A phase I study of dovitinib in combination with capecitabine and oxaliplatin in upfront treatment of advanced colorectal and gastric cancer with a dose expansion cohort in advanced gastric cancer.

Authors

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W. M. D. Tai

National Cancer Centre, Singapore, Singapore

W. M. D. Tai , W. S. Ooi , J. Y. Ngeow , N. Deng , H. Wang , C. K. Tham , H. Y. Lim , S. P. Choo , P. Tan , H. C. Toh , I. B. Tan

Organizations

National Cancer Centre, Singapore, Singapore, National Cancer Centre Singapore, Singapore, Singapore, National Cancer Center, Singapore, Singapore, Duke-NUS Graduate Medical School, Singapore, Singapore, University of Utah, Singapore, Singapore, National Cancer Center Singapore, Singapore, Singapore

Research Funding

Other

Background: Dovitinib (TKI258) is an investigational multi-targeting tyrosine kinase inhibitor with potent inhibitory activity against several class III,IV,V RTKs relevant in cancer, including VEGF receptors-1,2,3, bFGF receptors-1,2,3, PDGFR and c-KIT. The addition of bevacizumab to chemotherapy is presently employed in management of colorectal cancer but did not improve survival in gastric cancer (AVAGAST). FGF pathway activation has been related to aggressive gastric and colorectal cancer, resistance to anti-VEGF therapy may be mediated in part by FGF upregulation. FGFR2 amplification is reported in subsets of gastric cancer (Hara et al. Lab Invest (1998) 78(9):1143-53). FGFR2 is required for cell proliferation and survival in FGFR2 amplified gastric cancer cell lines (Kunli et al. Cancer Rsch (2008) 68; 2340), which are sensitive to FGFR2 inhibitors, including Dovitinib. Methods: This trial is a single arm open label phase I trial in patients with treatment naïve advanced gastric or colorectal cancer. We will employ the standard “3+3” phase I dose escalation design to determine the recommended phase II dose of dovitinib in combination with standard doses of capecitabine (1000mg/m2 bid d1-d14 q21) and oxaliplatin (130mg/m2 q21). 4 dose levels of dovitinib (5 days on, 2 days off: 200mg, 300mg,400mg,500mg) and a dose level minus 1 have been defined. In a dose expansion cohort, 12 patients with advanced gastric or gastroesophageal adenocarcinoma will be treated with dovitinib, capecitabine and oxaliplatin at the recommended phase II dose (RP2D). Our secondary objectives are to describe the toxic effects and pharmacokinetics of dovitinib when administered in combination with capecitabine/oxaliplatin and identify any activity of the TKI258/XELOX treatment combination in gastric and colorectal cancer. Exploratory pharmacodynamic investigations as well as molecular studies to deeply characterize patient tumors will be performed.

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Abstract Details

Meeting

2011 ASCO Annual Meeting

Session Type

Trials in Progress Poster Session

Session Title

Trials in Progress Poster Session

Track

Special Sessions,Clinical Trials

Sub Track

Esophageal, Gastric, or Small Bowel

Citation

J Clin Oncol 29: 2011 (suppl; abstr TPS174)

Abstract #

TPS174

Poster Bd #

45D

Abstract Disclosures