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临床试验/NCT00081107
NCT00081107已完成2 期

A Phase II Study of KOS-862, Administered Intravenously Weekly for 3 Weeks Every 4 Weeks, in Patients With Non-Small Cell Lung Cancer Who Have Progressed Following Initial Therapy for Advanced or Metastatic Disease

Memorial Sloan Kettering Cancer Center1 个研究点 分布在 1 个国家开始时间: 2003年12月1日最近更新:
适应症
相关药物

试验速览

阶段
2 期
状态
已完成
试验地点
1

研究概览

简要总结

RATIONALE: Drugs used in chemotherapy, such as epothilone D, 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 epothilone D works in treating patients with stage IIIB or stage IV non-small cell lung cancer that has not responded to platinum-based chemotherapy.

详细描述

OBJECTIVES:

Primary

  • Determine the antitumor activity of epothilone D, in terms of confirmed objective response rate, in patients with stage IIIB or IV non-small cell lung cancer who failed prior initial platinum-containing chemotherapy.

Secondary

  • Determine the safety of this drug in these patients.
  • Determine the response duration in patients who achieve complete response or partial response, time to tumor progression, and survival in patients treated with this drug.
  • Compare the power associated with the estimated treatment effect of this drug in these patients vs standard treatment.
  • Correlate efficacy and safety with plasma concentrations of this drug and its major metabolites in these patients.

研究设计

研究类型
Interventional
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 or cytologically confirmed non-small cell lung cancer (NSCLC)
  • •Stage IIIB* or IV disease NOTE: *Due to malignant pleural effusion or supraclavicular lymph node involvement only
  • •Previously treated with maximally feasible surgical resection and/or radiotherapy for initial disease
  • •Failed 1 prior platinum-containing chemotherapy regimen for advanced or metastatic disease due to disease progression or treatment toxicity
  • •At least 1 site of unidimensionally measurable disease by physical exam or radiography
  • •No known CNS metastases or leptomeningeal metastases requiring corticosteroids
  • •PATIENT CHARACTERISTICS:
  • •18 and over
  • •Performance status
  • •Life expectancy
  • •More than 3 months
  • •Hematopoietic
  • •Absolute neutrophil count ≥ 1,500/mm^3
  • •Hemoglobin ≥ 8 g/dL
  • •Platelet count ≥ 75,000/mm^3
  • •AST ≤ 2.5 times upper limit of normal (ULN) (5 times ULN for patients with hepatic metastases)
  • •Alkaline phosphatase ≤ 5 times ULN
  • •Bilirubin ≤ 1.8 mg/dL
  • •Creatinine ≤ 2.0 mg/dL
  • •Cardiovascular
  • •No New York Heart Association class III or IV congestive heart failure
  • •No personal or family history of congenital long QT syndrome
  • •No QTc interval > 450 msec (males) or > 470 msec (females) by ECG
  • •Not pregnant or nursing
  • •Negative pregnancy test
  • •Fertile patients must use effective contraception
  • •No preexisting neuropathy ≥ grade 2
  • •No other malignancy within the past 5 years except for the following:
  • •Cured basal cell skin cancer
  • •Carcinoma in situ of the cervix or urinary bladder
  • •Stage T1 or T2 prostate cancer with prostate-specific antigen < 2 ng/mL
  • •No hypersensitivity reaction ≥ grade 3 to prior Cremophor-containing therapy
  • •No infection requiring parenteral or oral anti-infective therapy
  • •No weight loss of ≥ 10% within the past 3 months
  • •No altered mental status or psychiatric illness that would preclude giving informed consent
  • •No other medical condition that would preclude study participation
  • •PRIOR CONCURRENT THERAPY:
  • •Biologic therapy
  • •No concurrent granulocyte-macrophage colony-stimulating factor (sargramostim [GM-CSF])
  • •No concurrent routine prophylactic granulocyte colony-stimulating factor (filgrastim [G-CSF])
  • •Chemotherapy
  • •See Disease Characteristics
  • •At least 3 weeks since prior chemotherapy and recovered
  • •Endocrine therapy
  • •See Disease Characteristics
  • •Radiotherapy
  • •See Disease Characteristics
  • •At least 3 weeks since prior radiotherapy and recovered
  • •See Disease Characteristics
  • 另有 7 项未显示

排除标准

  • 未提供

研究者

申办方类型
Other

研究点 (1)

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