Flavopiridol in Treating Patients With Recurrent or Persistent Endometrial Cancer
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 flavopiridol in treating patients who have recurrent or persistent endometrial cancer.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
OBJECTIVES:
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Determine the antitumor activity of flavopiridol in patients with recurrent or persistent endometrial carcinoma.
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Determine the nature and degree of toxicity of this drug in these patients.
OUTLINE: This is a multicenter study.
Patients receive flavopiridol IV over 1 hour on days 1-3. Treatment repeats every 21 days for at least 2 courses in the absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter.
PROJECTED ACCRUAL: A total of 19-51 patients will be accrued for this study within 10-24 months.
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
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Histologically confirmed primary endometrial carcinoma
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Recurrent or persistent disease
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Refractory to curative therapy or established treatment
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Previously treated with only 1 prior cytotoxic chemotherapy regimen (either single agent or combination therapy) for endometrial carcinoma
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Initial treatment may include high-dose, consolidation, or extended therapy administered after surgical or non-surgical assessment
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At least 1 unidimensionally measurable lesion
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At least 20 mm by conventional techniques OR
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At least 10 mm by spiral CT scan
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At least 1 target lesion outside previously irradiated field
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Ineligible for higher priority Gynecologic Oncology Group (GOG) protocol, defined as any active GOG phase III protocol for the same patient population
PATIENT CHARACTERISTICS:
Age:
- Any age
Performance status:
- GOG 0-2
Life expectancy:
- Not specified
Hematopoietic:
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Absolute neutrophil count at least 1,500/mm^3
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Platelet count at least 100,000/mm^3
Hepatic:
-
Bilirubin no greater than 1.5 times upper limit of normal (ULN)
-
SGOT no greater than 2.5 times ULN
-
Alkaline phosphatase no greater than 2.5 times ULN
-
PT/PTT normal
Renal:
- Creatinine no greater than 1.5 times ULN
Cardiovascular:
-
No prior thromboembolic events or thrombophlebitis
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No prior recent myocardial infarction
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No prior angina
-
No prior cerebrovascular accident
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No prior transient ischemic attacks
Other:
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No other invasive malignancy within the past 5 years except nonmelanoma skin cancer
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No grade 2 or greater sensory or motor neuropathy
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No active infection requiring antibiotics
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- At least 3 weeks since prior biologic or immunologic agents for endometrial carcinoma
Chemotherapy:
-
See Disease Characteristics
-
At least 3 weeks since prior chemotherapy for endometrial carcinoma and recovered
Endocrine therapy:
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At least 1 week since prior hormonal therapy for endometrial carcinoma
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Concurrent hormone replacement therapy allowed
Radiotherapy:
-
See Disease Characteristics
-
At least 3 weeks since prior radiotherapy for endometrial carcinoma and recovered
Surgery:
-
At least 3 weeks since prior surgery for endometrial carcinoma and recovered
-
At least 6 months since prior re-vascularization procedures (e.g., coronary artery bypass graft, carotid endarterectomy or bypass, or angioplasty with or without stents)
Other:
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At least 3 weeks since other prior therapy for endometrial carcinoma
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At least 6 months since prior thrombolytic procedures
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No prior cyclin-dependent kinase inhibitors
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No prior anticancer therapy that would preclude study
-
No concurrent amifostine or other protective reagents
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 | University of Colorado Cancer Center | Denver | Colorado | United States | 80010 |
