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Liposomal Doxorubicin and Etoposide in Treating Patients With Recurrent or Persistent Ovarian, Fallopian Tube, or Peritoneal Cancer

7. juni 2013 oppdatert av: Gynecologic Oncology Group

A Phase I Study of Liposomal Doxorubicin (Doxil) and Prolonged Etoposide As Second Line Therapy in Ovarian, Tubal and Peritoneal Carcinoma

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Phase I trial to study the effectiveness of combination chemotherapy consisting of liposomal doxorubicin and etoposide in treating patients who have recurrent or persistent ovarian, fallopian tube, or peritoneal cancer.

Studieoversikt

Status

Avsluttet

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

OBJECTIVES: I. Determine the optimal dose of doxorubicin HCl liposomal and prolonged oral etoposide in patients with recurrent or persistent ovarian, tubal, and peritoneal carcinoma. II. Determine the nature and degree of toxicity of this therapy in these patients. III. Evaluate the response rate of patients with measurable disease.

OUTLINE: This is a dose escalation, multicenter study of etoposide and doxorubicin HCl liposome. Patients receive doxorubicin HCl liposome IV over 1 hour on day 1, followed by oral etoposide for 8-14 days beginning on day 2. For patients who achieve partial or complete response, treatment repeats every 4 weeks for 1 year in the absence of disease progression or unacceptable toxicity. For patients with stable disease, treatment repeats every 4 weeks for 6 months. In the absence of dose limiting toxicity (DLT) in the first 3 patients treated, subsequent cohorts of 3-6 patients each receive doses of etoposide for more prolonged periods. After 14 days of oral etoposide, the dose of doxorubicin HCl liposome is escalated. The maximum tolerated dose is defined as the dose preceding that at which 2 of 6 patients experience DLT. Patients are followed every 3 months for 1 year, then until death.

PROJECTED ACCRUAL: A total of 24 patients will be accrued for this study within 1 year.

