Flavopiridol in Treating Patients With Recurrent, Locally Advanced, or Metastatic Soft Tissue Sarcoma
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, locally advanced, or metastatic soft tissue sarcoma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
OBJECTIVES: I. Determine the efficacy of flavopiridol in terms of response rate in patients with previously untreated metastatic or locally advanced soft tissue sarcoma. II. Determine the toxicity of this regimen in these patients. III. Determine the time to progression, early progression rate, and response duration in patients treated with this regimen.
OUTLINE: This is a multicenter study. Patients receive flavopiridol IV over 1 hour daily on days 1-3. Treatment continues every 3 weeks in the absence of disease progression or unacceptable toxicity. Patients are followed at 4 weeks and then every 3 months until disease progression or death.
PROJECTED ACCRUAL: A total of 15-30 patients will be accrued for this study over 12-18 months.
Study Design
Outcome Measures
Primary Outcome Measures
- Response Rate [2 years]
To assess the efficacy (response rate) of flavopiridol given as an N infusion daily x 3 days every 3 weeks in the patients with untreated, metastatic or locally advanced soft tissue sarcoma.
Secondary Outcome Measures
- Toxicity [2 years]
To assess the toxicity of flavopiridol in patients with untreated, metastatic or locally advanced soft tissue sarcoma, as well as time to progression and early progression rate (PD within first 6 weeks), and, if responses are observed, response duration
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS: Histologically confirmed previously untreated metastatic or locally advanced soft tissue sarcoma not amenable to standard curative therapies Measurable disease At least 20 mm by conventional techniques OR At least 10 mm by spiral CT scan Bone lesions are not considered measurable Must have measurable disease outside irradiated area unless evidence of progression or new lesions inside irradiated area No carcinosarcoma, Kaposi's sarcoma, soft tissue Ewing's sarcoma, or embryonal rhabdomyosarcoma
PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: At least 12 weeks Hematopoietic: Absolute granulocyte count at least 1,500/mm3 Platelet count at least 100,000/mm3 Hepatic: Bilirubin no greater than upper limit of normal (ULN) AST no greater than 2.5 times ULN Renal: Creatinine no greater than ULN Cardiovascular: If history of cardiac disease, cardiac ejection function greater than 50% No clinically significant cardiac symptomatology Pulmonary: If history of symptomatic pulmonary disease, FEV1, FVC, and TLC greater than 60% predicted and DLCO greater than 50% predicted No clinically significant pulmonary symptomatology Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No other concurrent serious disease
PRIOR CONCURRENT THERAPY: Biologic therapy: No prior stem cell transplantation Chemotherapy: No prior chemotherapy for metastatic or locally advanced disease No prior high dose chemotherapy and stem cell transplantation Prior adjuvant chemotherapy allowed At least 6 months since prior chemotherapy No other concurrent cytotoxic chemotherapy Endocrine therapy: Not specified Radiotherapy: See Disease Characteristics At least 4 weeks since prior radiotherapy and recovered No more than 25% of functioning bone marrow irradiated No concurrent radiotherapy to sole site of measurable disease Surgery: At least 4 weeks since prior major surgery Other: No other concurrent anticancer therapy
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | St. Mary's/Duluth Clinic Health System | Duluth | Minnesota | United States | 55805 |
2 | Tom Baker Cancer Center - Calgary | Calgary | Alberta | Canada | T2N 4N2 |
3 | Lethbridge Cancer Clinic | Lethbridge | Alberta | Canada | T1J 1W5 |
4 | Burnaby Hospital Regional Cancer Centre | Burnaby | British Columbia | Canada | V5H 4C2 |
5 | Nanaimo Cancer Clinic | Nanaimo | British Columbia | Canada | V9S 2B7 |
6 | Penticton Regional Hospital | Penticton | British Columbia | Canada | V2A 3G6 |
7 | British Columbia Cancer Agency - Fraser Valley Cancer Centre | Surrey | British Columbia | Canada | V3V 1Z2 |
8 | Prostate Centre at Vancouver General Hospital | Vancouver | British Columbia | Canada | V5Z 3J5 |
9 | BC Cancer Agency | Vancouver | British Columbia | Canada | V5Z 4E6 |
10 | St. Paul's Hospital - Vancouver | Vancouver | British Columbia | Canada | V6Z 1Y6 |
