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临床试验/NCT00087048
NCT00087048终止2 期

The Use Of Weekly Topotecan As Second Line Therapy In Small Cell Lung Cancer

Case Comprehensive Cancer Center2 个研究点 分布在 1 个国家目标入组 1 人开始时间: 2004年4月1日最近更新:
适应症
相关药物

试验速览

阶段
2 期
状态
终止
入组人数
1
试验地点
2
主要终点
Overall survival

研究概览

简要总结

RATIONALE: Drugs used in chemotherapy, such as topotecan, 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 high-dose topotecan works as second-line therapy in treating patients with recurrent extensive-stage small cell lung cancer.

详细描述

OBJECTIVES:

Primary

  • Determine the overall survival of patients with recurrent extensive stage small cell lung cancer treated with high-dose topotecan hydrochloride.

Secondary

  • Determine the safety and toxic effects of this drug in these patients.
  • Determine the recurrence-free survival of patients treated with this drug.
  • Determine time to response and tumor response in patients treated with this drug.
  • Determine the quality of life of patients treated with this drug.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •DISEASE CHARACTERISTICS:
  • •Histologically confirmed small cell lung cancer (SCLC)
  • •Recurrent extensive stage disease
  • •No mixed histology
  • •Measurable disease
  • •At least 1 bidimensionally measurable, non-central nervous system (CNS), indicator lesion confirmed by CT scan or MRI
  • •Sensitive disease
  • •Responded to prior first-line therapy AND relapsed ≥ 60 days after response (90 days after initiation of first-line therapy)
  • •Eligible for high-dose chemotherapy
  • •No symptomatic brain metastases affecting performance status
  • •PATIENT CHARACTERISTICS:
  • •18 and over
  • •Performance status
  • •Eastern Cooperative Oncology Group (ECOG) 0-2
  • •Life expectancy
  • •At least 2 months
  • •Hematopoietic
  • •Absolute neutrophil count ≥ 1,500/mm^3
  • •Platelet count ≥ 100,000/mm^3
  • •Hemoglobin ≥ 9.0 g/dL
  • •Hematocrit > 35% (without transfusion)
  • •Serum glutamic-oxaloacetic transaminase (SGOT) and serum glutamate pyruvate transaminase (SGPT) ≤ 2 times normal*
  • •Alkaline phosphatase ≤ 2 times normal*
  • •Bilirubin ≤ 2.0 mg/dL
  • •Albumin > 2.5 g/dL
  • •Hepatitis B surface antigen negative
  • •No significant hepatic disease Note: *≤ 5 times upper limit of normal if liver metastases are present
  • •Creatinine clearance ≥ 40 mL/min
  • •Cardiovascular
  • •No history of cardiac arrhythmias
  • •No congestive heart failure
  • •No ischemic heart disease
  • •No stroke or other embolic disease requiring daily treatment that would preclude study participation
  • •Not pregnant or nursing
  • •Negative pregnancy test
  • •Fertile patients must use effective contraception during and for 3 months after study participation
  • •HIV negative
  • •No known seizure disorder
  • •No active infection requiring systemic therapy within the past 2 weeks
  • •No known hypersensitivity to topotecan hydrochloride
  • •No medical or psychiatric condition that would preclude study participation
  • •No other malignancy except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or stage A low-grade prostate cancer
  • •PRIOR CONCURRENT THERAPY:
  • •Biologic therapy
  • •Not specified
  • •Chemotherapy
  • •See Disease Characteristics
  • •More than 4 weeks since prior antineoplastic and/or myelosuppressive chemotherapy
  • •No more than 1 prior chemotherapy regimen (except for adjuvant chemotherapy) for SCLC
  • •No prior topotecan hydrochloride
  • 另有 7 项未显示

排除标准

  • 未提供

结局指标

主要结局

Overall survival

次要结局

  • Recurrence-free survival
  • Safety and toxic effects
  • Time to response and tumor response
  • Quality of life

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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