Mesothelioma Related Clinical Trials:
Phase II Study of Imatinib Mesylate in Patients With Life Threatening Malignant Rare Diseases

   

Status: Completed
Sponsors and Collaborators: Novartis
Information provided by: Novartis
Government Identifier: NCT00154388

Condition: Life Threatening Diseases
Intervention: Drug: Imatinib mesylate


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Purpose:


Exploratory study to examine the effect(s) of Imatinib mesylate treatment on life threatening rare diseases with known associations to one or more Imatinib mesylate -sensitive tyrosine kinases, and to identify the contribution of specific protein tyrosine kinases (PTKs) of that specific disease.
Study Type:   Interventional
Study Design:   Treatment, Non-Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study
Official Title:   Phase II Study of Imatinib Mesylate in Patients With Life Threatening Malignant Rare Diseases

Further study details as provided by Novartis:

Primary Outcome Measures:
  • To examine the effect(s) of Imatinib mesylate treatment on life threatening rare diseases with known associations to one or more Imatinib mesylate-sensitive tyrosine kinases
  • To identify the contribution of specific protein tyrosine kinases (PTKs) of that specific disease

Secondary Outcome Measures:
  • To assess the safety and tolerability of Imatinib mesylate
  • To evaluate the pharmacokinetic profile of Imatinib mesylate
  • To assess, where feasible, the functional significance of relevant signal-transduction components in target tissues

Estimated Enrollment:   191
Study Start Date:   February 2001

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Eligibility:

Ages Eligible for Study:   15 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Patients ≥ 15 years of age
  • Life threatening disease documented by conventional criteria to be resistant to standard, approved therapy.
  • Experimental documentation of functional significance of either Abl, Kit (CD117), or PDGF-R in the relevant target tissue (preferably on a sample taken within 6 weeks of study entry).
  • ECOG Performance status of 0, 1, or 2.
  • Adequate end organ function defined as: total bilirubin < 1.5 x ULN, SGOT and SGPT < 2.5 x UNL (or < 5 x ULN for patients with hepatic disease), creatinine < 1.5 x ULN, ANC > 1.5 x 109/L, platelets > 100 x 109/L.
  • Negative serum or urine pregnancy test for women of child bearing potential (WOCBP) within 7 days of study initiation. Post menopausal women must have experienced amenorrhea for at least 12 months. Male and female patients must use effective birth control methods throughout the study and for up to 3 months after study discontinuation.
  • Life expectancy of more than 3 months.
  • Written, voluntary, informed consent for retrieval, evaluation and investigational use of tissue samples.

Exclusion Criteria:

  • Patients who have received any other investigational agent within 28 days of study initiation.
  • Patients with another primary malignancy except if other primary malignancy is neither currently clinically significant nor requiring active intervention.
  • Patients with Grade III/IV cardiac problems defined by the New York Heart Association Criteria (e.g. congestive heart failure, myocardial infarction within 6 months of study).
  • Female patients who are pregnant or breast-feeding.
  • Patients who have another severe and/or life threatening medical disease.
  • Patients with acute or known chronic liver disease (e.g. chronic active hepatitis, cirrhosis).
  • Patients with a known diagnosis of the human immunodeficiency virus ((HIV) infection.
  • Patients who have received chemotherapy within 4 weeks (6 weeks allowed for nitrosourea, mitomycin-C or any antibody therapy) prior to study entry.
  • Patients who have had major surgery within 2 weeks prior to study entry.
  • Patients with any significant history of non-compliance to medical regimens or with inability to grant reliable informed consent.

Other protocol-defined inclusion/exclusion criteria may apply.


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Contacts and Locations:

Please refer to this study by its ClinicalTrials.gov identifier: NCT00154388

Sponsors and Collaborators
Novartis

Investigators
Principal Investigator:     Michael Heinrich, MD     Oregon Health and Science University    

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Additional Information:

Study ID Numbers:   CSTI571B2225
First Received:   September 9, 2005
Last Updated:   September 6, 2007
ClinicalTrials.gov Identifier:   NCT00154388
Health Authority:   United States: Food and Drug Administration;   European Union: European Medicines Agency;   Australia: Department of Health and Ageing Therapeutic Goods Administration;   Finland: National Agency for Medicines;   Italy: Ministry of Health;   Netherlands: Medicines Evaluation Board (MEB);   United Kingdom: Medicines and Healthcare Products Regulatory Agency;   Belgium: Ministry of Social Affairs, Public Health and the Environment

Keywords provided by Novartis:
mesothelioma  
adenocarcinoma  
leiomyosarcoma  
angiosarcoma  
synovial sarcoma  
myelodysplastic syndrome/HES  
CMML  
multiple myeloma  
embryonal rhabdomyosarcoma  
endometrial sarcoma  
adenoid cystic carcinoma
fibromatosis
ductal invasive breast carcinoma
chondrosarcoma
pleural tumor
brenner tumor
ewing sarcoma
round cell tumor
seminoma
thymic carcinoma

Study placed in the following topic categories:
Fibrosarcoma
Sarcoma, Endometrial Stromal
Chronic myelomonocytic leukemia
Malignant mesenchymal tumor
Seminoma
Fibromatosis
Mast cell disease
Osteogenic sarcoma
Sarcoma, Synovial
Dermatofibrosarcoma protuberans
Ewing's sarcoma
Preleukemia
Pathologic Processes
Carcinoma, Adenoid Cystic
Multiple myeloma
Hypereosinophilic Syndrome
Rhabdomyosarcoma
Myelodysplastic syndromes
Endometrial stromal sarcoma
Synovial sarcoma

Additional relevant MeSH terms:
Disease Attributes
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Enzyme Inhibitors
Protein Kinase Inhibitors
Pharmacologic Actions
Pathological Conditions, Signs and Symptoms

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