Cure Alveolar Soft Part Sarcoma International (iCureASPS)

Archive for the 'Clinical Trials' Category

Cediranib (AZD2171): Phase II Study in Patients With Alveolar Soft Part Sarcoma

10th October 2009

Cediranib (Recentin, AZD2171) is an inhibitor of VEGF (Vascular Endothelial Growth Factor) receptors. Therefore, the drug inhibits angiogenesis: the formation of new blood vessels. Angiogenesis, in the context of cancer, enables blood supply to tumors, resulting in tumor growth and spread.

Cediranib is being developed by AstraZeneca as a possible anti-cancer chemotherapeutic agent for oral administration.

National Institutes of Health website has a list of 65 Cediranib clinical trials. Some of these studies are recruiting new patients. One of these studies, which was opened on 18 July 2009, recruits Alveolar Soft Part Sarcoma Patients: “Phase II Study of Cediranib (AZD2171) in Patients With Alveolar Soft Part Sarcoma”. Currently, this is one of the most promising known treatments for ASPS.

You can read encouraging comments about Cediranib from ASPS patients using the drug since September 2007 in the appropriate section of our forum.

______________________________________________________

Yosef Landesman, Ph.D.
President & Cancer Research Director
Cure Alveolar Soft Part Sarcoma International (iCureASPS)
e-mail:
landesmany@yahoo.com
 

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Feedback II - The GVAX Cancer Vaccine Trial at the Dana Farber

27th October 2008

The GVAX cancer vaccine clinical trial, which has been opened in January 2006 is no more recruiting new patients. When it was open it recruited in addition to Alveolar Soft Part Sarcoma also Clear Cell Sarcoma, Renal Cell Carcinoma and Melanoma patients.
In June 2007 I shared with you an e-mail from a parent whose child, a clear cell sarcoma patient participated in the GVAX clinical trial. Here is a new update of that case. For the request of the family we keep that story confidential:

“My son participated in the GVAX trial in 2006. His story appeared on this web-site about a year and a half ago. He is a clear cell sarcoma patient. His primary tumor diagnosis, at the left upper thigh was found in 2002. Later in 2006, 2 adjacent lymph nodes and 3 lungs mets were identified. In addition, a questionable fourth lung met was also seen in his lung. The two lymph nodes were resected in 2006 and were used to prepare his cancer vaccine in the GVAX clinical trial. He had 13 injections of the cancer vaccine and no other treatment except for surgeries to remove the primary tumor and mets. Following the GVAX trial, one of his lung mets in the size of 4mm disappeared, one met in the size of 6 mm was resected and one 3 mm met has not being changed in size since then.
My son’s last scans were done in August 2008 and I’m pleased to report that the radiology report reads that there is no evidence of additional metastatic disease.
 
I know that “Argonaut” has shared Anthony’s success story of the GVAX clinical trial on the iCureASPS Forum: (Anthony - 32 months without growth) Like “Argonaut” also I am grateful that our both sons are experiencing a good outcome.
 
My speculation is that the cancer vaccine GVAX was in fact effective at least in our two cases and that intact immune system could be one of important factors to achieve a positive vaccine outcome. I know that this is “Argonaut’s” theory and since I have benefited by reading his son’s experience, I wanted to let him know that there is someone out there experiencing the same good news. Granted, a slightly different disease but the participation in the same GVAX trial puts us in the same group.
 
I hope we can explore the science behind what happened rather than just being grateful. Hopefully this information can and will be used to create better outcomes for all. ”

______________________________________________________

Yosef Landesman, Ph.D.
President & Cancer Research Director
Cure Alveolar Soft Part Sarcoma International (iCureASPS)
e-mail:
landesmany@yahoo.com
 

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A Press Release - ARQ197

4th October 2008

ArQule Achieves Clinical Milestone in MiT Trial with ARQ 197
Thursday October 2, 8:01 am ET

