BMS-214662 Plus Trastuzumab in Treating Patients With Advanced Solid Tumors

Study Overview
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Brief Summary
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Phase I trial to study the effectiveness of BMS-214662 plus trastuzumab in treating patients who have advanced solid tumors. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Monoclonal antibodies such as trastuzumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining monoclonal antibody therapy with chemotherapy may kill more tumor cells

Detailed Description
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PRIMARY OBJECTIVES: I. Determine the maximum tolerated dose and recommended phase II dose of BMS-214662 when combined with trastuzumab (Herceptin) in patients with advanced solid tumors. II. Determine the dose-limiting toxic effects of this regimen in these patients. SECONDARY OBJECTIVES: I. Determine the pharmacokinetics of this regimen in these patients. Ii. Determine, in a preliminary manner, the antitumor activity of this regimen in these patients. OUTLINE: This is a dose-escalation study of BMS-214662. Patients receive BMS-214662 IV over 1 hour on days 2, 8, 15, and 22 and trastuzumab (Herceptin) IV over 30-90 minutes on days 1, 8, 15, and 22. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of BMS-214662 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, additional patients are accrued to receive treatment with BMS-214662 and trastuzumab at the recommended phase II dose. PROJECTED ACCRUAL: A total of 3-28 patients will be accrued for this study.

Official Title
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Phase I Study of Intravenous BMS-214662 FTI (NSC# 710086) and Herceptin (NSC# 688097) Weekly in Patients With Advanced Malignancies

Conditions
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Unspecified Adult Solid Tumor, Protocol Specific

Intervention / Treatment
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* Drug: BMS-214662
* Biological: trastuzumab
* Other: pharmacological study


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Histologically or cytologically confirmed solid tumor that is unresponsive to currently available therapies or for which no known effective therapy exists Overexpressing HER-2-neu (2+ or 3+) by immunohistochemistry or fluorescent in situ hybridization Clinically or radiologically evaluable disease No carcinomatous meningitis or untreated/uncontrolled metastatic brain parenchymal disease At least 8 weeks since prior therapy for prior brain parenchymal disease and asymptomatic off corticosteroids Performance status - ECOG 0-2 Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Bilirubin no greater than 1.8 mg/dL ALT and AST no greater than 1.5 times upper limit of normal (ULN) Creatinine no greater than 1.5 times ULN No uncontrolled or significant cardiovascular disease No myocardial infarction within the past 6 months No prior clinically significant atrial or ventricular arrhythmias No prior second or third degree heart block No ischemic heart disease requiring medication No congestive heart failure Corrected QT interval no greater than 450 milliseconds by electrocardiogram Ejection fraction at least lower limit of normal by MUGA scan No uncontrolled or significant pulmonary disease No active unresolved infection Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study At least 4 weeks since prior immunotherapy, including trastuzumab (Herceptin), and recovered At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered No anthracyclines for at least 22 weeks after completion of study therapy No other concurrent chemotherapy Concurrent hormone replacement therapy allowed No other concurrent hormonal therapy At least 4 weeks since prior radiotherapy and recovered No prior radiotherapy to more than 25% of the bone marrow-containing skeleton No concurrent radiotherapy At least 4 weeks since prior investigational agents and recovered At least 7 days since prior known substrates of cytochrome P450-3A4 (CYP3A4) At least 7 days since prior parenteral antibiotics No concurrent substrates of CYP3A4 No concurrent parenteral antibiotics No other concurrent experimental medications

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment (BMS-214662, trastuzumab)<br>Patients receive BMS-214662 IV over 1 hour on days 2, 8, 15, and 22 and trastuzumab (Herceptin) IV over 30-90 minutes on days 1, 8, 15, and 22. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. | Drug: BMS-214662<br>* Given IV<br>* Other names: FTI BMS 214662;Biological: trastuzumab<br>* Given IV<br>* Other names: MOAB HER2;Other: pharmacological study<br>* Correlative studies<br>* Other names: pharmacological studies;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| MTD defined as the highest dose level at which =< 1/6 subjects experience a study related dose-limiting toxicity (DLT) as assessed by CTC version 2.0 |  | 28 days |