The purpose of this study is to test the safety of neratinib at different dose levels and to find out what effects, good and bad, it has on the patients and the cancer.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
14
Neratinib will be administered orally, or through existing gastrostomy feeding tube, once a day with food, preferably in the morning, continuously for 28-day cycles, with no rest between cycles. Dose will be scaled by body surface area (BSA).
Phoenix Children'S Hospital
Phoenix, Arizona, United States
Arkansas Children's Hospital
Little Rock, Arkansas, United States
Stanford University School of Medicine and Stanford Cancer Institute
Palo Alto, California, United States
the number of patients who have experienced Dose Limiting Toxicity
NCI CTCAE Version 4.0.Definition of Hematologic Dose-Limiting Toxicity (solid tumor cohort only) Any hematologic toxicity as indicated: Febrile neutropenia defined as Grade 3 or 4 neutropenia with fever ≥ 38.5°C and /or infection requiring antibiotic or antifungal treatment Grade 4 neutropenia lasting \> 7 days Grade 4 thrombocytopenia lasting \> 7days Any drug-related adverse experience, regardless of grade, leading to a dose reduction of a study drug. Non-Hematologic Dose-Limiting Toxicities: Non-hematologic dose-limiting toxicity will be defined as any Grade 3, 4 or 5 nonhematologic toxicity with the specific exception of: Any grade diarrhea that occurs in the setting of poor compliance with supportive measures that last for \< 48 hours Any grade dehydration related to diarrhea that occurs in the setting of inadequate compliance to supportive care measures that last for \< 48 hours.
Time frame: 1 year
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Arnold Palmer Hospital for Children
Orlando, Florida, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
Pennsylvania State Hershey Children's Hospital
Hershey, Pennsylvania, United States
University of Texas
San Antonio, Texas, United States
Huntsman Cancer Institue
Salt Lake City, Utah, United States
Alberta Children'S Hospital
Calgary, Alberta, Canada