Review Article

Adrenocortical Carcinoma: Current Therapeutic State-of-the-Art

Table 4

Ongoing Clinical Trials that test the Target Therapies.

StudyTargetIDPurposeStatus

Mitotane with or without IMC-A12 in treating patients with recurrent, metastatic, or primary adrenocortical cancer that cannot be removed by surgeryIGF1R NCT00778817This randomized phase II trial compares the combination of mitotane and IMC-A12 with mitotane alone in the treatment of recurrent, metastatic, or primary adrenocortical cancer that cannot be removed by surgeryRecruiting

A study of OSI-906 in patients with locally advanced or metastatic adrenocortical carcinoma (GALACCTIC)IGF1R NCT00924989A multicenter, randomized, double-blind, placebo-controlled, phase III study of single-agent OSI-906 in patients with locally advanced/metastatic adrenocortical carcinoma who received at least 1 but no more than 2 prior drug regimensOngoing not recruiting

Phase II trial of ZD1839 (Iressa) in patients with nonresectable adrenocortical carcinoma VEGFR NCT00215202This phase II trial investigates the effect of Iressa in patients with nonresectable adrenocortical cancer who have previously been treated with one other form of systemic therapy (either Mitotane or chemotherapy).Completed

Phase II Study of Axitinib (AG-013736) With Evaluation of the VEGF-Pathway in Metastatic, Recurrent or Primary Unresectable Adrenocortical CancerMultikinase NCT01255137To evaluate the effectiveness of axitinib in individuals who have adrenocortical cancer that is inoperable and has not responded to standard treatmentsRecruiting
(i) VEGFR
(ii) PDGFR
(iii) KIT

Sunitinib in Refractory Adrenocortical Carcinoma (SIRAC)Multikinase NCT00453895The primary objective of this trial is to estimate the response (defined as progression-free survival of ≥12 weeks) rate associated with Sunitinib treatment in patients advanced ACC progressing after cytotoxic chemotherapyUnknown
(i) VEGFR
(ii) PDGFR
(iii) KIT

Sorafenib Plus Paclitaxel in adreno-cortical-cancer patients (PAXO)Multikinase NCT00786110The aim of this phase II trial is to evaluate the clinical benefit and toxicity of the combination of Sorafenib plus metronomic chemotherapy in patients with locally advanced or metastatic ACC who progressed after first or second line chemotherapy. Unknown
(i) RAF
(ii) VEGFR
(iii) PDGFR
(iv) KIT

Clinical trial of Dovitinib in first-line metastatic or locally advanced non-resectable adrenocortical carcinomFGFRs NCT01514526Non-randomized, phase II clinical trial, that investigates the use of Dovitinib in adult patients with metastatic or locally advanced non-resectable adrenocortical carcinoma, confirmed histologicallyRecruiting

Cixutumumab in treating patients with relapsed or refractory solid tumorsIGF1R NCT00831844Phase II trial that studies the side effects and how well cixutumumab works in treating patients with relapsed or refractory solid tumors, including ACCRecruiting