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Home > "B" Clinical Trials Conditions > Bortezomib With or Without Docetaxel in Treating Patients With Relapsed or Refractory Advanced Non-Small Cell Lung Cancer

Bortezomib With or Without Docetaxel in Treating Patients With Relapsed or Refractory Advanced Non-Small Cell Lung Cancer



Bortezomib With or Without Docetaxel in Treating Patients With Relapsed or Refractory Advanced Non-Small Cell Lung Cancer

For Condition: stage 3B non-small cell lung cancer,stage 4 non-small cell lung cancer,recurrent non-small cell lung cancer
Status: Recruiting
Sponsor(s): University of Wisconsin Comprehensive Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: Drugs used in chemotherapy such as docetaxel use different ways to stop tumor cells from dividing so they stop growing or die. Bortezomib may stop the growth of cancer cells by blocking the enzymes necessary for cancer cell growth. It is not yet known whether bortezomib is more effective with or without docetaxel in treating patients with advanced non-small cell lung cancer. PURPOSE: Randomizedphase II trial to compare the effectiveness of bortezomib with or without docetaxel in treating patients who have relapsed or refractorystage IIIB or stage IV non-small cell lung cancer.
Details: OBJECTIVES: Primary - Compare the tumor response rates (complete and partial response) in patients with relapsed or refractory advanced non-small cell lung cancer treated with bortezomib with vs without docetaxel. Secondary - Compare time to progression in patients treated with these regimens. - Compare the overall and 1-year survival of patients treated with these regimens. - Compare the safety and tolerability of these regimens in these patients. - Compare the pharmacokinetics and pharmacodynamics of these regimens in these patients. - Compare the quality of life of patients treated with these regimens. OUTLINE: This is a randomized, open-label, multicenter study. Patients are randomized to 1 of 2 treatment arms. - Arm I: Patients receive bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. - Arm II: Patients receive docetaxel IV over 1 hour on day 1 and bortezomib IV as in arm I. In both arms, courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients achieving complete response (CR) receive 2 additional courses beyond confirmation of CR. Quality of life is assessed on day 1 of each treatment course (before drug administration) and at 30 days after the completion of study treatment. Patients are followed at 30 days and then every 3 months for survival. PROJECTED ACCRUAL: A total of 155 patients (75 for arm I and 80 for arm II) will be accrued for this study within 1 year.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed non-small cell lung cancer - Locally advanced (stage IIIB) or metastatic (stage IV) disease - Inoperable disease - Relapsed or refractory disease - Received 1, and only 1, prior chemotherapy regimen for locally advanced or metastatic disease - Measurable or evaluable disease - No symptomatic or inadequately treated brain metastases - No CNS disease PATIENT CHARACTERISTICS: Age - 18 and over Performance status - Karnofsky 70-100% Life expectancy - More than 3 months Hematopoietic - Platelet count greater than 100,000/mm^3 - Hemoglobin greater than 8.0 g/dL - Absolute neutrophil count greater than 1,500/mm^3 Hepatic - AST and ALT less than 3 times upper limit of normal (ULN) - Bilirubin less than 1.5 times ULN - Hepatitis B surface antigen negative - Hepatitis C negative Renal - Creatinine less than 1.8 mg/dL Cardiovascular - No myocardial infarction within the past 6 months - No New York Heart Association class III or IV heart failure - No uncontrolled angina - No severe uncontrolled ventricular arrhythmias - No electrocardiographic evidence of acute ischemia or active conduction system abnormalities - No poorly controlled hypertension Immunologic - No active systemic infection requiring treatment - No prior allergic reaction attributable to compounds containing boron or mannitol - HIV negative Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective barrier contraception - No peripheral neuropathy grade 2 or greater - No diabetes mellitus - No other serious medical or psychiatric condition that would preclude study participation PRIOR CONCURRENT THERAPY: Biologic therapy - More than 6 weeks since prior monoclonal antibody therapy - No concurrent routine use of colony-stimulating factors (e.g., filgrastim [G-CSF] or sargramostim [GM-CSF]) - No concurrent immunotherapy Chemotherapy - See Disease Characteristics - More than 4 weeks since prior chemotherapy - No prior docetaxel - Prior paclitaxel allowed - No other concurrent chemotherapy Endocrine therapy - No concurrent corticosteroids (e.g., prednisone or prednisolone) except dexamethasone as premedication Radiotherapy - More than 4 weeks since prior radiotherapy - No concurrent radiotherapy Surgery - More than 4 weeks since prior major surgery - No concurrent surgery for cancer management or treatment Other - More than 5 years since prior treatment for any other cancer except basal cell skin cancer or carcinoma in situ of the cervix - More than 4 weeks since prior investigational agents - No prior bortezomib - No other concurrent investigational agents - No other concurrent clinical research study participation - No other concurrent antineoplastic therapy - No concurrent routine use of anti-inflammatory drugs, including cyclo-oxygenase inhibitors (e.g., celecoxib or rofecoxib)
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
JoanSchiller,  Principal Investigator,  University of Wisconsin Comprehensive Cancer Center

