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O(6)-benzylguanine and Carmustine in Treating Patients With Stage I or Stage II Cutaneous T-cell Lymphoma



O(6)-benzylguanine and Carmustine in Treating Patients With Stage I or Stage II Cutaneous T-cell Lymphoma

For Condition: stage 2 cutaneous T-cell lymphoma,stage 1 mycosis fungoides/Sezary syndrome,stage 1 cutaneous T-cell lymphoma,stage 2 mycosis fungoides/Sezary syndrome,recurrent cutaneous T-cell lymphoma,recurrent mycosis fungoides/Sezary syndrome
Status: Recruiting
Sponsor(s): Ireland Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells. PURPOSE: Phase I trial to study the effectiveness of O(6)-benzylguanine and carmustine in treating patients who have stage I or stage II cutaneous T-cell lymphoma that has not responded to previous treatment.
Details: OBJECTIVES: - Determine the kinetics of O6-alkylguanine DNA alkyltransferase depletion in skin lesions of patients with cutaneous T-cell lymphoma after treatment with O6-benzylguanine. - Determine the toxicity of low-dose topical carmustine when administered after O6-benzylguanine in these patients. OUTLINE: This is a dose-escalation study of carmustine. Patients receive O6-benzylguanine IV over 1 hour followed by topical carmustine once every 2 weeks. Treatment continues in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of carmustine 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 toxicity. Patients are followed for 6 weeks. PROJECTED ACCRUAL: Approximately 20 patients will be accrued for this study within 2 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed cutaneous T-cell lymphoma - Stage IA, IB, or IIA disease - Must be able to biopsy tumor - Must have failed 1 conventional treatment other than topical corticosteroids, including ultraviolet B light, psoralen ultraviolet light, topical mechlorethamine, electron beam, photophoresis, chemotherapy, or immunotherapy agents - No known CNS involvement or primary CNS malignancy PATIENT CHARACTERISTICS: Age: - Over 18 Performance status: - ECOG 0-2 Life expectancy: - Not specified Hematopoietic: - WBC greater than 4,000/mm^3 - Absolute neutrophil count greater than 2,000/mm^3 - Platelet count greater than 100,000/mm^3 Hepatic: - Bilirubin less than 1.5 mg/dL - SGOT normal - Prothrombin time normal Renal: - Creatinine no greater than 1.5 mg/dL OR - Creatinine clearance at least 70 mL/min Metabolic: - Calcium and electrolytes normal - Glucose-controlled (diet and insulin) diabetes allowed Pulmonary: - DLCO greater than 80% (except patients who demonstrate clinically normal lung function based on history, physical examination, and chest x-ray as determined by the principal investigator) - No pulmonary disease Other: - No active infection - Not pregnant or nursing - Fertile patients must use effective contraception during and for two months after study therapy PRIOR CONCURRENT THERAPY: Biologic therapy: - See Disease Characteristics - No concurrent hematopoietic growth factors Chemotherapy: - See Disease Characteristics - No prior nitrosoureas Endocrine therapy: - See Disease Characteristics Radiotherapy: - See Disease Characteristics Surgery: - Not specified Other: - At least 4 weeks since any prior therapy and recovered
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
SethStevens,  Study Chair,  Ireland Cancer Center

Ireland Cancer Center *Recruiting*
Cleveland,  Ohio,  44106-5065
United States
Recruiting Seth  Stevens 216-844-5432


Additional Information:
Study ID Numbers:
  CDR0000066690;  CWRU-6496,NCI-T97-0029
Study Start Date: 
Record last reviewed: April 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00003613

Other Stage 1 Mycosis Fungoides/sezary Syndrome Studies:
1. Combination Chemotherapy in Treating Patients With Relapsed or Refractory Aggressive Non-Hodgkin's Lymphoma

2. Music Therapy to Ease Pain and Emotional Distress in Patients With Hematologic Cancer Who Are Undergoing High-Dose Therapy and Stem Cell Transplantation

3. MDX-060 Monoclonal Antibody in Treating Patients With Refractory or Relapsed Lymphoma

4. Dexamethasone Followed by Denileukin Diftitox in Treating Patients With Persistent or Recurrent T-Cell Lymphoma

5. Chemotherapy and Photodynamic Therapy in Treating Patients With Cutaneous T-Cell Lymphoma

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O(6)-benzylguanine and Carmustine in Treating Patients With Stage I or Stage II Cutaneous T-cell Lymphoma

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