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Celecoxib and Erlotinib in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer



Celecoxib and Erlotinib in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer

For Condition: stage 3B non-small cell lung cancer,recurrent non-small cell lung cancer,stage 4 non-small cell lung cancer
Status: Recruiting
Sponsor(s): Jonsson Comprehensive Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: Celecoxib may stop the growth of cancer by stopping blood flow to the tumor. Erlotinib and celecoxib may stop the growth of tumor cells by blocking the enzymes necessary for their growth. Combining celecoxib with erlotinib may kill more tumor cells. PURPOSE: Phase I trial to study the effectiveness of combining celecoxib with erlotinib in treating patients who have stage IIIB or stage IV non-small cell lung cancer.
Details: OBJECTIVES: Primary - Determine the biologically active dose of celecoxib administered with erlotinib in patients with stage IIIB or IV non-small cell lung cancer. - Determine the toxicity profile of this regimen in these patients. Secondary - Determine the clinical activity of this regimen, in terms of reduction in tumor burden, in these patients. - Correlate biological endpoints with cyclooxygenase-2 and epidermal growth factor receptor inhibition in patients treated with this regimen. OUTLINE: This is a nonrandomized, dose-escalation study of celecoxib. Patients receive oral erlotinib once daily and oral celecoxib twice daily on days 1-28. Treatment repeats every 4 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease may continue treatment beyond 2 courses at the investigator's discretion. Cohorts of 3-6 patients receive escalating doses of celecoxib until the maximum tolerated dose (MTD) and biologically active dose (BAD) are determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity (DLT). The BAD is defined as the maximum decrease in the level of PGE_2 where no DLT occurs. Patients are followed every 2 months. PROJECTED ACCRUAL: A total of 21-27 patients will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 21 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed non-small cell lung cancer (NSCLC) - Stage IIIB or IV - Measurable disease - Progressive disease after at least 2 prior standard chemotherapy regimens OR refused standard chemotherapy - No active CNS metastases PATIENT CHARACTERISTICS: Age - 21 and over Performance status - ECOG 0-2 Life expectancy - Not specified Hematopoietic - Absolute neutrophil count at least 1,500/mm^3 - Platelet count at least 100,000/mm^3 Hepatic - Bilirubin no greater than 1.5 mg/dL - Transaminases no greater than 2.5 times upper limit of normal (ULN) - PT and/or PTT no greater than 1.5 times ULN Renal - Creatinine no greater than 2 mg/dL Cardiovascular - No New York Heart Association class III or IV cardiac disease - No myocardial infarction within the past year - No symptomatic ventricular arrhythmia - No symptomatic conduction abnormality Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - No prior gastrointestinal ulceration, bleeding, or perforation - No hypersensitivity to celecoxib, sulfonamides, aspirin, other NSAIDs, or other reagents used in this study - No concurrent disease or medical condition that would preclude study treatment or compliance PRIOR CONCURRENT THERAPY: Biologic therapy - Not specified Chemotherapy - See Disease Characteristics - More than 4 weeks since prior chemotherapy Endocrine therapy - More than 4 weeks since prior corticosteroids - No concurrent steroids (including chronic use) - Concurrent topical steroids allowed Radiotherapy - More than 4 weeks since prior radiotherapy Surgery - Not specified Other - More than 4 weeks since prior non-cytotoxic investigational agents - More than 3 days since prior nonsteroidal anti-inflammatory drugs (NSAIDs) - No prior cyclooxygenase-2 (COX-2) inhibitors for metastatic NSCLC - No prior epidermal growth factor receptor inhibitor for metastatic NSCLC - No concurrent COX-2 inhibitors - No concurrent NSAIDs - No concurrent fluconazole or lithium
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
RobertFiglin,  Principal Investigator,  Jonsson Comprehensive Cancer Center

Jonsson Comprehensive Cancer Center, UCLA *Recruiting*
Los Angeles,  California,  90095
United States
Recruiting Karen  Riedl 310-825-5788


Additional Information:
Study ID Numbers:
  CDR0000335434;  UCLA-0306083
Study Start Date: 
Record last reviewed: October 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00072072

Other Stage 3b Non-Small Cell Lung Cancer Studies:
1. Chemotherapy, Amifostine, and Radiation Therapy in Treating Patients With Non-small Cell Lung Cancer

2. Suramin and Either Docetaxel or Gemcitabine in Treating Patients With Stage IIIB or Stage IV Platinum-Refractory Non-Small Cell Lung Cancer

3. Paclitaxel and Oxaliplatin in Treating Patients With Recurrent or Advanced Non-small Cell Lung Cancer

4. Chemotherapy in Treating Patients With Advanced Non-small Cell Lung Cancer

5. Celecoxib and Erlotinib in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer

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