Huang Lian (Chinese Herb) in Treating Patients With Advanced Solid Tumors
Study Details
Study Description
Brief Summary
RATIONALE: The Chinese herb Huang Lian contains ingredients that may slow the growth of cancer cells and may be an effective treatment for solid tumors.
PURPOSE: Phase I trial to study the effectiveness of Huang Lian in treating patients who have advanced solid tumors.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1 |
Detailed Description
OBJECTIVES:
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Determine the maximum tolerated dose of Huang Lian (Chinese herb) in patients with advanced solid tumors.
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Determine the optimal pharmacologic, molecular, and biologic parameters of this treatment regimen in these patients.
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Assess the preliminary therapeutic activity of this treatment regimen in this patient population.
OUTLINE: This is a dose-escalation study.
Patients receive oral Huang Lian (Chinese herb) 4 times daily. Treatment repeats every 21 days in the absence of disease progression or unacceptable toxicity.
Cohorts of 1-6 patients receive escalating doses of Huang Lian until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-liming toxicity.
PROJECTED ACCRUAL: Approximately 20-30 patients will be accrued for this study.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Chinese Herb Huanglian (Coptis chinesis)
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Drug: Chinese Herb Huanglian (Coptis chinesis)
Patients will receive capsules of the powdered extract of the huanglian root, which will take by mouth 4 times a day (qid).
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Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
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Histologically confirmed advanced solid tumor refractory to standard therapy or for which no standard therapy exists
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Measurable or evaluable disease
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No CNS primary tumor or metastasis
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- Karnofsky 60-100%
Life expectancy:
- Not specified
Hematopoietic:
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WBC greater than 3,500/mm^3
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Neutrophil count at least 1,500/mm^3
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Platelet count at least 100,000/mm^3
Hepatic:
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Bilirubin no greater than 1.5 mg/dL
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AST and ALT no greater than 2.5 times upper limit of normal
Renal:
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Creatinine no greater than 1.5 mg/dL OR
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Creatinine clearance greater than 60 mL/min
Cardiovascular:
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No history of cardiac arrhythmias (including atrial fibrillation)
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No congestive heart failure
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No angina or myocardial infarction within the past 6 months
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QTc interval no greater than 0.48 sec
Other:
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Potassium at least 3.5 mEq/L
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Magnesium at least 1.4 mEq/L
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No mental incapacity that would preclude informed consent
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No serious or uncontrolled infection
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Not pregnant or nursing
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Negative pregnancy test
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Fertile patients must use effective contraception during and for 2 months after study participation
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- At least 4 weeks since prior immunotherapy and recovered
Chemotherapy:
- At least 4 weeks since prior chemotherapy and recovered
Endocrine therapy:
- Not specified
Radiotherapy:
- At least 4 weeks since prior radiotherapy and recovered
Surgery:
- Not specified
Other:
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At least 2 weeks since prior herbal therapy for cancer and recovered
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No concurrent class IA or III antiarrhythmic agents (e.g., quinidine, procainamide, disopyramide, sotalol, amiodarone, ibutilide, almokalant, or dofetilide)
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No concurrent tricyclic antidepressants (e.g., amitriptyline, doxepin, desipramine, imipramine, or clomipramine)
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No concurrent antiseizure medication (including dilantin and phenobarbital) for any underlying seizure disorder
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Memorial Sloan-Kettering Cancer Center | New York | New York | United States | 10021 |
Sponsors and Collaborators
- Memorial Sloan Kettering Cancer Center
- National Cancer Institute (NCI)
Investigators
- Study Chair: Gary K. Schwartz, MD, Memorial Sloan Kettering Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 00-061
- MSKCC-00061
- NCI-H01-0069