Trastuzumab in Treating Patients With Recurrent Osteosarcoma
Study Details
Study Description
Brief Summary
RATIONALE: Monoclonal antibodies, such as trastuzumab, can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells.
PURPOSE: Phase II trial to study the effectiveness of trastuzumab in treating patients who have recurrent osteosarcoma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
OBJECTIVES:
-
Determine the response rate, freedom from progression, and survival of patients with recurrent osteosarcoma when treated with trastuzumab (Herceptin).
-
Evaluate the toxicity of this drug in young patients with a history of osteosarcoma and prior therapy with doxorubicin.
OUTLINE: This is a multicenter study.
Patients receive trastuzumab (Herceptin) IV over 30-90 minutes weekly. Treatment continues for up to 52 weeks in the absence of disease progression or unacceptable toxicity. After approximately 12 weeks of treatment, patients are evaluated for response and undergo surgical resection if clinically appropriate.
Patients are followed for 1 year for survival.
PROJECTED ACCRUAL: Approximately 20-40 patients will be accrued for this study within 2 years.
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
-
Histologically confirmed recurrent osteosarcoma after initial systemic therapy with doxorubicin
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Measurable disease
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Immunohistochemical evidence of 2+ overexpression of HER2
PATIENT CHARACTERISTICS:
Age:
- Any age
Performance status:
- Karnofsky 80-100%
Life expectancy:
- Not specified
Hematopoietic:
- Not specified
Hepatic:
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ALT or AST less than 3 times upper limit of normal (ULN)
-
Bilirubin less than 1.5 times ULN
Renal:
-
Creatinine less than 1.5 times ULN OR
-
Creatinine clearance greater than 60 mL/min
Cardiovascular:
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Fractional shortening at least 29% by echocardiogram OR
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Ejection fraction at least 50% by MUGA
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No prior cardiac dysfunction, even if presently controlled
Other:
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Not pregnant or nursing
-
Negative pregnancy test
-
Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
-
See Disease Characteristics
-
At least 4 weeks since prior chemotherapy
-
No prior anthracycline more than 450 mg/m^2
Endocrine therapy:
- Not specified
Radiotherapy:
- Not specified
Surgery:
- Not specified
Other:
- No other concurrent cancer therapy
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | City of Hope Comprehensive Cancer Center | Duarte | California | United States | 91010-3000 |
2 | Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute | Boston | Massachusetts | United States | 02115 |
3 | Memorial Sloan-Kettering Cancer Center | New York | New York | United States | 10021 |
4 | St. Jude Children's Research Hospital | Memphis | Tennessee | United States | 38105-2794 |
Sponsors and Collaborators
- Memorial Sloan Kettering Cancer Center
- National Cancer Institute (NCI)
Investigators
- Study Chair: Paul A. Meyers, MD, Memorial Sloan Kettering Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000067558
- MSKCC-99097
- NCI-T98-0083