Nicotine Skin Patch in Treating Patients With Kaposi's Sarcoma
Study Details
Study Description
Brief Summary
RATIONALE: Nicotine may stimulate the immune system to kill Kaposi's sarcoma cells.
PURPOSE: This phase II trial is studying the side effects and how well the nicotine skin patch works in treating patients with Kaposi's sarcoma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
OBJECTIVES:
- Evaluate the toxicity and efficacy of transdermal nicotine applied to lesions in patients with classic Kaposi's Sarcoma.
OUTLINE: This is a double-blind, placebo-controlled study.
Patients apply a nicotine dermal patch to a selected lesion and a placebo patch to the other lesion, replacing the same type of fresh patch every other day, during the first 2 weeks, increasing the nicotine dose in week 3 and again in week 5 for a total of 15 weeks in the absence of disease progression or unacceptable toxicity.
PROJECTED ACCRUAL: A total of 24 patients will be accrued for this study.
Study Design
Outcome Measures
Primary Outcome Measures
- Tumor response at weeks 9 and 15 []
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
-
Histologically proven classic Kaposi's sarcoma (KS)
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At least 2 KS lesions that can be measured (minimum diameter 0.5 cm to maximum diameter 3 cm) and located on body sites (leg, arm, torso, dorsum of foot or hand) to which a patch can be applied
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A third measurable lesion (if available) of the same size can be located on any body site
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KS lesions must be separated by at least 8.0 cm at their centers and 6.0 cm at closest edges
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Patient must be a nonsmoker
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No smoking, chewing, or other use of tobacco within the past year
PATIENT CHARACTERISTICS:
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HIV antibody negative
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Willing to shower or bathe no more than every other day
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No life-threatening conditions
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Not pregnant
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Fertile patients must use effective contraception
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Chronic conditions (e.g., hypertension or diabetes) must be stable and well controlled
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No history of HIV/AIDS, unstable angina pectoris, or claudication
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ECOG performance status 0-1
PRIOR CONCURRENT THERAPY:
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No prior biopsy of the selected KS lesion(s) within the past 90 days
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No prior systemic therapy for KS within the past 90 days
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No concurrent systemic or local conventional treatment for KS
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No prior use of a nicotine product within the past year
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No prior surgery, chemotherapy, biologic therapy, or radiotherapy within the past 90 days
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No prior organ allograft
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support | Bethesda | Maryland | United States | 20892-1182 |
Sponsors and Collaborators
- National Cancer Institute (NCI)
Investigators
- Study Chair: James J. Goedert, MD, National Cancer Institute (NCI)
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000462444
- NCI-06-C-N033
- NCT00339755