- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving 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.
Studieoversikt
Status
Detaljert beskrivelse
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
Registrering (Forventet)
Fase
- Fase 2
Kontakter og plasseringer
Studiesteder
-
-
Texas
-
Houston, Texas, Forente stater, 77225
- Rekruttering
- University of Texas Health Science Center at Houston
-
Ta kontakt med:
- Joan M.C. Bull, MD
- Telefonnummer: 713-500-6820
- E-post: joan.m.bull@uth.tmc.edu
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
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
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
Hva måler studien?
Primære resultatmål
Resultatmål |
|---|
|
Giftighet
|
|
Tumorrespons
|
Samarbeidspartnere og etterforskere
Etterforskere
- Studiestol: Joan M.C. Bull, MD, The University of Texas Health Science Center, Houston
Studierekorddatoer
Studer hoveddatoer
Studiestart
Primær fullføring (Forventet)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
- stadium IV brystkreft
- tilbakevendende brystkreft
- stadium IV eggstokepitelkreft
- tilbakevendende eggstokepitelkreft
- mannlig brystkreft
- stadium IV endometriekarsinom
- tilbakevendende endometriekarsinom
- stadium IVA livmorhalskreft
- tilbakevendende livmorhalskreft
- stadium IVB livmorhalskreft
- tilbakevendende kimcelletumor i eggstokkene
- stadium IV eggstokkkimcelletumor
Ytterligere relevante MeSH-vilkår
- Hudsykdommer
- Neoplasmer
- Urogenitale neoplasmer
- Neoplasmer etter nettsted
- Uterine neoplasmer
- Genitale neoplasmer, kvinnelige
- Livmor livmorhalssykdommer
- Livmorsykdommer
- Sår og skader
- Bryst sykdommer
- Endringer i kroppstemperaturen
- Varmestresslidelser
- Uterine cervikale neoplasmer
- Brystneoplasmer
- Endometriale neoplasmer
- Hypertermi
- Fysiologiske effekter av legemidler
- Molekylære mekanismer for farmakologisk virkning
- Enzymhemmere
- Antimetabolitter, antineoplastisk
- Antimetabolitter
- Antineoplastiske midler
- Immunsuppressive midler
- Immunologiske faktorer
- Topoisomerase II-hemmere
- Topoisomerasehemmere
- Antibiotika, antineoplastisk
- Fluorouracil
- Doxorubicin
- Liposomal doksorubicin
Andre studie-ID-numre
- CDR0000065903
- UTHSC-MS-96205
- NCI-V97-1356
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .