Perifosine With Temsirolimus for Recurrent Pediatric Solid Tumors
| Status: | Completed |
|---|---|
| Conditions: | Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | Any - 21 |
| Updated: | 3/11/2017 |
| Start Date: | January 2010 |
| End Date: | March 2017 |
Phase I Study of Perifosine With Temsirolimus for Recurrent Pediatric Solid Tumors
The purpose of this study is to test the safety and effectiveness of 2 drugs, perifosine in
combination with temsirolimus in children with solid tumors. Neither drug is currently part
of the standard treatment of solid tumors in children. Both drugs have been tested alone to
treat solid tumors in children with little success. There is now new insight that if given
together, perifosine and temsirolimus may work together to stop the growth of solid tumors
and may also make them shrink. The doctor wants to find out what effects; good and/or bad,
perifosine in combination with temsirolimus has on the patient and the cancer. The doctors
are testing four different dose schedules of perifosine with temsirolimus and the patient
will be asked to partake in one of the dose schedules. The dose schedule will be lower for
those enrolled early in the study.
combination with temsirolimus in children with solid tumors. Neither drug is currently part
of the standard treatment of solid tumors in children. Both drugs have been tested alone to
treat solid tumors in children with little success. There is now new insight that if given
together, perifosine and temsirolimus may work together to stop the growth of solid tumors
and may also make them shrink. The doctor wants to find out what effects; good and/or bad,
perifosine in combination with temsirolimus has on the patient and the cancer. The doctors
are testing four different dose schedules of perifosine with temsirolimus and the patient
will be asked to partake in one of the dose schedules. The dose schedule will be lower for
those enrolled early in the study.
Inclusion Criteria:
- Any solid tumor that has failed standard therapy
- Patient must have evidence of tumor by CT, MRI, MIBG scan, serum markers, or tissue
sampling.
- Age ≤ 21 years (age ≤ 35 years for biopsy proven medulloblastoma or neuroblastoma)
- Karnofsky/Lansky performance status ≥ 50% (Karnofsky score for age> 16 years and
Lansky score for age ≤ 16 years)
- ANC≥ 1000 at least 24 hours off GCSF
- Platelets ≥ 100K at least one week off platelet transfusions
- Hg≥ 8g/dL at least one week off PRBC transfusion
- AST ≤ 2 x the upper limit of normal
- ALT ≤ 2 x the upper limit of normal
- Total bilirubin ≤ 2.0 mg/dl
- Patients must have cholesterol level < 350 mg/dl and triglycerides level < 400 mg/dl
because temsirolimus can induce hyperlipidemia.
- Serum creatinine ≤ 1.5 x the upper limit of normal for age, or calculated creatinine
clearance or nuclear GFR ≥ 70 ml/min/1.73 m2.
- ≥ 3 weeks since last non-nitrosourea chemotherapy
- ≥ 6 weeks since last nitrosoureas
- ≥ 4 weeks since last RT
- Patients must agree to practice adequate contraception. Females of childbearing
potential must have a negative serum B-HCG pregnancy test documented within 14 days
prior to registration. Females must not be breast feeding.
- Patients must be able to swallow tablets whole
- Patients that participated in the phase I single agent perifosine study for recurrent
pediatric solid tumors and did not experience a DLT are eligible to participate in
this study and can start ≥ 2 weeks since last dose of perifosine
- Patients that have been previously treated with an mTOR inhibitor can still enroll in
this trial as long as they did not experience a DLT in the single agent mTOR
inhibitor trial
Exclusion Criteria:
- Pregnancy
- Patients must not have an uncontrolled active infection.
- HIV-Positive patients receiving combination anti-retroviral therapy are excluded from
the study due to possible retro-viral drug interactions. HIV testing not required.
- Patients must not be taking EIAEDs. If patients were previously on EIAEDs that have
been discontinued, patients must have been off the agent for at least 2 weeks prior
to registration.
- History of or known pulmonary hypertension or history of or known pneumonitis.
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Memorial Sloan Kettering Cancer Center Memorial Sloan Kettering Cancer Center — the world's oldest and...
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