior treatment regimens for metastatic
RCC that included no more than 1 treatment regimen targeting the vascular endothelial
growth factor (VEGF) pathway (Phase 1 only)
- At least 1 but no more than 2 prior systemic therapies for metastatic RCC that
included no more than 1 therapy targeting the VEGF pathway (Phase 2 only)
- Disease measurable per the Response Evaluation Criteria in Solid Tumors (RECIST)
(Phase 2 only)
Exclusion Criteria:
- Presence of acute infection or other significant systemic illness
- Central nervous system involvement by malignancy
- History of other cancer within 5 years
- Previously received rIL-21 or sorafenib
|
47 |
NCT00715403 |
completed |
|
1 |
phase 1 |
['neoplasms'] |
["['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']"] |
['bibf 1120'] |
['COC(=O)C1=CC=C2C(NC(=O)\\C2=C(/NC2=CC=C(C=C2)N(C)C(=O)CN2CCN(C)CC2)C2=CC=CC=C2)=C1'] |
Inclusion Criteria:
1. Male or female patients with advanced solid tumours who have completed a previous
study with BIBF 1120. The patients should not have progression of their underlying
tumour disease unless there is evidence for significant clinical benefit (e.g. symptom
improvement) from treatment with BIBF 1120.
2. Age 18 years or older
3. Eastern Cooperative Oncology Group (ECOG, R01-0787) performance score <= 2
4. Patients must have given written informed consent (which must be consistent with
ICH-GCP and local legislation)
Exclusion Criteria:
1. Time elapsed from last administration of BIBF 1120 in the previous trial to start of
treatment in the present trial exceeds four weeks
2. Presence of drug related toxicity > grade 2 CTC from previous therapy with BIBF 1120
or presence of drug related continuous toxicity of grade 2 for seven or more
consecutive days which would preclude ongoing chronic therapy with BIBF 1120
3. Active ulcers (gastro-intestinal tract, skin)
4. Major injuries and surgery within the past three weeks with incomplete wound healing
5. Hypersensitivity to BIBF 1120 or the excipients of the trial drug
6. Known secondary malignancy requiring therapy
7. Active infectious disease
8. Significant cardiovascular diseases (i.e. uncontrolled severe hypertension, unstable
angina pectoris, history of myocardial infarction, congestive heart failure > NYHA II)
9. Gastrointestinal disorders anticipated to interfere with the resorption of the study
drug
10. Brain metastases requiring therapy
11. Absolute neutrophil count less than 1,500/mm3
12. Platelet count less than 100,000/mm3
13. Bilirubin greater than 1.5 mg/dl (> 26 µmol/L)
14. Aspartate amino transferase (AST) and/or alanine amino transferase (ALT) greater than
2.5 times the upper limit of normal (if related to liver metastases greater than five
times the upper limit of normal)
15. Serum creatinine greater than 2 mg/dl (> 176 µmol/L)
16. Concomitant non-oncological diseases which are considered relevant for the evaluation
of the safety of the trial drug
17. Chemo-, radio-, or immunotherapy within the past four weeks prior to treatment with
the trial drug
18. Patients who are sexually active and unwilling to use a medically acceptable method of
contraception
19. Pregnancy or lactation
20. Treatment with other investigational drugs or participation in another clinical trial
within the past four weeks before start of therapy (visit 2) or concomitantly with
this trial (except for a previous study with BIBF 1120)
21. Patients unable to comply with the protocol
22. Active alcohol or drug abuse
|
48 |
NCT00598923 |
terminated |
end of funding and low enrollment
|
0 |
early phase 1 |
['traumatic brain injury', 'epilepsy'] |
["['Z87.820', 'Z13.850', 'S06.2X0S', 'S06.2X0A', 'S06.2X0D', 'S06.300S', 'S06.300A']", "['G40.803', 'G40.804', 'G40.911', 'G40.919', 'G40.B11', 'G40.B19', 'G40.801']"] |
['topiramate', 'topiramate', 'phenytoin'] |
['[H][C@@]12CO[C@@]3(COS(N)(=O)=O)OC(C)(C)O[C@@]3([H])[C@]1([H])OC(C)(C)O2', '[H][C@@]12CO[C@@]3(COS(N)(=O)=O)OC(C)(C)O[C@@]3([H])[C@]1([H])OC(C)(C)O2', 'OC(=O)C1=CC=CC=C1O'] |
Inclusion Criteria:
1. Moderate to severe traumatic brain injury, defined as one or more of the following:
penetrating head wound seizure within the first hour after injury intracerebral
hematoma or cortical contusion subdural or epidural hematoma Glasgow Coma Score <= 12
or motor score 1-5 (if intubated). Patients who have been pharmacologically paralyzed
will be evaluated after the paralytic has worn off or been pharmacologically reversed
depressed skull fracture requirement for emergent neurosurgical procedure
2. Time since TBI less than 24 hours
3. Age greater than or equal to 18 years
4. Subject capable of giving informed consent or have an acceptable surrogate capable of
giving consent on the subject's behalf. -
Exclusion Criteria:
1. Known prior history of epilepsy or unprovoked seizures. Patients with a history of
acute symptomatic seizures (e.g. febrile seizure, alcohol withdrawal seizure) will not
be excluded
2. Administration of an antiepileptic drug before enrollment
3. History of allergy to topiramate or phenytoin
4. Pregnancy or breast-feeding. Women of childbearing potential must have a negative
pregnancy test (urine pregnancy test or serum beta-HCG) before randomization
5. Compromised renal function with serum creatinine > 2
6. Severe concurrent illness with life expectancy <6 months
7. Treatment with another investigational agent for TBI
8. Unable to take medications orally and contraindication to placement of nasogastric
tube.
9. Irreversibly fatal TBI
1. All four findings: Glasgow Coma Score = 3, no pupillary reaction, age > 45 years,
and severe coagulopathy OR
2. Severe brainstem lesion on neuroimaging studies
10. Patients with a history of kidney stones or glaucoma.
11. Inability to maintain adequate fluid intake while taking topiramate.
12. Patients whose TBI is a result of self inflicted injury
13. Patient's who are currently using illicit drugs -
|
49 |
NCT01353534 |
completed |
|
1 |
phase 1/phase 2 |
['healthy'] |
["['Z76.3', 'Z76.2']"] |
['vaccine enhancement patch'] |
['[O-][N+](=O)OCC(CO[N+]([O-])=O)(CO[N+]([O-])=O)CO[N+]([O-])=O'] |
Inclusion Criteria:
- Healthy adult males or females 18-49 years of age (inclusive)
- signed Informed Consent
- Women who are not post-menopausal or surgically sterile must have a negative serum or
urine pregnancy test at screening and at all in-clinic visits with understanding to
not become pregnant over the duration of the study.
Exclusion Criteria:
- Clinically significant laboratory abnormalities at screening
- abnormalities at physical examination
- known allergies to any component of the A/H5N1 antigen
- known egg protein allergy
- known allergies to adhesives
- known coagulation disorders
- use of any anticoagulant medication within 30 days prior to vaccination or planned
usage during the study period
- participated in research involving investigational product within 30 days before
planned date of vaccination or planned participation during study period
- donated or received blood or blood products such as plasma within the three months
before planned date of vaccination or planned donation or use during the study period
- received or planned receipt of seasonal influenza vaccine during the study period
- received any licensed vaccines within 2 weeks (inactivated vaccines) or 4 weeks (live
vaccines) prior to planned date of vaccination
- planned receipt of any licensed vaccine during the first 42 days on study
- previous or planned vaccination with any vaccine containing an oil in water emulsion
adjuvant
- previous or planned vaccination with pandemic vaccine against A/H5N1 or previous
proven contact with A/H5N1 wild type virus
- ever received investigational enterotoxigenic E. coli LT, or LT (R192G) or NasalFlu,
Berna Biotech, Ltd. Ever received cholera toxin or vaccine
- Recent or regular use of oral, topical or injected steroid medications within 30 days
prior to vaccination or planned use during the study period.
- Use of immunosuppressive systemic steroid medications including inhaled steroids
within three months prior to vaccination or planned use during the study period
- Comorbid conditions or treatments that are immunosuppressive, including cancer,
diabetes, and end-stage renal disease, as determined by the Investigator
- positive serology for HIV-1, HIV-2, HBsAg, or HCV
- history of severe atopy
- medical history of acute or chronic skin disease at vaccination area
- active skin allergy
- signs of acute skin infection, sunburn or skin abnormalities at the vaccination area
including fungal infections, severe acne, active contact dermatitis, or a history of
keloid formation
- hirsute at vaccination area
- artificial tanning over the duration of the study including the screening period
- visible tattoos or marks at the vaccination area that would prevent appropriate
dermatologic monitoring of the vaccination site
- fever greater than or equal to 38.0°C at the time of planned vaccination
- suspicion of or recent history of alcohol or substance abuse
- women who are pregnant or breastfeeding
- acute illness at screening or at the time of planned vaccination
- ever had a serious reaction to prior influenza vaccination
- developed a neurological disorder following a previous influenza vaccination or have
any acute and evolving neurological disorder
- employee of the investigational site or sponsor
- history of employment in bird or poultry industries or considerable exposure to birds
|
50 |
NCT00256334 |
completed |
|
0 |
phase 1 |
['colon cancer', 'cancer'] |
["['C18.2', 'C18.4', 'C18.6', 'C18.7', 'C18.9', 'D12.2', 'D12.3']", "['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']"] |
['resveratrol'] |
['OC1=CC=C(\\C=C\\C2=CC(O)=CC(O)=C2)C=C1'] |
Inclusion Criteria:
- Patients diagnosed with colon cancer by colonoscopic biopsy and tissue obtained under
UCI04-05.
- Patients with a plan for surgical resection at UCIMC within 2-4 weeks of enrollment.
Exclusion Criteria:
- Surgical resection to be performed at a facility other than UCIMC.
- Patients under 18 years of age.
|
51 |
NCT01154335 |
completed |
|
1 |
phase 1 |
['metastatic colorectal cancer'] |
["['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']"] |
['osi-906', 'everolimus'] |
['C[C@@]1(O)C[C@@H](C1)C1=NC(=C2N1C=CN=C2N)C1=CC=C2C=CC(=NC2=C1)C1=CC=CC=C1', '[H][C@@]1(C[C@@H](C)[C@]2([H])CC(=O)[C@H](C)\\C=C(C)\\[C@@H](O)[C@@H](OC)C(=O)[C@H](C)C[C@H](C)\\C=C\\C=C\\C=C(C)\\[C@H](C[C@]3([H])CC[C@@H](C)[C@@](O)(O3)C(=O)C(=O)N3CCCC[C@@]3([H])C(=O)O2)OC)CC[C@@H](OCCO)[C@@H](C1)OC'] |
Inclusion Criteria:
- Metastatic cancer of the colon or rectum that has progressed on or for which the
patient is intolerant to or not a candidate for: fluoropyrimidines, oxaliplatin,
irinotecan, bevacizumab, and cetuximab or panitumumab.
- Testing for Kras mutation performed;Patients with mutated or wild type Kras are
eligible.
- ECOG PS of 0-1
- Life expectancy of ≥ 3 months
- Adequate hematological function with ANC 1500, Platelets of 100,000, and hemoglobin of
9.0
- AST, ALT and Alk. Phos. ≤2.5 x ULN or ≤5 x ULN if known hepatic metastases and a total
bilirubin ≤1.5 ULN
- Serum creatinine of ≤1.5 x ULN
- Fasting blood glucose <150 mg/dL
- Measurable disease according to RECIST 1.1
- Able to swallow whole pills
- INR ≤1.5 - Anticoagulation is allowed with LMW heparin
- Fasting serum cholesterol ≤300 mg/dL OR ≤7.75 mmol/L AND fasting triglycerides ≤2.5 x
ULN;If these thresholds are exceeded, the patient can be included after initiation of
lipid lowering medication
Exclusion Criteria:
- Patients who have received any cancer therapies <4 weeks or 5 half lives (whichever is
shorter) of initiating study therapy
- Treatment with any investigational drug ≤ 4 weeks, or 5 half-lives of the drug,
whichever is shorter
- Patients who require coumadin for anticoagulation
- Patients who have had major surgery or significant traumatic injury ≤4 weeks of the of
study treatment
- Minor surgery (with the exception of port placement) must be completed ≤ 7days prior
to study therapy
- Previous treatment with an IGFR inhibitor or MTOR Inhibitor
- Chronic, systemic treatment with corticosteroids or another immunosuppressive agent
- Patients with QTc interval >450ms
- Patients who require drugs that can prolong QTc.
- Patients with congenital long QT syndrome, history of ventricular tachycardia, or
ventricular fibrillation, or Torsades de Pointes with bradycardia.
- Immunization with attenuated live vaccines within 1 week of beginning study therapy or
during study period;Close contact to anyone that has received live virus vaccine
should be avoided
- Meningeal or brain metastasis
- Other malignancies < 3 years, with the exception of adequately treated basal or
squamous cell carcinomas of the skin, or carcinoma in situ of the cervix
- Patients with known HIV
- Patients with positive testing for hepatitis B or C
- Patients with risk factors for hepatitis must be tested for hepatitis viral
loadHepatitis risk factors include the following:
Lived in Asia, Africa, Central and South America, Eastern Europe, Spain, Portugal, and
Greece Any blood transfusions before 1990 Any IV drug use Any dialysis Household contact
with a Hep B infected patient Mother had Hep B High-risk sexual activity Body
piercing/tattoos
- History suggestive of hepatitis B
- Any severe or uncontrolled conditions that could affect their study participation such
as:Severely impaired lung function;DCLO ≤ 50% of normal predicted value;O² Sat <88% at
rest on room air
- Congestive Heart Failure of NYHA Class III or IV
- Unstable angina, symptomatic CHF, MI ≤ 6 months, serious uncontrolled cardiac
arrhythmia or any other clinically significant heart disease
- CVA, TIA, angioplasty, or cardiac stenting <12 months
- Ventricular arrhythmia requiring medication
- Known history of diabetes and/or patients who require ongoing use of insulin or oral
anti-hyperglycemic therapy
- Known liver disease
- Impairment of GI function or gastrointestinal disease that in may significantly alter
the absorption of study drugs
- Concurrent treatment with drugs that are strong CYP3A4 inducers or moderate/strong
CYP3A4 inhibitors
- Concurrent treatment with drugs that are strong CYP1A2 inhibitors or inducers Women
who are pregnant or breastfeeding.
- Concurrent severe, intercurrent illness including, but not limited to, ongoing or
active infection, or psychiatric illness/social situations that would limit compliance
with study requirements
|
52 |
NCT01227239 |
unknown status |
|
0 |
phase 1/phase 2 |
['rectal carcinoma'] |
["['C22.0', 'C22.1', 'C4A.9', 'C7B.1', 'D09.9', 'C4A.0', 'C4A.31']"] |
['s-1', 'oxaliplatin'] |
['[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1', '[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1'] |
Inclusion Criteria:
1. Patients with confirmed locally advanced and non-metastatic rectal adenocarcinoma
(clinical stage T3, anyN or T4, anyN)
2. Possible to R0 resection
3. Received no prior therapy
4. Performance status (ECOG) 0-1
5. Normal organ and marrow function.
6. Sufficient oral intake
Exclusion Criteria:
1. History of serious allergic reaction
2. Patients without serious complications such as sensory neurotoxicity or serious
diarrhea (with watery stool).
3. Female with pregnancy or lactation
4. Have another malignancy in the past 5 years except early stage other cancer that cure
by local treatment
|
53 |
NCT01623466 |
completed |
|
0 |
phase 1/phase 2 |
['healthy'] |
["['Z76.3', 'Z76.2']"] |
['levonorgestrel'] |
['[H][C@@]12CC[C@@](O)(C#C)[C@@]1(CC)CC[C@]1([H])[C@@]3([H])CCC(=O)C=C3CC[C@@]21[H]'] |
Inclusion Criteria:
- Body mass index (BMI) greater than or equal to 18.
- Willing to use a non-hormonal method of contraception if of childbearing potential, or
have already undergone previous bilateral tubal ligation or hysterectomy
- Willing to refrain from excessive use of alcohol from 48 hours prior to patch
application through completion of the study.
Exclusion Criteria:
- Known or suspected pregnancy
- Lactating women
- Status post-partum or post-abortion within a period of 2 months prior to the start of
study medication
- A cervical cytology smear of Papanicolaou (Pap) class III or greater or a Bethesda
System report of low grade squamous intraepithelial lesions (SIL) or greater
- Smoking
- Hypertension (blood pressure >140 mm Hg systolic and/or >90 mm Hg diastolic)
- Valvular heart disease with complications
- ECG (in women with BMI ≥35 kg/m2) with clinically significant findings
- Diabetes Mellitus
- History of headaches with focal neurological symptoms
- Uncontrolled thyroid disorder
- Sickle cell anemia
- Current or history of clinically significant depression in the last year
- Known disturbance of lipid metabolism
- Acute or chronic hepatocellular disease with abnormal liver function
- Hepatic adenoma or carcinoma
- Cholestatic jaundice of pregnancy or jaundice with prior hormonal contraceptive use
- Plans for major surgery
- History of or existing venous and arterial thrombotic and thromboembolic disorder,
vascular disease, cerebral vascular, or coronary artery disease
- Undiagnosed abnormal genital bleeding
- Known or suspected breast carcinoma, endometrial carcinoma, or estrogen-dependent
neoplasia
- History or presence of dermal hypersensitivity in response to topical applications
(bandages, surgical tape, etc.)
