Temozolomide Plus PEG-Interferon Alfa-2B in Treating Patients With Advanced Solid Tumors
A Phase-I Study Of Cyclical Oral Administration Of Temozolomide In Combination With PEG12000-Interferon Alfa-2B In Patients With Refractory And/Or Advanced Solid Tumors
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PEG-interferon alfa-2B may interfere with the growth of cancer cells. Combining temozolomide with PEG-interferon alfa-2B may be an effective treatment for advanced solid tumors.
PURPOSE: Phase I trial to study the effectiveness of combining temozolomide and PEG-interferon alfa-2B in treating patients who have advanced solid tumors.
調査の概要
詳細な説明
OBJECTIVES:
- Determine the safety and tolerability of temozolomide and PEG-interferon alfa-2b in patients with advanced refractory solid tumors or chemotherapy-naive advanced cancer.
- Determine the maximum tolerated dose (MTD) and dose-limiting toxicity of this regimen in this patient population.
- Determine the pharmacokinetics of PEG-interferon alfa-2b at the MTD when administered with temozolomide in this patient population.
- Determine the anti-tumor activity of this regimen in these patients.
OUTLINE: This is a dose-escalation study.
Patients receive oral temozolomide on days 1-7 and 15-21 and PEG-interferon alfa-2b subcutaneously on days 1, 8, 15, and 22. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Cohorts of 1-9 patients receive escalating doses of temozolomide and PEG-interferon alfa-2b until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 6 patients experience dose-limiting toxicity.
PROJECTED ACCRUAL: A maximum of 24 patients will be accrued for this study.
研究の種類
段階
- フェーズ 1
連絡先と場所
研究場所
-
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New Hampshire
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Lebanon、New Hampshire、アメリカ、03756-0002
- Norris Cotton Cancer Center
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
DISEASE CHARACTERISTICS:
- Histologically confirmed advanced solid tumor that is refractory to standard therapy OR
- Histologically confirmed chemotherapy-naive advanced cancer for which no curative therapy or higher priority palliative chemotherapy exists
- Brain metastasis allowed
- No bone marrow involvement of tumor
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- ECOG 0-2
Life expectancy:
- Not specified
Hematopoietic:
- Absolute neutrophil count greater than 1,500/mm^3 AND/OR
- Platelet count greater than 100,000/mm^3
Hepatic:
- ALT or AST less than 3 times upper limit of normal (ULN) (5 times ULN if liver metastases present)
- No autoimmune hepatitis
Renal:
- Creatinine less than 2.5 times ULN
Cardiovascular:
- No severe coronary artery disease
- No congestive heart failure
Pulmonary:
- No severe chronic obstructive pulmonary disease
Gastrointestinal:
- No frequent vomiting
- No medical condition that would interfere with oral medication intake (e.g., partial bowel obstruction, partial intestinal bypass, or external biliary diversion)
Other:
- No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix
- No known or suspected hypersensitivity to imidazotetrazin, interferon alfa, or any excipient or vehicle included in the formulation or delivery system of study drug
- No history of autoimmune disease
- No preexisting severe psychiatric condition or history of severe psychiatric disorder (including suicidal ideation or attempt)
- No life-threatening condition or severe preexisting condition
- No uncontrolled thyroid abnormalities
- No nonmalignant systemic disease
- No active uncontrolled infection
- HIV negative
- No AIDS-related illness
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- At least 3 weeks since prior biologic agents (e.g., bi-specific antibodies, interleukin-2, or interferon) and recovered (excluding alopecia)
- No prior allogeneic, syngeneic, or autologous bone marrow or stem cell transplantation
- No other concurrent biologic therapy
- No concurrent colony stimulating factors or epoetin alfa for the prevention of myelotoxicity
Chemotherapy:
- See Disease Characteristics
- At least 4 weeks since prior chemotherapy (more than 6 weeks for nitrosoureas, melphalan, or mitomycin) and recovered (excluding alopecia)
- No prior high-dose chemotherapy and stem cell transplantation
- No more than 3 prior chemotherapy regimens
- No other concurrent chemotherapy
Endocrine therapy:
- Not specified
Radiotherapy:
- At least 6 weeks since prior wide-field radiotherapy to at least 25% of bone marrow (e.g., pelvic radiotherapy)
- More than 6 weeks since prior strontium chloride Sr 89 or samarium Sm 153 lexidronam pentasodium
- Recovered from prior radiotherapy (excluding alopecia)
- No concurrent radiotherapy
Surgery:
- At least 4 weeks since prior major surgery
- At least 1 week since prior minor surgery
Other:
- At least 4 weeks since prior investigational therapy
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
協力者と研究者
捜査官
- スタディチェア:Lionel D. Lewis, MD、Norris Cotton Cancer Center
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
追加の関連 MeSH 用語
その他の研究ID番号
- CDR0000068523
- P30CA023108 (米国 NIH グラント/契約)
- DMS-0010
- NCI-G01-1924
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