BI 2536 in Treating Patients With Recurrent or Metastatic Solid Tumors

Exclusion Criteria

• •* Excluded are any of the following:
• •* Embryonic rhabdomyosarcoma
• •* Chondrosarcoma
• •* Osteosarcoma
• •* Ewing tumors/primitive neuroectodermal tumors
• •* Gastrointestinal stromal tumor
• •* Dermatofibrosarcoma protuberans
• •* Inflammatory myofibroblastic sarcoma
• •* Neuroblastoma
• •* Malignant mesothelioma
• •* Mixed mesodermal tumors of the uterus
• •* Patients must have received no more than one combination or two single agents of chemotherapy regimen for advanced disease and treatment must have included an anthracycline if not medically contraindicated
• •Melanoma
• •* Histologically proven metastatic malignant melanoma
• •* Ocular melanomas are excluded
• •* Patients must either not have received any prior chemotherapy for recurrent /metastatic disease or have received one line of chemotherapy pending LDH ≤ 2 times upper limit of normal (ULN)
• •* One prior line of immunotherapy is allowed
• •General criteria:
• •Measurable disease, defined as unidimensionally measurable based on RECIST with a target lesion of at least 20 mm or 10 mm measured by spiral CT scan
• •Documented progressive disease proven by imaging prior to study entry (i.e., progression should be documented by 2 imaging scans performed within the past 6 months prior to registration showing progression according to RECIST)
• •No clinical evidence of brain metastases
• •PATIENT CHARACTERISTICS:
• •Male or female
• •Menopausal status not specified
• •ECOG performance status 0-2
• •ANC ≥ 1.5 x 10\^9/L
• •Platelets ≥ 100 x 10\^9/L
• •Hemoglobin ≥ 9 mg/dL
• •Serum creatinine ≤ to 175 μmol/L
• •Bilirubin ≤ 1.5 times ULN
• •AST/ALT ≤ 2.5 times ULN (5 times ULN with liver metastases)
• •Not pregnant or nursing
• •Negative pregnancy test
• •Fertile patients must use effective contraception during and for 12 months after completion of study treatment
• •Absence of any psychological, familial, sociological, or geographical factors that would potentially hamper compliance with the study protocol and follow-up schedule
• •No other previous or active malignancy for at least 5 years with the exception of cone-biopsied carcinoma of the cervix and adequately treated basal or squamous cell skin carcinoma
• •No concomitant intercurrent illnesses including, but not limited to, any of the following:
• •* Ongoing or active infection
• •* Symptomatic congestive heart failure
• •* Unstable angina pectoris
• •* Cardiac arrhythmia
• •* Psychiatric illness or social situation that would limit compliance with trial requirement or that are considered relevant for the evaluation of the efficacy or safety of the trial drug
• •PRIOR CONCURRENT THERAPY:
• •See Disease Characteristics
• •At least 4 weeks since administration of any prior systemic treatment for the current malignancy including treatment with chemotherapy, radiotherapy, immunotherapy, hormonal therapy, and treatment with monoclonal antibodies, or small molecule tyrosine kinase inhibitors and others
• •No persistence of toxicities from prior anticancer therapy deemed clinically relevant
• •No treatment with any other investigational drug within the past four weeks or within less than four half-life times of the investigational drug before treatment with the trial drug (whatever is the longest period)
• •No major surgery within 4 weeks prior to the first treatment with the trial drug
• •Concurrent treatment with corticosteroids, including prednisone and bisphosphonates, is allowed as long as the treatment started before entry into the study and as long as the dose is stable for two weeks prior to enrollment in the present trial
• •Palliative radiotherapy may be given during the study for bone pain or for other reasons not due to progressive disease (e.g., bronchial obstruction, ulcerating skin lesions)
• •* The irradiated area should be limited and should not involve more than 10% of the bone marrow
• •* The irradiated area cannot be used for tumor response assessment
• •No other concurrent investigational drugs
• •No concurrent anti-tumor therapies such as chemotherapy, hormone therapy, gene therapy, tyrosine kinase inhibitors, or therapy with monoclonal antibodies or immunotherapy