- Use of an injectable hormonal contraceptive within the past 10 months prior to the
screening visit
- Use of a contraceptive implant or hormone-medicated intrauterine device (IUD) within 1
month prior to the screening visit
- Use of oral contraceptives or other sex steroid hormones within 2 months prior to the
screening visit
- Chronic use of any medication that might interfere with the efficacy of hormone
contraceptives (including barbiturates, bosentan, carbamazepine, felbamate,
griseofulvin, oxcarbazepine, phenytoin, rifampin, St. John's Wort, topiramate, and HIV
protease inhibitors), OR use of these medications within the past 3 months prior to
screening visit
- A recent history (within prior 2 years ) of drug or alcohol abuse
|
54 |
NCT00329004 |
completed |
|
1 |
phase 1 |
['cancer', 'tumor'] |
["['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']", "['E88.3', 'R97.8', 'C49.A0', 'C49.A1', 'C49.A2', 'C49.A5', 'C49.A3']"] |
['bms-690514'] |
['COC1=CC=CC(NC2=NC=NN3C=CC(CN4CC[C@@H](N)[C@H](O)C4)=C23)=C1'] |
Inclusion Criteria:
- Men and women 18 and older
- Diagnosis of any solid tumor
- ECOG performance status score 0-1
- Prior chemo-therapy, immunotherapy or radiotherapy with at least 4 weeks since the
last treatment
- Treatment with VEGFR2 or HER1 TKI allowed but not both (for instance Avastin or
Tarceva, but not both)
Exclusion Criteria:
- Treatment with other TKIs within the past 4 weeks
- Patients with brain metastasis
- Patients with centrally located squamous cell carcinoma of the lung
- Major gastrointestinal surgery which may affect absorption of the drug
- Any surgery within last 4 weeks
- History of thromboembolism
- Severe unmanageable diarrhea
- Subjects in Part B will have Non-Small Cell Lung Cancer (NSCLC)
- Part B/Cohort I erlotinib-naive subjects
- Part B/Cohort II subjects who have experienced disease progression while receiving
erlotinib (erlotinib-resistant subjects)
|
55 |
NCT01107899 |
terminated |
terminated due to enrollment futility
|
0 |
phase 1 |
['acute coronary syndromes'] |
["['I24.0']"] |
['clopidogrel', 'prasugrel'] |
['N[C@@H](CCCNC(N)=N)C(O)=O', 'CC(=O)OC1=CC2=C(CCN(C2)C(C(=O)C2CC2)C2=CC=CC=C2F)S1'] |
Inclusion Criteria:
- Men or women ≥18 to <80 years of age who present with any one of the following:
- symptoms of Acute Coronary Syndromes (ACS)
- clinical symptoms of angina, or a positive stress test or who return for routine
follow up angiography post stent placement in whom co-administration of aspirin and a
thienopyridine (that is, clopidogrel, ticlopidine, or prasugrel) is not
contraindicated
Exclusion Criteria:
- Those presenting with ST-elevation MI (STEMI)
- histories of refractory ventricular arrhythmias
- an implanted defibrillator device
- congestive heart failure (NYHA Class III or above) within 6 months prior to screening
- significant hypertension
- subjects with a history or clinical suspicion of cerebral vascular malformations,
transient ischaemic attack, or stroke
- bleeding disorders
- women known to be pregnant, who have given birth within the past 90 days, or who are
breastfeeding
|
56 |
NCT01463982 |
completed |
|
1 |
phase 1 |
['solid tumor', 'advanced cancer'] |
["['K74.02', 'G47.22', 'H35.3133', 'H35.3134', 'H35.3113', 'H35.3114', 'H35.3123']"] |
['oratecan and capecitabine'] |
['CCCCCOC(=O)NC1=NC(=O)N(C=C1F)[C@@H]1O[C@H](C)[C@@H](O)[C@H]1O'] |
Inclusion Criteria:
- Histologically or cytologically confirmed advanced solid tumor
- Patients who have experienced progressive disease despite of conventional anticancer
therapy. Patients who cannot expect effective treatment or prolonged survival with
conventional anticancer therapy
- Previous chemotherapy, radiotherapy and surgical operation are allowed if they are
discontinued for at least 4 weeks prior to D0 and all adverse events are resolved
- Aged ≥19
- Eastern Cooperative Oncology Group (ECOG) performance score of less than or equal to 2
- A life expectancy greater than 12 weeks
- Adequate bone marrow, renal and liver function.
- Subjects must provide written informed consent prior to performance of study specific
procedures or assessments, and must be willing to comply with treatment and follow up
assessments and procedures
Exclusion Criteria:
- Patients with hematopoietic malignancies,uncontrolled infection, CNS metastasis.
- Patients who have undergone hematopoietic stem cell transplantation (HSCT) or are
candidates for planned HSCT
- Patients who have GI malabsorption or difficulty taking oral medication
- Patients who have psychiatric or congenital disorder Subjects who, in the
investigator's opinion, cannot be treated per protocol due to functional impairments
- Pregnant or breast-feeding patients; Women of childbearing potential without adequate
contraception (Men must use adequate contraception.)
|
57 |
NCT01296568 |
completed |
|
0 |
phase 1 |
['advanced cancer'] |
["['K74.02', 'G47.22', 'H35.3133', 'H35.3134', 'H35.3113', 'H35.3114', 'H35.3123']"] |
['ly2603618', 'pemetrexed', 'gemcitabine'] |
['CC1=NC=C(NC(=O)NC2=C(OC[C@@H]3CNCCO3)C=C(C)C(Br)=C2)N=C1', '[H][N]([H])([H])[Pt](Cl)(Cl)[N]([H])([H])[H]', '[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1'] |
Inclusion Criteria:
- Have a histological or cytological diagnosis of cancer (solid tumor), with clinical or
radiologic evidence of locally advanced and/or metastatic disease, for which no
life-prolonging therapy exists (that is, refractory to standard therapy and/or
therapies known to provide clinical benefit, or for which no standard therapy exists).
Note: participants who have had progressive disease after receiving pemetrexed for
metastatic disease are excluded from receiving the combination with pemetrexed during
the safety extension study. Participants who have had progressive disease after
receiving gemcitabine for metastatic disease are excluded from receiving the
combination with gemcitabine during the safety extension study.
- Have a body surface area greater than or equal to 1.37 meters squared (m^2)
- Have given written informed consent prior to any study-specific procedures
- Adequate hematologic, hepatic and renal function
- Have a performance status of less than or equal to 2 on the Eastern Cooperative
Oncology Group (ECOG) scale
- Have discontinued all previous treatments for cancer, including chemotherapy,
radiotherapy, anticancer hormone therapy, or other investigational therapy for at
least 30 days prior to study entry and recovered from the acute effects of therapy (at
least 42 days for mitomycin-C or nitrosoureas, or 60 days for monoclonal antibodies)
- Are reliable and willing to make themselves available for the duration of the study
and are willing to follow study procedure
- Males and females with reproductive potential: Must agree to use medically approved
contraceptive precautions during the study and following the last dose of study drug
until, in the judgment of the investigator, it is safe for the participant to become
pregnant or father a child
- Females with childbearing potential: Have had a negative serum pregnancy test less
than or equal to 7 days before the first dose of study drug and must also not be
breastfeeding
- Have an estimated life expectancy that, in the judgment of the investigator, will
permit the participant to complete 1 full cycle of treatment (beyond the initial
[^14C]LY2603618 dose)
- Prior radiation therapy for treatment of cancer other than pancreatic is allowed to
<25% of the bone marrow and participants must have recovered from the acute toxic
effects of their treatment prior to study enrollment. Prior radiation to the whole
pelvis is not allowed. Prior radiotherapy must be completed at least 4 weeks before
study entry.
Exclusion Criteria:
- Have received treatment within 28 days of the initial dose of study drug with an
experimental agent for noncancer indications that has not received regulatory approval
for any indication
- Have previously completed or withdrawn from this study or any other study
investigating LY2603618 or any other checkpoint kinase one (Chk1) inhibitor
- Have a known allergy to gemcitabine, pemetrexed, LY2603618, or any ingredient of
gemcitabine, pemetrexed, or LY2603618 (like Captisol)
- Have serious preexisting medical conditions (left to the discretion of the
investigator) other than advanced cancer
- Have symptomatic central nervous system (CNS) malignancy or metastasis (screening not
required). Participants with treated CNS metastases are eligible for this study if
they are not currently receiving corticosteroids and/or anticonvulsants, and their
disease is asymptomatic and radiographically stable for at least 90 days
- Have current hematologic malignancies or either acute or chronic leukemia
- Have an active fungal, bacterial, and/or known viral infection including human
immunodeficiency virus (HIV) or viral (A, B, or C) hepatitis (screening is not
required)
- Have a QTc interval of >500 milliseconds (msec) on the screening electrocardiogram
(ECG)
- Have ECG abnormalities on the screening ECG such as significant conduction
abnormalities, ischemic changes (such as prior Q-wave myocardial infarction and/or
marked ischemic ST- and T-wave), arrhythmias (such as persistent or paroxysmal
ventricular or supraventricular arrhythmias, including atrial fibrillation), or other
ECG abnormalities that would put the participant at unnecessary risk in the opinion of
the investigator
- Have participated in a ^14C study within the last 6 months prior to screening for this
study. The total exposure from this study and the previous study must be less than 5
milliSieverts (mSv).
|
58 |
NCT01028781 |
terminated |
difficulty finding eligible participants and lack of funding.
|
0 |
phase 1 |
['endometriosis'] |
["['N80.8', 'N80.9', 'N80.0', 'N80.1', 'N80.5', 'N80.2', 'N80.3']"] |
['thalidomide'] |
['CC(C)NCC(O)COC1=CC=CC2=C1C=CC=C2'] |
Inclusion Criteria:
1. Age > 18 years
2. Histologically/laparoscopically confirmed endometriosis
3. Chronic pelvic pain defined as non-menstrual pain for at least two weeks in the
previous month for at least 6 months
4. VAS of 6 or more at baseline
5. Failure, completion or intolerance of standard treatment modalities (oral
contraceptive therapy, danazol, Depo-Provera, Depo-Lupron)
6. Patients must give written informed consent.
7. Patients must be willing and able to comply with the FDA-mandated S.T.E.P.S.® program.
Exclusion Criteria:
1. Pregnant and/or lactating female
2. Users of other angiogenesis inhibitors
3. Current use of Rifampin, rifabutin, barbiturates, glucocorticoids, phenytoin,
carbamazepine, chlorpromazine, reserpine, penicillin derivatives, or St. Johns Wart in
user of oral contraceptive therapy
4. Use of aromatase inhibitors, Etanercept (Enbrel), GnRH agonists (Depo-Lupron), and
Danazol within the past 3 months
5. Use of norethindrone acetate (Aygestin) in the prior month
6. Seizure disorder
7. Hepatitis, or any active infection (upper respiratory infection, PID, etc)
8. History of thromboembolic disease.
9. Baseline neutropenia (ANC < 1000/mm^3)
10. Any severe physical or metal illness that would interfere with the completion of the
protocol
11. Illicit drug or alcohol abuse
|
59 |
NCT00062127 |
completed |
|
0 |
phase 1 |
['unspecified adult solid tumor, protocol specific'] |
["['H01.009', 'H02.209', 'H02.009', 'H02.109', 'H04.209', 'H05.409', 'H10.509']"] |
['irinotecan hydrochloride', 'thalidomide'] |
['CCC1=C2CN3C(=CC4=C(COC(=O)[C@]4(O)CC)C3=O)C2=NC2=CC=C(OC(=O)N3CCC(CC3)N3CCCCC3)C=C12', 'CC(C)NCC(O)COC1=CC=CC2=C1C=CC=C2'] |
Inclusion Criteria:
- Histologically confirmed malignant solid tumor
- Metastatic or unresectable
- Standard curative or palliative therapy is no longer effective or does not exist
- Measurable or assessable disease
- No uncontrolled brain metastases
- Patients with brain metastases are eligible provided the following are true:
- Stable neurologic status
- At least 4 weeks since prior steroids or anticonvulsants
- No neurologic dysfunction that would confound evaluation
- Performance status - Karnofsky 70-100%
- More than 12 weeks
- WBC at least 3,000/mm^3
- Absolute neutrophil count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
- Bilirubin normal
- AST and ALT no greater than 2.5 times upper limit of normal
- Creatinine normal
- Creatinine clearance at least 60 mL/min
- No symptomatic congestive heart failure
- No unstable angina pectoris
- No cardiac arrhythmia
- No history of inflammatory bowel disease requiring therapy
- No chronic diarrhea syndromes
- No paralytic ileus
- Not pregnant or nursing
- Negative pregnancy test
- Fertile female patients must use 2 forms of effective contraception, including 1
highly effective method, for at least 4 weeks before, during, and for 4 weeks after
study participation
- Male patients must use effective barrier contraception during and for 4 weeks after
study participation
- No prior allergic reaction attributed to compounds of similar chemical or biological
composition to study drugs
- No uncontrolled seizure disorder
- No other concurrent uncontrolled illness that would preclude study participation
- No psychiatric illness or social situation that would preclude study compliance
- No ongoing or active infection
- No significant traumatic injury within the past 28 days
- No serious, nonhealing wounds or ulcers
- No bone fractures
- No preexisting peripheral neuropathy grade 2 or greater
- At least 4 weeks since prior biologic therapy
- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin)
- See Disease Characteristics
- At least 4 weeks since prior radiotherapy
- More than 28 days since prior major surgical procedure or open biopsy
- At least 4 weeks since prior investigational therapy
- No concurrent combination antiretroviral therapy for HIV-positive patients
- No other concurrent investigational or commercial agents or therapies for the
malignancy
|
60 |
NCT01474161 |
completed |
|
1 |
phase 1 |
['type 2 diabetes', 'diabetes mellitus, type 2', 'metabolic diseases', 'cardiovascular diseases', 'obese', 'dyslipidemia'] |
["['E11.65', 'E11.9', 'E11.21', 'E11.36', 'E11.41', 'E11.42', 'E11.44']", "['E11.65', 'E11.9', 'E11.21', 'E11.36', 'E11.41', 'E11.42', 'E11.44']", "['Z86.39', 'O99.280', 'O99.281', 'O99.282', 'O99.283', 'O99.284', 'O99.285']", "['A52.00', 'A52.09', 'A50.54', 'Z01.810', 'Q87.418', 'Z13.6', 'R94.30']"] |
['gft505 120mg - old formulation', 'gft505 120mg - new formulation', 'gft505 180mg - new formulation', 'gft505 240mg - new formulation', 'gft505 300mg - new formulation', 'placebo'] |
['CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
Part I :
- Male or female healthy volunteers 18 to 45 years of age (inclusive).
- Subjects with a body mass index (BMI) ≥ 18 and ≤ 28 kg/m2 at screening.
- For female subjects of childbearing potential, use of double contraception method.
- Normal arterial blood pressure (BP) and pulse rate or, if abnormal, considered not
clinically significant by the principal Investigator.
Part II and III :
- Male healthy volunteers 18 to 55 years of age (inclusive).
- Subjects with a BMI >28 and <35 kg/m2 at screening.
- Normal arterial BP and pulse rate or, if abnormal, considered not clinically
significant by the principal Investigator.
Part IV :
- Male or female Type 2 diabetic patients 18 to 60 years of age.
- Females participating in the study must be either of non-child bearing potential or
using an efficient double contraception.
- Currently treated with any antidiabetic treatment (a maximum of two anti-diabetic
drugs including metformin in all cases) with the exception of insulin or GLP analogs
and agonists therapy.
- Stable diabetes with glycosylated hemoglobin (HbA1c) < or =10% or less.
- Normal renal function as defined by a creatine clearance >90 mL/min calculated with
the Cockcroft-Gault formula.
- Subjects with a BMI from 18 to 32 kg/m2 at screening.
Exclusion Criteria:
Part I :
- Who previously received GFT505.
- With any clinically significant abnormality following review of prestudy laboratory
tests (Aspartate and Alanine aminotransferase must be within normal ranges), vital
signs, full physical examination and Electrocardiogram.
- Who have a positive laboratory test for Hepatitis B surface antigen (HbsAg), or
anti-HIV 1/2 (Human immunodeficiency virus) or anti-HCV (Hepatitis C virus)
antibodies.
- Who are known or suspected alcohol or drug abusers (more than 14 units of alcohol per
week, one unit = 8 g or about 10 mL of pure alcohol).
- Who drink more than 8 cups daily of beverage containing caffeine.
- Who have a positive laboratory test for urine drug screening (opiates, cocaine,
amphetamine, cannabis, benzodiazepines).
- Who have undergone surgery or have donated blood within 12 weeks prior to the start of
the study.
- Who have taken any prescribed or over the counter drug (including antacid drug), with
the exception of paracetamol (up to 3 g per day) within 2 weeks prior to the first
dose administration.
Part II and III : specific additional exclusion criteria
- Who have taken fibrates within 6 weeks prior to the first dose administration.
Part IV : specific additional exclusion criteria
- With unstable proliferative retinopathy, macular oedema (fundus examination performed
in the previous year will be considered relevant on Investigator's judgement).
- Who have taken fibrates within 6 weeks prior to the first dose administration.
|
61 |
NCT00703807 |
completed |
|
1 |
phase 1 |
['endometrial cancer'] |
["['N85.00', 'N85.01', 'N85.02', 'N99.85']"] |
['topotecan', 'rad001'] |
['CC[C@@]1(O)C(=O)OCC2=C1C=C1N(CC3=CC4=C(C=CC(O)=C4CN(C)C)N=C13)C2=O', '[H][C@@]1(C[C@@H](C)[C@]2([H])CC(=O)[C@H](C)\\C=C(C)\\[C@@H](O)[C@@H](OC)C(=O)[C@H](C)C[C@H](C)\\C=C\\C=C\\C=C(C)\\[C@H](C[C@]3([H])CC[C@@H](C)[C@@](O)(O3)C(=O)C(=O)N3CCCC[C@@]3([H])C(=O)O2)OC)CC[C@@H](O)[C@@H](C1)OC'] |
Inclusion Criteria:
- Patients must have histologically-confirmed advanced or recurrent endometrial cancer
- Patients must be refractory to standard therapy or for which no curative standard
therapy exists, to be considered. Metastatic disease, if present, should not be
progressing so as to require palliative treatment within 4 weeks of enrollment based
on clinical assessment by the investigator.
- Development of new lesions or an increase in preexisting lesions on bone scintigraphy,
CT, MRI or by physical examination. Patients in whom the sole criterion for
progression is an increase in a biochemical marker, e.g., carcinoembryonic antigen
(CEA), or an increase in symptoms, are not eligible.
- Age ≥ 18 years
- WHO performance status ≤ 2
- Adequate bone marrow function as shown by: ANC ≥ 1.5 x 109/L, Platelets ≥ 100 x 109/L,
Hb >9 g/dL
- Adequate liver function as shown by:
- serum bilirubin ≤ 1.5 x ULN
- INR < 1.3 (or < 3 on anticoagulants)
- ALT and AST ≤ 2.5x ULN (≤ 5x ULN in patients with liver metastases)
- Adequate renal function: serum creatinine ≤ 1.5 x mg/dL
- Fasting serum cholesterol ≤300 mg/dL OR ≤7.75 mmol/L AND fasting triglycerides ≤ 2.5 x
ULN. NOTE: In case one or both of these thresholds are exceeded, the patient can only
be included after initiation of appropriate lipid lowering medication.
- Signed informed consent
Exclusion Criteria:
- Patients currently receiving anticancer therapies or who have received anticancer
therapies within 4 weeks of the start of study drug (including chemotherapy, radiation
therapy, antibody based therapy, etc.)
- Patients, who have had a major surgery or significant traumatic injury within 4 weeks
of start of study drug, patients who have not recovered from the side effects of any
major surgery (defined as requiring general anesthesia) or patients that may require
major surgery during the course of the study
- Prior treatment with any investigational drug within the preceding 4 weeks
- Patients receiving chronic, systemic treatment with corticosteroids or another
immunosuppressive agent, except corticosteroids with a daily dosage equivalent to
prednisone ≤ 20 mg. However, patients receiving corticosteroids must have been on a
stable dosage regimen for a minimum of 4 weeks prior to the first treatment with
RAD001. Topical or inhaled corticosteroids are allowed.