Blumenthal Cancer Center at Carolinas Medical Center *Recruiting*
Charlotte,  North Carolina,  28232-2861
United States
Recruiting Darlene  Durban 704-355-8289

University of Wisconsin Comprehensive Cancer Center *Recruiting*
Madison,  Wisconsin,  53792-5666
United States
Recruiting Lana  Hammes 608-262-8126

Hubert H. Humphrey Cancer Center at North Memorial Medical Center *Recruiting*
Robbinsdale,  Minnesota,  55422
United States
Recruiting Nancy  Sundeen 763-520-5847

Veterans Affairs Medical Center - Atlanta (Decatur) *Recruiting*
Decatur,  Georgia,  30033
United States
Recruiting Karen  Yusuf 404-321-6111 ext. 7899

Siteman Cancer Center *Recruiting*
St. Louis,  Missouri,  63110
United States
Recruiting Louis  Toles 314-454-8557

Massachusetts General Hospital Cancer Center *Recruiting*
Boston,  Massachusetts,  02114
United States
Recruiting Pat  Ostler 617-724-7829

University of Colorado Cancer Center at University of Colorado Health Sciences Center *Recruiting*
Aurora,  Colorado,  80010
United States
Recruiting Lyn  Magree 720-848-0676

University of Texas - MD Anderson Cancer Center *Recruiting*
Houston,  Texas,  77030
United States
Recruiting Rainell  Schaerer 713-745-5912

Cedars-Sinai Comprehensive Cancer Center at Cedars-Sinai Medical Center *Recruiting*
Los Angeles,  California,  90048
United States
Recruiting Virginia  Naessig 310-423-0721

Huntsman Cancer Institute *Recruiting*
Salt Lake City,  Utah,  84112
United States
Recruiting Rita  Gerard 801-585-0550

Kimmel Cancer Center at Thomas Jefferson University - Philadelphia *Recruiting*
Philadelphia,  Pennsylvania,  19107
United States
Recruiting Deborah  Scott 215-503-5641

Winship Cancer Institute of Emory University *Recruiting*
Atlanta,  Georgia,  30322
United States
Recruiting Janelle  Bowersox 404-778-5959

St. Louis University Hospital Cancer Center *Recruiting*
St. Louis,  Missouri,  63110
United States
Recruiting Leslie  Bilodeau 314-577-8854

Yale Comprehensive Cancer Center *Recruiting*
New Haven,  Connecticut,  06520-8028
United States
Recruiting Marianne  Davies 203-737-1600

University of Miami Sylvester Cancer Center *Recruiting*
Miami,  Florida,  33136
United States
Recruiting Paulette  Baldie 305-243-4180

Vanderbilt-Ingram Cancer Center at Vanderbilt Medical Center *Recruiting*
Nashville,  Tennessee,  37232-6868
United States
Recruiting Valerie  Kordowski 615-936-3879

Kansas City Cancer Centers - Central *Recruiting*
Kansas City,  Missouri,  64111
United States
Recruiting Kirstin  Fink 816-960-6048

Jonsson Comprehensive Cancer Center, UCLA *Recruiting*
Los Angeles,  California,  90095
United States
Recruiting Cheryl  Elzinga 310-206-8106

University of Alabama at Birmingham Comprehensive Cancer Center *Recruiting*
Birmingham,  Alabama,  35233-2115
United States
Recruiting Karen  Harper 205-934-5092

Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute *Recruiting*
Boston,  Massachusetts,  02115
United States
Recruiting Joan  Lucca 617-632-5403

Duke Comprehensive Cancer Center *Recruiting*
Durham,  North Carolina,  27710
United States
Recruiting Karen  Padilla 919-681-4768


Additional Information:
Study ID Numbers:
  CDR0000305974;  WCCC-M34102-048,MILLENNIUM-M34102-048,UCLA-0301037
Study Start Date: 
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00064012

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