Higher Dose Weekly Topotecan In The Treatment Of Patients With Extensive Stage Small-Cell Lung Cancer
Study Details
Study Description
Brief Summary
This proposed phase II trial will investigate weekly topotecan at a higher dose than was used in the previous trials in an attempt to achieve improved response rates and disease control without added toxicity. To help ameliorate the fatigue, planned rest weeks will be incorporated into the schedule. This trial will be the first clinical trial to evaluate a higher dose of weekly topotecan in the treatment of extensive-stage SCLC.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
All patients will receive weekly topotecan.
Topotecan 6mg/m2 IV weekly x 6 consecutive weeks followed by a 2 week break. Cycles are repeated every 8 weeks, for 3 cycles. Restaging studies will be performed every cycle (or 8 weeks.)
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Topotecan
|
Drug: Topotecan
Topotecan 6mg/m2 IV weekly x 6 consecutive weeks followed by a 2 week break.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Overall response rate [18 months]
Secondary Outcome Measures
- overall toxicity [18 months]
- time to progression [18 months]
- duration of response [18 months]
- overall survival [18 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Extensive small cell lung cancer with progression after one previous chemotherapy or chemotherapy/radiation therapy regimen
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Measurable or evaluable disease
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Able to perform activities of daily living with minimal assistance
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Adequate bone marrow, liver and kidney function
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May have received no more than 3 previous courses of radiation therapy
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Give written informed consent prior to study entry
Exclusion Criteria:
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Patients with limited stage disease
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History of a prior malignancy within three years
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Female patients who are pregnant or are breast feeding
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Significant history of uncontrolled cardiac disease
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Myocardial infarction or stroke within six months
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Symptomatic peripheral vascular disease
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CNS involvement
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Serious active infection or underlying medical condition
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Northeast Arkansas Clinic | Jonesboro | Arkansas | United States | 72401 |
2 | Florida Cancer Specialists | Fort Myers | Florida | United States | 33901 |
3 | Watson Clinic Center for Cancer Care and Research | Lakeland | Florida | United States | 33805 |
4 | Florida Hospital Cancer Institute | Orlando | Florida | United States | 32804 |
5 | Northeast Georgia Medical Center | Gainesville | Georgia | United States | 30501 |
6 | Consultants in Blood Disorders and Cancer | Louisville | Kentucky | United States | 40207 |
7 | Hematology Oncology Life Center | Alexandria | Louisiana | United States | 71301 |
8 | Grand Rapids Clinical Oncology Program | Grand Rapids | Michigan | United States | 49503 |
9 | Methodist Cancer Center | Omaha | Nebraska | United States | 68114 |
10 | Oncology Hematology Care | Cincinnati | Ohio | United States | 45242 |
11 | Spartanburg Regional Medical Center | Spartanburg | South Carolina | United States | 29303 |
12 | Chattanooga Oncology Hematology Associates | Chattanooga | Tennessee | United States | 37404 |
13 | Tennessee Oncology, PLLC | Nashville | Tennessee | United States | 37023 |
Sponsors and Collaborators
- SCRI Development Innovations, LLC
- GlaxoSmithKline
Investigators
- Principal Investigator: David R. Spigel, MD, SCRI Development Innovations, LLC
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SCRI LUN 120
- 105642