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Gefitinib and Celecoxib in Treating Patients With Refractory Non-Small Cell Lung Cancer

Phase 2
Completed
Conditions
Lung Cancer
Interventions
Registration Number
NCT00068653
Lead Sponsor
Barbara Ann Karmanos Cancer Institute
Brief Summary

RATIONALE: Gefitinib may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth. Celecoxib may slow the growth of cancer by stopping blood flow to the tumor. Combining gefitinib with celecoxib may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combining gefitinib with celecoxib in treating patients who have non-small cell lung cancer that is refractory to platinum-based chemotherapy (such as cisplatin or carboplatin).

Detailed Description

OBJECTIVES:

Primary

* Determine the response rate in patients with platinum-refractory non-small cell lung cancer treated with gefitinib and celecoxib.

Secondary

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

* Determine the toxicity of this regimen in these patients.

OUTLINE: Patients receive oral gefitinib once daily and oral celecoxib twice daily on days 1-28. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.

Patients are followed for up to 6 weeks.

PROJECTED ACCRUAL: A total of 18-27 patients will be accrued for this study within 22 months.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
27
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Celecoxib & ZD1839ZD1839Celecoxib: 400mg orally two times a day, taken with meals. ZD1839: 250 mg po every day, taken with or without food.
Celecoxib & ZD1839CelecoxibCelecoxib: 400mg orally two times a day, taken with meals. ZD1839: 250 mg po every day, taken with or without food.
Primary Outcome Measures
NameTimeMethod
Response rateEvery 2 cycles; after the 1st 4 cycles, every month by clinical exam & every 3 months radiological evaluation

CT scan chest/abdomen; Assessments of complete response (CR) or partial response (PR)require confirmation 4 weeks or later.

Secondary Outcome Measures
NameTimeMethod
Overall survivalEvery 2 cycles; after the 1st 4 cycles, every month by clinical exam & every 3 months radiological evaluation
Progression-free survival (PFS)Every 2 cycles; after the 1st 4 cycles, every month by clinical exam & every 3 months radiological evaluation
Toxicity of this drug combinationEvery 2 weeks; Every month after 4 cycles if the patient has not developed > Grade 2 toxicity

Trial Locations

Locations (1)

Barbara Ann Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

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