Confirmed tumor response in clear cell sarcoma leads to expanded trial

WOBURN, Mass.–(BUSINESS WIRE)–ArQule, Inc. (NASDAQ: ARQL - News) today announced the expansion of its Phase 2 trial with ARQ 197, a proprietary, orally administered small molecule inhibitor of the c-Met receptor tyrosine kinase, in MiT (Microphthalmia Transcription Factor)-associated tumors based on the achievement of a partial response, as defined by RECIST (Response Evaluation Criteria in Solid Tumors), in a patient with clear cell sarcoma.We are delighted to observe this first objective response in a cohort of patients affected by a molecularly-linked group of tumor types for which there is no effective treatment, said Paolo Pucci, chief executive officer of ArQule. We are especially pleased for the patient, who is continuing on treatment. Based on the achievement of the protocol-defined endpoint of an objective response in the first stage of this trial, we are proceeding to the second stage, optimizing it further by implementing a higher dose of ARQ 197, 360 milligrams (mg) twice daily (b.i.d.). In parallel, we are preparing to initiate discussions with regulatory authorities to determine the optimal clinical pathway to prove the utility of this compound in sarcomas.

  

MiT tumors, which include clear cell sarcoma (CCS), alveolar soft part sarcoma (ASPS) and translocation-associated renal cell carcinoma (RCC), are linked biologically through a common chromosomal abnormality that is responsible for the over-expression of c-Met resulting in the development of these tumors. Tumors with this abnormality are resistant to current therapies and, in the absence of successful surgical resection, are invariably fatal.

During the first stage of the study, 23 patients were enrolled and treated with 120 mg of ARQ 197 b.i.d. To date, fourteen of these patients are evaluable for efficacy. In addition to the patient with the confirmed partial response, ten of the evaluable patients have demonstrated stable disease. Preliminary data from the first stage will be presented at the Connective Tissue Oncology Society meeting scheduled in November, 2008.

This objective clinical response builds upon the strong pre-clinical rationale for this trial, including data which showed that knockout of MiT expression by shRNA suppressed c-Met expression and impeded the growth of human clear cell sarcoma cells in vitro and in vivo, said Dr. George Demetri, Director of the Ludwig Center at the Dana-Farber/Harvard Cancer Center, the clinical site leading this trial. This finding led us to develop a clinical trial in patients with MiT-associated tumors using ArQules c-Met inhibitor, ARQ 197, which had previously shown anti-cancer activity, including objective tumor responses, as well as the ability to inhibit the c-Met protein in tumor biopsies from patients treated with the drug. We continue to follow several patients enrolled in the first stage of this trial, and we look forward to enrolling additional patients in the second stage of the MiT program.

ArQule is completing its scientific, regulatory and commercial analyses related to the overall Phase 2 development program for ARQ 197. The Company plans to communicate additional details regarding this program this month.

About ARQ 197 and c-Met

ARQ 197 is a selective inhibitor of c-Met, a receptor tyrosine kinase. When abnormally activated, c-Met plays multiple roles in aspects of human cancer, including cancer cell growth, survival, angiogenesis, invasion and metastasis. Pre-clinical data have demonstrated that ARQ 197 inhibits c-Met activation in a wide range of human tumor cell lines, including clear cell sarcoma, and shows anti-tumor activity against several human tumor xenografts. In clinical studies to date, treatment with ARQ 197 has been well tolerated and has resulted in tumor responses and prolonged stable disease across broad ranges of tumors and doses.

ArQule has licensed rights to develop and commercialize ARQ 197 in Japan and parts of Asia to Kyowa Hakko Kirin Co., Ltd. (Kyowa). Other than the rights licensed under the agreement with Kyowa, ArQule retains all worldwide rights to ARQ 197.

About ArQule

ArQule is a biotechnology company engaged in the research and development of next-generation, small-molecule cancer therapeutics. The Companys targeted, broad-spectrum products and research programs are focused on key biological processes that are central to cancer. ArQules lead product, which is in clinical-stage development, is ARQ 197, an inhibitor of the c-Met receptor tyrosine kinase. An additional clinical-stage program includes compounds that activate the cells DNA damage response mechanism mediated by the E2F-1 transcription factor. The Companys most advanced pre-clinical development programs are focused on compounds that inhibit the Eg5 kinesin spindle protein and the BRAF kinase. ArQules discovery efforts are focused on the identification of novel kinase inhibitors that are potent, selective and do not compete with ATP (adenosine triphosphate), an energy source for cells.

