Gemcitabine in Treating Patients With Persistent or Recurrent Cancer of the Cervix
Study Details
Study Description
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 gemcitabine in treating patients who have persistent or recurrent cancer of the cervix.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
OBJECTIVES:
-
Determine the antitumor activity of gemcitabine in patients with persistent or recurrent nonsquamous cell carcinoma of the cervix who failed higher priority treatment protocols.
-
Determine the toxicity of this regimen in these patients.
OUTLINE: This is a multicenter study.
Patients receive gemcitabine IV over 30 minutes weekly for 3 weeks. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months for 2 years and then every 6 months for 3 years.
PROJECTED ACCRUAL: Approximately 15-37 patients will be accrued for this study within 1 year.
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
-
Diagnosis of persistent or recurrent nonsquamous cell carcinoma of the cervix that has failed local therapeutic measures and is considered incurable
-
Eligible subtypes:
-
Adenocarcinoma
-
Adenosquamous carcinoma
-
Undifferentiated carcinoma
-
Must have documented disease progression
-
Histologic confirmation of original primary tumor required
-
Bidimensionally measurable disease
-
Ineligible for higher priority GOG protocol
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- GOG 0-2
Life expectancy:
- Not specified
Hematopoietic:
-
Platelet count at least 100,000/mm^3
-
Granulocyte count at least 1,500/mm^3
Hepatic:
-
Bilirubin no greater than 1.5 times normal
-
SGOT and alkaline phosphatase no greater than 3 times normal
Renal:
- Creatinine no greater than 1.5 mg/dL
Other:
-
No significant infection
-
Not pregnant
-
Fertile patients must use effective contraception
-
No other invasive malignancy within the past 5 years except nonmelanomatous skin cancer
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- No concurrent filgrastim (G-CSF)
Chemotherapy:
-
No prior gemcitabine
-
At least 3 weeks since other prior chemotherapy for cervical cancer and recovered
-
No more than 1 prior chemotherapy regimen (single or combination cytotoxic therapy)
Endocrine therapy:
- Not specified
Radiotherapy:
- At least 3 weeks since prior radiotherapy for cervical cancer and recovered
Surgery:
- At least 3 weeks since prior surgery for cervical cancer and recovered
Other:
- No prior cancer treatment that would preclude study
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Alabama at Birmingham Comprehensive Cancer Center | Birmingham | Alabama | United States | 35294-3300 |
2 | Jonsson Comprehensive Cancer Center, UCLA | Los Angeles | California | United States | 90095-1781 |
3 | Community Hospital of Los Gatos | Los Gatos | California | United States | 95032 |
4 | Chao Family Comprehensive Cancer Center | Orange | California | United States | 92868 |
5 | Walter Reed Army Medical Center | Washington | District of Columbia | United States | 20307-5000 |
6 | H. Lee Moffitt Cancer Center and Research Institute | Tampa | Florida | United States | 33612-9497 |
7 | Rush-Presbyterian-St. Luke's Medical Center | Chicago | Illinois | United States | 60612 |
8 | University of Chicago Cancer Research Center | Chicago | Illinois | United States | 60637-1470 |
9 | Indiana University Cancer Center | Indianapolis | Indiana | United States | 46202-5289 |
10 | Holden Comprehensive Cancer Center at The University of Iowa | Iowa City | Iowa | United States | 52242-1009 |
11 | Albert B. Chandler Medical Center, University of Kentucky | Lexington | Kentucky | United States | 40536-0084 |
12 | Tufts University School of Medicine | Boston | Massachusetts | United States | 02111 |
13 | Barbara Ann Karmanos Cancer Institute | Detroit | Michigan | United States | 48201-1379 |
14 | University of Mississippi Medical Center | Jackson | Mississippi | United States | 39216-4505 |
15 | Ellis Fischel Cancer Center - Columbia | Columbia | Missouri | United States | 65203 |
16 | Ellis Fischel Cancer Center | Columbia | Missouri | United States | 65203 |
17 | Washington University School of Medicine | Saint Louis | Missouri | United States | 63110 |
18 | Cooper Hospital/University Medical Center | Camden | New Jersey | United States | 08103 |
19 | Cancer Center of Albany Medical Center | Albany | New York | United States | 12208 |
20 | State University of New York Health Science Center at Brooklyn | Brooklyn | New York | United States | 11203 |
21 | Lineberger Comprehensive Cancer Center, UNC | Chapel Hill | North Carolina | United States | 27599-7295 |
22 | Duke Comprehensive Cancer Center | Durham | North Carolina | United States | 27710 |
23 | Comprehensive Cancer Center at Wake Forest University | Winston-Salem | North Carolina | United States | 27157-1082 |
24 | Barrett Cancer Center, The University Hospital | Cincinnati | Ohio | United States | 45267-0502 |
25 | Ireland Cancer Center | Cleveland | Ohio | United States | 44106-5065 |
26 | Cleveland Clinic Taussig Cancer Center | Cleveland | Ohio | United States | 44195 |
27 | Arthur G. James Cancer Hospital - Ohio State University | Columbus | Ohio | United States | 43210-1240 |
28 | University of Oklahoma College of Medicine | Oklahoma City | Oklahoma | United States | 73190 |
29 | Abington Memorial Hospital | Abington | Pennsylvania | United States | 19001 |
30 | Milton S. Hershey Medical Center | Hershey | Pennsylvania | United States | 17033-0850 |
31 | University of Pennsylvania Cancer Center | Philadelphia | Pennsylvania | United States | 19104-4283 |
32 | Fox Chase Cancer Center | Philadelphia | Pennsylvania | United States | 19111 |
33 | Medical University of South Carolina | Charleston | South Carolina | United States | 29425-0721 |
34 | Brookview Research, Inc. | Nashville | Tennessee | United States | 37203 |
35 | Simmons Cancer Center - Dallas | Dallas | Texas | United States | 75235-9154 |
36 | Fletcher Allen Health Care - Medical Center Campus | Burlington | Vermont | United States | 05401 |
37 | Cancer Center at the University of Virginia | Charlottesville | Virginia | United States | 22908 |
38 | Tacoma General Hospital | Tacoma | Washington | United States | 98405 |
39 | Tom Baker Cancer Center - Calgary | Calgary | Alberta | Canada | T2N 4N2 |
Sponsors and Collaborators
- Gynecologic Oncology Group
- National Cancer Institute (NCI)
Investigators
- Study Chair: Russell J. Schilder, MD, Fox Chase Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000068144
- GOG-0128F