Isotretinoin Plus Interferon in Treating Patients With Recurrent Cancer

NCT ID: NCT00002506

Last Updated: 2011-05-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

1992-08-31

Study Completion Date

1999-02-28

Brief Summary

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RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development or recurrence of cancer. The use of isotretinoin may be an effective way to prevent cancer or stop cancer from growing. Interferon alfa may interfere with the growth of cancer cells. Combining isotretinoin and interferon may be an effective treatment for some recurrent cancers.

PURPOSE: Phase II trial to study the effectiveness of interferon alfa plus isotretinoin in treating patients with recurrent cancer.

Detailed Description

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OBJECTIVES: I. Determine the response rates to treatment with daily subcutaneous interferon alpha plus oral isotretinoin in patients with advanced squamous cell carcinomas of the following body sites: head and neck, cervix, skin, esophagus, lung, and penis. II. Determine the toxicities and side effects of this treatment.

OUTLINE: Nonrandomized study. Single-agent Chemotherapy with Biological Response Modifier Therapy. Isotretinoin, 13-CRA, NSC-329481; with Interferon alpha (Schering or Hoffmann-La Roche), IFN-A, NSC-377523 or NSC-367982.

PROJECTED ACCRUAL: 14-50 patients per tumor category (and any other tumor location, if available) will be enrolled. If none of the first 14 patients in any tumor category responds, or if only 1/22, 2/30, 3/37, 4/44, or 5/50 respond, the treatment will be considered ineffective for that tumor type.

Conditions

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Cervical Cancer Esophageal Cancer Head and Neck Cancer Lung Cancer Non-melanomatous Skin Cancer Penile Cancer

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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recombinant interferon alfa

Intervention Type BIOLOGICAL

isotretinoin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Hematopoietic: WBC at least 3,000 Platelets at least 100,000 Hct at least 30% Hepatic: Bilirubin less than 2.0 mg/dl PT normal PTT normal Renal: Creatinine less than 2.0 mg/dl Cardiovascular: No MI within 6 months No CHF requiring medication No arrhythmia requiring medication Pulmonary: Reasonable respiratory reserve required No requirement for supplemental oxygen No dyspnea at rest Other: No chronic underlying immunodeficiency disease No HIV positivity No pregnant patients (negative pregnancy test required) Adequate birth control required of fertile patients

PRIOR CONCURRENT THERAPY: Biologic therapy: No concomitant immunosuppressive drugs, e.g., cyclosporin Chemotherapy: At least 3 weeks since prior systemic chemotherapy with recovery Endocrine therapy: No concomitant corticosteroids Radiotherapy: No prior radiotherapy to measurable site unless disease progression is documented Surgery: Not specified
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cancer Biotherapy Research Group

OTHER

Sponsor Role collaborator

Hoag Memorial Hospital Presbyterian

OTHER

Sponsor Role lead

Responsible Party

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Hoag Memorial Hospital Presbyterian

Principal Investigators

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Robert O. Dillman, MD, FACP

Role: STUDY_CHAIR

Cancer Biotherapy Research Group

Locations

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Hoag Memorial Hospital Presbyterian

Newport Beach, California, United States

Site Status

Bloomington Hospital

Bloomington, Indiana, United States

Site Status

St. Vincent Hospital and Health Care Center

Indianapolis, Indiana, United States

Site Status

Bergan Mercy Medical Center

Omaha, Nebraska, United States

Site Status

Baptist Regional Cancer Center - Knoxville

Knoxville, Tennessee, United States

Site Status

St. Joseph Regional Cancer Center

Bryan, Texas, United States

Site Status

Countries

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United States

References

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Dillman RO, Soori G, Tai DF, et al.: Interferon alpha-2A (FN) and cis-retinoic acid (CRA) for the treatment of squamous cell carcinoma (SCC): a preliminary report. J Immunother 20(5): 404, 1997.

Reference Type RESULT

Other Identifiers

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CBRG-9208

Identifier Type: -

Identifier Source: secondary_id

NBSG-9208

Identifier Type: -

Identifier Source: secondary_id

NCI-V92-0159

Identifier Type: -

Identifier Source: secondary_id

CDR0000077957

Identifier Type: -

Identifier Source: org_study_id

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