This press release contains forward-looking statements regarding the Companys Phase 1 and Phase 2 clinical trials with ARQ 197 and other candidates in earlier stages of development, including statements related to potential outcomes from increased dosing, perceived safety, perceived clinical benefit, including disease stabilization, and changes to existing studies. These statements are based on the Companys current beliefs and expectations, and are subject to risks and uncertainties that could cause actual results to differ materially. Positive information about pre-clinical and early stage clinical trial results does not ensure that later stage or larger scale clinical trials will be successful. For example, ARQ 197 may not demonstrate promising therapeutic effect; in addition, it may not demonstrate an appropriate safety profile in current or later stage or larger scale clinical trials as a result of known or as yet unanticipated side effects. The results achieved in later stage trials may not be sufficient to meet applicable regulatory standards. Problems or delays may arise during clinical trials or in the course of developing, testing or manufacturing these compounds that could lead the Company or Kyowa to discontinue development. Even if later stage clinical trials are successful, the risk exists that unexpected concerns may arise from analysis of data or from additional data or that obstacles may arise or issues be identified in connection with review of clinical data with regulatory authorities or that regulatory authorities may disagree with the Companys view of the data or require additional data or information or additional studies. In addition, the planned timing of initiation and completion of clinical trials for ARQ 197 are subject to the ability of the Company to enroll patients, enter into agreements with clinical trial sites and investigators, and other technical hurdles and issues that may not be resolved. Drug development involves a high degree of risk. Only a small number of research and development programs result in the commercialization of a product. Positive pre-clinical data may not be supported in later stages of development. Furthermore, ArQule may not have the financial or human resources to successfully pursue drug discovery in the future. For more detailed information on the risks and uncertainties associated with the Companys drug development and other activities see the Companys periodic reports filed with the Securities and Exchange Commission. The Company does not undertake any obligation to publicly update any forward-looking statements.

Contact:

ArQule, Inc. William B. Boni, 781-994-0300 VP, Investor Relations/ Corp. Communications www.ArQule.com

Source: ArQule, Inc.  

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Update: ARQ 197 - New Clinical Trial for Patients with Alveolar Soft Part Sarcoma

12th June 2008

Previously, we reported that Alveolar Soft Part Sarcoma is a candidate for therapy by drugs that inhibit the MET receptor tyrosine kinase. Then, we reported the opening of a clinical trial of such an inhibitor, ARQ 197, in California. This clinical trial is now open in many more locations in the USA, and may soon be available in Europe.

Center currently recruiting are:

  1. Premiere Oncology - Santa Monica, California,
  2. UCSF Medical Center - San Francisco, California,
  3. Dana Farber Cancer Institute - Boston, Massachusetts
  4. Texas Children’s Cancer Center - Houston, Texas
  5. Cancer Research Center - Dallas, Texas

Here is some additional information about the ARQ197 clinical trial:

  1. The study purpose, eligibility, contacts and locations from The National Institutes of health
  2. Information from the website of ArQule, the biotechnology company which develops ARQ197
  3. Participate in a discussion, share your experience and learn from other ASPS patients on the ARQ197 clinical trial

______________________________________________________

Yosef Landesman, Ph.D.
President & Cancer Research Director
Cure Alveolar Soft Part Sarcoma International (iCureASPS)
e-mail:
landesmany@yahoo.com

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ARQ 197: New Clinical Trial for Patients with Alveolar Soft Part Sarcoma

6th November 2007

Update on the ARQ 197 Clinical Trial (November 23):
The new clinical trial (read below) is now open and at least two ASPS patients are already participating in it.
If you are interested to join the trial please read the information below and contact Dr. Isett Laux, the study coordinator for this study.