- Patients should not receive immunization with attenuated live vaccines within one week
of study entry or during study period
- Uncontrolled brain or leptomeningeal metastases, including patients who continue to
require glucocorticoids for brain or leptomeningeal metastases
- Other malignancies within the past 3 years except for adequately treated carcinoma of
the cervix or basal or squamous cell carcinomas of the skin.
- Patients who have any severe and/or uncontrolled medical conditions or other
conditions that could affect their participation in the study such as:
- Symptomatic congestive heart failure of New York heart Association Class III or IV
- unstable angina pectoris, symptomatic congestive heart failure, myocardial infarction
within 6 months of start of study drug, serious uncontrolled cardiac arrhythmia or any
other clinically significant cardiac disease
- severely impaired lung function
- uncontrolled diabetes as defined by fasting serum glucose >1.5 x ULN
- active (acute or chronic) or uncontrolled severe infections
- liver disease such as cirrhosis, chronic active hepatitis or chronic persistent
hepatitis
- A known history of HIV seropositivity
- Impairment of gastrointestinal function or gastrointestinal disease that may
significantly alter the absorption of RAD001 (e.g., ulcerative disease, uncontrolled
nausea, vomiting, diarrhea, malabsorption syndrome or small bowel resection)
- Patients with an active, bleeding diathesis
- Female patients who are pregnant or breast feeding, or adults of reproductive
potential who are not using effective birth control methods. If barrier contraceptives
are being used, these must be continued throughout the trial by both sexes. Hormonal
contraceptives are not acceptable as a sole method of contraception. (Women of
childbearing potential must have a negative urine or serum pregnancy test within 7
days prior to administration of RAD001)
- Patients who have received prior treatment with an mTOR inhibitor (sirolimus,
temsirolimus, everolimus).
- Patients with a known hypersensitivity to RAD001 (everolimus) or other rapamycins
(sirolimus, temsirolimus) or to its excipients
- History of noncompliance to medical regimens
- Patients unwilling to or unable to comply with the protocol
|
62 |
NCT00463697 |
completed |
|
1 |
phase 1 |
['pulmonary disease, chronic obstructive'] |
["['J44.9', 'J44.1', 'J44.0']"] |
['gw642444h (100mcg)', 'placebo', 'gw642444m (25, 100 & 400 mcg)'] |
['CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O', 'OCC1=C(O)C=CC(=C1)[C@@H](O)CNCCCCCCOCCOCC1=C(Cl)C=CC=C1Cl'] |
Inclusion criteria:
- male or female (of non-childbearing potential) between 18 - 70 years
- History of stable mild to moderate asthma
- non - smokers
- currently taking daily doses of inhaled fluticasone propionate 200 - 500 mcg (or
equivalent)
- body weight >50 kg with BMI 19-29.9 kg/m2
- normal ECG assessment
Exclusion criteria:
- history of significant disease
- history of life threatening asthma
- recent respiratory tract infection
- recent change of asthma medication
- treatment with high dose inhaled corticosteroids or oral corticosteroids
- recent participation in another trial
- history of drug or alcohol abuse
- known allergies (excluding asthma)
- recent blood donation
|
63 |
NCT00098514 |
completed |
|
0 |
phase 1 |
['unspecified adult solid tumor, protocol specific'] |
["['H01.009', 'H02.209', 'H02.009', 'H02.109', 'H04.209', 'H05.409', 'H10.509']"] |
['talotrexin ammonium'] |
['NC1=NC(N)=C2N=C(CNC3=CC=C(C=C3)C(=O)N[C@@H](CCCNC(=O)C3=CC=CC=C3C(O)=O)C(O)=O)C=NC2=N1'] |
DISEASE CHARACTERISTICS:
- Diagnosis of malignant solid tumor
- Metastatic or inoperable disease
- No known curative or survival-prolonging palliative therapy exists OR failed these
prior therapies
- No leukemia
- No primary CNS tumor
- No third-space fluid collection (i.e., pleural effusion, ascites)
- Clinically insignificant small pleural or peritoneal effusions identified by CT
scan, MRI, or other diagnostic test allowed
- No active* brain metastases, including the following:
- Evidence of cerebral edema by CT scan or MRI
- Progression since prior imaging study
- Requirement for steroids
- Clinical symptoms of/from brain metastases NOTE: *Treated and/or stable brain
metastasis allowed provided patient is asymptomatic
PATIENT CHARACTERISTICS:
Age
- 18 and over
Performance status
- ECOG 0-2
Life expectancy
- At least 2 months
Hematopoietic
- Absolute neutrophil count ≥ 1,500/mm^3
- Platelet count ≥ 100,000/mm^3
- RBC folate ≥ lower limit of normal
Hepatic
- Bilirubin normal
- SGOT and SGPT ≤ 2.5 times upper limit of normal
Renal
- Creatinine clearance ≥ 50 mL/min
Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No other uncontrolled serious medical or psychiatric illness
PRIOR CONCURRENT THERAPY:
Biologic therapy
- No prior bone marrow transplantation
Chemotherapy
- More than 3 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin)
Endocrine therapy
- See Disease Characteristics
Radiotherapy
- More than 3 weeks since prior radiotherapy
- No concurrent radiotherapy
Surgery
- At least 3 weeks since prior surgery
Other
- Recovered from prior therapy
- More than 3 weeks since prior antifolate therapy
|
64 |
NCT00147875 |
completed |
|
1 |
phase 1/phase 2 |
["hodgkin's disease"] |
["['C81.77', 'C81.97', 'C81.17', 'C81.27', 'C81.37', 'C81.47', 'C81.70']"] |
['prednisone', 'vinblastine', 'doxorubicin (adriamycin)', 'gemcitabine'] |
['[H][C@@]12CC=C(C3=CC=CN=C3)[C@@]1(C)CC[C@@]1([H])[C@@]2([H])CC=C2C[C@@H](O)CC[C@]12C', 'N[C@@H](CCCNC(N)=N)C(O)=O', 'COC1=CC=CC2=C1C(=O)C1=C(O)C3=C(C[C@](O)(C[C@@H]3O[C@H]3C[C@H](N)[C@H](O)[C@H](C)O3)C(=O)CO)C(O)=C1C2=O', '[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1'] |
Inclusion Criteria:
- Hodgkin's lymphoma (histologically proven)
- Clinical stage IIB (with risk factors bulky mediastinal mass and/or extranodal
involvement), III, or IV
- No prior antitumor therapy
- Age 60 to 75 years
- WHO performance status 0-2
- Normal pulmonary function
- Written informed consent
Exclusion Criteria:
- The following histologies are excluded: lymphocyte predominant HD
- Leukocytes < 2,500/microL
- Platelets < 100,000/microL
|
65 |
NCT01350258 |
terminated |
poor accrual
|
0 |
phase 1/phase 2 |
['hematologic malignancies', 'acute leukemia', 'myelodysplastic syndromes (mds) other than ra or rars subtypes', "hodgkin's lymphoma", "non-hodgkin's lymphoma", 'myeloma', 'chronic myelogenous (or myeloid) leukemia (cml) resistant to sti therapy'] |
["['E70.338', 'E70.339', 'P09.3', 'O28.0', 'P61.8', 'P61.9', 'T45.8X1A']", "['C91.01', 'C91.02', 'C92.01', 'C92.02', 'C92.41', 'C92.42', 'C92.51']", "['D46.Z', 'D46.9', 'C94.6', 'D46.C']", "['S33.110S', 'S33.111S', 'S33.120S', 'S33.121S', 'S33.130S', 'S33.131S', 'S33.140S']", "['S33.110S', 'S33.111S', 'S33.120S', 'S33.121S', 'S33.130S', 'S33.131S', 'S33.140S']", "['C90.01', 'C90.02', 'C90.00']", "['Z19.2', 'A41.02', 'A49.02', 'J15.212', 'Z86.14', 'Z22.322', 'B95.62']"] |
['fludarabine', 'thiotepa', 'melphalan'] |
['ClCCN(CCCl)P1(=O)NCCCO1', 'CN(C)CCOC(C)(C1=CC=CC=C1)C1=CC=CC=N1', 'N[C@@H](CC1=CC=C(C=C1)N(CCCl)CCCl)C(O)=O'] |
Inclusion Criteria:
1. Any patient with a high-risk hematologic or oncologic diagnosis in which allogeneic
HSCT is thought to be beneficial, and in whom front-line therapy has already been
applied. High risk is defined as:
- Acute leukemia in 3rd or greater CR or with persistent disease
- Myelodysplastic syndrome (MDS) other than RA or RARS subtypes.
- Hodgkin's or Non-Hodgkin's lymphoma in 3rd or greater remission or with
persistent disease.
- Myeloma in 3rd or greater remission or with less than PR to most recent therapy.
- Chronic myelogenous (or myeloid) leukemia (CML) resistant to STI therapy
2. Patients must have a related donor who is at least a 4 antigen match at the HLA-A; B;
C; DR loci.
3. Patients must adequate organ function:
- LVEF of > or = 50%
- DLCO > or = 50% of predicted corrected for hemoglobin
- Adequate liver function as defined by a serum bilirubin < or = 1.8, AST or ALT <
or = 2.5X upper limit of normal
- GFR of > or = 60 mL/min/1.73m2
4. Performance status > or = 80% (TJU Karnofsky) for patients > or = 60 years old or > or
= 70% for patients < 60.
5. HCT-CI Score < or = 4 points for patients > or = 60 years old or < or = 5 points for
patients < 60.
6. Patients must be willing to use contraception if they have childbearing potential
7. Able to give informed consent
Exclusion Criteria:
1. Performance status < 80% (TJU Karnofsky) for patients > or = 60 years old or < 70% for
patients < 60.
2. HCT-CI Score > 4 points for patients > or = 60 years old or > 5 points for patients <
60.
3. HIV positive
4. Active involvement of the central nervous system with malignancy
5. Inability to obtain informed consent
6. Pregnancy
7. Patients with life expectancy of < 6 months for reasons other than their underlying
hematologic/oncologic disorder
8. Patients who have received alemtuzumab within 8 weeks of the transplant admission, or
who have recently received horse or rabbit ant-thymocyte globulin and have an ATG
level of > or = 2 ugm/ml
9. Patients with evidence of another malignancy, exclusive of a skin cancer that requires
only local treatment, should not be enrolled on this protocol
Donor Selection All donors are selected and screened for their ability to provide adequate
infection-free apheresis products for the patient in a manner that does not put the donor
at risk for negative consequences. Donor selection will be in compliance with 21 CFR 1271
and TJU BMT Program SOP CP: P009.03.
|
66 |
NCT01046630 |
completed |
|
1 |
phase 1 |
['depression'] |
["['F32.A', 'F53.0', 'P91.4', 'Z13.31', 'Z13.32']"] |
['azd6765', 'ketamine', 'placebo'] |
['N[C@@H](CC1=CC=CC=N1)C1=CC=CC=C1', 'CC1=CC(O)=CC(C)=C1Cl', 'CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
- Documented clinical diagnosis meeting criteria from the DSM-IV by structured clinical
interview,major depressive disorder, single episode or recurrent
- Outpatient status at screening and at randomisation
Exclusion Criteria:
- A major depression disorder which has a major impact on the subjects current
psychiatric status
- Subjects not allowed to use mood stabilizers, antidepressants or other antipsychotic
or psychoactive drugs
- Subjects with lifetime history of schizophrenia, bi-polar, psychosis and psychotic
depression
|
67 |
NCT01003678 |
terminated |
drug provider withdrew support
|
0 |
phase 1 |
['myelodysplastic syndrome'] |
["['D46.9', 'D46.C', 'D46.Z']"] |
['clofarabine'] |
['[H][C@@]12C[C@@H](C)[C@](O)(C(=O)CO)[C@@]1(C)C[C@H](O)[C@@]1(F)[C@@]2([H])CCC2=CC(=O)C=C[C@]12C'] |
Inclusion Criteria:
- Provide signed written informed consent.
- Patients with MDS must have IPSS score that falls in the intermediate or high risk
disease (intermediate 1 will have to be transfusion dependent).
- Patients may have received up to two prior therapies for MDS including one
hypomethylating agent and/or a biologic agent (biologic agents include GM-CSF or
equivalent, danazol or equivalent, Sunitinib, Revlimid, ATG, or a vaccine).
- Age ≥ 18
- Have adequate renal and hepatic functions as indicated by the following laboratory
values:
- Serum creatinine ≤ 1 mg/dL; if serum creatinine >l mg/dL, then the estimated
glomerular filtration rate (GFR) must be >50 mL/min/1.73 m2 as calculated by the
Modification of Diet in Renal Disease equation.
- Serum bilirubin ≤1.5 mg/dL x upper limit of normal (ULN)
- Aspartate transaminase (AST)/alanine transaminase (ALT) ≤2.5 x ULN
- Alkaline phosphatase ≤2.5 x ULN
- Capable of understanding the investigational nature, potential risks and benefits of
the study, and able to provide valid informed consent.
- Female patients of childbearing potential must have a negative serum pregnancy test
within 2 weeks prior to enrollment.
- Male and female patients must use an effective contraceptive method during the study
and for a minimum of 6 months after study treatment.
Exclusion Criteria:
- Have any other severe concurrent disease, or have a history of serious organ
dysfunction or disease involving the heart, kidney, liver, or other organ system that
may place the patient at undue risk to undergo treatment.
- Active CNS disease
- Patients with a systemic fungal, bacterial, viral, or other infection not controlled
(defined as exhibiting ongoing signs/symptoms related to the infection and without
improvement, despite appropriate antibiotics or other treatment).
- Pregnant or lactating patients.
- Any significant concurrent disease, illness, or psychiatric disorder that would
compromise patient safety or compliance, interfere with consent, study participation,
follow up, or interpretation of study results.
- Have had any prior treatment with clofarabine
- Have had a diagnosis of another malignancy, unless the patient has been disease free
for at least 3 years following the completion of curative intent therapy, with the
following exceptions:
- Patients with treated non-melanoma skin cancer, in situ carcinoma, or cervical
intraepithelial neoplasia, regardless of the disease-free duration, are eligible
for this study if definitive treatment for the condition has been completed.
- Patients with organ-confined prostate cancer with no evidence of recurrent or
progressive disease based on prostate-specific antigen (PSA values are also
eligible for this study if hormonal therapy has been initiated or a radical
prostatectomy has been performed.
- Have prior positive test for the Human Immunodeficiency Virus (HN).
- Have prior positive test for the Human Immunodeficiency Virus (HN).
- Have currently active gastrointestinal disease, or prior surgery that may affect the
ability of the patient to absorb oral clofarabine.
- Patients taking proton pump inhibitors such as omeprazole (Prilosec®), lansoprazole
(Prevacid®), or esomeprazole (Nexium®). Those who cannot stop taking these drugs
should be switched to H2 blockers such as famotidine (Pepcid®)or ranitidine (Zantac®).
- Patients taking alternative medicines (such as herbal or botanical) are not permitted.
|
68 |
NCT01405963 |
completed |
|
1 |
phase 1 |
['asthma'] |
["['J45.998', 'J82.83', 'J45.909', 'J45.991', 'J45.20', 'J45.30', 'J45.40']"] |
['amg 157 matching placebo', 'amg 157'] |
['CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
- Male or female subjects with history of mild atopic asthma between 18 and 60
years-of-age
- Body mass index (BMI) between 18 and 35 kg/m2
- Normal or clinically acceptable physical examination (PE), clinical laboratory values,
and ECG; clinically acceptable PE includes history of mild atopic asthma
- Used only inhaled short-acting β2-agonists infrequently to treat asthma
- No current exposure to allergens to which subject experiences asthmatic responses
- No other lung disease, exacerbations of asthma or lower respiratory tract infections
for at least 6 weeks prior to screening
- Positive skin prick test to common aeroallergens at screening
- Additional inclusion criteria apply
Exclusion Criteria:
- History or evidence of a clinically significant disorder (including psychiatric),
condition or disease that would pose a risk to subject safety or interfere with the
study evaluation, procedures or completion;
- History or current medical conditions that are contraindicated for methacholine
challenge, such as myocardial infarction or stroke within previous 3 months, known
cardiac disease, uncontrolled hypertension and aortic or cerebral aneurysm
- Evidence of active or suspected bacterial, viral, fungal or parasitic infections
within past 6 weeks
- Subject has know type I/II diabetes
- History of residential exposure to tuberculosis or has a positive PPD or QuantiFERON
test within 4 weeks before randomization
- Subject who has history of malignancy of any type within 5 years prior to enrollment
- Subjects tested positive for drugs/alcohol or nicotine use at screening
- Subjects tested positive for HIV, Hep B or Hep C
- Additional exclusion criteria apply
|
69 |
NCT00529100 |
completed |
|
1 |
phase 1/phase 2 |
['non-small cell lung cancer'] |
["['C78.00', 'C78.01', 'C78.02', 'D14.30', 'D14.31', 'D14.32', 'C34.2']"] |
['pemetrexed phase 1', 'cisplatin phase 1', 'pemetrexed phase 2', 'cisplatin phase 2'] |
['[H][C@@](CCC(O)=O)(NC(=O)C1=CC=C(CCC2=CNC3=C2C(O)=NC(=N)N3)C=C1)C(O)=O', '[H][C@@]12N(C)C3=CC(OC)=C(C=C3[C@@]11CCN3CC=C[C@](CC)([C@@]13[H])[C@@]([H])(OC(C)=O)[C@]2(O)C(=O)OC)[C@]1(C[C@@]2([H])CN(CC(CC)=C2)CC2=C1NC1=CC=CC=C21)C(=O)OC', '[H][C@@](CCC(O)=O)(NC(=O)C1=CC=C(CCC2=CNC3=C2C(O)=NC(=N)N3)C=C1)C(O)=O', '[H][C@@]12N(C)C3=CC(OC)=C(C=C3[C@@]11CCN3CC=C[C@](CC)([C@@]13[H])[C@@]([H])(OC(C)=O)[C@]2(O)C(=O)OC)[C@]1(C[C@@]2([H])CN(CC(CC)=C2)CC2=C1NC1=CC=CC=C21)C(=O)OC'] |
Inclusion Criteria:
Some of the requirements to be in this study are:
- Patient must be at least 18 years old.
- Patient must have been diagnosed with non-small cell lung cancer.
- Patient must be able to visit the doctor's office once a week.
- Patient must have adequate blood, liver, lungs and kidney function within the
requirements of this study.
- Female patients of child-bearing potential must test negative for pregnancy at the
time of enrollment based on a serum pregnancy test. Male and female patients must
agree to use a reliable method of birth control during and for 3 months following the
last dose of study drug.
Exclusion Criteria:
Patients cannot participate in this study for any of the following reasons:
- Patient has previously had chemotherapy.
- Patient has previously had thoracic radiation therapy.
