Clinical trial · Interventional
Arsenic Trioxide and Pamidronate in Treating Patients With Advanced Solid Tumors or Multiple Myeloma
Phase I Trial of Arsenic Trioxide in Combination With Pamidronate Disodium
NCT00124605CI-TRIAL-00008795completedPhase 1ClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Drugs used in chemotherapy, such as arsenic trioxide and pamidronate, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Arsenic trioxide and pamidronate may also stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Pamidronate may also stop the growth of cancer cells by blocking blood flow to the cancer. Giving arsenic trioxide together with pamidronate may kill more cancer cells. This phase I trial is studying the side effects and best dose of arsenic trioxide and pamidronate in treating patients with advanced solid tumors or multiple myeloma
Conditions
Conditions (2)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Refractory Multiple Myeloma | Multiple Myeloma | CURATED_BROADER | 0.78 |
| Unspecified Adult Solid Tumor, Protocol Specific | Adult Solid Neoplasm | ALIAS | 0.85 |
Interventions
Interventions (4)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| arsenic trioxide | Drug | Arsenic Trioxide | ALIAS |
| laboratory biomarker analysis | Other | — | UNRESOLVED |
| pamidronate disodium | Drug | — | UNRESOLVED |
| pharmacological study | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Treatment (pamidronate disodium and arsenic trioxide)
- description
- Patients receive pamidronate IV and over 2 hours on days 1 and 15 and arsenic trioxide IV over 2 hours on days 1-5 and 15-19. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
- interventionNames
- Drug: pamidronate disodium
- Drug: arsenic trioxide
- Other: laboratory biomarker analysis
- Other: pharmacological study
Primary outcomes (1)
- measure
- MTD defined as the highest dose tested in which greater than 33% of patients experienced dose limiting toxicity (DLT) assessed using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0
- timeFrame
- 28 days
- description
- The toxicities observed at each dose level will be summarized in terms of type, severity, time of onset, duration, and reversibility or outcome. Tables will be created to summarize these toxicities and side effects by dose and by course. Tabular and graphical summaries will be used to explore the relationship of type and grade of toxicity to dose, course, and pharmacokinetics.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Patients with histologically or cytologically proven diagnosis of solid tumors or multiple myeloma refractory to standard therapy or for which no satisfactory treatment exists at the time of enrollment * Patient must be capable of understanding the nature of the trial and must give written informed consent * Patients must have a WHO performance status of 0, 1, or 2 * Patients must have life expectancy of at least three months * Absolute neutrophil count of \> 1x10\^9 /L * Platelet count \> 75 x 10\^9 /L * Calculated creatinine clearance of \> 50 mL/min * Serum bilirubin =\< 1.5 x the institutional upper limit of normal * SGOT (AST) and SGPT (ALT) must be =\< 2.5 x the institutional upper limit of normal * All patients must be willing to use adequate contraception * Patients with brain metastases which at the time of study enrollment are controlled and do not require treatment with corticosteroids are eligible * Patients must not have a prolonged QT interval \> 460 milliseconds on baseline ECG in the presence of normal serum potassium and magnesium values; ECG must be obtained within 28 days prior to registration * Patients must not be receiving or planning to receive drugs known to prolong the QT interval * Patients previously or currently treated with pamidronate or other bisphosphonates are eligible after a wash-out period of 28 days; concurrent treatment with other bisphosphonates is not allowed * Patients must not have a history of torsades de pointes type ventricular arrhythmia Exclusion Criteria: * Patients who have had radiotherapy or chemotherapy within three weeks (nitrosoureas or mitomycin C within six weeks) prior to anticipated first day of dosing; patients must be fully recovered from the acute effects of any prior chemotherapy or radiotherapy * Patients with uncontrolled electrolyte imbalance (NA \< 132 mmol/L; K \< 3.5 mmol/L; Mg \< 1.7 mg/dL) * Patients undergoing therapy with other investigational agents; patients must have recovered from all acute effects of previously administered investigational agents and sufficient time must have elapsed since last administration to ensure the drug interactions not occur during this study * Patients who are pregnant or breast-feeding will be excluded * Patients with history of hypersensitivity to pamidronate or other bisphosphonates * Patients previously treated with arsenic trioxide are not eligible
References
Publications (0)
Data not yet available
No reference posted for this study.