Official Title: Phase I Trial of Intravenous Fenretinide 4-HPR for Patients With Hematologic Malignancies
Status: COMPLETED
Status Verified Date: 2017-07
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: RATIONALE Drugs used in chemotherapy such as fenretinide work in different ways to stop the growth of cancer cells either by killing the cells or by stopping them from dividing Giving fenretinide in a different way may kill more cancer cells
PURPOSE This phase I trial is studying the side effects and best dose of intravenous fenretinide in treating patients with refractory or relapsed hematologic cancer
Detailed Description: OBJECTIVES
Determine the maximum tolerated dose of intravenous emulsified fenretinide in patients with refractory or relapsed hematologic malignancies Determine the toxic effects of this drug in these patients Determine the pharmacokinetics and in vivo activity of this drug in these patients Determine preliminarily disease or tumor response in patients treated with this drug
OUTLINE This is a pilot dose-escalation multicenter study
Patients receive emulsified fenretinide IV continuously over 5 days Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity Patients who achieve a complete or partial response may continue to receive fenretinide at the discretion of the study chair
Cohorts of 1 patient receive accelerated escalating doses of fenretinide until 2 patients experience moderate toxicity cumulative across all dose levels OR 1 patient experiences dose-limiting toxicity DLT After completion of the accelerated dose-escalation portion the standard dose-escalation portion begins Cohorts of 3-6 patients receive escalating doses of fenretinide until the maximum tolerated dose MTD is determined The MTD is defined as the dose preceding that at which 2 of 6 patients experience DLT At least 6 patients are treated at the MTD An additional 12 patients are treated at the MTD
After completion of study treatment patients are followed every 3 months for 2 years every 6 months for 3 years and then annually thereafter
PROJECTED ACCRUAL Approximately 40 patients will be accrued for this study