- Patient has received treatment within the last 30 days with a drug that has not
received approval by Health Canada for any indication at the time of study entry.
- Female patient is pregnant or breast-feeding.
- Patient is unsuitable to participate in the study in the opinion of the investigator.
- Patient is unable or unwilling to take folic acid, vitamin B12 supplementation, or
dexamethasone.
|
70 |
NCT01704599 |
terminated |
side effect and poor clinical outcome
|
0 |
phase 1/phase 2 |
['psoriasis'] |
["['L40.0', 'L40.4', 'L40.8', 'L40.9', 'L40.1', 'L40.50']"] |
['humira then humira plus 3 b vitamins'] |
['NC1=NC(=O)C2=NC(CNC3=CC=C(C=C3)C(=O)N[C@@H](CCC(O)=O)C(O)=O)=CN=C2N1'] |
Inclusion Criteria:
- adults 18 or older
- moderate to severe plaque psoriasis (>10% BSA)
- Negative pregnancy test within 7 days before first dose of adalimumab in all women
(except surgically sterile or 5 years postmenopausal)
- subject must sign/date appropriate written informed consent&HIPAA authorization
- Sexually active subjects of childbearing potential must agree to use medically
acceptable contraception during screening and throughout the study
- no evidence of active or latent tuberculosis based on a negative PPD skin test
performed at screening, or within one year of starting this study. Patients with
documentation of adequately treated TB may be enrolled
- Patients PPD positive and CXR negative can be enrolled if they finish appropriate INH
prophylaxis prior to enrollment
- be willing and able to self-administer subcutaneous injections or to have a qualified
person available to administer these injections
- agrees to comply with protocol requirements, attend all regularly study visits and is
considered to be a good study subject
- meets concomitant medication washout requirements
- willing to use only allowed psoriasis medications and treatments and agree not to
start any topical, systemic, or phototherapy for psoriasis during the study period
- adalimumab naïve
Exclusion Criteria:
- erythrodermic, pustular, or guttate psoriasis
- skin conditions other than psoriasis that would interfere with study-related psoriasis
evaluations
- known sensitivity to any component of the study medications
- Evidence of active infections such as fevers, chills, sweats, or history of untreated
Lyme disease and active severe infections within 4 weeks before screening visit, or
between the screening and Week 0 visits
- history of listeriosis, untreated TB, persistent or active infections requiring
hospitalization or treatment with IV antibiotics, IV antiretrovirals, or IV
antifungals within 30 days of baseline, OR oral antibiotics, antivirals, or
antifungals for purpose of treating infection, within 14 days of baseline
- positive PPD and positive chest x-ray for latent or active tuberculosis
- positive PPD and negative chest x-ray that have not completed appropriate INH
prophylaxis
- On immune compromising drug or history of immune compromising disorder or
immunodeficiency
- poorly controlled medical condition including, not limited to, unstable cardiovascular
disease, poorly controlled diabetes, recent stroke, history of recurrent infections,
or any condition for which, in the opinion of the investigators, participation in the
study would place the subject at risk
- hx. congestive heart failure
- hx. demyelinating CNS disease
- History of malignancy (other than previously treated localized carcinoma in situ of
the cervix or previously treated nonmelanoma skin cancer)
- history of or ongoing drug or alcohol abuse
- past or present psychiatric morbidity which may compromise the study
- Pregnant women, nursing mothers, or planning to become pregnant during study or within
150 days after last dose of study medication. Males planning pregnancy with
spouse/partner while in study are to be excluded
- plans to receive any live vaccines during study
- history of liver disease
- Current enrollment in another clinical study/treatment with other experimental drug or
approved therapy for experimental use within 30 days prior to Week 0
- previous enrollment in this study
- cannot commit to all assessments required by the protocol
- disorder that compromises the subject to give written informed consent and/or comply
with study procedures
- considered by the investigators to be unsuitable candidate
- cannot comply with the protocol washout requirements
- on folic acid in doses over than the minimal daily requirements
- on vitamins higher than minimal daily requirements (multivitamins are allowed)
- colon polyps or cancer
- prior adalimumab therapy
- on screening plasma Vascular Endothelial Growth Factor level is 140 pg/ml or more
|
71 |
NCT01385657 |
completed |
|
1 |
phase 1 |
['atopic dermatitis'] |
["['L20.89', 'L20.9']"] |
['placebo', 'dupilumab'] |
['CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O', 'CCO'] |
Inclusion Criteria:
1. Male or female, 18 years or older;
2. Chronic AD diagnosed by the Eichenfield revised criteria of Hannifin and Rajka that
had been present for at least 3 years before the screening visit;
3. Eczema Area and Severity Index (EASI) score ≥ 12 at the screening and baseline visits;
4. Investigator's Global Assessment (IGA) score ≥ 3 at the screening and baseline visits;
5. ≥ 10% body surface area (BSA) of AD involvement at the screening and baseline visits;
6. History of inadequate response to a stable (≥ 1 month) regimen of topical
corticosteroids or calcineurin inhibitors as treatment for AD within 3 months before
the screening visit.
Exclusion Criteria:
1. Positive Hepatitis B surface antigen, and/or positive Hepatitis C antibody at the
screening visit;
2. Treatment with an investigational drug within 8 weeks or within 5 half-lives, if
known, whichever is longer, before the baseline visit;
3. Treatment with leukotriene inhibitors within 4 weeks before the baseline visit;
4. Treatment with systemic corticosteroids within 4 weeks before the baseline visit;
5. Treatment with topical corticosteroids, tacrolimus, and/or pimecrolimus within 1 week
before the baseline visit;
6. Systemic treatment for AD with an immunosuppressive/immunomodulating substance within
4 weeks before the baseline visit;
7. Chronic or acute infection requiring treatment with oral or IV antibiotics,
antivirals, or antifungals within 4 weeks before the screening visit or superficial
skin infections within 1 week before the screening visit;
8. Known history of human immunodeficiency virus (HIV) infection;
9. History of clinical parasite infection, other than treated trichomoniasis;
10. History of malignancy within 5 years before the baseline visit, with the following
exceptions: participants with a history of completely treated carcinoma in-situ of
cervix, and non-metastatic squamous or basal cell carcinoma of the skin were allowed;
11. Any medical or psychiatric condition which, in the opinion of the investigator or the
sponsor's medical monitor, would place the participant at risk, interfere with
participation in the study, or interfere with the interpretation of study results;
12. Pregnant or breast-feeding women;
13. Unwilling to use adequate birth control, if of reproductive potential and sexually
active.
|
72 |
NCT00588640 |
completed |
|
1 |
phase 1/phase 2 |
['pain', 'bladder cancer', 'breast cancer', 'cns cancer', 'colon cancer', 'esophageal cancer', 'pancreatic cancer', 'prostate cancer', 'uterine cancer', 'head and neck cancer', 'eye cancer', 'otorhinolaryngologic neoplasms'] |
["['N50.82', 'R07.2', 'R07.82', 'R10.13', 'R10.33', 'R14.1', 'R52']", "['D30.3', 'C67.5', 'C67.9', 'C79.11', 'C67.0', 'C67.1', 'D41.4']", "['C79.81', 'D24.1', 'D24.2', 'D24.9', 'D49.3', 'C44.501', 'D48.60']", "['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']", "['C18.2', 'C18.4', 'C18.6', 'C18.7', 'C18.9', 'D12.2', 'D12.3']", "['K22.2', 'K22.81', 'Q39.4', 'P78.83', 'I85.00', 'I85.01', 'I85.10']", "['C25.3']", "['C61', 'D29.1', 'D40.0', 'Z15.03', 'Z80.42', 'Z85.46', 'Z12.5']", "['C57.4', 'D28.2']", "['C76.0', 'C47.0', 'C49.0', 'C77.0', 'D17.0', 'D21.0', 'D36.11']"] |
['d-methadone', 'd-methadone', 'placebo'] |
['CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
Phase I and Phase II portions of the study:
- 18 years of age or older
- Chronic pain with average 24 hour intensity rated at least 3 on a verbal numerical
scale from 0-10 during the 24 hours prior to study entry.
- Give informed consent to participate in this study.
- Karnofsky Performance Score (KPS) >= to 80
- Negative urine pregnancy test, verified by the study nurse, at study entry (for women
of child-bearing potential). Patients must also use a medically approved contraceptive
method during the study period.
Phase I only:
- Responsible companion living with patient during study.
Phase II only:
- Group 1 -- Patients must be taking chronic opioid therapy (long acting morphine, long
acting oxycodone, transdermal fentanyl) at a stable dose for a minimum of four days.
The dose of as needed short acting opioid does not need to be stable.
- Group 2 -- Patients must not be receiving opioids and must have cancer related
neuropathic pain secondary to post-chemotherapy peripheral neuropathy, post-radiation
and/or post surgical plexopathy, radiculopathy or neuropathy, or post- herpetic
neuralgia.
Exclusion Criteria:
Phase I and Phase II:
- Known hypersensitivity to methadone
- Patient taking methadone or with a history of methadone treatment within one month of
study enrollment.
- Patient that requires changes in the dose of one of the following medications within 2
weeks of study enrollment:
- Abacavir,
- Benzodiazepines,
- Carbamazepine,
- Efavirenz,
- Fluconazole,
- Fluvoxamine,
- FOS amprenavir,
- Fosphenytoin,
- Naltrexone,
- Nelfinavir,
- Nevirapine,
- Phenytoin,
- Rifampin,
- Rifapentine,
- Risperidone,
- Ritonavir,
- St. John's Wort,
- Zidovudine
- Hepatic function tests (SGOT, alkaline phosphatase, bilirubin) greater than 2 times
the upper limit of normal or creatinine greater than 1.4 within 30 days of study
entry.
- Neurologic or psychiatric disease sufficient, in the investigator's opinion, to
compromise data collection.
- Women who are pregnant or nursing.
- Women of childbearing potential who do not agree to use a medically recognized method
of contraception during the study period.
|
73 |
NCT01702740 |
completed |
|
0 |
phase 1 |
['lupus erythematosus, cutaneous', 'lupus erythematosus, systemic'] |
["['M32.9', 'M32.0', 'M32.11', 'M32.12', 'M32.13', 'M32.14', 'M32.8']"] |
['1 mg/kg cnto 136', '4 mg/kg cnto 136', '10 mg/kg cnto 136', 'placebo'] |
['CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
- Diagnosis of cutaneous lupus erythematosus (CLE, including subacute cutaneous lupus
erythematosus, discoid lupus erythematosus, or lupus erythematosus tumidus) or
systemic lupus erythematosus (SLE)
- Had a body weight less than or equal to 100 kg
- Patients in Part A who were taking systemic medications for CLE had to be on a
stable dose for 4 weeks before the first study agent infusion
- Patients in Part B taking systemic medications for SLE had to be on a stable dose
for at least 3 months before the first study agent infusion
- Given informed consent and willing and able to adhere to the study visit schedule
and other protocol requirements; agreed to avoid alcohol intake; and took
adequate measures to prevent pregnancy
Exclusion Criteria:
- Significant history of or concurrent medical condition (other than lupus)
- Use of specific previous or concurrent medications or investigational therapies
- Known or suspected allergy to the study agent or it constituents, having recently
donated blood, or having any significant laboratory test values requiring intervention
- Patients with SLE in Part B could not have active central nervous system lupus
|
74 |
NCT00170053 |
completed |
|
0 |
phase 1 |
['kidney diseases'] |
["['I12.9', 'N18.9', 'Q61.9', 'I12.0', 'D63.1', 'N18.1', 'N18.5']"] |
['sirolimus'] |
['CC(=O)CC(C1=CC=CC=C1)C1=C(O)C2=C(OC1=O)C=CC=C2'] |
Inclusion Criteria:
1. Primary deceased or living donor renal transplant recipients
2. Re-transplant recipients for which the first kidney transplant was lost for technical
reasons with no sensitization (panel-reactive antibody [PRA] < 20%) or 1st lost due to
recurrent disease, that is not steroid responsive.
3. Age > 18
4. Negative pregnancy test if female and of childbearing age. In addition, females of
childbearing age must agree to use effective contraception for the duration of the
study.
5. Patient must sign informed consent prior to transplant.
|
75 |
NCT00985907 |
terminated |
low accrual
|
0 |
phase 1/phase 2 |
['multiple myeloma', 'patient participation'] |
["['C90.01', 'C90.02', 'C90.00']"] |
['doxil, melphalan, bortezomib'] |
['N[C@@H](CC1=CC=C(C=C1)N(CCCl)CCCl)C(O)=O'] |
Inclusion Criteria:
Disease Characteristics:
1. Patient previously diagnosed with multiple myeloma; Durie-Salmon Stage I, II, or III
based on standard criteria
2. Progressive disease. For non-secretory multiple myeloma, progressive disease is
defined as bone marrow biopsy with > 25% increase in plasma cells or an absolute
increase of at least 10% over prior known level. Alternatively, development of new or
worsening of existing lytic bone lesions or soft tissue plasmacytomas, or
hypercalcemia (serum calcium >11.5 mg/dL), or relapse from complete response.
Patient Characteristics:
1. 18 yrs or older
2. Patient has given voluntary written informed consent.
3. Unless post-menopausal or surgically sterilized, a female must be willing to use an
acceptable method of birth control
4. Male patient must agree to use an acceptable method for contraception for the duration
of the study.
5. Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2.
6. Life expectancy is at least 3 months.
7. • Absolute Neutrophil Count (ANC) over 1,000/ul without the use of colony stimulating
factors
- Platelets over 50,000/ul without transfusion support 7 days
- Bilirubin 2.0 mg/dl or less
- aspartate aminotransferase (AST) 4 times or less upper limit normal Prior Therapy
for Multiple Myeloma: Patients must have had at least 2 prior therapeutic
regimens
Exclusion Criteria:
- Pregnant or breast feeding
- History of allergic reaction to compounds containing boron or mannitol.
- Active uncontrolled viral (including HIV), bacterial, or fungal infection.
- Grade III or IV toxicity due to previous anti-neoplastic therapy
- More than Grade 2 motor or sensory neuropathy
- Myocardial infarction within 6 months of enrollment or New York Heart Association
(NYHA) Class III or IV heart failure, uncontrolled angina, severe uncontrolled
arrhythmias, or electrocardiographic evidence of acute ischemia.
- For any patients whose lifetime cumulative doxorubicin dose exceeds 400mg/m2, patients
with left ventricular ejection fraction (LVEF) less than 35% by multigated acquisition
(MUGA) .
- Concurrent administration of liposomal doxorubicin, melphalan, and bortezomib (single
or two drug combinations of these are permissible)
- Less than 3 weeks since most recent chemotherapy or concurrent chemotherapy
- Use of corticosteroids (mroe than 10 mg prednisone/day or equivalent)
|
76 |
NCT00255333 |
terminated |
development of this compound was discontinued.
|
0 |
phase 1 |
['tumors'] |
["['E88.3', 'R97.8', 'C49.A0', 'C49.A1', 'C49.A2', 'C49.A5', 'C49.A3']"] |
['inno-105'] |
['CSCC[C@H](NC(=O)[C@H](CC1=CC=CC=C1)NC(=O)CNC(=O)CNC(=O)[C@@H](N)CC1=CC=C(O)C=C1)C(O)=O'] |
Inclusion Criteria:
1. Have a histologically or cytologically confirmed diagnosis of a solid malignancy
(patients may have either measurable or nonmeasurable disease).
2. Be ≥18 years old.
3. Not eligible for effective therapy likely to provide clinical benefit.
4. Have an Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤2.
5. Acceptable pretreatment clinical laboratory results.
6. Life expectancy of greater than 12 weeks.
Exclusion Criteria:
1. Have received previous treatment with INNO-105.
2. Have an active, uncontrolled systemic infection considered opportunistic, life
threatening, or clinically significant at the time of treatment.
3. Are pregnant or lactating.
4. Have a psychiatric disorder(s) that would interfere with consent, study participation,
or follow-up.
5. Have received any chemotherapy, immunotherapy, vaccines, monoclonal antibodies, major
surgery, or irradiation, whether conventional or investigational, within 2 weeks of
treatment in this study.
6. Have not recovered from acute toxicity of all previous therapy prior to enrollment.
7. Have symptomatic or untreated central nervous system (CNS) metastases.
8. Have a susceptibility to hypotension, bradycardia, and/or hypopnea, such as patients
with known coronary heart disease, arrhythmias, cerebral vascular disease, and chronic
obstructive airways disease (CO2-retaining).
|
77 |
NCT00073723 |
completed |
|
1 |
phase 1/phase 2 |
['non-small cell lung cancer'] |
["['C78.00', 'C78.01', 'C78.02', 'D14.30', 'D14.31', 'D14.32', 'C34.2']"] |
['abi-007'] |
['[H][C@]12[C@H](OC(=O)C3=CC=CC=C3)[C@]3(O)C[C@H](OC(=O)[C@H](O)[C@@H](NC(=O)C4=CC=CC=C4)C4=CC=CC=C4)C(C)=C([C@@H](OC(C)=O)C(=O)[C@]1(C)[C@@H](O)C[C@H]1OC[C@@]21OC(C)=O)C3(C)C'] |
Patients must be:
- Histologically or cytologically confirmed advanced stage IV NSCLC with evidence of
inoperable local recurrence or metastasis
- If female, non-pregnant and not lactating, with a negative serum pregnancy test, and
either not of child-bearing potential or practicing an approved contraception method
- Eighteen years of age or older
- No other current active malignancy
- Measurable disease (defined by RECIST criteria) documented radiographically
- Patient must have received no prior chemotherapies for the treatment of metastatic
disease. Radiation therapy to a major bone marrow-containing area must have been
completed 3 or more weeks prior to study entry. Prior treatment with EGF-targeted
therapies is permitted.
