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Home > "E" Clinical Trials Conditions > Erlotinib and Celecoxib in Treating Patients With Stage IIIB or Stage IV Recurrent Non-Small Cell Lung Cancer

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



Erlotinib and Celecoxib in Treating Patients With Stage IIIB or Stage IV Recurrent 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: No longer recruiting
Sponsor(s): Rush Cancer Institute at Rush University Medical Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: Erlotinib and celecoxib may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth. Celecoxib may slow the growth of a tumor by stopping blood flow to the tumor. Combining erlotinib with celecoxib may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of combining erlotinib with celecoxib in treating patients who have recurrent stage IIIB or stage IV non-small cell lung cancer.
Details: OBJECTIVES: - Determine the response rate of patients with stage IIIB or IV recurrent non-small cell lung cancer treated with erlotinib and celecoxib as second-line therapy. - Determine the time to progression in patients treated with this regimen. - Determine the survival duration of patients treated with this regimen. - Determine the toxicity of this regimen in these patients. - Correlate the expression of epidermal growth factor receptor and cyclooxygenase-2 in tumor specimens with response, time to progression, and survival in patients treated with this regimen. OUTLINE: This is a randomized study. Patients receive oral erlotinib once daily and oral celecoxib twice daily. Treatment continues in the absence of disease progression or unacceptable toxicity. Patients are followed every 2 months. PROJECTED ACCRUAL: A total of 40-80 patients will be accrued for this study within 10 months.
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 - Stage IIIB (malignant pleural effusion only) or IV - Recurrent disease that has progressed after 1 and only 1 prior chemotherapy regimen (platinum- or nonplatinum-based) - At least 1 unidimensionally measurable lesion* - At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan NOTE: *The sole measurable lesion must not be in a previously irradiated field - Must have tissue specimen available for assays - No brain metastases PATIENT CHARACTERISTICS: Age - 18 and over Performance status - ECOG 0-2 OR - Karnofsky 60-100% Life expectancy - More than 3 months Hematopoietic - WBC at least 3,000/mm^3 - Absolute neutrophil count at least 1,500/mm^3 - Platelet count at least 100,000/mm^3 Hepatic - Bilirubin normal - AST/ALT no greater than 2.5 times upper normal limit (ULN) Renal - Creatinine normal OR - Creatinine clearance at least 60 mL/min Cardiovascular - No symptomatic congestive heart failure - No unstable angina pectoris - No cardiac arrhythmia Ophthalmic - No prior abnormalities of the cornea (e.g., dry eye syndrome or Sjögren's syndrome) - No congenital abnormality (e.g., Fuch's dystrophy) - No abnormal slit-lamp examination using a vital dye (e.g., fluorescein or Bengal-Rose) - No abnormal corneal sensitivity test (e.g., Schirmer test or similar tear production test) Gastrointestinal - Able to ingest oral medication - No requirement for IV alimentation - No active peptic ulcer disease - No active gastrointestinal ulcers Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - No other concurrent uncontrolled illness - No ongoing or active infection - No significant traumatic injury within the past 21 days - No psychiatric illness or social situation that would preclude study compliance - No prior allergic reactions to sulfonamides, aspirin, and other nonsteroidal anti-inflammatory drugs PRIOR CONCURRENT THERAPY: Biologic therapy - No prior monoclonal antibodies to epidermal growth factor receptor (EGFR) Chemotherapy - See Disease Characteristics - More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered - No concurrent chemotherapy Endocrine therapy - No concurrent glucocorticoids Radiotherapy - See Disease Characteristics - More than 4 weeks since prior radiotherapy and recovered Surgery - More than 21 days since prior major surgery - No prior surgery affecting absorption Other - No prior EGFR-specific tyrosine kinases - No concurrent anticonvulsants - No other concurrent investigational agents - No concurrent antiretroviral therapy for HIV-positive patients - No concurrent antacids - No concurrent administration of any of the following drugs: - Amiodarone - Chloramphenicol - Cimetidine - Fluvoxamine - Omeprazole - Zafirlukast - Clopidogrel - Cotrimoxazole - Disulfiram - Fluconazole - Fluoxetine - Fluvastatin - Fluvoxamine - Isoniazid - Itraconazole - Ketoconazole - Leflunomide - Metronidazole - Modafinil - Paroxetine - Phenylbutazone - Sertraline - Ticlopidine - Valproic acid
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
PhilipBonomi,  Study Chair,  Rush Cancer Institute at Rush University Medical Center


Additional Information:
Study ID Numbers:
  CDR0000304495;  NCI-5416,RUSH-LUNG-2001-1
Study Start Date: 
Record last reviewed: May 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00062101

Other Stage 4 Non-Small Cell Lung Cancer Studies:
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2. Antineoplaston Therapy in Treating Patients With Stage IV Non-small Cell Lung Cancer

3. ZD1839 Plus Combination Chemotherapy in Treating Patients With Non-Small Cell Lung Cancer

4. Epothilone D in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer That Has Not Responded to Platinum-Based Chemotherapy

5. Phase II Study of TLK286 in Patients With Advanced Non-Small Cell Lung Cancer

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