Tel: 310-633 8400, 310-633 8419
From the site of “Premiere Oncology”:

A Phase 2 Study of ARQ 197 in Patients with Microphthalmia Transciption Factor Assciated Tumors.

The purpose of this study is to determine the overall response rate in patients with unresectable locally advanced or metastatic alveolar soft parts sarcoma, clear cell sarcoma or translocation associated renal cell carcinoma. Since this study will allow patients over 13 years of age, it will also be evaluating the safety of ARQ 197 in adolescent and young adult patients with MiT tumors. Patients will be followed for the effect of the drug in terms of side effects, how it affects their disease, and pharmacokinetic testing. Pharmacokinetics (PKs) is a method to determine the levels of a drug in the blood and see how the body absorbs, distributes, metabolizes and eliminates it. This is done by frequent blood draws on key days during the first 4 weeks of treatment.

ARQ 197 is an oral drug in the family of targeted therapies. It is a c-Met inhibitor and is not approved by the FDA. In this study, it is an investigational drug.”

For direct link to “Premiere Oncology” website please click here.

______________________________________________________

Yosef Landesman, Ph.D.
President & Cancer Research Director
Cure Alveolar Soft Part Sarcoma International (iCureASPS)
e-mail:
landesmany@yahoo.com

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Feedback - The GVAX Cancer Vaccine Trial at the Dana Farber

5th June 2007

Dear ASPS community. As you probably know, the GVAX cancer vaccine clinical trial has been open since January 2006 and is still recruiting new patients. In addition to Alveolar Soft Part Sarcoma, it also recruits Clear Cell Sarcoma, Renal Cell Carcinoma and Melanoma patients.

I would like to share with you an e-mail from a parent whose child, a clear cell sarcoma patient participated in the GVAX clinical trial. I hope that this e-mail will encourage other patients on that trial to tell us about their own experience in this trial. For comments and further discussion please click on: Forum, Dana Farber Cancer Vaccine Clinical Trial (GVAX).

“I have been a reader of the iCureASPS website since its inception. Thank you so much for the hard work and efforts. My child was diagnosed five years ago with Clear Cell Sarcoma (CCS) and he was selected to participate in the GVAX cancer vaccine trial at the Dana Farber in Boston.

He was diagnosed in 2002. His primary tumor of 3.5 cm was located in the left upper thigh. At that time signs of tumor spread were not evident except for one 2mm lung nodule that could be scar tissue from past unrelated sickness. Surgery to remove the primary tumor was the only treatment option which was recommended for him.

BUT – in February of 2006, the cancer was found growing in two lymph nodes. In addition to the 2mm lung nodule that remained unchanged, three new nodules were found as well. Their dimensions were of 6mm, 4mm and 3mm. My child never had radiation or chemotherapy. The doctors thought that he was an “ideal” candidate for the GVAX cancer vaccine clinical trial because his immune system was intact. The doctors used the two affected lymph nodes for the preparation of the cancer vaccine.

I am very glad to report that today after 13 GVAX injections since February 2006 the 4mm lung tumor disappeared. The 3mm tumor remains unchanged and no new tumors have been discovered. The 6mm lung nodule was removed in August 2006, six months into the clinical trial. Analysis of that tumor showed T-cell infiltration, which may indicate an enhanced immune response against the tumor.

The GVAX injections caused no side effects except for redness around the injection site that would last for about a week after each injection followed by some itching. The next scans for my child will be taken in November 07. Thank you so much for the hard work you’ve done. I would like also to say that I find the doctors at Dana Farber wonderful people.”

___________________________________________

Yosef Landesman, Ph.D.
President & Cancer Research Director
Cure Alveolar Soft Part Sarcoma International (iCureASPS)
e-mail: landesmany@yahoo.com

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Alveolar Soft Part Sarcoma is a Candidate for Therapy by Drugs that Specifically Inhibit the MET Receptor Tyrosine Kinase

4th April 2007

A collaboration between scientists from The Memorial Sloan-Kettering Cancer Center in New York, Dana-Farber Cancer Institute in Boston and The Johns Hopkins Hospital in Baltimore reveals a new therapeutic target in Alveolar Soft Part Sarcoma.

