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Home > "I" Clinical Trials Conditions > Imatinib Mesylate and Chemotherapy in Treating Patients With Extensive-Stage Small Cell Lung Cancer

Imatinib Mesylate and Chemotherapy in Treating Patients With Extensive-Stage Small Cell Lung Cancer



Imatinib Mesylate and Chemotherapy in Treating Patients With Extensive-Stage Small Cell Lung Cancer

For Condition: extensive stage small cell lung cancer
Status: Completed
Sponsor(s): Memorial Sloan-Kettering Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: Imatinib mesylate may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining imatinib mesylate with chemotherapy may kill more tumor cells. PURPOSE: Phase I trial to study the effectiveness of combining imatinib mesylate with irinotecan and cisplatin in treating patients who have extensive-stage small cell lung cancer
Details: OBJECTIVES: - Determine the maximum tolerated dose of imatinib mesylate when administered with irinotecan and cisplatin in patients with extensive stage small cell lung cancer. - Determine the effect of imatinib mesylate on irinotecan metabolism by the cytochrome p450 system in these patients. - Determine the response rate, time to progression, and survival of patients treated with this regimen. OUTLINE: This is a dose-escalation study of imatinib mesylate. Patients receive irinotecan IV over 30 minutes on days 1, 8, and 15 and cisplatin IV over 60 minutes on day 1. Treatment repeats every 28 days for 4 courses in the absence of disease progression or unacceptable toxicity. Patients also receive oral imatinib mesylate once or twice daily beginning on day 22 of course 1 and continuing until disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of imatinib mesylate until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. PROJECTED ACCRUAL: Approximately 18 patients will be accrued for this study within 12-18 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed small cell lung cancer - Extensive stage disease - Measurable or evaluable indicator lesion - No symptomatic or uncontrolled brain or leptomeningeal involvement PATIENT CHARACTERISTICS: Age - 18 and over Performance status - Karnofsky 70-100% Life expectancy - Not specified Hematopoietic - WBC at least 4,000/mm3 - Platelet count at least 160,000/mm3 - Hemoglobin at least 10 g/dL Hepatic - Bilirubin no greater than 1 mg/dL - AST no greater than 2.5 times upper limit of normal (ULN) - Alkaline phosphatase no greater than 5 times ULN Renal - Creatinine less than 1.5 mg/dL OR - Creatinine clearance at least 50 mL/min Cardiovascular - No symptomatic congestive heart failure - No unstable angina pectoris - No uncontrolled cardiac arrhythmia Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective barrier contraception during and for 3 months after study - No other active cancer except previously treated carcinoma in situ, non -melanoma skin cancer, or stage I prostate cancer - No ongoing or active infection - No psychiatric illness or social situation that would preclude study - No other concurrent uncontrolled illness PRIOR CONCURRENT THERAPY: Biologic therapy - Not specified Chemotherapy - No prior chemotherapy except for non-cancer conditions (e.g., low-dose methotrexate for rheumatoid arthritis) Endocrine therapy - Not specified Radiotherapy - At least 2 weeks since prior radiotherapy to major bone marrow-containing areas Surgery - Not specified Other - No concurrent warfarin for therapeutic anticoagulation - Low-molecular weight heparin or heparin allowed
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
LeeKrug,  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:
  CDR0000256923;  NCI-5653,MSKCC-02015
Study Start Date: 
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00045604

Other Extensive Stage Small Cell Lung Cancer Studies:
1. Combination Chemotherapy and Imatinib Mesylate in Treating Patients With Extensive-Stage Small Cell Lung Cancer

2. Cisplatin, Etoposide, and Bevacizumab in Treating Patients With Previously Untreated Extensive-Stage Small Cell Lung Cancer

3. Bortezomib in Treating Patients With Recurrent or Refractory Extensive-Stage Small Cell Lung Cancer Previously Treated With Platinum-Based Chemotherapy

4. Combination Chemotherapy in Treating Patients With Extensive-Stage Small Cell Lung Cancer

5. Phase I/II Study of Lepirudin in Patients with Recurrent or Extensive Stage Small Cell Lung Cancer

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