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Brief Title: Selumetinib and Cixutumumab in Treating Patients With Advanced Solid Malignancies
Official Title: A Phase I, Single-Institution Open Label, Dose-Escalation Trial With an Expansion Trial Cohort Evaluating the Safety and Tolerability of AZD6244 and IMC-A12 in Subjects With Advanced Solid Malignancies
Study ID: NCT01061749
Brief Summary: This phase I clinical trial studies the safety and best dose of selumetinib and cixutumumab in treating patients with advanced solid malignancies. Selumetinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Monoclonal antibodies, such as cixutumumab, can block tumor growth in different ways. Some block the ability of tumor to grow and spread. Others find tumor cells and help kill them or carry \[cancer/tumor\]-killing substances to them.
Detailed Description: PRIMARY OBJECTIVES: I. Determine the safety and toxicity of the combination of AZD6244 and IMC-A12 in advanced solid tumors that have progressed on standard therapy. II. Finding the maximum tolerated dose (MTD)/recommended phase II dose of the combination. SECONDARY OBJECTIVES: I. Explore preliminary evidence of efficacy of the combination of AZD6244 and IMC-A12 in advanced solid tumors using RECIST criteria for tumor response. II. Define pharmacodynamic (PD) profile of the combination of IMC-A12 and AZD6244. III. Correlate pharmacokinetics (PK) of the combination of IMC-A12 and AZD6244 to pharmacodynamic (PD) endpoints. IV. Assess the PK/PD (phospho-S6) link with AZD6244 when administered in combination with IMC-A12. OUTLINE: This is a dose-escalation study of selumetinib and cixutumumab. Patients receive selumetinib orally (PO) twice daily (BID) on days 1-28 and cixutumumab intravenously (IV) on days 1 and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed up for 4 weeks.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Johns Hopkins University/Sidney Kimmel Cancer Center, Baltimore, Maryland, United States
Name: Nilofer Azad
Affiliation: Johns Hopkins University/Sidney Kimmel Cancer Center
Role: PRINCIPAL_INVESTIGATOR