6 | Walter Reed Army Medical Center | Washington | District of Columbia | United States | 20307-5001 |
7 | H. Lee Moffitt Cancer Center and Research Institute | Tampa | Florida | United States | 33612-9497 |
8 | Rush-Presbyterian-St. Luke's Medical Center | Chicago | Illinois | United States | 60612-3864 |
9 | University of Chicago Cancer Research Center | Chicago | Illinois | United States | 60637-1470 |
10 | Indiana University Cancer Center | Indianapolis | Indiana | United States | 46202-5289 |
11 | Holden Comprehensive Cancer Center | Iowa City | Iowa | United States | 52242-1009 |
12 | Albert B. Chandler Medical Center, University of Kentucky | Lexington | Kentucky | United States | 40536-0084 |
13 | Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support | Bethesda | Maryland | United States | 20892-1182 |
14 | Tuft-New England Medical Center | Boston | Massachusetts | United States | 02111 |
15 | University of Massachusetts Memorial Medical Center - University Campus | Worcester | Massachusetts | United States | 01605-2982 |
16 | University of Minnesota Cancer Center | Minneapolis | Minnesota | United States | 55455 |
17 | Mayo Clinic Cancer Center | Rochester | Minnesota | United States | 55905-0001 |
18 | University of Mississippi Medical Center | Jackson | Mississippi | United States | 39216-4505 |
19 | Keesler Medical Center - Keesler AFB | Keesler AFB | Mississippi | United States | 39534-2576 |
20 | Ellis Fischel Cancer Center - Columbia | Columbia | Missouri | United States | 65203 |
21 | Washington University School of Medicine | Saint Louis | Missouri | United States | 63110 |
22 | Cooper Hospital/University Medical Center | Camden | New Jersey | United States | 08103-1489 |
23 | State University of New York Health Science Center at Brooklyn | Brooklyn | New York | United States | 11203 |
24 | Roswell Park Cancer Institute | Buffalo | New York | United States | 14263-0001 |
25 | North Shore University Hospital | Manhasset | New York | United States | 11030 |
26 | Memorial Sloan-Kettering Cancer Center | New York | New York | United States | 10021 |
27 | State University of New York Health Sciences Center - Stony Brook | Stony Brook | New York | United States | 11794-8091 |
28 | Lineberger Comprehensive Cancer Center, UNC | Chapel Hill | North Carolina | United States | 27599-7295 |
29 | Duke Comprehensive Cancer Center | Durham | North Carolina | United States | 27710 |
30 | Comprehensive Cancer Center at Wake Forest University | Winston-Salem | North Carolina | United States | 27157-1065 |
31 | Barrett Cancer Center | Cincinnati | Ohio | United States | 45267-0526 |
32 | Ireland Cancer Center | Cleveland | Ohio | United States | 44106 |
33 | Cleveland Clinic Taussig Cancer Center | Cleveland | Ohio | United States | 44195 |
34 | Arthur G. James Cancer Hospital - Ohio State University | Columbus | Ohio | United States | 43210-1240 |
35 | University of Oklahoma College of Medicine | Oklahoma City | Oklahoma | United States | 73190 |
36 | Abington Memorial Hospital | Abington | Pennsylvania | United States | 19001-3788 |
37 | Milton S. Hershey Medical Center | Hershey | Pennsylvania | United States | 17033-0850 |
38 | University of Pennsylvania Cancer Center | Philadelphia | Pennsylvania | United States | 19104-4283 |
39 | Kimmel Cancer Center of Thomas Jefferson University - Philadelphia | Philadelphia | Pennsylvania | United States | 19107-5541 |
40 | Fox Chase Cancer Center | Philadelphia | Pennsylvania | United States | 19111 |
41 | Medical University of South Carolina | Charleston | South Carolina | United States | 29425-2233 |
42 | Brookview Research, Inc. | Nashville | Tennessee | United States | 37203 |
43 | Simmons Cancer Center - Dallas | Dallas | Texas | United States | 75390-9032 |
44 | University of Texas Medical Branch | Galveston | Texas | United States | 77555-0587 |
45 | CCOP - M.D. Anderson Research Base | Houston | Texas | United States | 77030-4009 |
46 | University of Texas - MD Anderson Cancer Center | Houston | Texas | United States | 77030-4009 |
47 | Fletcher Allen Health Care - Medical Center Campus | Burlington | Vermont | United States | 05401 |
48 | Cancer Center at the University of Virginia | Charlottesville | Virginia | United States | 22908 |
49 | Fred Hutchinson Cancer Research Center | Seattle | Washington | United States | 98109-1024 |
50 | Tacoma General Hospital | Tacoma | Washington | United States | 98405 |
51 | Australia New Zealand Gynaecological Oncology Trials Group | Camperdown | New South Wales | Australia | 1450 |
52 | Tom Baker Cancer Center - Calgary | Calgary | Alberta | Canada | T2N 4N2 |
53 | Norwegian Radium Hospital | Oslo | Norway | N-0310 | |
54 | University of Birmingham | Birmingham | England | United Kingdom | B15 2TT |
Sponsors and Collaborators
- Gynecologic Oncology Group
- National Cancer Institute (NCI)
Investigators
- Study Chair: Edward C. Grendys, MD, Robert H. Lurie Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000068874
- GOG-0129M