Overview

17-N-Allylamino-17-Demethoxygeldanamycin in Treating Young Patients With Relapsed or Refractory Solid Tumors or Leukemia

Status:
Completed
Trial end date:
1969-12-31
Target enrollment:
0
Participant gender:
All
Summary
This phase I trial is studying the side effects and best dose of 17-N-allylamino-17-demethoxygeldanamycin in treating young patients with relapsed or refractory solid tumors or leukemia. Drugs used in chemotherapy, such as 17-N-allylamino-17-demethoxygeldanamycin, work in different ways to stop cancer cells from dividing so they stop growing or die.
Phase:
Phase 1
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
National Cancer Institute (NCI)
Criteria
Inclusion Criteria:

- Histologically confirmed diagnosis of solid tumor or leukemia with documented M3
marrow

- Histologic confirmation of intrinsic brain stem tumors not required

- Relapsed or refractory disease

- No known curative therapy

- In patients with CNS tumors, neurologic deficits must be stable for at least the past
week

- Performance status - Karnofsky 50-100% (>10 years of age)

- Performance status - Lansky 50-100% (≤ 10 years of age)

- For patients with solid tumors:

- Absolute neutrophil count ≥ 1,000/mm^3

- Platelet count ≥ 100,000/mm^3 (transfusion independent)

- Hemoglobin ≥ 8.0 g/dL (may receive RBC transfusions)

- For patients with leukemia:

- Platelet count ≥ 20,000/mm^3 (may receive platelet transfusions)

- Hemoglobin ≥ 8.0 g/dL (may receive RBC transfusions)

- Bilirubin ≤ 1.5 times upper limit of normal (ULN)

- ALT ≤ 2.5 times ULN

- Albumin ≥ 2 g/dL

- Creatinine clearance OR radioisotope glomerular filtration rate ≥ 70 mL/min

- Creatinine based on age as follows:

- ≤ 0.8 mg/dL if ≤ 5 years of age

- ≤ 1.0 mg/dL if > 5 years and ≤ 10 years of age

- ≤ 1.2 mg/dL if > 10 years and ≤ 15 years of age

- ≤ 1.5 mg/dL if > 15 years and ≤ 21 years of age

- No uncontrolled infection

- No prior severe allergy to eggs

- No situation that would preclude study participation

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- At least 7 days (or window for adverse effects has passed) since prior biologic
therapy and recovered

- At least 7 days since prior hematopoietic growth factors

- At least 2 months since prior stem cell transplantation and no evidence of
graft-vs-host disease

- No concurrent hematopoietic growth factors

- No concurrent biologic therapy

- No concurrent immunotherapy

- At least 3 weeks since prior myelosuppressive chemotherapy (6 weeks for nitrosoureas)
and recovered

- No other concurrent chemotherapy

- No concurrent steroid therapy

- At least 2 weeks since prior local palliative radiotherapy (small port)

- At least 3 months since prior total body irradiation or craniospinal radiotherapy

- At least 3 months since prior radiotherapy to ≥ 50% of the pelvis

- At least 6 weeks since prior substantial bone marrow radiotherapy

- Recovered from prior radiotherapy

- No concurrent radiotherapy

- No other concurrent investigational drugs

- No other concurrent anticancer agents

- No concurrent phenytoin or phenobarbital

- No concurrent warfarin