- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT00003666
Irofulven in Treating Patients With Relapsed or Refractory Non-small Cell Lung Cancer
Phase II Trial of 6-Hydroxymethylacylfulvene (HMAF; MGI-114) in Patients With Relapsed or Refractory Non-Small Cell Lung Cancer
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.
PURPOSE: Phase II trial to study the effectiveness of irofulven in treating patients with relapsed or refractory non-small cell lung cancer.
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
OBJECTIVES: I. Determine the response rate to 6-hydroxymethylacylfulvene (HMAF) as salvage chemotherapy in patients with relapsed or refractory non-small cell lung cancer. II. Determine the duration of response to this regimen in this patient population. III. Determine the effect of prior response to chemotherapy on the response to HMAF in these patients. IV. Determine the survival and failure-free survival of patients treated with HMAF. V. Evaluate the toxicity profile of HMAF as salvage therapy in these patients.
OUTLINE: Patients are stratified into relapsed or refractory patient groups based on results achieved with prior therapy. Patients receive 6-hydroxymethylacylfulvene IV over 5 minutes daily for 5 days. Courses repeat every 28 days. Patients with stable or responding disease are treated for a minimum of 6 courses (2 courses beyond optimal response) in the absence of unacceptable toxic effects or disease progression. Patients are followed at least every 3 months for 1 year, then every 6 months until death.
PROJECTED ACCRUAL: A total of 66 patients (33 for each stratum) will be accrued for this study within 12-18 months.
Tipo di studio
Iscrizione (Effettivo)
Fase
- Fase 2
Contatti e Sedi
Luoghi di studio
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Alabama
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Birmingham, Alabama, Stati Uniti, 35233
- Veterans Affairs Medical Center - Birmingham
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California
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La Jolla, California, Stati Uniti, 92093-0658
- University of California San Diego Cancer Center
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San Francisco, California, Stati Uniti, 94121
- Veterans Affairs Medical Center - San Francisco
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San Francisco, California, Stati Uniti, 94115-0128
- UCSF Cancer Center and Cancer Research Institute
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Delaware
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Wilmington, Delaware, Stati Uniti, 19899
- CCOP - Christiana Care Health Services
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District of Columbia
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Washington, District of Columbia, Stati Uniti, 20307-5000
- Walter Reed Army Medical Center
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Washington, District of Columbia, Stati Uniti, 20007
- Vincent T. Lombardi Cancer Research Center, Georgetown University
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Florida
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Miami Beach, Florida, Stati Uniti, 33140
- CCOP - Mount Sinai Medical Center
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Illinois
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Chicago, Illinois, Stati Uniti, 60612
- Veterans Affairs Medical Center - Chicago (Westside Hospital)
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Chicago, Illinois, Stati Uniti, 60637
- University of Chicago Cancer Research Center
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Chicago, Illinois, Stati Uniti, 60612
- University of Illinois at Chicago Health Sciences Center
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Iowa
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Iowa City, Iowa, Stati Uniti, 52242
- University of Iowa Hospitals and Clinics
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Maine
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Togus, Maine, Stati Uniti, 04330
- Veterans Affairs Medical Center - Togus
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Maryland
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Baltimore, Maryland, Stati Uniti, 21201
- Marlene & Stewart Greenebaum Cancer Center, University of Maryland
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Massachusetts
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Boston, Massachusetts, Stati Uniti, 02115
- Dana-Farber Cancer Institute
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Boston, Massachusetts, Stati Uniti, 02114
- Massachusetts General Hospital Cancer Center
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Worcester, Massachusetts, Stati Uniti, 01655
- University of Massachusetts Memorial Medical Center
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Minnesota
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Minneapolis, Minnesota, Stati Uniti, 55417
- Veterans Affairs Medical Center - Minneapolis
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Missouri
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Columbia, Missouri, Stati Uniti, 65201
- Veterans Affairs Medical Center - Columbia (Truman Memorial)
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Columbia, Missouri, Stati Uniti, 65203
- Ellis Fischel Cancer Center - Columbia
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Saint Louis, Missouri, Stati Uniti, 63110
- Barnes-Jewish Hospital
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Nebraska
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Omaha, Nebraska, Stati Uniti, 68198-3330
- University of Nebraska Medical Center
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Omaha, Nebraska, Stati Uniti, 68105
- Veterans Affairs Medical Center - Omaha
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Nevada
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Las Vegas, Nevada, Stati Uniti, 89106
- CCOP - Southern Nevada Cancer Research Foundation
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New Hampshire
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Lebanon, New Hampshire, Stati Uniti, 03756
- Norris Cotton Cancer Center
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New York
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Buffalo, New York, Stati Uniti, 14263-0001
- Roswell Park Cancer Institute
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Buffalo, New York, Stati Uniti, 14215
- Veterans Affairs Medical Center - Buffalo
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Manhasset, New York, Stati Uniti, 11030
- CCOP - North Shore University Hospital
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Manhasset, New York, Stati Uniti, 11030
- North Shore University Hospital
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New York, New York, Stati Uniti, 10021
- Memorial Sloan-Kettering Cancer Center
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New York, New York, Stati Uniti, 10021
- New York Presbyterian Hospital - Cornell Campus
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New York, New York, Stati Uniti, 10029
- Mount Sinai Medical Center, NY