- If, at baseline, patient has ANC greater than or equal to 1.5 x 109 cells/L; platelets
greater than or equal to 100 x 109 cells/L and Hgb greater than or equal to 9 g/dL
- If, at baseline, patient has AST and ALT of less than or equal to 2.5 x the upper
limit of normal range; a total bilirubin NORMAL; creatinine levels less than or equal
to 1.5 mg/dL and alkaline phosphatase levels less than or equal to 2.5 x the upper
limit of normal range (unless alkaline phosphatase elevation is felt to be related to
bone metastases and there is no radiologic evidence of hepatic metastasis)
- Expected survival of greater than 12 weeks
- ECOG performance status 0-1 (Karnofsky > 70)
- Patient or his/her legally authorized representative or guardian has been informed
about the nature of the study, and has agreed to participate in the study, and signed
the Informed Consent form prior to participation in any study-related activities.
|
78 |
NCT00423852 |
completed |
|
0 |
phase 1/phase 2 |
['brain and central nervous system tumors', 'extragonadal germ cell tumor', 'ovarian cancer', 'teratoma', 'testicular germ cell tumor'] |
["['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']", "['E29.0', 'E29.1', 'E29.8', 'E29.9', 'E89.5', 'N50.811', 'N50.812']"] |
['carboplatin', 'ifosfamide', 'paclitaxel'] |
['N[C@@H](CCCNC(N)=N)C(O)=O', 'N[C@@H](CCCNC(N)=N)C(O)=O', '[H][C@@]1(C[C@@H](C)[C@]2([H])CC(=O)[C@H](C)\\C=C(C)\\[C@@H](O)[C@@H](OC)C(=O)[C@H](C)C[C@H](C)\\C=C\\C=C\\C=C(C)\\[C@H](C[C@]3([H])CC[C@@H](C)[C@@](O)(O3)C(=O)C(=O)N3CCCC[C@@]3([H])C(=O)O2)OC)CC[C@@H](OCCO)[C@@H](C1)OC'] |
DISEASE CHARACTERISTICS:
- Histologically confirmed germ cell tumor (GCT)
- Primary CNS GCT allowed
- Unidimensionally measurable disease OR elevated serum tumor markers (alpha-fetoprotein
and/or human chorionic gonadotropin)
- Advanced disease
- Disease resistant to a cisplatin-based chemotherapy regimen (i.e., failed to
achieve a durable complete response to cisplatin)
- Known residual disease after post-chemotherapy surgery allowed
PATIENT CHARACTERISTICS:
- Platelet count ≥ 100,000/mm^3
- WBC ≥ 3,000/mm^3
- Creatinine clearance > 50 mL/min (unless due to tumor obstructing the ureters)
- AST and ALT < 2 times upper limit of normal (ULN)
- Bilirubin < 1.5 times ULN
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No active infection
- Negative serology for HIV type I and II, human T-lymphotropic virus type I and II,
hepatitis B or C virus, syphilis, and cytomegalovirus
- Hepatitis C negative serology by RIBA or PCR
- Adequate medical condition for general anesthesia
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- Recovered from recent surgery
- At least 3 weeks since prior chemotherapy
- No prior high-dose therapy with autologous bone marrow transplantation
- No other concurrent chemotherapy
- No other concurrent treatment (e.g., surgery or radiotherapy)
|
79 |
NCT01314885 |
completed |
|
1 |
phase 1 |
['chronic obstructive pulmonary disease (copd)'] |
["['G91.1', 'I42.1', 'N11.1', 'J05.0', 'G47.33', 'J44.9', 'N13.8']"] |
['pf-03715455', 'ph-797804', 'placebo for pf-03715455', 'placebo for ph-797804'] |
['CC(C)(C)C1=NN(C(NC(O)=NCC2=CC=CC=C2SC2=CN3C(C=C2)=NN=C3C2=CC=CC=C2SCCO)=C1)C1=CC(Cl)=C(O)C=C1', 'CNC(=O)C1=CC=C(C)C(=C1)N1C(C)=CC(OCC2=C(F)C=C(F)C=C2)=C(Br)C1=O', 'CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O', 'CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
- Male or female (of non-child bearing potential) subjects, aged 18-50 years.
- Subjects whose FEV1 and FVC at screening are both greater than or equal to 80% of
their predicted value for age, race, sex and height.
- Subjects who have normoresponsive airways.
- Subjects who are able to successfully complete screening sputum inductions.
Exclusion Criteria:
- Subjects who have evidence, on review of pre-study laboratory data and full physical
examination, or history of any clinically significant hematological, renal, endocrine,
gastrointestinal, dermatological, hepatic, psychiatric, neurologic diseases.
Specifically liver function tests and CRP must be within the reference range.
- Subjects with a medical history of asthma symptomatology (ie, wheeze and/or dyspnea at
rest).
- Subjects who have experienced a respiratory tract infection within the previous 4
weeks or any other infection within 1 week of dosing
|
80 |
NCT01247363 |
completed |
|
1 |
phase 1 |
['diabetes mellitus, type 2'] |
["['E11.65', 'E11.9', 'E11.21', 'E11.36', 'E11.41', 'E11.42', 'E11.44']"] |
['ly2608204'] |
['O=C(NC1=NC=C(SCCN2CCCC2)S1)[C@@]1(C[C@H]1C1CCCCC1)C1=CC=C(C=C1)S(=O)(=O)C1CC1'] |
Inclusion Criteria:
- Patients diagnosed with Type 2 diabetes mellitus (T2DM) who are currently treated with
diet/lifestyle measures alone or in combination with anti-diabetic agents, including
insulins
- Have fasting blood glucose (FBG) greater than or equal to 160 milligram/deciliter
(mg/dL), with a subset of patients with FBG greater than or equal to 190 mg/dL in at
least 2 measurements on separate days
- Have a glycated haemoglobin (HbA1c) level of greater than or equal to 8% and less than
or equal to 11% at screening
- If female, are not of child-bearing potential due to surgical sterilisation
(hysterectomy or bilateral oophorectomy or tubal ligation) or menopause
- Are males or females who are at least 18 years old (for sites outside of Singapore) or
at least 21 years old (for sites within Singapore) but no more than 70 years old (for
all sites)
- Body mass index (BMI) greater than 18.5 kilogram/square meter (kg/m²) and less than
40.0 kg/m²
- Have clinical laboratory test results within the normal range for the population or
investigator site, or with abnormalities deemed clinically insignificant by the
investigator
- Have supine systolic blood pressure (SBP) greater than 160 millimeters of mercury
(mmHg) and supine diastolic blood pressure (DBP) less than 100 mmHg
- Have venous access sufficient to allow blood sampling as per the protocol
- Are willing and able to comply with requirements for continuous glucose monitoring
(CGM)
- Are reliable and willing to make themselves available for the duration of the study
and who will abide by the Clinical Research Unit (CRU) policy and procedure and study
restrictions. This includes staying in-patient at the CRU for a total duration of up
to 31 days
- Have given written informed consent approved by Lilly and the ethical review board
governing the site
Exclusion Criteria:
- Are currently enrolled in, or discontinued within the last 30 days from, a clinical
trial involving an investigational drug or device or use of a drug or device other
than the study drug used in this study, or are concurrently enrolled in any other type
of medical research judged not to be scientifically or medically compatible with this
study
- Have significant history of past or current cardiovascular, respiratory, hepatic,
renal, gastrointestinal, endocrine (other than diabetes), hematological, or
neurological disorders capable of significantly altering the absorption, metabolism or
elimination of drugs or of constituting a risk when taking the study drug formulations
or interfering with the interpretation of data
- Have a history of a seizure disorder
- A corrected QT interval greater than 450 milliseconds (msec) at screening or any
personal history of ventricular tachycardia or unexplained syncope, or other
abnormality in the 12-lead Electrocardiogram (ECG) that, in the opinion of the
investigator, increases the risks associated with participating in the study
- Have family history of long QT syndrome or family history of sudden unexplained death
- Use medications known to prolong the QT interval.
- Have type 1 diabetes mellitus or a history of ketoacidosis or any other type of
diabetes mellitus other than type 2
- Use of any known inducers or inhibitors of CYP3A within 14 days prior to the first
dosing with study drug or intended use during the study
- History of a hypoglycemic event with acute mental status alteration that was not
preceded by prodromal symptoms recognizable to the patient
- Fasting serum triglycerides greater than 500mg/dl
- Serum creatinine greater than 1.3 mg/dL in women, greater than 1.5 mg/dL in men
- Clinical evidence of active diabetic proliferative retinopathy
- Known clinically significant autonomic neuropathy as evidenced by urinary retention,
orthostatic hypotension, diabetic diarrhea or gastroparesis
- Clinically significant coronary events or symptoms within 6 months prior to study
entry
- Clinically significant peripheral vascular disease
- Have known allergies to LY2608204 or related compounds
- Evidence of human immunodeficiency virus (HIV) infection and/or positive human HIV
antibodies/antigen
- Evidence of hepatitis B and/or positive hepatitis B surface antigen (HBsAg)
- Donation or loss of blood equal to or exceeding 450 milliliter (mL) during the 3
months before the first administration of study drug
- Patients who have an average weekly alcohol intake that exceeds 21 units per week
(males) and 14 units per week (females) (1 unit equal to 12 oz or 360 mL of beer; 5 oz
or 150 mL of wine; 1.5 oz or 45 mL of distilled spirits) or patients unwilling to stop
alcohol consumption 24 hours prior to admission until the completion of each
in-patient study period
- Patients who smoke more than 10 cigarettes or other tobacco products per day before
study entry. Patients will not be allowed to smoke while in the study Unit
- Have a history of drug or alcohol abuse
- Intended use of over-the counter or prescription medications 7 and 14 days,
respectively, prior to dosing. If this situation arises, inclusion of an otherwise
suitable volunteer may be at the discretion of the investigator. Use of anti-diabetic
medication [metformin, sulphonylureas, glinides, thiazolidinediones, acarbose, DPPIV
inhibitors, Byetta (but not liraglutide)] by patients with type 2 diabetes mellitus is
acceptable for this study
- Have repeated alanine transaminase levels greater than 2.5 times the upper limit of
the reference range at screening, as determined by the central laboratory
- Have previously been enrolled in this clinical study or any other study of LY2608204.
Exclusion Criteria for EU/UK/US Site(s) only --
- Evidence of hepatitis C and/or positive hepatitis C antibodies, at screening
- Use of known drugs of abuse and/or positive findings on urinary drug screening, other
than findings consistent with medication prescribed by the patient's physician or
over-the-counter medications
|
81 |
NCT01606397 |
completed |
|
1 |
phase 1 |
['diabetes mellitus, type 2'] |
["['E11.65', 'E11.9', 'E11.21', 'E11.36', 'E11.41', 'E11.42', 'E11.44']"] |
['placebo', 'ly2409021'] |
['CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O', 'CC1=CC(O[C@@H](CCC(F)(F)F)C2=CC=C(C=C2)C(=O)NCCC(O)=O)=CC(C)=C1C1=CC=C(C=C1)C(C)(C)C'] |
Inclusion Criteria:
- Must be either a male, or a female who cannot become pregnant, who has type 2 diabetes
and is either controlling diabetes through diet and exercise, or taking metformin
- Have an hemoglobin A1c (HbA1c) value at screening of greater than or equal to 6.5% and
less than or equal to 10.0% on a stable treatment regimen at the time of measurement
- Have a screening body mass index (BMI) of 20 to 40 kg/m^2 inclusive
- Have a blood pressure reading at screening of between 90 to 160 millimeters of mercury
(mmHg) (systolic) and 40 to 95 mmHg (diastolic)
Exclusion Criteria:
- Have used insulin for diabetic control within 1 year of study entry
- Have used thiazolidinediones within 3 months, or any other drugs for treatment of
hyperglycemia (except metformin) within 1 month, prior to first planned dosing.
Metformin is acceptable for this study.
- Have clinically significant coronary artery disease
- Have clinically significant peripheral vascular disease
- Have clinical evidence of active diabetic proliferative retinopathy
- Have known significant autonomic neuropathy as evidenced by urinary retention,
orthostatic hypotension, diabetic diarrhea or gastroparesis
- Impaired renal function (serum creatinine greater than 115 micromoles/liter [μmol/L]
[1.3 mg/dL] in women, greater than 130 μmol/L [1.5 mg/dL] in men)
- Have triglycerides greater than 4.5 millimoles per liter (mmol/L) [approximately 400
mg/dL] at screening
- Were hospitalized for poor control of diabetes (keto-acidotic episode) in the last 6
months
- Are allergic to LY2409021 or similar drugs
- Have history or presence of cardiovascular, respiratory, hepatic, renal,
gastrointestinal, endocrine (other than diabetes), hematological, or neurological
disorders capable of significantly altering the absorption, or metabolism or
elimination of drugs or of constituting a risk when taking the study medication or
interfering with the interpretation of data
- Have used systemic glucocorticoids within 1 month prior to first dosing
- Have donated 450 mL or more of blood in the last 3 months or have donated any blood
within the last month
- Have a regular alcohol intake greater than 21 units/week (male), or 14 units/week
(female), or are unwilling to stop alcohol as required by the study restrictions (1
unit = 360 mL of beer, or 150 mL of wine, or 45 mL of spirits)
|
82 |
NCT00712790 |
completed |
|
1 |
phase 1/phase 2 |
['hepatocellular carcinoma'] |
["['C22.0', 'C4A.9', 'C7B.1', 'C4A.0', 'C4A.31', 'C4A.51', 'C4A.8']"] |
['sorafenib'] |
['CNC(=O)C1=NC=CC(OC2=CC=C(NC(=O)NC3=CC(=C(Cl)C=C3)C(F)(F)F)C=C2)=C1'] |
Inclusion Criteria:
- Unresectable HCC with or without systemic metastases.
- Willing, able and mentally competent to provide written informed consent prior to any
testing under this study protocol, including screening tests and evaluations that are
not considered to be part of the subject's routine care.
- Aged 18 years or older of either gender and any race, religion or socioeconomic group.
- Unequivocal diagnosis of primary HCC (as defined above)
- HCC that is not amenable to surgical resection or immediate liver transplantation, or
that is not optimally treatable with local ablative techniques such as radio-frequency
ablation, consistent with the practice of the clinical trial centre.
- Measurable disease, defined as at least one lesion that can be accurately measured in
at least one dimension (longest diameter to be recorded) as ≥10 mm with spiral CT
scan.
- ECOG performance status 0 - 1.
- Adequate haematological, renal and hepatic function as follows:
- Leukocytes ≥ 2,500/μL
- Absolute Neutrophil Count ≥ 1,500/μL
- Platelets ≥ 50,000/μL
- Haemoglobin > 9.5 g/dL
- Total bilirubin ≤ 2.0 mg/dL (SIR-Spheres should not be administered as a whole liver
treatment if the total bilirubin is > 2X the institutional upper limit of normal).
- INR ≤ 2.0
- ALP ≤ 5 x institutional upper limit of normal
- AST / ALT ≤ 5 x institutional upper limit of normal
- Albumin ≥ 2.5 g/dL
- Creatinine ≤ 2.0 mg/dL
- The blood results must be less than 29 days old at the time of confirming patient
eligibility to receive protocol treatment.
- Life expectancy of at least 3 months without any active treatment. This is defined as
a patient who has OKUDA I or II inoperable HCC.
- Suitable for protocol treatment as determined by clinical assessment undertaken by the
Investigator.
- Female patients must be either postmenopausal or, if premenopausal, must have a
negative pregnancy test and agree to use two forms of contraception if sexually active
during their study participation.
- Male patients must be surgically sterile, or if sexually active and having a
pre-menopausal female partner then must be using an acceptable form of contraception.
- Hepatic arterial anatomy suitable for implantation of SIR-Spheres, as assessed by
hepatic angiogram.
- Lung shunt fraction less than or equal to 20% as assessed by a Tc-99m macroaggregated
albumin liver to lung breakthrough scan.
Exclusion Criteria:
- Had previous external beam radiation therapy to the liver.
- Any ascites or other clinical signs of liver failure, on physical examination.
- Abnormal synthetic and excretory liver function tests (LFTs) as determined by serum
albumin (must be < 2.5 g/dL) and total bilirubin (must be > 2.0 mg/dL), respectively.
- Tumours amenable to surgical resection for cure at presentation.
- Greater than 20% lung shunting of the hepatic artery blood flow determined by Tc-99
MAA scan.
- Pre-assessment angiogram and Tc-99 MAA scan that demonstrates significant and
uncorrectable activity in the stomach, pancreas or bowel.
- Been treated with Capecitabine within the previous 8 weeks, or who will be treated
with Capecitabine within 8 weeks of treatment with SIR-Spheres, due to the possible
risk of potentiating or causing liver dysfunction.
- Complete main portal vein thrombosis.
- Subjects who have had hepatic artery directed therapy.
- Subjects who have had prior chemotherapy or other medical agents used to treat
hepatocellular carcinoma.
- Prior external hepatic radiation therapy for HCC, or any other concomitant therapy for
HCC or any investigational agent planned while on this protocol.
- Subjects with inferior vena cava (IVC) tumour thrombus or invasion
- Currently receiving any other investigational agents for the treatment of their
cancer.
- Any other concurrent malignancy, except for adequately treated basal cell or squamous
cell skin cancer, in situ cervical cancer, or other cancer for which the patient has
been disease-free for at least five years.
- Presence of clinical signs of CNS metastases due to their poor prognosis and because
progressive neurologic dysfunction would confound the evaluation of neurologic and
other adverse events.
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active
infection (except viral hepatitis), symptomatic congestive heart failure, unstable
angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that
would limit compliance with study requirements.
- Any of the following contraindications to angiography and selective visceral
catheterization:
- Bleeding diathesis, not correctable by the standard forms of therapy.
- Severe peripheral vascular disease that would preclude arterial catheterization.
- Portal hypertension with hepatofugal flow as documented on baseline spiral CT
scan.
- History of allergic reactions attributed to compounds of similar chemical or biologic
composition to SIR-Spheres.
- Inability or unwillingness to understand or sign a written informed consent document
(non English-speaking patients may use an interpreter).
- Female subjects who are pregnant or currently breastfeeding.
- For female subjects, unless postmenopausal or surgically sterile, unwillingness to
practice effective contraception, as defined by the Investigator, during the study.
The rhythm method is not to be used as the sole method of contraception.
- For male subjects, unwillingness to practice effective contraception (as defined by
the Investigator) while taking part in this study, because the effect of the
SIR-Spheres treatment on sperm or upon the development of an unborn child are unknown.
- Current enrolment in any other investigational drug or device study.
|
83 |
NCT00647972 |
terminated |
during period 1 due to numerous orthostatic aes that occurred. subsequently, rld was reduced to
5 mg due to safety concerns.
|
0 |
phase 1 |
['healthy'] |
["['Z76.3', 'Z76.2']"] |
['olanzapine tablets 20 mg', 'zyprexa® tablets 20 mg'] |
['CN1CCN(CC1)C1=NC2=CC=CC=C2NC2=C1C=C(C)S2', 'CN1CCN(CC1)C1=NC2=CC=CC=C2NC2=C1C=C(C)S2'] |
Inclusion Criteria:
- healthy, adult subjects, 18 years and older
- able to swallow medication
Exclusion Criteria:
- institutionalized subjects
- history of any significant disease
- use of any prescription or OTC medications within 14 days of start of study
- received any investigational products within 30 days prior to start of study
|
84 |
NCT01176851 |
completed |
|
1 |
phase 1 |
['healthy'] |
["['Z76.3', 'Z76.2']"] |
['glycopyrrolate', 'glycopyrrolate', 'glycopyrrolate'] |
['C[N+]1(C)CCC(C1)OC(=O)C(O)(C1CCCC1)C1=CC=CC=C1', 'C[N+]1(C)CCC(C1)OC(=O)C(O)(C1CCCC1)C1=CC=CC=C1', 'C[N+]1(C)CCC(C1)OC(=O)C(O)(C1CCCC1)C1=CC=CC=C1'] |
Inclusion Criteria:
1. Males and females healthy volunteers aged 18-65 years;
2. Written informed consent obtained before the first trial related activity.
3. Able to understand the study procedures, the risks involved and ability to be trained
to use the devices correctly.
