Imatinib Mesylate in Treating Patients With Recurrent or Refractory Fibromatosis
Study Details
Study Description
Brief Summary
RATIONALE: Imatinib mesylate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
PURPOSE: This phase I/II trial is studying the side effects of imatinib mesylate and to see how well it works in treating patients with recurrent or refractory aggressive fibromatosis.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1/Phase 2 |
Detailed Description
OBJECTIVES:
Primary
- Determine the non-progression rate in patients with recurrent or refractory aggressive fibromatosis after 3 months of treatment with imatinib mesylate.
Secondary
-
Determine the non-progression rate in patients after being treated with this drug for 12 months.
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Determine the toxic effects of this drug in these patients.
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Determine the tolerance to this drug in these patients.
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Determine the response rate in patients treated with this drug
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Determine progression free and overall survival of patients treated with this drug.
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Determine the quality of life of patients treated with this drug.
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Correlate clinical, biological, and genomic markers with response and long-term stable disease in patients treated with this drug.
OUTLINE: This is a multicenter study.
Patients receive oral imatinib mesylate once daily for up to 12 months in the absence of disease progression or unacceptable toxicity.
Quality of life is assessed periodically.
PROJECTED ACCRUAL: A total of 39 patients will be accrued for this study.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Imatinib 400 to 800 mg/day for a maximal 12 months study duration. |
Drug: imatinib mesylate
|
Outcome Measures
Primary Outcome Measures
- Non-progression rate [3 months]
Secondary Outcome Measures
- Non-progression rate [12 months]
- Toxic effects [12 months]
- Tolerance [12 months]
- Response rate [5 years]
- Progression-free survival [the time between the inclusion date and the progression date]
- Overall survival [the time between the inclusion date and the death whathever the cause]
- Quality of life [5 years]
- Correlation of clinical, biological, and genomic markers with response and long-term stable disease [5 years]
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
-
Histologically confirmed aggressive fibromatosis (desmoid tumor)
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Relapse or disease progression despite surgery, chemotherapy, radiotherapy, or any other treatment
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Tumors must meet the following criteria:
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Ineligible for complete surgical resection by carcinological exeresis OR surgery would cause severe mutilation
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Cannot be treated with curative radiotherapy
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Measurable disease by RECIST criteria
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No prior malignancy
PATIENT CHARACTERISTICS:
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Not pregnant or nursing
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Fertile patients must use effective contraception during and for 6 months after completion of study treatment
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Absolute neutrophil count > 1,000/mm^3
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Platelet count > 100,000/mm^3
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Bilirubin < 1.5 times upper limit of normal (ULN)
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SGOT and SGPT < 2.5 times ULN
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Creatinine ≤ 2.5 times normal
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No severe liver failure
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No chronic somatic or psychiatric illness that would preclude study compliance
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No known hypersensitivity to imatinib mesylate or one of its components
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No geographical, social, or psychological reason that would inhibit follow-up
PRIOR CONCURRENT THERAPY:
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See Disease Characteristics
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No concurrent immunomodulators*
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No concurrent hormonal treatments* if used for fibromatosis
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No concurrent cytotoxic drugs*
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No concurrent nonsteroidal anti-inflammatory drug* if used for fibromatosis
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Allowed if used as an analgesic 3 months prior to disease progression
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No concurrent participation in another therapeutic investigational trial NOTE: *If disease progression has occurred during this treatment, then the treatment must have ended ≥ 1 month prior to study entry
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Centre Paul Papin | Angers | France | 49036 | |
2 | Centre Hospitalier Regional de Besancon - Hopital Jean Minjoz | Besancon | France | 25030 | |
3 | Institut Bergonie | Bordeaux | France | 33076 | |
4 | Centre Regional Francois Baclesse | Caen | France | 14076 | |
5 | Centre Oscar Lambret | Lille | France | 59020 | |
6 | Centre Leon Berard | Lyon | France | 69373 | |
7 | Hopital Edouard Herriot - Lyon | Lyon | France | 69437 | |
8 | CHU de la Timone | Marseille | France | 13385 | |
9 | Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle | Montpellier | France | 34298 | |
10 | CRLCC Nantes - Atlantique | Nantes-Saint Herblain | France | 44805 | |
11 | Institut Curie Hopital | Paris | France | 75248 | |
12 | Hopital Tenon | Paris | France | 75970 | |
13 | Institut Jean Godinot | Reims | France | 51056 | |
14 | Centre Eugene Marquis | Rennes | France | 35042 | |
15 | Centre Henri Becquerel | Rouen | France | 76038 | |
16 | Centre Rene Huguenin | Saint Cloud | France | 92211 | |
17 | Centre Paul Strauss | Strasbourg | France | 67065 | |
18 | Hopitaux Universitaire de Strasbourg | Strasbourg | France | 67091 | |
19 | Hopital Foch | Suresnes | France | 92151 | |
20 | Institut Claudius Regaud | Toulouse | France | 31052 | |
21 | Centre Hospitalier Universitaire Bretonneau de Tours | Tours | France | 37044 | |
22 | Centre Alexis Vautrin | Vandoeuvre-les-Nancy | France | 54511 | |
23 | Institut Gustave Roussy | Villejuif | France | F-94805 |
Sponsors and Collaborators
- UNICANCER
Investigators
- Study Chair: Jean-Yves Blay, MD, PhD, Hopital Edouard Herriot - Lyon
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000441039
- FRE-FNCLCC-SARCOME-05/0401
- EU-20515