Overview

Study of ABT-510 (Thrombospondin Analogue) in Patients With Advanced Head and Neck Cancer

Status:
Completed
Trial end date:
2008-03-01
Target enrollment:
0
Participant gender:
All
Summary
The goals of this clinical research study are to see how individuals with advanced head and neck cancer respond to treatment with the new drug thrombospondin (ABT-510) and to learn how effective it is in destroying cancer cells. The safety of ABT-510 and the effect ABT-510 has on cells in the body will also be studied.
Phase:
Phase 1/Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
M.D. Anderson Cancer Center
Collaborator:
Abbott
Criteria
Inclusion Criteria:

- Patient has histologically proven squamous cell carcinoma of the head and neck that is
not amenable to curative therapy, including radiation or surgery (including surgery
following induction chemotherapy or chemo-radiation).

- Patient's tumor is biopsy accessible.

- Patient has a Karnofsky performance status >/= 70.

- Patient has adequate bone marrow function: White blood count (WBC) >/= 3,000
cells/mm3, absolute neutrophil count (ANC) >/= 1,500 cells/mm3, platelet count >/=
100,000 cells/mm3, Hgb >/= 9.0 g/dL.

- Patient has adequate liver function: total bilirubin level /=
2.5 g/dL.

- Transaminases (SGOT and/or SGPT) may be up to 2.5 * upper limit of normal (ULN) if
alkaline phosphatase is transaminases are
1.5 * ULN and alkaline phosphatase > 2.5 * ULN are not eligible for this study.

- Patient has serum creatinine < 2 mg/dl

- Patient has signed a written informed consent.

- Patient may have received any number of prior chemotherapeutic regimens for recurrent
or metastatic disease.

- The subject must not be pregnant or breastfeeding. All subjects (male and female)
should practice contraception (e.g., barrier, hormonal, intrauterine device [IUD]) or
abstain from sexual intercourse while in the study and for up to two months following
completion of therapy.

- The subject is able to self-administer or has a caregiver who can reliably administer
subcutaneous (SC) injections.

- Patient >/= 18 years of age.

Exclusion Criteria:

- No biopsy accessible tissue.

- Patient has received prior radiation therapy to biopsy site within the past 3 months.
(Patient may have received palliative radiation within the past 2 weeks, but not to
the biopsy site.)

- Patient exhibits confusion, disorientation, or has a history of major psychiatric
illness which may impair patient's understanding of the informed consent.

- Patient requires total parenteral nutrition with lipids.

- Patient has a history of uncontrolled heart disease including congestive heart
failure, angina at rest, myocardial infarct in the last 6 months, uncontrolled
hypertension with systolic blood pressure (BP) >160 or diastolic BP >90, systolic
blood pressure (BP) <90 or symptomatic hypotension, or symptomatic or potentially
life-threatening tachycardia, bradycardia or arrhythmia.

- Pregnant women and women who are currently breast-feeding may not participate in this
study. All women of childbearing potential must have a negative pregnancy test within
24 hours prior to enrolling in the study.

- Serious infection or other intercurrent illness requiring immediate therapy.

- The subject has a history of or currently exhibits clinically significant cancer
related events of bleeding (e.g., hemoptysis). The subject has a recent history of
(within 4 weeks from Study Day 1) or currently exhibits other clinically significant
events of bleeding.

- If subject is receiving therapeutic anticoagulation therapy, low dose anticoagulation
for catheter prophylaxis will be permitted; PT/PTT must be within normal limits.

- The patient has a history of or currently exhibits central nervous system (CNS)
metastasis. Brain magnetic resonance imaging (MRI) within 28 days of enrollment is
required to confirm the absence of CNS metastases.

- Patient has received chemotherapy or biologic therapy within 3 weeks of registration.