The results of that collaboration were recently published in the scientific Journal Cancer Research volume 67 pages 919-929, 2007.

The new study demonstrates that ASPL-TFE3 (the specific fusion protein of ASPS) upregulates the expression of the active form of the MET gene product. MET activation leads to increased cell proliferation, survival, motility, and to the degradation of extracellular matrix. All of those MET-dependent activities contribute to tumor growth, invasiveness, and metastasis.

The new study from the laboratories of Marc Ladanyi, David Fisher and Ian Davis demonstrates that the elimination of MET or its inactivation by a new drug, PHA665752, inhibit cancer cell proliferation, adhesion, motility, and invasion. These important findings show a role for MET in human cancers that contain the specific TFE3 fusion protein. “MET inhibitors” are therefore a new hope for a line of therapies that may cure ASPS.

Here is a partial list of a few “MET inhibitors” that are currently in different phases of clinical development:

1. XL880
2. AMG 102
3. SGX523
4. SU11274
5. PHA6657524
6. AV299

__________________________

Yosef Landesman, Ph.D.
President & Cancer Research Director
Cure Alveolar Soft Part Sarcoma International (iCureASPS)
e-mail: landesmany@yahoo.com

Posted in Clinical Trials | 2 Comments »

Two Sorafenib (Nexavar) Clinical Trials are Currently Recruiting Sarcoma Patients in Different Locations Across the USA

31st January 2007

1. Phase II Study of Sorafenib in Patients With Advanced Soft Tissue Sarcomas

2. Sorafenib in Treating Patients With Soft Tissue Sarcomas

Alveolar Soft Part Sarcoma (ASPS) is highly angiogenic: it involves intensive growth of new blood vessels into the tumor. Those blood vessels connect the tumor to the blood system, supply oxygen and nutrients to the tumor, remove waste and enable dissemination of tumor cells into the body through this connection to the blood stream. Therefore, it is possible that the application of specific drugs, which may inhibit the creation of new blood vessels, is a way to combat ASPS.

Sorafenib (Nexavar) is designed to interfere with growth of new blood vessels and the growth of new cancer cells.

If you wish to participate in any of the Sorafenib (Nexavar) clinical trials, talk to your doctor and/or contact one of the medical centers across the USA, that are listed in the links above, to determine if those clinical trials are right for you.

__________________________

Yosef Landesman, Ph.D.
President & Cancer Research Director
Cure Alveolar Soft Part Sarcoma International (iCureASPS)
e-mail: mailto:landesmany@yahoo.com

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Update on the Clinical Trial for Alveolar Soft Part Sarcoma at the Dana Farber Cancer Institute in Boston

11th October 2006

October 11, 2006

The clinical trial “GVAX Cancer Vaccine” started in January 2006 and enrollment is still open to new patients. So far 11 patients were selected to participate in the trial. Eight of those patients have the diagnosis of Alveolar Soft Part Sarcoma (ASPS). All the eight ASPS patients have completed the study. There have been no serious toxicities associated with the GVAX cancer vaccine and it has been tolerated extremely well.

Encouraging evidence of biological activity was observed in skin biopsies from sites that were injected with killed tumor samples, after patients had received the vaccine. In one case, biological activity was noted in a tumor that was resected from a patient at the end of the vaccination period.

Patients who participated in the Cancer Vaccine GVAX trial have now the option to join, within 4 months following the end of their last injection, to an additional clinical trial that uses injections of gamma interferon and GMCSF. Co-injections of gamma interferon and GMCSF aim to maintain and /or increase the body’s immune response to alveolar soft part sarcoma cancer cells.

It is too early in the study to make any clinical interpretations and some laboratory studies are still on - going as well.
__________________________

Yosef Landesman, Ph.D.
President & Cancer Research Director
Cure Alveolar Soft Part Sarcoma International (iCureASPS)
e-mail: landesmany@yahoo.com

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