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S0400, FR901228 in Treating Patients With Advanced Cancer of the Urothelium

Phase 2
Terminated
Conditions
Bladder Cancer
Transitional Cell Cancer of the Renal Pelvis and Ureter
Urethral Cancer
Interventions
Drug: Depsipeptide
Registration Number
NCT00087295
Lead Sponsor
SWOG Cancer Research Network
Brief Summary

RATIONALE: Drugs used in chemotherapy, such as FR901228 (depsipeptide), work in different ways to stop tumor cells from dividing so they stop growing or die.

PURPOSE: This phase II trial is studying how well FR901228 works in treating patients with advanced cancer of the urothelium that has progressed or recurred after receiving one chemotherapy regimen.

Detailed Description

OBJECTIVES:

* Determine the response (confirmed complete and partial) in patients with advanced transitional cell carcinoma of the urothelium that has progressed after prior chemotherapy when treated with FR901228 (depsipeptide) .

* Determine progression-free and overall survival of patients treated with this drug.

* Determine the qualitative and quantitative toxic effects of this drug in these patients.

* Determine, preliminarily, the effects of this drug on reversing tumor promoter gene methylation in these patients.

* Correlate, preliminarily, tumor DNA in plasma with response or outcome in patients treated with this drug.

OUTLINE: This is a multicenter study.

Patients receive FR901228 (depsipeptide) IV over 4 hours on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients achieving a complete response receive 2 additional courses of treatment.

Patients are followed every 3 months for 1 year and then every 6 months for 2 years.

PROJECTED ACCRUAL: A total of 20-40 patients will be accrued for this study.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
6
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
TreatmentDepsipeptideDepsipeptide
Primary Outcome Measures
NameTimeMethod
Probability of response (confirmed complete and partial)From date of registration to progression or death from any cause, whichever came first, assessed up to 3 years
Secondary Outcome Measures
NameTimeMethod
Progression-free survivalFrom date of registration to progression or death from any cause, whichever came first, assessed up to 3 years
Overall survivalFrom date of registration to progression or death from any cause, whichever came first, assessed up to 3 years
Number and grade of adverse eventsFrom date of registration to progression or death from any cause, whichever came first, assessed up to 3 years
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