TRIAL DETAIL

Nilotinib in Advanced Gastrointestinal Stromal Tumors (GIST) (07060)

Drug:
Trial Name:
Nilotinib in Advanced Gastrointestinal Stromal Tumors (GIST) (07060)
NCT#:
Conditions:
Gastrointestinal Stromal Tumor
Status:
Terminated
Phase:
2
Start Date 07/01/2008
Age of Trial (yrs) 16.4
Treatment Phase:
Gleevec-resistant
Drug Category:
KIT/PDGFRA inhibitor
Strategy:
Block KIT
Trial Type:
Specifically GIST and only GIST
Other Protocol IDs:
IRB07060 IRB Number: 07060 RRC Number: 11707 CAMN107DUS05T
Sponsor:
Fox Chase Cancer Center
Patient Contact:
See site contact info below
Contact email:
Contact Phone:
Randomized:
IV or Oral:
Oral
Trial Notes:
This study has been terminated.
( Stopped early for futility, unable to meet accrual goals )

Patients must have confirmed GIST and must have failed both imatinib and sunitinib. Patients must have a measureable tumor. Patients may also have had other TKI therapy besides imatinib and sunitinib. There is a two week washout for prior investigational drugs.

"Patients must have received and progressed on imatinib and sunitinib.
Except for nilotinib, patients may have received additional tyrosine kinase inhibitors or additional targeted therapies."

"Because no dosing or adverse event data are currently available on the use of nilotinib in patients < 18 years of age, children are excluded from this study."

ECOG status 0-2 is accepted.

There are a number of cardio function criteria that should be looked at closely.

There is no control arm. All patients will receive nilotinib.

Objectives are as follows:

"1.1 Primary Objectives: To determine the progression free survival rate at
6 months in patients with advanced GIST previously treated with imatinib and sunitinb receiving nilotinib

1.2 Secondary Objectives: To determine the response rate of nilotinib in patients with advanced GIST previously treated with imatinib and sunitinib.
Response will primarily be determined by RECIST criteria, but will also be compared to response as defined by CHOI and PET criteria

1.3 Exploratory Objectives: To explore if there is a correlation of response to the GIST primary mutation status"

Monica asked that patients interested in this trial not call her directly.
They should call 1-888 "Fox Chase" (369-2427). They will be directed from there.

Trial Links

 

Trial Results

 
 

Drug Information

Nilotinib prescribing information
 
Tasigna.com
 
Tasigna medication guide
 
FDA approves Tasigna for CML
 
Nilotinib (Tasigna) in Wikipedia
 
Nilotinib scientific discussion (pdf)
 
Nilotinib Compassionate Use In Advanced GIST- A Retrospective Analysis (Poster PDF)
 
Tasigna International Patient Assistance Program (TIPAP)
 
Nilotinib for patients with advanced GIST who failed imatinib and sunitinib: Negative effect of prior major gastrectomy on exposure to nilotinib -ASCO 2010
 
Effects of rifampin and ketoconazole on the pharmacokinetics of nilotinib in healthy participants
 
Novartis discontinues clinical trial of Tasigna® for investigational use in newly diagnosed patients with unresectable and/or metastatic GIST
 
Clinical experience to date with nilotinib in gastrointestinal stromal tumors (Pubmed)
 
Pharmacokinetics and pharmacodynamics of nilotinib in gastrointestinal stromal tumors (Pubmed)
 
Progressive peripheral arterial occlusive disease and other vascular events during nilotinib therapy in CML
 
Extended kinase profile and properties of the protein kinase inhibitor nilotinib
 
Severe adverse events associated with the use of second-line BCR/ABL tyrosine kinase inhibitors: preferential occurrence in patients with comorbidities
 
Calcium carbonate does not affect nilotinib pharmacokinetics in healthy volunteers.
 
Nilotinib exacerbates diabetes mellitus by decreasing secretion of endogenous insulin
 
Early onset hypercholesterolemia induced by the second generation tyrosine kinase inhibitor nilotinib in patients with chronic phase-chronic myeloid leukemia
 
Application of systematic coronary risk evaluation chart to identify chronic myeloid leukemia patients at risk of cardiovascular diseases during nilotinib treatment.
 
Association between severe toxicity of nilotinib and UGT1A1 polymorphisms in Japanese patients with chronic myelogenous leukemia.
 
Hyperhomocysteinemia and high doses of nilotinib favor cardiovascular events in chronic phase Chronic Myelogenous Leukemia patients
 
Nilotinib-induced vasculopathy: identification of vascular endothelial cells as a primary target site
 
Genetic predisposition and induced pro-inflammatory/pro-oxidative status may play a role in increased atherothrombotic events in nilotinib treated chronic myeloid leukemia patients
 

Trial Sites

Name
Address
City
State
Zip
Country
333 Cottman Ave
Philadelphia
PA
19111
USA