Phase II Study on TAXOL in Bronchioalveolar Carcinoma
Trial Snapshot
- Phase
- Phase 2
- Status
- Completed
- Enrollment
- 25
- Locations
- 10
Study Overview
Brief Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.
PURPOSE: Phase II trial to study the effectiveness of paclitaxel in treating patients who have unresectable stage IIIB, stage IV or recurrent lung cancer.
Detailed Description
OBJECTIVES:
- Assess the therapeutic activity of paclitaxel in patients with bronchoalveolar carcinoma (BAC).
- Assess the duration of response in patients presenting with an objective response.
- Characterize the acute side effects of paclitaxel in patients with BAC.
- Assess the role of some biological parameters in the natural history and the response to therapy of BAC; evaluate the expression of Ki67, p53, and K-ras mutation.
OUTLINE: This is an open label, nonrandomized, multicenter study.
Paclitaxel is administered every 3 weeks as a 3 hour continuous infusion in dextrose or normal saline. Patients are treated for a minimum of 2 cycles unless serious toxicity or complication occur.
Disease is assessed every 6 weeks until documented progression; treatment side effects are assessed separately for each cycle of therapy. Treatment is given up to a maximum of 6 cycles of therapy or until disease progression, unacceptable toxicity, or patient refusal occurs.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •DISEASE CHARACTERISTICS:
- •Histologically proven bronchoalveolar carcinoma (BAC) based on these criteria:
- •Absence of primary adenocarcinoma elsewhere
- •Absence of a demonstrable central bronchogenic origin
- •A peripheral location in the lung parenchyma
- •Intact interstitial framework of the lung
- •A histological appearance setting it apart from other tumors, with a characteristic pattern of growth: cuboidal or cylindrical cells lining up the alveolar septa with preservation of basic pulmonary architecture
- •Must be unresectable Stage IIIB, IV, or recurrent BAC
- •Evidence of multinodular lesions involving the lungs bilaterally or unilaterally (in the latter the lesions must involve more than one lobe)
- •At least one target lesion bidimensionally measurable that has not undergone prior irradiation
- •No CNS disease
- •PATIENT CHARACTERISTICS:
- •18 to 75 (inclusive)
- •Performance status:
- •Life expectancy:
- •Greater than 3 months
- •Hematopoietic:
- •ANC at least 1,500/mm^3
- •Bilirubin less than 2 times upper limit of normal
- •SGOT, SGPT, and alkaline phosphatase less than 2 times upper limit of normal
- •Creatinine less than 1.5 times upper limit of normal
- •Cardiovascular:
- •No history of ischemic or congestive heart disease
- •No arrhythmia requiring chronic cardiopulmonary medications
- •No history of clinically or electrographically documented myocardial infarction
- •No preexisting motor or other serious sensory neurotoxicity
- •No active or prior second primary cancer except basal cell carcinoma of the skin or carcinoma in situ of the cervix
- •No clinical evidence of uncontrolled infection
- •Not pregnant or nursing
- •Negative pregnancy test 72 hours prior to start of study medication
- •Adequate contraception required of all fertile patients
- •PRIOR CONCURRENT THERAPY:
- •Biologic therapy:
- •Not specified
- •Chemotherapy:
- •No prior chemotherapy
- •Endocrine therapy:
- •Not specified
- •Radiotherapy:
- •At least 4 weeks since radiotherapy
- •Must have at least one bidimensional lesion outside the irradiated fields
- •Fully recovered from any prior major surgery
Exclusion Criteria
- Not provided
