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Nitrocamptothecin Plus Etoposide in Treating Patients With Advanced Solid Tumors



Nitrocamptothecin Plus Etoposide in Treating Patients With Advanced Solid Tumors

For Condition: unspecified adult solid tumor, protocol specific
Status: No longer recruiting
Sponsor(s): National Cancer Institute (NCI) , H. Lee Moffitt Cancer Center and Research Institute
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 nitrocamptothecin plus etoposide in treating patients who have advanced solid tumors.
Details: OBJECTIVES: I. Determine the maximum tolerated dose, dose limiting toxicity, and safety of nitrocamptothecin when administered with etoposide in patients with advanced solid tumors. II. Determine the changes in expression and activity of topoisomerase I and II which occur during administration of this treatment regimen in these patients. III. Determine the plasma pharmacokinetics of this treatment regimen in these patients. IV. Compare the hematologic and nonhematologic toxicities with this treatment regimen in patients 70 years of age and older versus patients younger than 70 years of age. PROTOCOL OUTLINE: This is a dose escalation study of nitrocamptothecin. Patients receive oral nitrocamptothecin on days 1-3 and oral etoposide on days 4-5 each week. Treatment continues in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of nitrocamptothecin until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose limiting toxicities. Patients are followed every 4 weeks until toxicities resolve. PROJECTED ACCRUAL: Approximately 40-60 patients will be accrued for this study over 18 to 24 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically confirmed nonhematologic malignancy refractory to available therapies or for which no curative therapy exists - Measurable or evaluable disease - No active brain metastases, including evidence of cerebral edema by CT scan or MRI, progression from a prior imaging study, or any requirement for steroids or clinical symptoms of/from brain metastases --Prior/Concurrent Therapy-- - Biologic therapy: At least 4 weeks since prior immunotherapy; No concurrent colony stimulating factors (e.g., filgrastim (G-CSF) or sargramostim (GM-CSF)) - Chemotherapy: No prior topoisomerase I inhibitors (e.g., nitrocamptothecin, aminocamptothecin, irinotecan, or topotecan); At least 4 weeks since prior chemotherapy (at least 6 weeks since prior nitrosoureas, mitomycin, or carboplatin); No other concurrent chemotherapy - Endocrine therapy: See Disease Characteristics; At least 4 weeks since prior hormonal therapy No concurrent hormonal anticancer therapy - Radiotherapy: At least 4 weeks since prior radiotherapy involving at least 30% of the bone marrow; No concurrent radiotherapy - Surgery: Not specified - Other: No other concurrent experimental anticancer medication --Patient Characteristics-- - Age: 18 and over - Performance status: ECOG 0-2 - Life expectancy: At least 3 months - Hematopoietic: Absolute neutrophil count at least 1,500/mm3; Platelet count at least 100,000/mm3 - Hepatic: Bilirubin less than 1.5 mg/dL; ALT and AST less than 2 times upper limit of normal (ULN) (unless clearly related to hepatic metastases) - Renal: Creatinine less than 1.5 times ULN - Other: No other serious uncontrolled medical disorder or active infection that would preclude study; No dementia or altered mental status that would preclude study; Not pregnant or nursing; Negative pregnancy test; Fertile patients must use effective contraception during and for 10 weeks after study
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
DanielSullivan,  Study Chair,  H. Lee Moffitt Cancer Center and Research Institute

H. Lee Moffitt Cancer Center and Research Institute
Tampa,  Florida,  33612-9497
United States
 


Additional Information:
Study ID Numbers:
  CDR0000068063;  MCC-12177,NCI-G00-1821
Study Start Date: June 2000
Record last reviewed: February 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00006047

Other Unspecified Adult Solid Tumor, Protocol Specific Studies:
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2. LY293111 in Treating Patients With Advanced Solid Tumors

3. Ro 31-7453 in Treating Patients With Metastatic Solid Tumors

4. Monoclonal Antibody Therapy in Treating Patients With Advanced Solid Tumors

5. S-3304 in Treating Patients With Advanced Solid Tumors

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