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Home > "C" Clinical Trials Conditions > Chemotherapy With Raltitrexed and Fluorouracil in Treating Patients With Advanced Colorectal Cancer

Chemotherapy With Raltitrexed and Fluorouracil in Treating Patients With Advanced Colorectal Cancer



Chemotherapy With Raltitrexed and Fluorouracil in Treating Patients With Advanced Colorectal Cancer

For Condition: stage 3 rectal cancer,recurrent rectal cancer,Stage 4 rectal cancer,stage 4 colon cancer,recurrent colon cancer,stage 3 colon cancer
Status: Completed
Sponsor(s): Memorial Sloan-Kettering Cancer Center ,
Synopsis: 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 raltitrexed and fluorouracil in treating patients who have colorectal cancer that is metastatic, recurrent, or cannot be surgically removed.
Details: OBJECTIVES: I. Determine the maximum tolerated dose of raltitrexed when administered with fluorouracil in patients with advanced colorectal carcinoma. II. Determine the toxicity and safety of this regimen in these patients. III. Assess, in a preliminary manner, the antitumor activity of this regimen in these patients. PROTOCOL OUTLINE: This is a dose-escalation study of raltitrexed. Patients receive raltitrexed IV over 15 minutes followed 24 hours later by fluorouracil IV. Treatment continues every 3 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of raltitrexed until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose immediately preceding that at which 2 of 6 patients experience dose-limiting toxicity. An additional 6-10 patients are treated at the MTD. Patients are followed for 6 weeks. PROJECTED ACCRUAL: A total of 20-40 patients will be accrued for this study within 5-20 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically proven metastatic, locally recurrent, or surgically unresectable colorectal carcinoma - Measurable disease - No CNS metastasis --Prior/Concurrent Therapy-- - Biologic therapy: Not specified - Chemotherapy: No more than 1 prior chemotherapy regimen; Prior fluorouracil-based regimen for advanced colorectal cancer allowed; Prior fluorouracil with radiotherapy not considered therapy for advanced disease; At least 4 weeks since prior chemotherapy (8 weeks for mitomycin or nitrosoureas) and recovered - Endocrine therapy: No concurrent steroids except for antiemesis or as replacement therapy - Radiotherapy: See Chemotherapy; No prior radiotherapy to more than 30% of bone marrow - Surgery: See Disease Characteristics; At least 4 weeks since prior surgery unless fully recovered - Other: No concurrent vitamin supplements containing folic acid; No other concurrent anticancer therapy --Patient Characteristics-- - Age: 18 and over - Performance status: WHO 0-2 - Life expectancy: Not specified - Hematopoietic: Absolute neutrophil count at least 2,000/mm3; Platelet count at least 100,000/mm3 - Hepatic: Bilirubin no greater than 1.5 mg/dL; SGOT no greater than 2.5 times normal (5 times normal if known liver metastases) - Renal: Creatinine no greater than 1.5 mg/dL - Other: No severe concurrent infection; Not pregnant or nursing; Negative pregnancy test; Fertile patients must use effective contraception
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
GarySchwartz,  Study Chair,  Memorial Sloan-Kettering Cancer Center

Memorial Sloan-Kettering Cancer Center
New York City,  New York,  10021
United States
 


Additional Information:
Study ID Numbers:
  CDR0000065019;  MSKCC-95021A4,NCI-V96-0987,ZENECA-MSKCC-95021A4
Study Start Date: April 1995
Record last reviewed: November 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002828

Other Recurrent Colon Cancer Studies:
1. Combination Chemotherapy in Treating Patients With Colorectal Cancer

2. Fluorouracil, Leucovorin, and Irinotecan in Treating Patients With Recurrent or Refractory Metastatic Unresectable Colorectal Cancer

3. Erlotinib and Combination Chemotherapy in Treating Patients With Metastatic Colorectal Cancer

4. DHA-Paclitaxel in Treating Patients With Metastatic Colorectal Cancer

5. Fluorouracil-Uracil and Leucovorin in Treating Elderly Patients With Metastatic Colorectal Cancer

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