Erlotinib and Cisplatin in Treating Patients With Recurrent or Metastatic Head and Neck Cancer
A Phase I/II Study Of OSI-774 In Combination With Cisplatin In Patients With Recurrent Or Metastatic Squamous Cell Cancer Of The Head And Neck
RATIONALE: Biological therapies such as erlotinib may interfere with the growth of tumor cells and slow the growth of the tumor. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining erlotinib with cisplatin may kill more tumor cells.
PURPOSE: Phase I/II trial to study the effectiveness of combining erlotinib and cisplatin in treating patients who have recurrent or metastatic head and neck cancer.
調査の概要
詳細な説明
OBJECTIVES:
- Determine the objective response rate in patients with recurrent or metastatic squamous cell cancer of the head and neck treated with erlotinib and cisplatin.
- Determine the stable disease rates, duration of response, progression-free survival, median survival, and overall survival of patients treated with this regimen.
- Determine the safety and tolerability of this regimen in these patients.
- Determine the relationship between clinical, pharmacokinetic, and pharmacodynamic effects of this regimen in these patients.
- Correlate baseline and post-treatment levels of epidermal growth factor receptor, its downstream signaling components, and markers of angiogenesis and apoptosis in tumor and skin biopsies with clinical outcome in patients treated with this regimen.
OUTLINE: This is a dose-escalation, multicenter study.
Patients receive oral erlotinib once daily on days -6 to 21 for the first course only and cisplatin IV over 60 minutes on day 1. For the second and subsequent courses, patients receive oral erlotinib once daily on days 1-21 and cisplatin as in course 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease after 6 courses may continue to receive erlotinib alone until disease progression.
Cohorts of 3-6 patients receive escalating doses of erlotinib and cisplatin until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. At least 6 patients are treated at the MTD.
Patients are followed every 3 months.
PROJECTED ACCRUAL: A maximum of 43 patients will be accrued for this study within 18 months.
研究の種類
入学 (実際)
段階
- フェーズ2
- フェーズ 1
連絡先と場所
研究場所
-
-
Ontario
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Hamilton、Ontario、カナダ、L8V 5C2
- Margaret and Charles Juravinski Cancer Centre
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Kingston、Ontario、カナダ、K7L 3N6
- Queen's University
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London、Ontario、カナダ、N6A 4L6
- Cancer Care Ontario-London Regional Cancer Centre
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Ottawa、Ontario、カナダ、K1H 1C4
- Ottawa Regional Cancer Centre
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Toronto、Ontario、カナダ、M5G 2M9
- Princess Margaret Hospital
-
-
Quebec
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Montreal、Quebec、カナダ、H2L-4M1
- Centre Hospitalier de l'Université de Montréal
-
-
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 squamous cell carcinoma of the head and neck
- All primary sites, including oral cavity, oropharynx, nasopharynx, hypopharynx, larynx, and paranasal sinus
- Recurrent, unresectable, and/or metastatic disease
At least 1 measurable lesion
- At least 20 mm with conventional techniques OR at least 10 mm with spiral CT scan
- Lesions accessible for biopsy
- Tumor specimen available for evaluation of epidermal growth factor receptor (EGFR) expression
- No known brain metastases
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- ECOG 0-2 OR
- Karnofsky 60-100%
Life expectancy:
- More than 12 weeks
Hematopoietic:
- WBC at least 3,000/mm^3
- Absolute neutrophil count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
Hepatic:
- Bilirubin no greater than 1.25 times upper limit of normal (ULN)
- AST and ALT no greater than 2.5 times ULN
Renal:
- Creatinine normal OR
- Creatinine clearance at least 60 mL/min
Cardiovascular:
- No symptomatic congestive heart failure
- No unstable angina pectoris
- No cardiac arrhythmia
Gastrointestinal:
- No gastrointestinal tract disease resulting in malabsorption
- No requirement for IV alimentation
- No active peptic ulcer disease
- Inability to swallow tablets or silicon-based G-tubes allowed
Ophthalmic:
- No abnormalities of the cornea based on history (e.g., dry eye syndrome or Sjogren's syndrome)
- No congenital abnormality (e.g., Fuch's dystrophy)
