This phase II trial is studying the side effects and how well pazopanib works in treating patients with metastatic urothelial cancer. Pazopanib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor.
PRIMARY OBJECTIVES: I. Assess the anti tumor activity and toxicity profile of pazopanib hydrochloride in patients with metastatic urothelial cancer. SECONDARY OBJECTIVES: I. Evaluate the pharmacokinetics of pazopanib hydrochloride in these patients. II. Evaluate pre- and post-treatment changes in circulating endothelial cells, monocytes and platelets, and angiogenesis-related factors in these patients. OUTLINE: This is a multicenter study. Patients receive oral pazopanib hydrochloride once daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo blood collection periodically for correlative studies and pharmacological studies. Samples are analyzed for vascular endothelial growth factor (VEGF) and soluble VEGF receptor II concentration via ELISA. Circulating endothelial cells are also measured. After completion of study treatment, patients are followed for 1 year.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
19
800 mg Given orally
Mayo Clinic in Florida
Jacksonville, Florida, United States
Johns Hopkins University
Baltimore, Maryland, United States
Wayne State University
Detroit, Michigan, United States
Mayo Clinic
Rochester, Minnesota, United States
Metro-Minnesota CCOP
Saint Louis Park, Minnesota, United States
Cox Medical Center
Springfield, Missouri, United States
Washington University School of Medicine
St Louis, Missouri, United States
Chinese University of Hong Kong-Prince of Wales Hospital
Shatin, Hong Kong, China
Gangnam Severance Hospital
Seoul, South Korea
Best Tumor Response (Complete [CR] or Partial Response [PR] by Response Evaluation Criteria in Solid Tumors [RECIST])
Tumor response is defined as the total number of eligible patients whose disease has a complete or partial response to GW786034 according to the RECIST criteria. Per RECIST v1.0 criteria: A Complete Response (CR) requires the disappearance of all target lesions. A Partial Response (PR) requires \>=30% decrease in the sum of the longest diameter of target lesions from baseline measurement. All patients meeting the eligibility criteria who have signed a consent form and have begun treatment will be evaluable for response.
Time frame: Participants will be evaluated every 8 weeks during treatment and up to 1 year after completion of treatment.
Adverse Events Using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0
The maximum grade for each adverse event considered to be at least possibly related to treatment will be recorded. Frequency tables will be constructed.
Time frame: Every 4 weeks during treatment (maximum duration was 44 weeks)
Confirmed Tumor Response (CR and PR)
Tumor response is defined as the total number of eligible patients whose disease has a complete or partial response to GW786034 according to the RECIST criteria. A confirmed response is defined as a CR or PR and is documented on 2 consecutive evaluations.
Time frame: Documented on 2 consecutive evaluations 8 weeks apart from the start of the treatment until disease progression/recurrence, assessed up to 1 year
Duration of Response
The distribution of response durations will be estimated using the Kaplan-Meier method.
Time frame: From the time an objective response is first noted to be either a CR or PR to the date progression is documented, assessed up to 1 year
Time to Disease Progression
The distribution of progression-free survival times will be estimated using the Kaplan-Meier method.
Time frame: Every 3 months from registration until progressive disease (PD), assessed up to 2 years after registration
Survival Time
The distribution of survival times will be estimated using the Kaplan-Meier method.
Time frame: Time from registration until death due to any cause, assessed every 6 months after PD for up to 2 years after registration
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