11 | Capital Health Region (Endeavor Clinical Research) | Victoria | British Columbia | Canada | V8V 3N1 |
12 | Moncton Hospital | Moncton | New Brunswick | Canada | E1C 6ZB |
13 | Doctor Leon Richard Oncology Centre | Moncton | New Brunswick | Canada | E1C 8X3 |
14 | Saint John Regional Hospital | Saint John | New Brunswick | Canada | E2L 4L2 |
15 | Dr. H. Bliss Murphy Cancer Centre | St. Johns | Newfoundland and Labrador | Canada | A1B 3V6 |
16 | Nova Scotia Cancer Centre | Halifax | Nova Scotia | Canada | B3H 1V7 |
17 | Royal Victoria Hospital, Barrie | Barrie | Ontario | Canada | L4M 6M2 |
18 | William Osler Health Centre | Brampton | Ontario | Canada | L6W 2Z8 |
19 | Hamilton and Disrict Urology Association | Hamilton | Ontario | Canada | L8N 1T8 |
20 | London Health Sciences Centre | London | Ontario | Canada | N6A 4G5 |
21 | Cancer Care Ontario-London Regional Cancer Centre | London | Ontario | Canada | N6A 4L6 |
22 | Markham Stouffville Hospital | Markham | Ontario | Canada | L3P 7T3 |
23 | Trillium Health Centre | Mississauga | Ontario | Canada | L5B 1B8 |
24 | Credit Valley Hospital | Mississauga | Ontario | Canada | L5M 2N1 |
25 | York County Hospital | Newmarket | Ontario | Canada | L3Y 2P9 |
26 | North York General Hospital, Ontario | North York | Ontario | Canada | M2E 1K1 |
27 | Male Health Centre/CMX Research Inc. | Oakville | Ontario | Canada | L6H 3PI |
28 | Lakeridge Health Oshawa | Oshawa | Ontario | Canada | L1G 2B9 |
29 | Ottawa Regional Cancer Centre - General Campus | Ottawa | Ontario | Canada | K1H 1C4 |
30 | Peterborough Oncology Clinic | Peterborough | Ontario | Canada | K9H 7B6 |
31 | Scarborough Hospital - General Site | Scarborough | Ontario | Canada | M1P 2V5 |
32 | Hotel Dieu Hospital - St. Catharines | St. Catharines | Ontario | Canada | L2R 5K3 |
33 | Northeastern Ontario Regional Cancer Centre, Sudbury | Sudbury | Ontario | Canada | P3E 5J1 |
34 | Northwestern Ontario Regional Cancer Centre, Thunder Bay | Thunder Bay | Ontario | Canada | P7A 7T1 |
35 | Toronto East General Hospital | Toronto | Ontario | Canada | M4C 3E7 |
36 | Toronto Sunnybrook Regional Cancer Centre | Toronto | Ontario | Canada | M4N 3M5 |
37 | St. Michael's Hospital - Toronto | Toronto | Ontario | Canada | M5B 1W8 |
38 | Mount Sinai Hospital - Toronto | Toronto | Ontario | Canada | M5G 1X5 |
39 | Toronto General Hospital | Toronto | Ontario | Canada | M5G 2C4 |
40 | Princess Margaret Hospital | Toronto | Ontario | Canada | M5G 2M9 |
41 | Women's College Campus, Sunnybrook and Women's College Health Science Center | Toronto | Ontario | Canada | M5S 1B6 |
42 | Saint Joseph's Health Centre - Toronto | Toronto | Ontario | Canada | M6R 1B5 |
43 | Humber River Regional Hospital | Weston | Ontario | Canada | M9N 1N8 |
44 | Cancer Care Ontario - Windsor Regional Cancer Centre | Windsor | Ontario | Canada | N8W 2X3 |
45 | Queen Elizabeth Hospital, PEI | Charlottetown | Prince Edward Island | Canada | C1A 8T5 |
46 | Centre Universitaire de Sante de l'Estrie - Site Fleurimont | Fleurimont | Quebec | Canada | J1H 5N4 |
47 | Hopital Charles Lemoyne | Greenfield Park | Quebec | Canada | J4V 2H1 |
48 | Centre Hospitalier Regional de Lanaudiere | Joliette | Quebec | Canada | J6E 6J2 |
49 | Maisonneuve-Rosemont Hospital | Montreal | Quebec | Canada | H1T 2M4 |
50 | McGill University Department of Oncology | Montreal | Quebec | Canada | H2W 1S6 |
51 | Centre Hospitalier de l'Universite' de Montreal | Montreal | Quebec | Canada | H2W 1T8 |
52 | Hopital Sainte Justine | Montreal | Quebec | Canada | H3T 1C5 |
53 | Hopital Du Sacre-Coeur de Montreal | Montreal | Quebec | Canada | H4J 1C5 |
54 | Kells Medical Research Group Inc. | Pointe Claire | Quebec | Canada | H9R 4S3 |
55 | Centre Hospitalier Universitaire de Quebec, Pavillion de Quebec | Quebec City | Quebec | Canada | G1R 2J6 |
56 | Hopital du Saint-Sacrament, Quebec | Quebec City | Quebec | Canada | G1S 4L8 |
57 | Centre Hospitalier Regional de Rimouski | Rimouski | Quebec | Canada | G5L 5T1 |
58 | L'Hopital Laval | Ste-Foy | Quebec | Canada | G1V 4G5 |
59 | Allan Blair Cancer Centre | Regina | Saskatchewan | Canada | S4T 7T1 |
60 | Saskatoon Cancer Centre | Saskatoon | Saskatchewan | Canada | S7N 4H4 |
61 | Lions Gate Hospital | North Vancouver | Canada | V7L 2P9 |
Sponsors and Collaborators
- NCIC Clinical Trials Group
Investigators
- Study Chair: Donald G. Morris, MD, PhD, FRCPC, Tom Baker Cancer Centre - Calgary
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- I136
- CAN-NCIC-IND136
- NCI-NCIC-136
- CDR0000067961