Irinotecan in Treating Patients With Esophageal or Stomach Cancer

NCT ID: NCT00003748

Last Updated: 2020-08-03

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

1998-08-31

Study Completion Date

2005-01-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.

PURPOSE: Phase II trial to study the effectiveness of irinotecan in treating patients who have esophageal or stomach cancer.

Detailed Description

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OBJECTIVES: I. Determine the antitumor activity of irinotecan in patients with adenocarcinoma of the esophagus or gastric cardia. II. Evaluate the toxicities of this drug in this patient population.

OUTLINE: This is a multicenter study. Patients receive irinotecan intravenous (IV) over 90 minutes once a week for 4 weeks followed by a 2 week rest period. Treatment continues in the absence of unacceptable toxicity or disease progression. Patients are followed every 3 months until death.

PROJECTED ACCRUAL: A total of 18-32 patients will be accrued for this study.

Conditions

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Esophageal Cancer Gastric Cancer

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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irinotecan hydrochloride

One course of therapy is comprised of a 4-week treatment period and a two-week rest period. Drug administration will be based on actual calculated body surface area. Starting dose will be 125 mg/m2/day given once per week on four consecutive weeks.

Group Type EXPERIMENTAL

irinotecan hydrochloride

Intervention Type DRUG

One course of therapy is comprised of a 4-week treatment period and a two-week rest period. Drug administration will be based on actual calculated body surface area. Starting dose will be 125 mg/m2/day given once per week on four consecutive weeks.

Interventions

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irinotecan hydrochloride

One course of therapy is comprised of a 4-week treatment period and a two-week rest period. Drug administration will be based on actual calculated body surface area. Starting dose will be 125 mg/m2/day given once per week on four consecutive weeks.

Intervention Type DRUG

Other Intervention Names

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CPT-11

Eligibility Criteria

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Inclusion Criteria

* Patients must be \> 18 years of age
* Patients must have a performance status of 0-2 on the Eastern Cooperative Oncology Group (ECOG) Performance Scale
* Patients must have a predicted life expectancy of at least 12 weeks
* Patients must have a pretreatment granulocyte count of \>1500/mm3, a hemoglobin level of \>9.0 gm/dL and the platelet count of \>100000/mm3
* Patients must have adequate renal function as documented by a serum creatinine \< 2.0 mg/dL
* Patients must have adequate hepatic function as documented by a serum bilirubin \< 1.5 mg/dL, regardless of whether patients have liver involvement secondary to tumor. Aspartate transaminase must be \< 3 x institutional upper limit of normal unless the liver is involved with tumor, in which case the aspartate transaminase must be \< 5 x institutional upper limit of normal
* Patients must have histologically proven adenocarcinoma of the esophagus or gastric cardia with progression despite prior chemotherapy
* Patients must have disease radiologically measurable bidimensionally
* Patients must have an interval of 4 weeks from prior chemotherapy, immunotherapy, or radiation therapy

Exclusion Criteria

* Patients with any active or uncontrolled infection
* Patients with psychiatric disorders that would interfere with consent or follow-up
* Patients with a history of myocardial infarction within the previous six months or congestive heart failure requiring therapy
* Patients with a history of prior malignancy except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer for which the patient has been disease-free for at least five years
* Pregnant or lactating women. Men and women of reproductive potential may not participate unless they have agreed to use an effective contraceptive method
* Presence of clinically apparent central nervous system metastases or carcinomatous meningitis
* Patients with uncontrolled diabetes mellitus
* Patients with any other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study
* Prior therapy with a deoxyribonucleic acid (DNA) topoisomerase inhibitor
* Patients with known Gilbert's syndrome
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pharmacia and Upjohn

INDUSTRY

Sponsor Role collaborator

Jonsson Comprehensive Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joel R. Hecht, MD

Role: PRINCIPAL_INVESTIGATOR

Jonsson Comprehensive Cancer Center

Locations

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Comprehensive Blood and Cancer Center

Bakersfield, California, United States

Site Status

St Jude Heritage Health Foundation

Fullerton, California, United States

Site Status

Daniel Freeman Memorial Hospital

Inglewood, California, United States

Site Status

UCLA - Antelope Valley Cancer Center

Lancaster, California, United States

Site Status

Pacific Shores Medical Group

Long Beach, California, United States

Site Status

Jonsson Comprehensive Cancer Center, UCLA

Los Angeles, California, United States

Site Status

Community Hospital of the Monterey Peninsula

Monterey, California, United States

Site Status

Office of Jerome L. Rubin

Monterey, California, United States

Site Status

Office of Eddie Hu, M.D.

Monterey Park, California, United States

Site Status

Ventura County Hematology-Oncology Medical Group, Inc.

Oxnard, California, United States

Site Status

Wilshire Oncology Medical Center

Pomona, California, United States

Site Status

Salinas Valley Memorial Hospital

Salinas, California, United States

Site Status

Cancer Center of Santa Barbara

Santa Barbara, California, United States

Site Status

Sansum Medical Clinic

Santa Barbara, California, United States

Site Status

James L. Poth, M.D., Michael Alexander, M.D., Inc.

Santa Cruz, California, United States

Site Status

Marian Medical Center

Santa Maria, California, United States

Site Status

Office of Marilou Terpenning

Santa Monica, California, United States

Site Status

Office of Robert C. Klein

Santa Monica, California, United States

Site Status

Dominican and Watsonville Community Hospital

Soquel, California, United States

Site Status

Los Robles Regional Medical Center

Thousand Oaks, California, United States

Site Status

Cancer Care Associates Medical Group

Torrance, California, United States

Site Status

UCLA Cancer Center - Santa Clarita

Valencia, California, United States

Site Status

Oncology Medical Center of North County

Vista, California, United States

Site Status

Valley Hematology and Oncology

West Hills, California, United States

Site Status

Cancer Care Consultants

Las Vegas, Nevada, United States

Site Status

Countries

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United States

Other Identifiers

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UCLA-HSPC-9703008

Identifier Type: -

Identifier Source: secondary_id

P-UPHJOHN-6475-96014

Identifier Type: -

Identifier Source: secondary_id

NCI-G99-1497

Identifier Type: -

Identifier Source: secondary_id

CDR0000066868

Identifier Type: -

Identifier Source: org_study_id

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