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- Klinische proef NCT00003135
Whole Body Hyperthermia Combined With Chemotherapy in Treating Patients With Metastatic Breast, Ovarian, Endometrial, or Cervical Cancer
A Phase I-II Trial of Mild Whole-Body Hyperthermia Combined With Liposomal Doxorubicin/5-Fluorouracil in Patients With Advanced Malignancy
RATIONALE: Hyperthermia therapy kills tumor cells by heating them to several degrees above body temperature. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining chemotherapy with hyperthermia may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving fluorouracil and liposomal doxorubicin together with systemic hyperthermia works in treating patients with metastatic breast, ovarian, endometrial, or cervical cancer.
Studie Overzicht
Toestand
Gedetailleerde beschrijving
OBJECTIVES:
- Evaluate tumor response and toxicity induced by fluorouracil and doxorubicin HCl liposome combined with mild systemic hyperthermia in patients with metastatic breast, ovarian, endometrial, or cervical cancer.
OUTLINE: This is a time-escalation study of systemic hyperthermia.
Patients receive fluorouracil IV continuously over 24 hours on days 1-5 and doxorubicin HCl liposome IV over 30 minutes on day 6. Beginning on day 7, patients receive heat applied for 6-24 hours (in 6-hour sequential treatments) using a mild hyperthermia-induction device. Treatment repeats every 4-5 weeks for a total of 4 courses. Patients who achieve less than a complete response but have no disease progression may receive additional courses of chemotherapy alone.
Cohorts of 5 patients receive escalating durations of hyperthermia until the recommended phase II duration is determined. The recommended phase II duration of hyperthermia is defined as the level preceding that at which 1 of 5 patients experiences measurable toxicity. (Phase I closed as of 9/28/01)
Patients are followed at 4 weeks and then every 6 months for 1 year.
PROJECTED ACCRUAL: A maximum of 34 patients will be accrued for this study within 48 months.
Studietype
Inschrijving (Verwacht)
Fase
- Fase 2
Contacten en locaties
Studie Locaties
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Texas
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Houston, Texas, Verenigde Staten, 77225
- Werving
- University of Texas Health Science Center at Houston
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Contact:
- Joan M.C. Bull, MD
- Telefoonnummer: 713-500-6820
- E-mail: joan.m.bull@uth.tmc.edu
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
DISEASE CHARACTERISTICS:
- Histologically confirmed metastatic breast, ovarian, endometrial, or cervical carcinoma
- Measurable and evaluable disease
- No brain metastases
- No hepatic involvement greater than 80%
- No lung involvement greater than 30%
Hormone receptor status:
- Not specified
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Sex:
- Not specified
Menopausal status:
- Not specified
Performance status:
- Zubrod 0-2
Life expectancy:
- At least 12 weeks
Hematopoietic:
- Absolute granulocyte count greater than 1,500/mm^3
- Platelet count greater than 90,000/mm^3
- Normal bone marrow cellularity on bone marrow biopsy
- Thrombin time less than 17 sec
- Fibrinogen greater than 200 mg/dL
- FSP less than 40
- No coagulopathy
Hepatic:
- Bilirubin less than 2.0 mg/dL
- SGPT less than 2 times normal
- PT less than 14 sec
- PTT less than 35 sec
Renal:
- BUN less than 25 mg/dL
- Creatinine clearance at least 45 mL/min
Cardiovascular:
- Normal cardiovascular system
- Resting ventricular ejection fraction greater than 40%
- No prior myocardial infarction
- No symptomatic coronary artery disease
- No unstable blood pressure
- No thromboembolic disease
Neurologic:
- No seizures or other CNS disorders
- Negative computerized tomographic scan of brain
Pulmonary:
- FEV_1 greater than 70% of predicted
- Arterial pressure of oxygen greater than 60 mmHg on room air with appropriate pressure of carbon dioxide and pH values
- No history of cardiopulmonary or respiratory disease
Other:
- No other serious concurrent medical illness
- No diabetes mellitus
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- Prior chemotherapy allowed
Endocrine therapy:
- No adrenal corticosteroids
Radiotherapy:
- Not specified
Surgery:
- Not specified
Other:
- No concurrent cardiac glycosides, antianginal therapy, or antiarrhythmics
- No concurrent vasodilators, anticoagulants, thrombolytic agents, or aspirin
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
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Toxiciteit
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Tumor reactie
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Medewerkers en onderzoekers
Onderzoekers
- Studie stoel: Joan M.C. Bull, MD, The University of Texas Health Science Center, Houston
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Verwacht)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
- stadium IV borstkanker
- terugkerende borstkanker
- stadium IV eierstokepitheelkanker
- recidiverende eierstokepitheelkanker
- mannelijke borstkanker
- stadium IV endometriumcarcinoom
- recidiverend endometriumcarcinoom
- stadium IVA baarmoederhalskanker
- terugkerende baarmoederhalskanker
- stadium IVB baarmoederhalskanker
- recidiverende ovariumkiemceltumor
- stadium IV eierstokkiemceltumor
Aanvullende relevante MeSH-voorwaarden
- Huidziektes
- Neoplasmata
- Urogenitale neoplasmata
- Neoplasmata per site
- Baarmoeder Neoplasmata
- Genitale neoplasmata, vrouwelijk
- Baarmoederhalsaandoeningen
- Baarmoeder Ziekten
- Wonden en verwondingen
- Borst ziekten
- Veranderingen in lichaamstemperatuur
- Hittestressstoornissen
- Baarmoeder Cervicale Neoplasmata
- Borstneoplasmata
- Endometriumneoplasmata
- Hyperthermie
- Fysiologische effecten van medicijnen
- Moleculaire mechanismen van farmacologische werking
- Enzymremmers
- Antimetabolieten, antineoplastische
- Antimetabolieten
- Antineoplastische middelen
- Immunosuppressieve middelen
- Immunologische factoren
- Topoisomerase II-remmers
- Topoisomeraseremmers
- Antibiotica, antineoplastiek
- Fluoruracil
- Doxorubicine
- Liposomale doxorubicine
Andere studie-ID-nummers
- CDR0000065903
- UTHSC-MS-96205
- NCI-V97-1356
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