A New Formulation of Calcitriol (DN-101) in Patients With Advanced Malignancies

Calcitriol, at low doses, is approved by the FDA for use in patients with chronic renal failure. However, much higher doses of calcitriol are needed for any possible anti-cancer effect. DN-101 is a new capsule that contains 30 times the amount of calcitriol found in the currently available calcitriol capsule. In order to take an amount of calcitriol equivalent to 1 capsule of DN-101, cancer patients would need to swallow 30 pills of the approved, low dose formulation.

DN-101 is a pill containing calcitriol, a chemical related to vitamin D that is immediately active in your body. The natural vitamin D found in dairy products or in typical vitamin pills, must be chemically changed by your liver and kidney into calcitriol before it is active. High doses of calcitriol had anti-cancer effects when tested in animals. DN-101 may have anticancer effects in your kind of cancer.

Inclusion criteria

Patients must meet all of the following inclusion criteria to be eligible for participation in this study:

• Patients with advanced solid tumor malignancies
• Patients with prostate cancer are eligible 1) if they have had a prostatectomy or radiation therapy and have a rising PSA, 2) if they have androgen sensitive prostate cancer and are on hormone therapy, or 3) if they have androgen independent prostate cancer and have failed hormone therapy
• Patients with other types of malignancies will be required to have failed at least one potentially effective therapy prior to study entry
• Life expectancy > 3 months
• Age > 18 years
• The following laboratory results:

• Adequate hematologic function
• Adequate renal function
• Adequate liver function
• Negative urine pregnancy test (females of childbearing potential only)
• Willingness to use effective contraception by both males and females throughout the treatment period and for at least 2 months following treatment
• Signed informed consent form

Exclusion criteria

Patients who meet any of the following exclusion criteria are not to be enrolled in this study:

• Significant active medical illness (other than current cancer) which in the opinion of the investigator would preclude protocol treatment
• History of cancer-related hypercalcemia, known hypercalcemia, or vitamin D toxicity
• Uncontrolled heart failure
• Kidney stones (calcium salt) within the past 5 years
• Prior investigational therapy within the past 30 days
• Prior use of calcitriol within the past 3 months or known hypersensitivity to calcitriol
• Concurrent active treatment for cancer with the exception of treatment for androgen-independent prostate cancer
• Excluded concomitant medications: calcium- or magnesium-containing antacids, bile-resin binders, bisphosphonates, or calcium supplements; ketoconazole or related compounds