Fluorouracil, Irinotecan, Leucovorin, and Cisplatin as First-Line Therapy in Treating Patients With Metastatic Esophageal Cancer

NCT ID: NCT00075738

Last Updated: 2008-07-24

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

UNKNOWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2003-10-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as fluorouracil, irinotecan, leucovorin, and cisplatin, work in different ways to stop tumor cells from dividing so they stop growing or die. Giving more than one chemotherapy drug may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving combination chemotherapy as first-line therapy works in treating patients with metastatic esophageal cancer.

Detailed Description

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OBJECTIVES:

Primary

* Determine the objective response rate in patients with metastatic esophageal cancer treated with fluorouracil, irinotecan, leucovorin calcium, and cisplatin as first-line therapy.

Secondary

* Determine the clinical benefit in patients treated with this regimen.
* Determine the tolerability of this regimen in these patients.
* Determine local relapse-free survival of patients treated with this regimen.
* Determine the overall survival of patients treated with this regimen.

OUTLINE: This is an open-label, multicenter study.

Patients receive irinotecan IV over 90 minutes and leucovorin calcium IV over 2 hours on day 1. Patients also receive fluorouracil IV continuously over 46 hours and cisplatin IV over 30 minutes on days 1 and 2. Treatment repeats every 15 days for up to 12 courses in the absence of unacceptable toxicity or disease progression.

PROJECTED ACCRUAL: A total of 39 patients will be accrued for this study within 1 year.

Conditions

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Esophageal Cancer

Keywords

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stage IV esophageal cancer recurrent esophageal cancer

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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cisplatin

Intervention Type DRUG

fluorouracil

Intervention Type DRUG

irinotecan hydrochloride

Intervention Type DRUG

leucovorin calcium

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically confirmed esophageal cancer

* Metastatic disease
* At least 1 unidimensionally measurable metastatic lesion

* At least 10 mm by spiral scanner OR 20 mm by sequential scanner
* Outside the field of prior radiotherapy
* No known symptomatic brain metastases

PATIENT CHARACTERISTICS:

Age

* 18 to 75

Performance status

* ECOG 0-2

Life expectancy

* At least 3 months

Hematopoietic

* Absolute neutrophil count ≥ 1,500/mm\^3

Hepatic

* Bilirubin ≤ 1.5 times normal
* Alkaline phosphatase ≤ 3 times normal (5 times normal if liver metastases are present)
* SGOT and SGPT ≤ 3 times normal

Renal

* Creatinine ≤ 1.5 mg/dL

Cardiovascular

* No myocardial infarction within the past 6 months
* No uncontrolled angina

Other

* Not pregnant or nursing
* Fertile patients must use effective contraception
* No other prior malignancy except curatively treated basal cell skin cancer or carcinoma in situ of the cervix
* No other illness or medical condition that would preclude study participation
* No psychological, social, familial, or geographical condition that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

* Not specified

Chemotherapy

* More than 6 months since prior fluorouracil and/or cisplatin
* No other prior chemotherapy

Endocrine therapy

* Not specified

Radiotherapy

* See Disease Characteristics
* More than 6 weeks since prior radiotherapy

Surgery

* More than 4 weeks since prior surgery

Other

* No concurrent participation in another clinical study
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GERCOR - Multidisciplinary Oncology Cooperative Group

OTHER

Sponsor Role lead

Principal Investigators

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Pascal Artru, MD

Role:

Clinique Saint Jean

Locations

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Clinique La Casamance

Abugne, , France

Site Status

Hopital Saint Andre

Bordeaux, , France

Site Status

Hopital Drevon

Dijon, , France

Site Status

Centre Jean Bernard

Le Mans, , France

Site Status

Centre Hospital Universitaire Hop Huriez

Lille, , France

Site Status

Clinique Saint Jean

Lyon, , France

Site Status

Hopital Notre-Dame de Bon Secours

Metz, , France

Site Status

Hopital Bichat - Claude Bernard

Paris, , France

Site Status

Hopital Saint Antoine

Paris, , France

Site Status

Hopital Tenon

Paris, , France

Site Status

Hopital Haut Leveque

Pessac, , France

Site Status

Clinique Ste - Marie

Pontoise, , France

Site Status

Clinique Armoricaine De Radiologie

Saint-Brieuc, , France

Site Status

Clinique Francois

Saint-Dizier, , France

Site Status

Centre Medico-Chirurgical Foch

Suresnes, , France

Site Status

Countries

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France

Other Identifiers

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FRE-GERCOR-D00-2

Identifier Type: -

Identifier Source: secondary_id

EU-20328

Identifier Type: -

Identifier Source: secondary_id

CDR0000349275

Identifier Type: -

Identifier Source: org_study_id