High-dose ICE With Amifostine

NCT ID: NCT00003657

Last Updated: 2017-01-20

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

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

1998-07-31

Study Completion Date

2002-06-30

Brief Summary

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The purpose of the study is to evaluate the combination of amifostine and high dose chemotherapy with blood stem cell support. Amifostine is a druf developed to protect normal tissues against the toxicities of chemotherapy and radiotherapy and has reduced the side effects of chemotherapy given at conventional doses.

Detailed Description

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Conditions

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Bladder Cancer Brain and Central Nervous System Tumors Carcinoma of Unknown Primary Extragonadal Germ Cell Tumor Head and Neck Cancer Kidney Cancer Lung Cancer Ovarian Cancer Sarcoma Testicular Germ Cell Tumor Unspecified Adult Solid Tumor, Protocol Specific

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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High Dose ICF with Amifostine

* Patients undergo peripheral blood stem cell transplantation (PBSC) harvest on day -8,
* ifosfamide IV, carboplatin IV etoposide IV (ICE) by 96 hour continuous infusion on days -7 to -4.
* Patients receive amifostine IV twice a day on days -7 to -3.
* PBSCs are reinfused on day 0.
* Filgrastim (G-CSF) is administered subcutaneously beginning on day 0 at least 2 hours after infusion of the stem cells and continuing until blood cell counts recover.
* Patients are followed monthly for the first 2 months and then for survival.

Group Type EXPERIMENTAL

filgrastim

Intervention Type BIOLOGICAL

Amifostine

Intervention Type DRUG

Carboplatin

Intervention Type DRUG

Etoposide

Intervention Type DRUG

Ifosfamide

Intervention Type DRUG

peripheral blood stem cell transplantation

Intervention Type PROCEDURE

Interventions

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filgrastim

Intervention Type BIOLOGICAL

Amifostine

Intervention Type DRUG

Carboplatin

Intervention Type DRUG

Etoposide

Intervention Type DRUG

Ifosfamide

Intervention Type DRUG

peripheral blood stem cell transplantation

Intervention Type PROCEDURE

Other Intervention Names

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Ethyol® Paraplatin Toposar VePesid Etopophos Ifex

Eligibility Criteria

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Inclusion Criteria

* Relapsed germ cell carcinomas
* Relapsed lymphomas (ineligible for other BMT or SCT protocols
* SCLC in PR or CR
* Sarcomas in or near complete remission after induction chemotherapy
* Stage IIIB NSCLC responding to chemotherapy
* Responsive bladder, head and neck carcinoma, or carcinoma of unknown primary
* Other tumors without curative or first line therapy (not eligible for phase II or III studies)
* Aged 18 to 55 Physiologic years

\-- Performance status: PS 0-1
* Prior Treatment

* \> 1 week since surgery or RT
* \> 3 weeks since prior CT
* Informed Consent
* Required initial laboratory data:

* White Cell Count Life ≥ 3000/ul
* Platelet Count ≥ 100,000/ul
* Creatinine ≤ 1.5 x normal
* Bilirubin ≤ 1.5 x normal
* No current metastases

* BM Asp \& Bx
* Brain CAT
* Creatinine Clearance ≥ 60 cc/min
* SGOT \< 2.5 x normal
* No other serious medical or psychiatric illness which would prevent informed consent or general anesthesia

* Uncontrolled or severe cardiovascular disease including recent (\< 6 months) myocardial infarction, or congestive heart failure
* Active uncontrolled bacterial, viral, or fungal infection; or an active duodenal ulcer; until these conditions are corrected or controlled
* Pregnancy
* Unable to stop taking antihypertensive medication 24 hours prior to administration of Ethyol
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Dana-Farber Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Paul G. Richardson, MD

Richardson, Paul MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Paul G.G. Richardson, MD

Role: PRINCIPAL_INVESTIGATOR

Dana-Farber Cancer Institute

Locations

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Massachusetts General Hospital Cancer Center

Boston, Massachusetts, United States

Site Status

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Elias AD, Richardson P, Tretyakov O, et al.: Amifostine with high dose infosfamide, carboplatin, and etoposide (ICE) with hematopoietic STEM cell support. [Abstract] Proceedings of the American Society of Clinical Oncology 19: A197, 2000.

Reference Type RESULT

Other Identifiers

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P30CA006516

Identifier Type: NIH

Identifier Source: secondary_id

View Link

DFCI-98068

Identifier Type: -

Identifier Source: secondary_id

ALZA-97-038-ii

Identifier Type: -

Identifier Source: secondary_id

NCI-V98-1491

Identifier Type: -

Identifier Source: secondary_id

98-068

Identifier Type: -

Identifier Source: org_study_id

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