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Syracuse, New York, Stati Uniti, 13210
- State University of New York - Upstate Medical University
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Syracuse, New York, Stati Uniti, 13210
- Veterans Affairs Medical Center - Syracuse
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Syracuse, New York, Stati Uniti, 13210
- CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
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North Carolina
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Chapel Hill, North Carolina, Stati Uniti, 27599-7295
- Lineberger Comprehensive Cancer Center, UNC
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Durham, North Carolina, Stati Uniti, 27705
- Veterans Affairs Medical Center - Durham
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Durham, North Carolina, Stati Uniti, 27710
- Duke Comprehensive Cancer Center
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Winston-Salem, North Carolina, Stati Uniti, 27104-4241
- CCOP - Southeast Cancer Control Consortium
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Winston-Salem, North Carolina, Stati Uniti, 27157-1082
- Comprehensive Cancer Center of Wake Forest University Baptist Medical Center
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Ohio
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Columbus, Ohio, Stati Uniti, 43210
- Arthur G. James Cancer Hospital - Ohio State University
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Rhode Island
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Providence, Rhode Island, Stati Uniti, 02903
- Rhode Island Hospital
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South Carolina
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Charleston, South Carolina, Stati Uniti, 29425-0721
- Medical University of South Carolina
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Tennessee
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Memphis, Tennessee, Stati Uniti, 38104
- Veterans Affairs Medical Center - Memphis
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Memphis, Tennessee, Stati Uniti, 38163
- University of Tennessee, Memphis Cancer Center
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Vermont
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White River Junction, Vermont, Stati Uniti, 05009
- Veterans Affairs Medical Center - White River Junction
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Virginia
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Richmond, Virginia, Stati Uniti, 23298-0037
- MBCCOP - Massey Cancer Center
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Richmond, Virginia, Stati Uniti, 23249
- Veterans Affairs Medical Center - Richmond
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
DISEASE CHARACTERISTICS: Histologically or cytologically proven recurrent or refractory non-small cell lung cancer Squamous cell Adenocarcinoma (including bronchoalveolar cell) Large cell anaplastic (giant and clear cell carcinomas) Measurable disease (not bone disease only, pleural or pericardial effusions, or irradiated lesions, unless progression is documented after radiotherapy) No CNS metastases
PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-1 Life expectancy: Not specified Hematopoietic: Granulocyte count at least 1,500/mm3 Platelet count at least 100,000/mm3 Hepatic: Bilirubin no greater 1.5 mg/dL SGOT no greater than 2 times upper limit of normal (ULN) Renal: Creatinine no greater than ULN Cardiovascular: No active cardiac disease No unstable angina No myocardial infarction within 6 months No congestive heart failure No inability to tolerate hypotension Other: Not pregnant or nursing Fertile patients must use effective contraception HIV negative No uncontrolled diabetes mellitus No psychiatric disorders No concurrent secondary malignancies except nonmelanomatous skin cancer or patients with less than a 30% risk of relapse
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: At least 4 weeks since prior chemotherapy (6 weeks since mitomycin) At least 1 prior chemotherapy agent or combination, including adjuvant or neoadjuvant therapy for non-small cell lung cancer No more than 1 prior chemotherapy agent or combination for metastatic or recurrent disease No prior HMAF No other concurrent chemotherapy Endocrine therapy: No concurrent hormonal therapy except for nondisease related conditions Radiotherapy: See Disease Characteristics At least 4 weeks since prior radiotherapy No concurrent palliative radiotherapy Surgery: Not specified
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Non randomizzato
- Modello interventistico: Assegnazione di gruppo singolo
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: HMAF
treatment of refractory or relapsed NSCLC with HMAF
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11mg/sq m IV infusion over 5 min q day for 5 days each 28 day cycle
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Lasso di tempo |
|---|---|
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Response
Lasso di tempo: ea tx cycle; q 3 mon Yr 1 post tx, then q 6 mon until progression
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ea tx cycle; q 3 mon Yr 1 post tx, then q 6 mon until progression
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Misure di risultato secondarie
Misura del risultato |
Lasso di tempo |
|---|---|
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Toxicity
Lasso di tempo: Each tx cycle
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Each tx cycle
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Collaboratori e investigatori
Collaboratori
Investigatori
- Cattedra di studio: Carol A. Sherman, MD, Medical University of South Carolina
Pubblicazioni e link utili
Pubblicazioni generali
- Sherman CA, Herndon JE 2nd, Watson DM, Green MR; Cancer and Leukemia Group B. A phase II trial of 6-hydroxymethylacylfulvene (MGI-114, irofulven) in patients with relapsed or refractory non-small cell lung cancer. Lung Cancer. 2004 Sep;45(3):387-92. doi: 10.1016/j.lungcan.2004.02.017.
- Sherman CA, Herndon JE, Green MR, et al.: CALGB 39805: phase II trial of 6-hydroxymethylacylfulvene (HMAF; MGI-114) in patients with relapsed or refractory non-small cell lung cancer (NSCLC). [Abstract] Proceedings of the American Society of Clinical Oncology 19: A2163, 2000.
Studiare le date dei record
Studia le date principali
Inizio studio
Completamento primario (Effettivo)
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Stima)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Malattie delle vie respiratorie
- Neoplasie
- Malattie polmonari
- Neoplasie per sede
- Neoplasie delle vie respiratorie
- Neoplasie toraciche
- Carcinoma, broncogeno
- Neoplasie bronchiali
- Neoplasie polmonari
- Carcinoma, polmone non a piccole cellule
- Meccanismi molecolari dell'azione farmacologica
- Agenti antineoplastici
- Agenti Antineoplastici, Alchilanti
- Agenti Alchilanti
- Irofulven
Altri numeri di identificazione dello studio
- CALGB-39805
- U10CA031946 (Sovvenzione/contratto NIH degli Stati Uniti)
- CLB-39805
- CDR0000066761 (Identificatore di registro: NCI Physician Data Query)
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .