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Photodynamic Therapy Plus Brachytherapy in Treating Patients With Lung Cancer



Photodynamic Therapy Plus Brachytherapy in Treating Patients With Lung Cancer

For Condition: recurrent non-small cell lung cancer,Recurrent Small Cell Lung Cancer,limited stage small cell lung cancer,stage 1 non-small cell lung cancer,stage 0 non-small cell lung cancer
Status: Completed
Sponsor(s): Roswell Park Cancer Institute ,
Synopsis: RATIONALE: Photodynamic therapy uses light and drugs that make cancer cells more sensitive to light to kill tumor cells. Brachytherapy uses radiation to damage tumor cells. Photodynamic therapy combined with brachytherapy may kill more tumor cells. PURPOSE: Phase I trial to study the effectiveness of photodynamic therapy plus brachytherapy in treating patients with recurrent lung cancer that is blocking the lung passages.
Details: OBJECTIVES: I. Determine the feasibility, toxicity, and effectiveness of combination therapy with Photofrin PDT and HDT brachytherapy in patients with endobronchial obstructions from lung cancer. PROTOCOL OUTLINE: This is not a randomized study. Photofrin solution is administered slowly as a bolus injection over 3-5 minutes on day 1. Bronchoscopy is performed under general anesthesia 48 hours after Photofrin injection. Light is transmitted from the laser to the tumor via quartz fiber optics (interstitial or surface PDT). Another bronchoscopy is performed 48 hours after PDT treatment to clean out any tissue debris left after PDT treatment. HDR brachytherapy is performed using prescribed dose of radiation for 5-10 minutes to designated positions. Repeat bronchoscopy is performed 3-4 weeks post HDR brachytherapy and a second HDR brachytherapy treatment may be given. Patients are followed every 3 months until death, or for 5 years. PROJECTED ACCRUAL: 16 patients will be entered over 1.5 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically confirmed small cell or non-small cell primary lung cancer with symptomatic endobronchial lesion(s) partially or totally obstructing airway distal to the carina and accessible by endoscopy - Recurrent disease following prior therapy and/or be ineligible for, or refuse, alternative standard therapy such as: Surgery; External radiation therapy; Chemotherapy - High grade obstruction necessitating more rapid aeration and palliation than standard therapy can provide - No evidence of encasement or extension of the tumor to the right or left major pulmonary vessels on CT of the chest - No tumor involvement at trachea or carina --Prior/Concurrent Therapy-- - Biologic therapy: Not specified - Chemotherapy: No chemotherapy within 3 weeks prior to study entry; No doxorubicin within 8 weeks prior to study entry - Endocrine therapy: Not specified - Radiotherapy: Prior radiation therapy dose no higher than 75 Gy to proposed bronchial segment allowed; No concurrent external brain radiation therapy - Surgery: Not specified --Patient Characteristics-- - Age: 18 and over - Performance status: ECOG 0-2 - Life expectancy: Not specified - Hematopoietic: WBC at least 4,000/mm3; Platelet count at least 100,000/mm3 - Hepatic: Bilirubin less than 2 times the upper limit of normal; SGOT/SGPT less than 2 times the upper limit of normal - Renal: Creatinine no greater than 2.0 mg/dL - Other: Not pregnant; Adequate method of contraception required of all fertile patients; Female fertile patients must have normal serum beta HCG; Not eligible for standard therapy and/or other protocol therapy; No hypersensitivity to DHE or other porphyrins; Not concurrent photosensitizing drugs such as: Tetracycline, Doxorubicin; No contraindications to general anesthesia, including EKG abnormalities suggestive of acute ischemia
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
GregoryLoewen,  Study Chair,  Roswell Park Cancer Institute

Roswell Park Cancer Institute
Buffalo,  New York,  14263-0001
United States
 


Additional Information:
Study ID Numbers:
  CDR0000065448;  RPCI-DS-92-40,NCI-V97-1190
Study Start Date: March 2001
Record last reviewed: February 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00014066

Other Stage 1 Non-Small Cell Lung Cancer Studies:
1. SGN-15 And Docetaxel in Treating Patients With Advanced or Recurrent Non-Small Cell Lung Cancer

2. Gemcitabine Plus Docetaxel or Irinotecan in Treating Patients With Stage IIIB or Stage IV Non-small Cell Lung Cancer

3. Arsenic Trioxide in Treating Patients With Locally Advanced or Metastatic Non-Small Cell Lung Cancer

4. Radiation Therapy in Treating Patients With Non-small Cell Lung Cancer

5. Acridine Carboxamide in Treating Patients With Advanced Non-small Cell Lung Cancer

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Photodynamic Therapy Plus Brachytherapy in Treating Patients With Lung Cancer

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