4. Body Mass Index (BMI) between 18.0 and 32.0 kg/m2;
5. Non- or ex-smokers who smoked < 5 pack years;
6. Good physical and mental status;
7. Normal blood pressure and heart rate;
8. Electrocardiogram (ECG)considered as normal;
9. Results of laboratory tests within the normal ranges.
10. Lung function measurements within the normal ranges.
Exclusion Criteria:
1. Blood donation (equal or more than 450 ml) or blood loss less than 8 weeks before
inhalation of the study medication;
2. Pregnant or lactating women or women of childbearing potential, UNLESS they are using
one or more of the acceptable methods of contraception. Male subjects not willing to
use an acceptable method of contraception.
3. Positive HIV1 or HIV2 serology;
4. Positive results from the Hepatitis serology which indicates acute or chronic
Hepatitis B or Hepatitis C;
5. Unsuitable veins for repeated venipuncture;
6. History of substance abuse or drug abuse within 12 months prior to screening visit or
with a positive urine drug screen at screening;
7. Clinically relevant abnormal laboratory values suggesting an unknown disease and
requiring further clinical investigation;
8. Clinically significant and uncontrolled cardiac, hepatic, renal, gastrointestinal,
endocrine, metabolic, neurologic, or psychiatric disorder that may interfere with
successful completion of this protocol;
9. Participation in another clinical trial less than 8 weeks prior to inhalation of the
study medication; participation in another clinical trial using radioactive material
within 1 calendar year;
10. History of hypersensitivity to M3 Antagonists or any of the excipients contained in
any of the formulations used in the trial;
11. Any drug treatment, including prescribed or OTC medicines as well as vitamins,
homeopathic remedies etc, taken in the 14 days (2 months for enzyme-inducing or
enzyme-inhibiting drugs e.g., glucocorticoids, phenobarbital, isoniazid) preceding the
first intake of the study drug, with the exception of occasional paracetamol (maximum
2 g per day with a maximum of 10 g per 14 days for mild non-excluding conditions).
12. Treatment within the previous 3 months with any drug known to have a well defined
potential for hepatotoxicity (e.g. isoniazide, nimesulide, ketoconazole).
13. Subjects who refuse to abstain from alcohol or caffeine containing foods or beverages
or grapefruit containing foods or beverages from 48 hour prior to the first intake of
study medication and for the entire duration of the study.
14. Heavy caffeine drinker.
|
85 |
NCT03070730 |
terminated |
recruitment was slow and subjects declined participation after signing the icf.
|
0 |
phase 1/phase 2 |
['postural orthostatic tachycardia syndrome', 'orthostatic intolerance'] |
["['I95.1', 'R80.2', 'R51.0']"] |
['droxidopa', 'atenolol', 'placebos'] |
['N[C@@H]([C@H](O)C1=CC(O)=C(O)C=C1)C(O)=O', 'CC(C)NCC(O)COC1=CC=C(CC(N)=O)C=C1', 'COCCC1=CC=C(OCC(O)CNC(C)C)C=C1'] |
Inclusion Criteria:
- CDC criteria for chronic fatigue syndrome
- Evidence of postural tachycardia syndrome with symptoms of orthostatic intolerance
Exclusion Criteria:
- Pregnant or lactating females. The administration of droxidopa is harmful to the fetus
- Concomitant therapy with anticholinergic, alpha-, and beta-adrenergic antagonists or
other medications that affect autonomic function
- Clinically significant coronary artery, cerebrovascular or peripheral vascular disease
- Cardiac arrhythmias
- Systemic illness that might affect autonomic function such as congestive heart
failure, hypertension, renal, pulmonary, and hepatic disease, anemia, malignancies,
thyroid disease, and alcoholism
- Severe depression, severe anxiety disorder (score of on the Beck Depression Inventory
> 29 or score on the Beck Anxiety Inventory of ≥ 36) or psychosis
- Antidepressant treatment by MAO inhibitors within 2 weeks before the study
- Glaucoma
- Liver disease
- Subjects with a history of reaction to local anesthetic will be excluded from the
study
- Subjects who have a history of any bleeding disorders or significantly impaired wound
healing will be excluded. Subjects who are using any medications such as Coumadin or
Plavix will be also excluded
- Subjects who are currently enrolled in any other studies using investigational
products
|
86 |
NCT00426829 |
terminated |
low accural
|
0 |
phase 1 |
['liver cancer', 'hepatocellular carcinoma', 'cholangiocarcinoma'] |
["['D13.4', 'Z85.05', 'C22.8', 'C78.7', 'C22.9', 'D37.6']", "['C22.0', 'C4A.9', 'C7B.1', 'C4A.0', 'C4A.31', 'C4A.51', 'C4A.8']", "['C22.0', 'C22.1', 'C4A.9', 'C7B.1', 'D09.9', 'C4A.0', 'C4A.31']"] |
['bevacizumab'] |
['[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1'] |
Inclusion Criteria:
- Cytologic or histologic proof of primary liver cancer (hepatocellular carcinoma or
cholangiocarcinoma). Patients with non-metastatic, unresectable disease are eligible.
Patients with positive margins after surgical resection are eligible. Metastasis is
defined as unequivocal evidence of extrahepatic disease based on CT imaging, excluding
nodal disease.
- Tumors must not be greater than 10cm (small satellite lesions around a larger lesion
are allowed), all of which can be encompassed in a radiation treatment field (as
assessed by the radiation oncologist).
- Prior chemotherapy, transarterial chemoembolization and radiofrequency ablation are
permitted. A minimum of four weeks must have elapsed between prior treatment and
planned protocol therapy.
- Prior liver resection is permitted as long as the interval between surgery and
enrollment is at least 4 weeks.
- Karnofsky performance status >/= 70 are eligible.
- There is no age restriction.
- Absolute granulocyte count >/= 1,500 cells/mm3, hemoglobin >/= 8 gm/dL and platelet
count >/= 80,000 cells/mm3.
- Serum creatinine </= 1.5 mg/dl.
- Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) </= 3 times the
upper limit of normal. Serum bilirubin </= 5mg/dL prior to the start of therapy.
- A signed study-specific consent form, which is attached to this protocol.
Exclusion Criteria:
- Child-Pugh class C cirrhosis.
- Gross ascites seen on CT that precludes accurate targeting of the tumor with radiation
therapy
- Proteinuria at screening as demonstrated by either Urine protein:creatinine (UPC)
ratio > 1.0 at screening OR Urine dipstick for proteinuria > 2+ (patients discovered
to have > 2+ proteinuria on dipstick urinalysis at baseline should undergo a 24 hour
urine collection and must demonstrate < 1g of protein in 24 hours to be eligible).
- Patients currently receiving anticoagulation treatment with coumadin, low molecular
weight heparin or IV heparin. Evidence of bleeding diathesis or coagulopathy.
Anticoagulation for line maintenance is permitted.
- Major surgical procedure, open biopsy, or significant traumatic injury within 28 days
prior to Day 0, or anticipation of need for major surgical procedure during the course
of the study; fine needle aspirations or core biopsies within 7 days prior to Day 0.
- Serious, nonhealing wound, ulcer, or bone fracture.
- Clinically significant cardiac disease (e.g., uncontrolled hypertension [blood
pressure of >150/100 mmHg on medication], history of myocardial infarction within 6
months, unstable angina), New York Heart Association (NYHA) Class II or greater
congestive heart failure, unstable symptomatic arrhythmia requiring medication
(subjects with chronic atrial arrhythmia, i.e., atrial fibrillation or paroxysmal
supraventricular tachycardia are eligible), or Class II or greater peripheral vascular
disease.
- History of aneurysms, strokes, transient ischemic attacks, and arteriovenous
malformations within 6 months.
- Prior unanticipated severe reaction to bevacizumab.
- History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess
within 6 months prior to Day 0
- Patients who have had an organ allograft.
- Pregnant women are excluded from this study; women of childbearing potential must
agree to practice adequate contraception (oral, injectable, or implantable hormonal
contraceptive; tubal ligation; intra-uterine device; barrier contraceptive with
spermicide; or vasectomized partner) and to refrain from breast feeding, as specified
in the informed consent. Women of child-bearing potential are defined as those women
who have not had surgical sterilization or been menopausal for 12 consecutive months.
- Male patients must agree not to father a child and must agree to use a condom.
- Prior radiation therapy to an upper abdominal or lower thoracic field that could
overlap with the proposed treatment field.
- Serious concomitant medical or psychiatric disorders that place the patient at high
risk for non-compliance with or morbidity due to protocol therapy.
- Patients with a history of hypertension must be well-controlled (</= 140/90 mmHg on a
stable regimen of antihypertensive therapy)
|
87 |
NCT01555008 |
completed |
|
1 |
phase 1 |
['type 2 diabetes mellitus', 'renal impairment'] |
["['E11.65', 'E11.9', 'E11.21', 'E11.36', 'E11.41', 'E11.42', 'E11.44']", "['M10.38', 'M10.30', 'M10.311', 'M10.312', 'M10.319', 'M10.321', 'M10.322']"] |
['lx4211', 'lx4211 placebo'] |
['CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
- Adults ≥18 to ≤80 years of age
- History of T2DM for at least 6 months prior to screening
- Moderate to severe renal impairment and not actively on dialysis
- Willing and able to perform self-monitoring of blood glucose
- Willing and able to provide written informed consent
Exclusion Criteria:
- History of type 1 diabetes mellitus, diabetic ketoacidosis (within the previous 6
months), or diabetes resulting from pancreatic disorder or secondary diabetes (from
acromegaly and/or Cushing's disease)
- Subjects who have received a renal allograft
- Subjects expecting to require dialysis or to undergo kidney transplantation within 3
months of study dosing
- Presence of active hepatic disease or clinically significant abnormal liver function
tests at Screening or planned study Day -1
- Subjects with a history of heart attack, severe/unstable angina, or coronary
revascularization procedure within 6 months prior to study Day -2
- History of clinically significant cardiac arrhythmias within 1 year prior to study Day
-2
- Subjects with congestive heart failure
- Subjects with uncontrolled Stage III hypertension
- History of 2 or more emergency room visits, doctors' visits, or hospitalizations due
to hypoglycemia within the 6 months prior to planned study Day -2
- History of alcohol or illicit drug abuse within 1 year prior to Screening
- History of human immunodeficiency virus (HIV), hepatitis B, or hepatitis C
- Major surgery within 6 months prior to planned study Day -2
- History of any malignancy within the last 5 years
- Triglycerides >1000 mg/dL at Screening or planned study Day -1
- History of any serious adverse reaction or hypersensitivity to an SGLT inhibitor
- Use of corticosteroids within 2 weeks prior to study Day 1
- Use of any investigational drug within 30 days prior to study Day 1, or
investigational protein or antibodies within 60 days of Day 1
- Positive urine pregnancy test at Screening
- Positive urine screen for illicit drug abuse at Screening
- Prior exposure to LX4211
|
88 |
NCT01469065 |
completed |
|
1 |
phase 1 |
['diabetes mellitus, type 2'] |
["['E11.65', 'E11.9', 'E11.21', 'E11.36', 'E11.41', 'E11.42', 'E11.44']"] |
['pf-04991532', 'pf-04991532', 'pf-04991532', 'pf-0499132', 'placebo'] |
['[H][C@@](CC1CCCC1)(N1C=NC(=C1)C(F)(F)F)C(O)=NC1=NC=C(C=C1)C(O)=O', '[H][C@@](CC1CCCC1)(N1C=NC(=C1)C(F)(F)F)C(O)=NC1=NC=C(C=C1)C(O)=O', '[H][C@@](CC1CCCC1)(N1C=NC(=C1)C(F)(F)F)C(O)=NC1=NC=C(C=C1)C(O)=O', 'CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
- Patients with type 2 diabetes mellitus who are taking either no medication for the
treatment of diabetes (diet/exercise therapy only), or who are taking only a single
oral anti-diabetic drug (OAD) that can be temporarily discontinued for approximately
8-10 weeks. For those taking a single OAD, treatment should be stable, where this is
defined as no change in the treatment, including dose, over the past 3 months prior to
Screening. OAD medications that are acceptable to be discontinued include: a
sulfonylurea (SU), a meglitinide, a biguanide (eg, metformin), a dipeptidyl peptidase
4 inhibitor (DPP-4i), or an alpha glucosidase inhibitor.
- Body Mass Index (BMI) of 18.5 to 45.0 kg/m2; and a total body weight >50 kg (110 lbs).
- HbA1c >/=7% and </=10% if the patient is on diet/exercise therapy only and does not
require any OAD discontinuation. HbA1c >/=6.5% and </=9% if the patient requires to be
washed off an OAD.
Exclusion Criteria:
- Evidence or history of diabetic complications with significant end organ damage.
- History of stroke or transient ischemic attack.
- History of myocardial infarction.
- History of coronary artery bypass graft or stent implantation.
- Clinically significant peripheral vascular disease.
- Any history or clinical evidence of congestive heart failure, NYHA Classes II IV.
- Current history of angina/unstable angina.
- One or more episodes of hypoglycemia within the last 3 months, or two or more episodes
of hypoglycemia within the last 6 months.
- A positive urine drug screen.
- Use of tobacco or nicotine-containing products in excess of the equivalent of 10
cigarettes per day.
- Blood pressure >/=160 mm Hg (systolic) or >/=100 mm Hg (diastolic), following at least
5 minutes of rest.
- Pregnant or nursing females; females of childbearing potential.
|
89 |
NCT01217411 |
terminated |
slow accrual coupled with discontinuation of study drug.
|
0 |
phase 1 |
['estrogen receptor-negative breast cancer', 'extensive stage small cell lung cancer', 'her2-negative breast cancer', 'her2-positive breast cancer', 'male breast cancer', 'recurrent breast cancer', 'recurrent melanoma', 'recurrent non-small cell lung cancer', 'recurrent small cell lung cancer', 'stage iv breast cancer', 'stage iv melanoma', 'stage iv non-small cell lung cancer', 'tumors metastatic to brain', 'unspecified adult solid tumor, protocol specific'] |
["['C79.81', 'D24.1', 'D24.2', 'D24.9', 'D49.3', 'C44.501', 'D48.60']", "['C78.00', 'C78.01', 'C78.02', 'D14.30', 'D14.31', 'D14.32', 'C34.2']", "['C79.81', 'D24.1', 'D24.2', 'D24.9', 'D49.3', 'C44.501', 'D48.60']", "['C79.81', 'D24.1', 'D24.2', 'D24.9', 'D49.3', 'C44.501', 'D48.60']", "['C50.021', 'C50.022', 'C50.029', 'C50.121', 'C50.122', 'C50.129', 'C50.621']", "['C79.81', 'D24.1', 'D24.2', 'D24.9', 'D49.3', 'C44.501', 'D48.60']", "['G47.13', 'J01.41', 'K11.22', 'K12.0', 'N96', 'F33.8', 'G03.2']", "['C78.00', 'C78.01', 'C78.02', 'D14.30', 'D14.31', 'D14.32', 'C34.2']", "['C78.00', 'C78.01', 'C78.02', 'D14.30', 'D14.31', 'D14.32', 'C34.2']", "['C79.81', 'D24.1', 'D24.2', 'D24.9', 'D49.3', 'C44.501', 'D48.60']", "['C43.0', 'C43.31', 'D03.9', 'C43.51', 'C43.9', 'D03.0', 'C43.4']", "['C78.00', 'C78.01', 'C78.02', 'D14.30', 'D14.31', 'D14.32', 'C34.2']", "['H01.009', 'H02.209', 'H02.009', 'H02.109', 'H04.209', 'H05.409', 'H10.509']"] |
['gamma-secretase/notch signalling pathway inhibitor ro4929097'] |
['CC(C)(C(=O)NCC(F)(F)C(F)(F)F)C(=O)N[C@H]1C2=CC=CC=C2C2=CC=CC=C2NC1=O'] |
Inclusion Criteria:
- Patients who have histologically or cytologically confirmed breast cancer or other
cancers (such as lung cancer, melanoma, etc) with newly diagnosed metastatic disease
to the brain will be eligible for the Phase 1 study only, however, those patients who
have available systemic therapeutic options with a demonstrated survival benefit will
not be eligible; for Phase 2, patients must have histologically or cytologically
confirmed estrogen receptor negative breast cancer with newly diagnosed metastatic
disease to the brain
- Patients must have measurable disease in the brain, defined as at least one lesion
that can be accurately measured in at least two dimensions (longest diameter and its
longest perpendicular diameter to be recorded)
- There is no limit on type or number of prior therapies, except that prior therapy with
notch inhibitors is not allowed, and patients should not have received prior cranial
radiation; therapy naïve patients are eligible; at least 14 days (2 weeks) must have
elapsed from any prior experimental therapy, chemotherapy or radiotherapy; toxicities
from prior chemotherapy or radiotherapy should have resolved to < grade 2; patients
with newly diagnosed brain metastases who have received therapeutic regimens with
well-characterized, delayed toxicity (e.g. hematologic toxicity observed following
carmustine [BCNU] or mitomycin C) will not receive experimental therapy until the
patient has adequately recovered from all drug related toxicities
- Karnofsky performance status (KPS) >= 70%; Recursive Partitioning Analysis (RPA) class
I or II; a small feasibility cohort of 10 RPA class III (KPS < 70%) patients may be
enrolled, however these patients, if enrolled will not be included in the efficacy
analysis
- Hemoglobin >= 9g/dL
- Absolute neutrophil count >= 1,000/mcL
- Platelets >= 100,000/mcL
- Total bilirubin within normal institutional limits
- Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase [SGOT]) =<
2.5 x institutional upper limit of normal
- Alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase [SGPT]) =< 2.5 x
institutional upper limits of normal
- Creatinine within normal institutional limits OR creatinine clearance >= 60
mL/min/1.73 m^2 for patients with creatinine levels above institutional normal
- Tumor HER2/neu status may be positive or negative
- Women of childbearing potential and men must use two forms of contraception (i.e.,
barrier contraception and one other method of contraception) for the duration of study
participation, and for at least 12 months post-treatment; should a woman become
pregnant or suspect she is pregnant while she or her partner are participating in this
study and for 12 months after study participation, the patient should inform the
treating physician immediately; prior to dispensing RO4929097, the investigator must
confirm and document the patient's agreement to the use of two contraceptive methods,
dates of negative pregnancy test, and confirm the patient's understanding of the
teratogenic potential of RO4929097
- Ability to understand and the willingness to sign a written informed consent document
- A tumor site (outside the central nervous system) for needle biopsy for research
purposes is preferable
- Ability to swallow pills
Exclusion Criteria:
- At least 14 days (2 weeks) must have elapsed from any prior experimental therapy,
chemotherapy or radiotherapy; toxicities from prior chemotherapy or radiotherapy
should have resolved to < grade 2
- Patients may not be receiving any other investigational agents
- Patients with leptomeningeal metastases should be excluded from this clinical trial
- History of allergic reactions attributed to compounds of similar chemical or biologic
composition to RO4929097
- Patients taking medications with narrow therapeutic indices that are metabolized by
cytochrome P450 (CYP450), including warfarin sodium (Coumadin®) are ineligible
- Patients taking medications that are generally accepted by the QTdrugs.org Advisory
Board to carry a risk of torsades de pointes, including antiemetics, are ineligible
- Preclinical studies indicate that RO4929097 is a substrate of CYP450 family 3,
subfamily A, polypeptide 4 (CYP3A4) and inducer of CYP3A4 enzyme activity; caution
should be exercised when dosing RO4929097 concurrently with CYP3A4 substrates,
inducers, and/or inhibitors; furthermore, patients who are taking concurrent
medications that are strong inducers/inhibitors or substrates of CYP3A4 should be
switched to alternative medications to minimize any potential risk; if such patients
cannot be switched to alternative medications, they will be ineligible to participate
in this study
- Patients with malabsorption syndrome or other condition that would interfere with
intestinal absorption; patients must be able to swallow tablets
- Patients who are known to be serologically positive for hepatitis A, B or C, or have a
history of liver disease, other forms of hepatitis or cirrhosis are ineligible
- Patients with uncontrolled hypocalcemia, hypomagnesemia, hyponatremia,
hypophosphatemia or hypokalemia defined as less than the lower limit of normal for the
institution, despite adequate electrolyte supplementation are excluded from this study
- Uncontrolled electrolyte abnormalities including hypocalcemia, hypomagnesemia, and
hypokalemia; uncontrolled intercurrent illness including, but not limited to, ongoing
or active infection, symptomatic congestive heart failure (New York Heart Association
[NYHA] class III or IV), unstable angina pectoris, a history of torsades de pointes or
other significant cardiac arrhythmias, stable atrial fibrillation, or psychiatric
illness/social situations that would limit compliance with study requirements
- Pregnant women are excluded from this study; breastfeeding should be discontinued if
the mother is treated with RO4929097
- Cardiovascular: baseline QTcF > 450 msec (male) or QTcF > 470 msec (female)
- Patients who have not recovered to < Common Terminology Criteria for Adverse Events
(CTCAE) grade 2 toxicities related to prior therapy are not eligible to participate in
this study
- A requirement for antiarrhythmics or other medications known to prolong QTc
|
90 |
NCT01431898 |
completed |
|
1 |
phase 1 |
['hepatitis c'] |
["['B18.2', 'B17.10', 'B17.11', 'B19.20', 'B19.21', 'B15.0', 'B15.9']"] |
['gs-9669 tablets', 'placebo to match gs-9669 tablet'] |
['CC1=CC[C@@H](CC1)C(=O)N([C@H]1CC[C@](O)(CO[C@H]2CCOC2)CC1)C1=C(SC(=C1)C#CC(C)(C)C)C(O)=O', 'CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
- Adult subjects 18-65 years of old, inclusive
- Documented chronic HCV infection to be of at least 6 months duration and plasma HCV
RNA ≥ 5 log10 IU/mL at screening.