Studietype

Intervensjonell

Fase

Fase 1

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

Canada
- Ontario
  - Kingston, Ontario, Canada, K7L 3N6
    - NCIC-Clinical Trials Group
Forente stater
- Alabama
  - Birmingham, Alabama, Forente stater, 35294
    - University of Alabama Comprehensive Cancer Center
- Arizona
  - Phoenix, Arizona, Forente stater, 85006-2726
    - CCOP - Greater Phoenix
- California
  - Los Angeles, California, Forente stater, 90033-0800
    - USC/Norris Comprehensive Cancer Center
  - Los Angeles, California, Forente stater, 90095-1781
    - Jonsson Comprehensive Cancer Center, UCLA
  - Palo Alto, California, Forente stater, 94304
    - Women's Cancer Center
- Colorado
  - Denver, Colorado, Forente stater, 80262
    - University of Colorado Cancer Center
- District of Columbia
  - Washington, District of Columbia, Forente stater, 20307-5000
    - Walter Reed Army Medical Center
  - Washington, District of Columbia, Forente stater, 20007
    - Vincent T. Lombardi Cancer Research Center, Georgetown University
- Florida
  - Tampa, Florida, Forente stater, 33612
    - H. Lee Moffitt Cancer Center and Research Institute
- Georgia
  - Atlanta, Georgia, Forente stater, 30322
    - Emory University Hospital - Atlanta
  - Atlanta, Georgia, Forente stater, 30342-1701
    - CCOP - Atlanta Regional
- Hawaii
  - Honolulu, Hawaii, Forente stater, 96813
    - MBCCOP - Hawaii
- Illinois
  - Chicago, Illinois, Forente stater, 60612
    - Rush-Presbyterian-St. Luke's Medical Center
  - Chicago, Illinois, Forente stater, 60637
    - University of Chicago Cancer Research Center
  - Evanston, Illinois, Forente stater, 60201
    - CCOP - Evanston
  - Springfield, Illinois, Forente stater, 62526
    - CCOP - Central Illinois
- Indiana
  - Indianapolis, Indiana, Forente stater, 46202-5265
    - Indiana University Cancer Center
- Iowa
  - Iowa City, Iowa, Forente stater, 52242
    - University of Iowa Hospitals and Clinics
- Kentucky
  - Lexington, Kentucky, Forente stater, 40536-0084
    - Albert B. Chandler Medical Center, University of Kentucky
- Maryland
  - Baltimore, Maryland, Forente stater, 21287
    - Johns Hopkins Oncology Center
  - Bethesda, Maryland, Forente stater, 20892
    - Radiation Oncology Branch
  - Bethesda, Maryland, Forente stater, 20892
    - Medicine Branch
- Massachusetts
  - Worcester, Massachusetts, Forente stater, 01655
    - University of Massachusetts Memorial Medical Center
- Michigan
  - Ann Arbor, Michigan, Forente stater, 48106
    - CCOP - Ann Arbor Regional
  - Detroit, Michigan, Forente stater, 48201
    - Barbara Ann Karmanos Cancer Institute
- Mississippi
  - Jackson, Mississippi, Forente stater, 39216-4505
    - University of Mississippi Medical Center
  - Keesler AFB, Mississippi, Forente stater, 39534-2576
    - Keesler Medical Center - Keesler AFB
- Missouri
  - Kansas City, Missouri, Forente stater, 64131
    - CCOP - Kansas City
  - Saint Louis, Missouri, Forente stater, 63110
    - Washington University School of Medicine
- Montana
  - Billings, Montana, Forente stater, 59101
    - CCOP - Montana Cancer Consortium
- Nebraska
  - Omaha, Nebraska, Forente stater, 68131
    - CCOP - Missouri Valley Cancer Consortium
- Nevada
  - Las Vegas, Nevada, Forente stater, 89106
    - CCOP - Southern Nevada Cancer Research Foundation
- New Jersey
  - Camden, New Jersey, Forente stater, 08103
    - Cooper Hospital/University Medical Center
- New York
  - Albany, New York, Forente stater, 12208
    - Cancer Center of Albany Medical Center
  - Brooklyn, New York, Forente stater, 11203
    - State University of New York Health Science Center at Brooklyn
  - Manhasset, New York, Forente stater, 11030
    - North Shore University Hospital
  - New York, New York, Forente stater, 10021
    - Memorial Sloan-Kettering Cancer Center
  - Stony Brook, New York, Forente stater, 11790-9832
    - State University of New York Health Sciences Center - Stony Brook
- North Carolina
  - Chapel Hill, North Carolina, Forente stater, 27599-7295
    - Lineberger Comprehensive Cancer Center, UNC
  - Durham, North Carolina, Forente stater, 27710
    - Duke Comprehensive Cancer Center
  - Winston-Salem, North Carolina, Forente stater, 27157-1082
    - Comprehensive Cancer Center of Wake Forest University Baptist Medical Center
  - Winston-Salem, North Carolina, Forente stater, 27103
    - Brookview Research, Inc.
- Ohio
  - Cincinnati, Ohio, Forente stater, 45219
    - Barrett Cancer Center, The University Hospital
  - Cleveland, Ohio, Forente stater, 44195
    - Cleveland Clinic Cancer Center
  - Cleveland, Ohio, Forente stater, 44106-5065
    - Ireland Cancer Center
  - Columbus, Ohio, Forente stater, 43210
    - Arthur G. James Cancer Hospital - Ohio State University
- Oklahoma
  - Oklahoma City, Oklahoma, Forente stater, 73190
    - University of Oklahoma College of Medicine
  - Tulsa, Oklahoma, Forente stater, 74136
    - CCOP - St. Francis Hospital/Natalie Warren Bryant Cancer Center
- Oregon
  - Portland, Oregon, Forente stater, 97213
    - CCOP - Columbia River Program
- Pennsylvania
  - Abington, Pennsylvania, Forente stater, 19001
    - Abington Memorial Hospital
  - Hershey, Pennsylvania, Forente stater, 17033
    - Milton S. Hershey Medical Center
  - Philadelphia, Pennsylvania, Forente stater, 19111
    - Fox Chase Cancer Center
  - Philadelphia, Pennsylvania, Forente stater, 19107
    - Pennsylvania Hospital
  - Philadelphia, Pennsylvania, Forente stater, 19104
    - University of Pennsylvania Cancer Center
  - Philadelphia, Pennsylvania, Forente stater, 19107
    - Kimmel Cancer Center of Thomas Jefferson University - Philadelphia
- South Carolina
  - Charleston, South Carolina, Forente stater, 29425-0721
    - Medical University of South Carolina
  - Spartanburg, South Carolina, Forente stater, 29303
    - CCOP - Upstate Carolina
- Tennessee
  - Memphis, Tennessee, Forente stater, 38117
    - CCOP - Baptist Cancer Institute
- Texas
  - Dallas, Texas, Forente stater, 75235-9154
    - Simmons Cancer Center - Dallas
  - Houston, Texas, Forente stater, 77030
    - University of Texas - MD Anderson Cancer Center
- Washington
  - Seattle, Washington, Forente stater, 98195-6043
    - University of Washington Medical Center
  - Tacoma, Washington, Forente stater, 98405
    - Tacoma General Hospital

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

Barn
Voksen
Eldre voksen

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Hunn

Beskrivelse

DISEASE CHARACTERISTICS: Histologically proven recurrent or persistent ovarian, tubal, or peritoneal carcinoma of the following cell types: Serous adenocarcinoma Mucinous adenocarcinoma Clear cell adenocarcinoma Transitional cell Endometrioid adenocarcinoma Undifferentiated carcinoma Mixed epithelial carcinoma Malignant Brenner tumor Adenocarcinoma not otherwise specified Must not be eligible for any other higher priority phase II or phase III GOG protocol

PATIENT CHARACTERISTICS: Age: Not specified Performance status: GOG 0-2 Life expectancy: Not specified Hematopoietic: WBC at least 3,000/mm3 Platelet count at least 100,000/mm3 Granulocyte count at least 1,500/mm3 Hepatic: Bilirubin no greater than 1.5 times normal SGOT/SGPT/GGT no greater than 2.5 times normal Alkaline phosphatase no greater than 2.5 times normal No acute hepatitis Renal: Creatinine no greater than 2.0 mg/dL Creatinine clearance greater than 50 mL/min Cardiovascular: LVEF within normal range as determined by MUGA No congestive heart failure or unstable angina No myocardial infarction within the past 6 months Prior abnormal cardiac conduction (e.g., bundle branch block, heart block) allowed if stable for at least 6 months Other: No significant infection No septicemia Body surface area at least 1 m2 Adequate intestinal function (i.e., does not require IV hydration or nutritional support) No severe gastrointestinal bleeding No other invasive malignancies within the past 5 years except nonmelanomatous skin cancer

PRIOR CONCURRENT THERAPY: Biologic therapy: At least 3 weeks since prior biologic therapy and recovered Chemotherapy: Must have received at least 1 prior cisplatin-paclitaxel based regimen At least 3 weeks since prior chemotherapy and recovered No prior anthracycline therapy Endocrine therapy: At least 3 weeks since prior endocrine therapy and recovered Radiotherapy: No prior radiotherapy to more than 10% of bone marrow Surgery: At least 3 weeks since prior surgery and recovered

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Primært formål: Behandling

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Gynecologic Oncology Group

Samarbeidspartnere

National Cancer Institute (NCI)

Etterforskere

Studiestol: Peter G. Rose, MD, The Cleveland Clinic

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. mai 1998

Primær fullføring (Faktiske)

1. juli 2002

Datoer for studieregistrering

Først innsendt

1. november 1999

Først innsendt som oppfylte QC-kriteriene

13. august 2004

Først lagt ut (Anslag)

16. august 2004

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

10. juni 2013

Siste oppdatering sendt inn som oppfylte QC-kriteriene

7. juni 2013

Sist bekreftet

1. oktober 2002

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

CDR0000066375
GOG-9704

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. .