- No abnormal slit-lamp examination using a vital dye (e.g., fluorescein or Bengal-Rose)
- No abnormal corneal sensitivity test (e.g., Schirmer test or similar tear production test)
Other:
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No other malignancy within the past 5 years except carcinoma in situ of the cervix, nonmelanoma skin cancer, or second primary squamous cell cancer originating from the head and neck
- No grade 2 or greater residual ototoxicity or neuropathy from prior platinum-based therapy
- No significant traumatic injury within the past 21 days
- No other concurrent uncontrolled illness
- No ongoing or active infection
- No psychiatric illness or social situation that would preclude study participation
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- No prior chemotherapy for recurrent or metastatic disease
- Prior platinum-based chemotherapy with radiotherapy or platinum-based induction chemotherapy allowed
- At least 6 months since prior chemotherapy
Endocrine therapy:
- Not specified
Radiotherapy:
- See Chemotherapy
- At least 4 weeks since prior radiotherapy (except low-dose, limited-fraction palliative non-myelosuppressive radiotherapy [e.g., involving less than 20% of functioning bone marrow using 800 cGy in 1 fraction or 2,000 cGy in 5 fractions]) and recovered
- No prior radiotherapy to target lesion unless there is evidence of disease progression
Surgery:
- See Disease Characteristics
- At least 21 days since prior major surgery
- No prior surgical procedure affecting gastrointestinal absorption
Other:
- No prior EGFR-targeting therapies
- No prior investigational agents for recurrent or metastatic disease
- No concurrent combination anti-retroviral therapy for HIV infection
- No other concurrent investigational agents
- No other concurrent anticancer treatment
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
- 割り当て:なし
- 介入モデル:単一グループの割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的:OSI-774 and cisplatin
HNSCC patients treated in three escalating dose cohorts of daily continous oral erlotinib (OSI-774) and intermittent IV cisplatin given every 21 days
|
協力者と研究者
捜査官
- スタディチェア:Lillian L. Siu, MD, FRCPC、Princess Margaret Hospital, Canada
- スタディチェア:Elizabeth A. Eisenhauer, MD、Cancer Research Institute at Queen's University
出版物と役立つリンク
一般刊行物
- Agulnik M, da Cunha Santos G, Hedley D, Nicklee T, Dos Reis PP, Ho J, Pond GR, Chen H, Chen S, Shyr Y, Winquist E, Soulieres D, Chen EX, Squire JA, Marrano P, Kamel-Reid S, Dancey J, Siu LL, Tsao MS. Predictive and pharmacodynamic biomarker studies in tumor and skin tissue samples of patients with recurrent or metastatic squamous cell carcinoma of the head and neck treated with erlotinib. J Clin Oncol. 2007 Jun 1;25(16):2184-90. doi: 10.1200/JCO.2006.07.6554.
- Siu LL, Soulieres D, Chen EX, Pond GR, Chin SF, Francis P, Harvey L, Klein M, Zhang W, Dancey J, Eisenhauer EA, Winquist E; Princess Margaret Hospital Phase II Consortium; National Cancer Institute of Canada Clinical Trials Group Study. Phase I/II trial of erlotinib and cisplatin in patients with recurrent or metastatic squamous cell carcinoma of the head and neck: a Princess Margaret Hospital phase II consortium and National Cancer Institute of Canada Clinical Trials Group Study. J Clin Oncol. 2007 Jun 1;25(16):2178-83. doi: 10.1200/JCO.2006.07.6547.
- Winquist E, Soulieres D, Chen E, et al.: A phase II study of erlotinib in combination with cisplatin in patients with recurrent or metastatic squamous cell cancer of the head and neck (PHL002es/NCIC CTG IND.157). [Abstract] Eur J Cancer 2 (Suppl 8): A-408, 122, 2004.
- Siu LL, Chen X, Tsao M: A phase I/II study of erlotinib (Tarceva) in combination with cisplatin in patients with recurrent or metastatic squamous cell cancer of the head and neck (HNSCC). [Abstract] Clin Cancer Res 9 (16): A-A92, 2003.
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
- 唇および口腔のステージ IV 扁平上皮癌
- 唇および口腔の再発性扁平上皮癌
- IV期の中咽頭扁平上皮癌
- 中咽頭の再発性扁平上皮癌
- ステージ IV 上咽頭扁平上皮がん
- 上咽頭の再発性扁平上皮癌
- IV期の下咽頭扁平上皮癌
- 下咽頭の再発性扁平上皮癌
- 喉頭のステージ IV 扁平上皮癌
- 喉頭の再発性扁平上皮癌
- recurrent metastatic squamous neck cancer occult primary
- neck cancer with occult primary squamous carcinoma
- squamous cell carcinoma of paranasal sinus and nasal cavity
- recurrent squamous cell carcinoma of sinus and nasal cavity
その他の研究ID番号
- CDR0000069178 (PHL-002)
- PMH-PHL-002
- NCI-5380
- CAN-NCIC-IND157
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
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