- HCV treatment naïve or PEG-IFN, IFN, and/or RBV experienced (treatment must have
ceased at least 3 months prior to screening). Treatment experienced subjects should
not exceed 40% of the subjects enrolled in each cohort
- Mono-infection with HCV genotype 1a for Cohorts 1, 2, 3, 4, and 5 and mono-infection
with HCV genotype 1b for Cohort 6 and 7.
- Estimated creatinine clearance ≥ 70 mL/min,
- QTcF interval ≤ 450 msec for males and ≤ 470 msec for females, QRS duration < 120
msec, PR interval < 220 msec,
- Body mass index (BMI) of 19.0 to 34.0 kg/m^2, inclusive.
Exclusion Criteria:
- Urine drug screen positive for illicit/illegal drugs
- ALT and AST levels > 5 times the upper limit of the normal range (ULN)
- Direct bilirubin > ULN, clinical or other laboratory evidence of hepatic
decompensation (i.e., platelets < 90,000/mm^3, prothrombin time ≥ 1.5 × ULN and
albumin < 3.5 g/dL) are not eligible for study participation.
- Subjects with an absolute neutrophil count (ANC) < 1,000 cells/mm^3 (< 750 cells/mm^3
for black or African-American subjects), hemoglobin (Hb) < 11 g/dL,
- Coinfected with hepatitis B virus (HBV), human immunodeficiency virus (HIV), or
another HCV genotype other than genotype 1a/b are not eligible for study
participation.
- Evidence of hepatocellular carcinoma (e.g., a-fetoprotein > 50 ng/mL or as indicated
by recent ultrasound or other standard of care measure)
- History of significant cardiac disease. The following ECG abnormalities at screening
are exclusionary: QTcF (QT corrected using Fridericia's formula=QT/RR^0.333) > 450
msec for males and > 470 for females; QRS > 120 msec (left or right hemiblock is not
exclusionary); PR interval > 220 msec; bradycardia (< 45 beats per minute); second or
third degree heart block.
- History of clinically-significant illness or any other major medical disorder that may
interfere with subject treatment, assessment or compliance with the protocol
- History of a primary gastrointestinal disorder that could interfere with the
absorption of the study drug or that could interfere with normal gastrointestinal
anatomy or motility
|
91 |
NCT01640834 |
completed |
|
1 |
phase 1 |
['diabetes mellitus, type 1'] |
["['E10.65', 'E10.9', 'E10.21', 'E10.36', 'E10.41', 'E10.42', 'E10.44']"] |
['ly2409021', 'placebo', 'glucagon'] |
['CC1=CC(O[C@@H](CCC(F)(F)F)C2=CC=C(C=C2)C(=O)NCCC(O)=O)=CC(C)=C1C1=CC=C(C=C1)C(C)(C)C', 'CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O', 'N[C@@H](CCCNC(N)=N)C(O)=O'] |
Inclusion Criteria:
- Have had type 1 diabetes mellitus (T1DM) based on the World Health Organization
classification for at least 1 year and have a daily insulin dose ≤1.5 international
units (IU) per kilogram (kg) of body weight
- Have a glycated hemoglobin A1c (HbA1c) of no greater than 9.0% as measured at
screening
- Have a body mass index (BMI) ≥19.0 and ≤35.0 kilograms per meter squared (kg/m^2)
- Have given written informed consent approved by Lilly
Exclusion Criteria:
- Received any oral or injectable medication intended for the treatment of diabetes
mellitus other than insulins in the 3 months prior to screening
- Have had more than 1 episode of severe hypoglycemia within 3 months prior to entry
into the study, or are currently diagnosed as having hypoglycemia unawareness
- Are pregnant or intend to become pregnant during the course of the study
- Women who are breastfeeding
- Have a history of stroke, myocardial infarction, heart failure, unstable angina, or a
coronary revascularization procedure within 6 months of screening
- Have fasting triglycerides >500 milligrams per deciliter (mg/dL) (5.65 millimoles per
liter [mmol/L])
- Have obvious clinical signs, symptoms, or laboratory evidence of liver disease
(alanine transaminase [ALT] or aspartate transaminase [AST] greater than 2 times the
upper limit of normal at screening)
- Have a history of renal transplantation or are currently receiving renal dialysis or
have a screening creatinine >2.0 mg/dL (177 micromoles per liter [μmol/L])
- Have had any other disease, illness, or condition (including known diabetic autonomic
neuropathy, drug or alcohol abuse, or psychiatric disorder) within the 6 months prior
to screening that precludes the participant from following and completing the study or
could increase their risk for hypoglycemia, according to the investigator's judgment
- Are currently enrolled in, have completed, or have discontinued within the last 30
days from a clinical trial involving an off-label use of an investigational drug or
device, or are concurrently enrolled in any other type of medical research judged not
to be scientifically or medically compatible with this study
|
92 |
NCT00254293 |
completed |
|
1 |
phase 1/phase 2 |
['rheumatoid arthritis'] |
["['M06.9', 'M05.9', 'M06.08', 'M06.00', 'M06.011', 'M06.012', 'M06.019']"] |
['abatacept or placebo (both as iv & sc solution)', 'abatacept or placebo (both as iv & sc solution)', 'abatacept or placebo (both as iv & sc solution)', 'abatacept or placebo (both as iv & sc solution)', 'abatacept or placebo (both as iv & sc solution)', 'abatacept'] |
['[H][C@@]12CCCN1C(=O)[C@H](CC1=CC=CC=C1)N1C(=O)[C@](C)(NC(=O)[C@H]3CN(C)[C@]4([H])CC5=CNC6=CC=CC(=C56)[C@@]4([H])C3)O[C@@]21O', '[H][C@@]12CCCN1C(=O)[C@H](CC1=CC=CC=C1)N1C(=O)[C@](C)(NC(=O)[C@H]3CN(C)[C@]4([H])CC5=CNC6=CC=CC(=C56)[C@@]4([H])C3)O[C@@]21O', '[H][C@@]12CCCN1C(=O)[C@H](CC1=CC=CC=C1)N1C(=O)[C@](C)(NC(=O)[C@H]3CN(C)[C@]4([H])CC5=CNC6=CC=CC(=C56)[C@@]4([H])C3)O[C@@]21O', '[H][C@@]12CCCN1C(=O)[C@H](CC1=CC=CC=C1)N1C(=O)[C@](C)(NC(=O)[C@H]3CN(C)[C@]4([H])CC5=CNC6=CC=CC(=C56)[C@@]4([H])C3)O[C@@]21O', '[H][C@@]12CCCN1C(=O)[C@H](CC1=CC=CC=C1)N1C(=O)[C@](C)(NC(=O)[C@H]3CN(C)[C@]4([H])CC5=CNC6=CC=CC(=C56)[C@@]4([H])C3)O[C@@]21O', '[H][C@@]12CCCN1C(=O)[C@H](CC1=CC=CC=C1)N1C(=O)[C@](C)(NC(=O)[C@H]3CN(C)[C@]4([H])CC5=CNC6=CC=CC(=C56)[C@@]4([H])C3)O[C@@]21O'] |
Inclusion Criteria:
- Meet ARA criteria for diagnosis of RA with active disease.
- RA diagnosis for at least 1 year.
- > = 6 swollen joints.
- > = 8 tender joints.
- Taking methotrexate (MTX) or MTX plus not more than 1 added oral DMARD for > = 3
months and stable for 28 days prior to dosing.
Exclusion Criteria:
- Serious acute or bacterial infection in last 3 months.
- Chronic or recurrent bacterial infections.
- History of TB within previous 3 years or old TB not adequately treated.
- Specific lab test abnormalities
- History of cancer within 5 years.
- Exposure to CTLA4Ig (Cytotoxic T-lymphocyte (T-cell)-associated antigen 4Ig),
belatacept, rituximab, efalizumab, alefacept, or other investigational drug or
biologic.
- Treatment with hydroxychloroquine, azathioprine, leflunomide, immunoadsorption
columns, mycophenolate mofetil, cyclosporine, D-Penicillamine or calcineurin
inhibitors.
- Exposure to live vaccines.
|
93 |
NCT00369226 |
completed |
|
1 |
phase 1/phase 2 |
['hematologic malignancies'] |
["['E70.338', 'E70.339', 'P09.3', 'O28.0', 'P61.8', 'P61.9', 'T45.8X1A']"] |
['bortezomib (velcade)', 'tacrolimus', 'methotrexate'] |
['CC(C)C[C@H](NC(=O)[C@H](CC1=CC=CC=C1)NC(=O)C1=CN=CC=N1)B(O)O', 'COC1=CC2=C(C(OC)=C1OC)C1=CC=C(OC)C(=O)C=C1C(CC2)NC(C)=O', 'CN(CC1=CN=C2N=C(N)N=C(N)C2=N1)C1=CC=C(C=C1)C(=O)N[C@@H](CCC(O)=O)C(O)=O'] |
Inclusion Criteria:
- Patients with hematologic malignancies including myelodysplastic syndrome (MDS), who
are at a high risk of complications after myeloablative transplantation
- Patients have a donor (both related and unrelated) who are mismatched according to
protocol criteria
- 18 years of age or older
- Performance status 0-2
- Life expectancy of > 100 days
- Female subject is either post-menopausal or sterilized or willing to use an acceptable
form of birth control
- Male subject agrees to use an acceptable form of birth control
Exclusion Criteria:
- Evidence of HIV infection
- Total bilirubin > 2.0mg/dl that is due to hepatocellular dysfunction
- Aspartate aminotransferase (AST) > 90
- Known active hepatitis B or C
- Serum creatinine > 2.0
- Greater than or equal to Grade 2 peripheral neuropathy within 21 days of enrollment
- Prior allogeneic stem cell transplant
- Patients with myeloproliferative disease (e.g. myelofibrosis, essential
thrombocythemia, polycythemia vera, chronic myeloid leukemia)
- Myocardial infarction within 6 months prior to enrollment or has NYHA Class III or IV
hear failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or
electrocardiographic evidence of acute ischemia or active conduction system
abnormalities
- Hypersensitivity to Velcade, boron or mannitol
- Pregnant or breast feeding
- Patient has received other investigational drugs 14 days before enrollment
- Serious medical or psychiatric illness
- Another active solid tumor malignancy at the time of study entry
|
94 |
NCT00649207 |
completed |
|
1 |
phase 1 |
['brain diseases', 'brain neoplasms', 'central nervous system diseases', 'neoplasm metastasis', 'nervous system neoplasms'] |
["['G46.8', 'G94']", "['C71.7', 'C71.9', 'C79.31', 'D33.0', 'D33.1', 'D33.2', 'D49.6']", "['G37.9', 'G37.3', 'G13.1', 'G09', 'G13.8', 'G37.8']", "['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']"] |
['abt-888'] |
['C[C@@]1(CCCN1)C1=NC2=CC=CC(C(N)=O)=C2N1'] |
Inclusion Criteria:
- Age is greater than or equal to 18 years.
- Histologically or cytologically confirmed non-CNS primary solid malignancy.
- Pathologically or radiographically confirmed metastatic disease in the brain. Subjects
with non-measurable lesions, including leptomeningeal carcinomatosis, are eligible.
- WBRT is clinically indicated, with the exception of prophylactic treatment.
- Karnofsky Performance Status (KPS) greater than or equal to a score of 70.
- Adequate hematology, renal and hepatic function.
- Both men and women of childbearing potential must agree to use adequate contraception
(one of the following listed below) prior to study entry, for the duration of study
participation and up to 2 months following completion of protocol therapy.
- Total abstinence from sexual intercourse (minimum one complete menstrual cycle)
- A vasectomized partner * Hormonal contraceptives (oral, parenteral or
transdermal) for at least 3 months prior to study drug administration
- Double-barrier method (condoms, contraceptive sponge, diaphragm or vaginal ring
with spermicidal jellies or cream)
- Subject is capable of understanding and complying with parameters as outlined in the
protocol.
- Subject or the subject's legally acceptable representative has voluntarily signed and
dated the informed consent, approved by an Independent Ethics Committee
(IEC)/Institutional Review Board (IRB), prior to the initiation of any screening or
study-specific procedures.
Exclusion Criteria:
- Brain metastases secondary to germ cell tumor or lymphoma malignancy.
- Primary central nervous system (CNS) neoplasm.
- Prior or concurrent administration of the following therapies or treatments:
- Prior treatment with WBRT
- SRS performed less than 14 days prior to WBRT D1, or is scheduled to occur within
30 days of the last WBRT session
- Last dose of chemotherapy, immunotherapy, biologic therapy, or investigational
therapy was less than 14 days prior to WBRT D1. Bisphosphonates, hormone
modification therapy, and trastuzumab are permitted without restriction
- Unresolved or unstable, serious toxicity from prior administration of another
investigational drug and/or prior anti-cancer treatment.
- Known seizure disorder (status epileptics) that is uncontrolled, or seizures occurring
greater than or equal to 3 times a week over the past month.
- If female, subject is pregnant or breast-feeding.
- Clinically significant and uncontrolled major cardiac, respiratory, renal, hepatic,
gastrointestinal, hematologic or neurological/psychiatric disease or disorder,
including but not limited to:
- Active uncontrolled infection
- Symptomatic congestive heart failure, unstable angina pectoris, or cardiac
arrhythmia
- Any other illness condition(s) that could exacerbate potential toxicities,
confound safety assessments, require excluded therapy for management, or limit
compliance with study requirements
- Unable to swallow and retain oral medications.
- Known contraindication to enhanced MRI and CT, including but not limited to:
- Presence of metal objects within the body such as a cardiac pacemaker, implanted
cardiac defibrillator, brain aneurysm clips, cochlear implant, ocular foreign
body, or shrapnel
- History of immediate or delayed hypersensitivity reaction or other
contraindication to contrast agents including but not limited to gadolinium and
iodine
- Previous enrollment in this study or another study involving the investigation of
ABT-888, with the exception of receiving a single dose of study drug.
