Phase I, Pharmacokinetic, Pharmacodynamic Trial of PTK787 and Paclitaxel in Combination for Advanced Solid Tumors

Inclusion criteria

• Adult patients with histologically confirmed malignancy that is unresponsive to curative therapy and for which no conventional therapy exists
• ECOG Performance Status 0-2
• Measurable or evaluable disease
• Laboratory values within protocol limits within 2 weeks prior to registration
• Life expectancy ≥ 12 weeks
• Patient or guardian must have written informed consent obtained according to local guidelines
• Women of child-bearing potential (non-sterile) must use appropriate barrier contraception for duration of study (negative pregnancy test required at baseline). Oral contraceptives will not be an acceptable form of contraception
• Patients may have received prior standard taxane therapy, but have never progressed on taxane-based therapy.

Exclusion criteria

• History or presence of central nervous system (CNS) disease (i.e., primary brain tumor, malignant seizures, CNS metastases or carcinomatous meningitis).
• Prior chemotherapy ≤ 3 weeks prior to registration. Patients must have recovered from all therapy-related toxicities
• Prior biologic or immunotherapy ≤ 2 weeks prior to registration. Patients must have recovered from all therapy-related toxicities
• Prior full pelvic field radiotherapy ≤ 4 weeks or limited field radiotherapy ≤ 2 weeks prior to randomization.
• Major surgery (i.e., laparotomy) ≤ 4 weeks prior to randomization. Minor surgery ≤ 2 weeks prior to randomization.
• Patients who have received investigational drugs ≤ 4 weeks prior to registration
• Prior therapy with anti-VEGF agents
• Peripheral neuropathy with functional impairment ≥ CTC grade 2 neuropathy, regardless of causality
• Pleural effusion or ascites that causes respiratory compromise (≥ CTC grade 2 dyspnea)
• Female patients who are pregnant or breast feeding, or adults of reproductive potential not employing an effective method of birth control.
• Patient agrees to avoid grapefruit (juice and fruit)

Any of the following concurrent severe and/or uncontrolled medical conditions which could compromise participation in the study:

• Uncontrolled high blood pressure, history of labile hypertension, or history of poor compliance with an antihypertensive regimen
• Unstable angina pectoris
• Congestive heart failure greater than NYHA classification ≥ Grade 1 (can be controlled with medication)
• Myocardial infarction ≤ 6 months prior to registration and/or randomization
• Serious uncontrolled cardiac arrhythmia
• Uncontrolled diabetes at discretion of investigator
• Active or uncontrolled infection requiring intravenous antibiotics
• Interstitial pneumonia or extensive and symptomatic interstitial fibrosis of the lung
• Patients at risk of QT prolongation such as patients with congenital long QT syndrome or with long QTc at baseline (i.e. QTc greater than 450 msec in males, and greater than 470 msec in females) will be excluded