- Consideration by the investigator, for any reason, that the subject is an unsuitable
candidate to receive ABT-888 and/or WBRT.
|
95 |
NCT01464112 |
completed |
|
1 |
phase 1 |
['multiple myeloma'] |
["['C90.01', 'C90.02', 'C90.00']"] |
['jnj-2641585 / velcade / dexamethasone'] |
['[H][C@@]12C[C@@H](C)[C@](O)(C(=O)CO)[C@@]1(C)C[C@H](O)[C@@]1(F)[C@@]2([H])CCC2=CC(=O)C=C[C@]12C'] |
Inclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) Performance status score 0-2
- Measurable or secretory multiple myeloma
- Relapse or progression of myeloma following prior systemic antineoplastic therapy
- Pretreatment clinical laboratory values meeting protocol-specified criteria
- Left ventricular ejection fraction rate within normal limits
Exclusion Criteria:
- Peripheral neuropathy or neuralgia >=2, according to National Cancer Institute Common
Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.0
- Diagnosis of primary amyloidosis, plasma cell leukemia, or other similar conditions
- Diagnosis of Waldenstrom macroglobulinemia with protocol-specified immunoglobulin
levels
- Prior histone-deacetylase inhibitor therapy - More than 3 prior lines of therapy
- Cardiac risk factors: unstable angina or myocardial infarction within the preceding 12
months, congestive heart failure (New York Heart Association Class II-IV), known
presence of dilated, hypertrophic, or restrictive cardiomyopathy
- Any other cardiac abnormality that, in the opinion of the investigator, medical
monitor, or consultant cardiologist, may place the patient at an unacceptably
increased risk with study drug
- History of any of the following: sustained ventricular tachycardia, ventricular
fibrillation, Torsades de Pointes, atrial fibrillation, cardiac arrest, Mobitz II
second degree heart block, or third degree heart block - QTc at Screening > 450 ms in
males / > 470 ms in females
- Family history of short QT syndrome, long QT syndrome
- Obligate use of a cardiac pacemaker - Use of medications that may cause Torsades de
Pointes
|
96 |
NCT01373450 |
completed |
|
1 |
phase 1 |
['type 2 diabetes mellitus'] |
["['E11.65', 'E11.9', 'E11.21', 'E11.36', 'E11.41', 'E11.42', 'E11.44']"] |
['oxyntomodulin', 'liraglutide 0.6 mg', 'liraglutide 1.2 mg', 'placebo for oxyntomodulin', 'placebo for liraglutide'] |
['CN(C)C(=N)NC(N)=N', 'CN(C)C(=N)NC(N)=N', 'CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O', 'CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
- Have a body mass index (BMI) of ≤38.0 kg/m^2
- Have a clinical diagnosis of Type 2 diabetes mellitus
- Have a glycated hemoglobin (HbA1C) at screening ≤9.0%; fasting plasma glucose should
not exceed 300 mg/dL (16.8 mmol/L)
- Judged to be in good health
Exclusion Criteria:
- Have a history of any illness that, in the opinion of the study investigator, might
confound the results of the study or poses an additional risk to the subject by their
participation in the study
- Have a history of stroke, chronic seizures, major neurological disorder, clinically
significant endocrine, cardiovascular, hematological, hepatic, renal, respiratory, or
genitourinary abnormalities or diseases
- Have untreated hypertension with blood pressure of >160/95 mmHg
- Have a history of neoplastic disease within the past 5 years
- Have a history of hypersensitivity to OXM, liraglutide, insulin or Haemaccel®
- Unable or unwilling to comply with restrictions around concomitant medications
- Consume excessive amounts of alcohol, coffee, tea, cola, or other caffeinated
beverages daily
- Have had major surgery, donated or lost 1 unit of blood (approximately 500 mL) or
participated in another investigational study within 4 weeks
- Have a history of significant multiple and/or severe allergies, or has had an
anaphylactic reaction or significant intolerability to prescription or
non-prescription drugs or food
- Currently a regular user (including use of any illicit drugs or has a history of drug
(including alcohol) abuse within approximately 3 months
- Are unwilling or unable to consume the standardized meals during the study and/or is
on a carbohydrate restricted diet (i.e., a diet <100 grams per day of carbohydrate)
|
97 |
NCT00314782 |
completed |
|
1 |
phase 1 |
['prostate cancer'] |
["['C61', 'D29.1', 'D40.0', 'Z15.03', 'Z80.42', 'Z85.46', 'Z12.5']"] |
['zd4054 (zibotentan)', 'docetaxel', 'placebo'] |
['COC1=NC(C)=CN=C1NS(=O)(=O)C1=CC=CN=C1C1=CC=C(C=C1)C1=NN=CO1', '[H][N]1([H])[C@@H]2CCCC[C@H]2[N]([H])([H])[Pt]11OC(=O)C(=O)O1', 'CN1C(=O)C=C(N2CCC[C@@H](N)C2)N(CC2=C(C=CC=C2)C#N)C1=O'] |
Inclusion Criteria:
- Provision of informed consent
- Histological or cytological confirmation of prostate cancer
- Evidence of metastatic disease on CT scan, MRI, or bone scan
- Surgically or continuously medically castrated with LHRH analogue
- Progressive disease after most recent therapy
- Disease progression by CT/MRI
- Bone scan progression: appearance of 1 or more new lesions since last bone scan
- Rising PSA
- World health organization (WHO) performance status 0 to 2
- Life expectancy of 12 weeks or longer
Exclusion Criteria:
- Use of anti-hormonal therapies (including ketoconazole, aminoglutethimide, finasteride
and anti-androgen therapies) within 4 weeks of starting study treatment, except for
bicalutamide and nilutamide which are excluded within 6 weeks of starting study
treatment. Estramustine or estrogens, if taken, have to be stopped at least 4 weeks
before starting treatment.
- Definite or suspected personal history or family history of adverse drug reactions, or
hypersensitivity to drugs that are endothelin antagonist; history of severe
hypersensitivity reactions to drugs formulated with polysorbate 80.
- Prior cytotoxic chemotherapy for metastatic prostate cancer
- Radiotherapy within 4 weeks before the start of study therapy
- Systemic radionuclide therapy (ie strontium chloride Sr89, 186Re-labeled HEDP, or
153Sm-EDTMP pentasodium) within 12 weeks before entering study
- Use of potent CYP450 inhibitors (such as itraconazole, ritonavir, indinavir,
erythromycin, troleandomycin, clarithromycin, diltiazem, verapamil) within 2 weeks
before study entry.
- Use of potent CYP450 inducers (such as phenytoin, rifampicin, carbamazepine and
phenobarbitone, St. John's Wort) within 2 weeks before study entry.
NOTE: Dexamethasone is a known inducer of CYP2D6 and CYP3A4 but is not considered
exclusionary for purposes of this study.
- New neurologic symptoms or signs consistent with acute or evolving spinal cord
compression confirmed by magnetic resonance imaging (MRI) (except for those previously
treated and have stable symptoms).
- History of past or current epilepsy, epilepsy syndrome, or other seizure disorder
- History of Migraine or chronic headache
- Symptomatic central nervous system (CNS) metastases
- Absolute Neutrophil Count (ANC) <1.5 x 109/L (1,5000/mm3)
- Platelet count < 100 x 109/L (100,000/mm3)
- Serum bilirubin greater than the upper limit of normal (ULN)
- Alanine amino transferase (ALT) or aspartate amino transferase (AST) greater than 1.5
times the upper limit of normal (ULN)
- Creatinine clearance <50 mL/min
- QT interval corrected for heart rate by the Barrett Formula (QTc) > 470 msec at
screening
- New York Heart Association (NYHA) class II-IV Heart Disease
- Myocardial infarction (heart attack) within past 3 months
- CTCAE grade ≥2 Peripheral Neuropathy
- Treatment with a non-approved or investigational drug within 30 days before study
entry
- Evidence of any other significant clinical symptoms, abnormal laboratory findings or
recent surgery that patients has not recovered from that make it undesirable for the
patient to participate in the study in the opinion of the investigator(s)
- Involvement in the planning and conduct of the study
- Previous treatment in the present study
|
98 |
NCT00209612 |
withdrawn |
due to strong side effect
|
0 |
phase 1/phase 2 |
['gastric cancer'] |
["['C05.2', 'C10.0', 'C16.0', 'C16.4', 'C17.0', 'C17.1', 'C17.2']"] |
['taxol', 'campt, topotesin'] |
['[H][C@]12[C@H](OC(=O)C3=CC=CC=C3)[C@]3(O)C[C@H](OC(=O)[C@H](O)[C@@H](NC(=O)C4=CC=CC=C4)C4=CC=CC=C4)C(C)=C([C@@H](OC(C)=O)C(=O)[C@]1(C)[C@@H](O)C[C@H]1OC[C@@]21OC(C)=O)C3(C)C', 'CCC1=C2CN3C(=CC4=C(COC(=O)[C@]4(O)CC)C3=O)C2=NC2=CC=C(OC(=O)N3CCC(CC3)N3CCCCC3)C=C12'] |
Inclusion Criteria:
- Histologically confirmed metastatic or recurrent gastric cancer with prior treatment
for advanced disease.
- Patients who have received 1cycle cancer therapy (radiotherapy, chemotherapy or
chemoradiotherapy) given > 4 weeks prior to the beginning of study therapy
- At least one measurable lesion according to the RECIST criteria. Minimum indicator
lesion size: > 10 mm measured by spiral CT or >20mm measured by conventional
techniques(Except for Phase I setting).
- Patients aged between 20 and 75 years, inclusive, at the time of acquisition of
informed consent
- Patients with performance status(ECOG) 0 to 2
- Abnormal hematologic values (WBC ≥ 3.5 x 109/L, Hemoglobin ≥ 9.0g/dl, platelet count ≥
100 x 109/L)
- Serum cleatinine ≤ 1.5mg/dl
- Serum bilirubin ≤ 1.5mg/dl. ALT, AST ≤ 2.0 x upper normal limit (or ≤ 3 x upper normal
limit in the case of liver metastases)
- Normal ECG
- Life expectancy ≥ 3 months
- Patients who have given written informed consent to participate in this study
Exclusion Criteria:
- Patients with active multiple cancers; or even if the multiple cancers are
metachronous, have a disease-free period of less than 5 years (but excluding cancer in
situ and skin cancer) (Except for Phase I setting)
- Serious, uncontrolled, concurrent infection(s) or illness(es)
- Patients with no serious concurrent complications (such as heart disease, Intestinal
pneumonia)
- Patients with Liver cirrhosis
- Patients with fresh hemorrhage from the gastrointestinal tract
- Patients with poorly controlled diabetes or are treated by continuous use of insulin
- Patients with concurrent psychiatric disease or psychotic symptoms, and judged to have
difficulties participating in the study
- Patients with retention of body fluid(pleural effusion, ascites, pericardial effusion)
necessitating treatment
- Patients with diarrhea (watery stool)
- Patients with infection, intestinal palsy or intestinal occlusion
- Patients with brain metastasis
- Patients with Gilbert syndrome
- Patients who have experienced serious drug allergy in the past
- Patients who are pregnant and lactating or hope to become pregnant during the study
period
- Patients with prior Taxan (Paclitaxel, Docetaxel) or CPT-11 treatment
- Patients with neuropathy ≥ grade 2
- Others, patients judged by the investigator or subinvestigator to be inappropriate as
subject
|
99 |
NCT01078376 |
terminated |
business decision (see below)
|
0 |
phase 1 |
['hypertension'] |
["['I15.0', 'I97.3', 'K76.6', 'P29.2', 'G93.2', 'H40.053', 'I10']"] |
['azilsartan medoxomil (tak-491)', 'azilsartan medoxomil (tak-491)', 'azilsartan medoxomil (tak-491)', 'azilsartan medoxomil (tak-491)'] |
['CCOC1=NC2=C(N1CC1=CC=C(C=C1)C1=CC=CC=C1C1=NOC(=O)N1)C(=CC=C2)C(=O)OCC1=C(C)OC(=O)O1', 'CCOC1=NC2=C(N1CC1=CC=C(C=C1)C1=CC=CC=C1C1=NOC(=O)N1)C(=CC=C2)C(=O)OCC1=C(C)OC(=O)O1', 'CCOC1=NC2=C(N1CC1=CC=C(C=C1)C1=CC=CC=C1C1=NOC(=O)N1)C(=CC=C2)C(=O)OCC1=C(C)OC(=O)O1', 'CCOC1=NC2=C(N1CC1=CC=C(C=C1)C1=CC=CC=C1C1=NOC(=O)N1)C(=CC=C2)C(=O)OCC1=C(C)OC(=O)O1'] |
Inclusion Criteria:
For Pediatric Participants:
Must have a diagnosis of hypertension (SBP and/or DBP ≥95th percentile for
age/gender/height).
- For Cohorts 1 and 2 only, is within the weight range of 20 kg (44 pounds) to 100 kg
(220 pounds), inclusive, at Screening.
- For Cohort 3 only, weighs at least 8.0 kg (17.6 pounds) at Screening.
- Participants greater than or equal to 6 years of age must have the ability to swallow
a tablet of the size 6.0 millimeter diameter and 3.5 millimeter thickness.
- Has no known history of hepatitis B, hepatitis C, and human immunodeficiency virus.
- For Cohort 3 only, may be renal transplant patient if all other inclusion and none of
the exclusion criteria are met, along with additional criteria.
- Must have been at a constant weight, or expected weight gain for that particular age,
for 30 days with no change to the dose of their diuretic drugs.
For Healthy Adult Participants:
- Weighs at least 50 kilograms (110 pounds) and has a screening body mass index between
18 and 32 kilograms/m2, inclusive.
- Is in good health as determined by the physician
- Has a negative test result for hepatitis B surface antigen and antibody to hepatitis C
virus, and has no known history of human immunodeficiency virus.
- Must have a negative urine test result for selected substances of abuse .
- Has a diastolic blood pressure between 60 and 90 mm Hg, inclusive, and a systolic
blood pressure between 100 and 140 mm Hg, inclusive.
For All Participants:
- Females of child bearing potential who are sexually active, as well as sexually active
male participants, agree to routinely use adequate contraception from Screening until
30 days after receiving the last dose of study medication.
- Has clinical laboratory results within the reference range for the testing laboratory
unless the results are deemed not clinically significant by the investigator.
Exclusion Criteria:
For Pediatric Participants:
- Is currently treated with more than 2 antihypertensive agents.
- Has sitting trough clinic systolic blood pressure greater than 15 mm Hg or diastolic
blood pressure greater than 10 mm Hg above the 99th percentile for age, gender, and
height at Check-in .
- Has renovascular disease affecting both kidneys or a solitary kidney, dialysis
treatment, severe nephrotic syndrome and not in remission.
- For Cohort 1 and 2 only, a previous renal transplant.
- Has a creatinine clearance less than 30 mL/min/1.73 m2.
For all participants:
- Has previously received azilsartan or azilsartan medoxomil.
- Has a known hypersensitivity or allergy to any angiotensin type II receptor blockers
or to any of the excipients in the azilsartan medoxomil formulation to be taken.
- Has a history or clinical manifestations of severe cardiovascular disease, psychiatric
disease, and any conditions that would interfere with gastrointestinal absorption.
- Has hemodynamically significant left ventricular outflow obstruction due to aortic
valvular disease, cardiomyopathy, or uncorrected coarctation of the aorta.
- Has been diagnosed with malignant or accelerated hypertension.
- Has severe hepatic impairment.
- Has a serum albumin less than 2.5 g/dL.
- Has a glycosylated hemoglobin value greater than 8.5%.
- Has alanine aminotransferase, aspartate aminotransferase greater than 2 times the
upper limit of normal, or total bilirubin greater than 1.5 times the upper limit of
normal, active liver disease, or jaundice.
- Has hyperkalemia as defined by the laboratory normal reference range or any pertinent
electrolyte disorders.
- Is participating in another investigational study or has taken an investigational drug
within 30 days prior to Check-in .
- Has a history of drug abuse or a history of alcohol abuse within 1 year prior to study
Check-in.
- Has a history of abdominal surgery or thoracic or nonperipheral vascular surgery
within 6 months prior to study Check-in.
- Has a history of cancer, other than basal cell carcinoma or stage I squamous cell
carcinoma of the skin that has not been in remission for at least 5 years prior to
study Check-in.
- Has taken any cytotoxic drugs within 12 months prior to study Check-in .
- Has a history or presence of a clinically significant abnormal 12-lead
electrocardiogram as determined by the investigator or sponsor/designee.
- Has poor peripheral venous access.
- Has any other condition or prior therapy that, in the opinion of the investigator,
would make the participant unsuitable for the study.
- Has taken or requires the use of any medications, supplements, or food products within
the stated time periods, including:
- Pediatric participants taking angiotensin-converting enzyme inhibitors and other
angiotensin II receptor blockers will be required to withhold these medications
from the morning of Day -1 until the 24 hour pharmacokinetic sample is completed
on Day 2.
- Only pediatric participants will be allowed to take medications for primary renal
or urologic conditions or hypertension as long as they have been on a stable dose
of their medication for at least 30 days prior to Check-in (Day -1) and those
medications are not potent cytochrome P-450 inhibitors or inducers.
- Nutraceuticals including herbal or dietary preparations such as ginseng, kava
kava, and ginkgo biloba.
- Over-the-counter medications.
- Vitamin supplements except for pediatric participants only.
- Alcohol-containing products.
- Products that contain caffeine or xanthine-related compounds.
- Foods or beverages containing grapefruit juice or Seville-type oranges.
|
100 |
NCT00290719 |
terminated |
low enrollment
|
0 |
phase 1 |
['esophageal cancer'] |
["['K22.2', 'K22.81', 'Q39.4', 'P78.83', 'I85.00', 'I85.01', 'I85.10']"] |
['cisplatin', 'gefitinib', 'irinotecan hydrochloride'] |
['[H][C@@]12N(C)C3=CC(OC)=C(C=C3[C@@]11CCN3CC=C[C@](CC)([C@@]13[H])[C@@]([H])(OC(C)=O)[C@]2(O)C(=O)OC)[C@]1(C[C@@]2([H])CN(CC(CC)=C2)CC2=C1NC1=CC=CC=C21)C(=O)OC', 'COC1=C(OCCCN2CCOCC2)C=C2C(NC3=CC(Cl)=C(F)C=C3)=NC=NC2=C1', 'CCC1=C2CN3C(=CC4=C(COC(=O)[C@]4(O)CC)C3=O)C2=NC2=CC=C(OC(=O)N3CCC(CC3)N3CCCCC3)C=C12'] |
DISEASE CHARACTERISTICS:
- Histologically confirmed adenocarcinoma (AC) or squamous cell carcinoma of the
esophagus
- AC of the gastroesophageal junction allowed
- Tumor must be considered surgically resectable (T1-3, NX)
- No early-stage cancer (T1, N0)
- The following lymph node (LN) criteria are considered acceptable:
- Regional thoracic LN metastases (N1)
- LN metastases levels 15 to 20 measured as ≤ 1.5 cm by CT scan
- Supraclavicular LN not palpable on clinical examination measured as ≤ 1.5 cm by
CT scan
- No distant metastases (M0)
PATIENT CHARACTERISTICS:
- Platelet count ≥ 100,000/mm^3
- Absolute neutrophil count ≥ 1,500/mm^3
- Hemoglobin ≥ 9.0 g/dL
- Creatinine clearance ≥ 50 mL/min
- Creatinine serum level ≤ CTC grade 2
- Bilirubin ≤ 2 times upper limit of normal (ULN)
- AST < 3 times ULN
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 3 months after
completion of study treatment
- No known severe hypersensitivity to gefitinib or any of its excipients
- No evidence (except asymptomatic chronic stable radiographic changes) of clinically
active interstitial lung disease
- No pulmonary fibrosis, Gilbert's disease, uncontrolled diabetes mellitus, or unstable
angina
- No New York Heart Association class III or IV heart disease
- No other concurrent malignancies or malignancies diagnosed within the past 5 years
except basal cell carcinoma or carcinoma in situ of the cervix
- No serious active or uncontrolled infection, systemic disease, psychiatric illness, or
other medical condition that would preclude study participation
- No evidence of any significant clinical disorder or laboratory finding that would
preclude study participation
PRIOR CONCURRENT THERAPY:
- No prior chemotherapy or radiotherapy for esophageal cancer
- No prior radiotherapy that would overlap the study treatment fields
- Recovered from prior major surgery
- No nonapproved or investigational drugs within the past 30 days
- No concurrent phenytoin, carbamazepine, barbiturates, rifampin, phenobarbital, or
Hypericum perforatum (St. John's wort)
|