Taxotere, Cisplatin, and CPT-11 in Advanced Solid Tumor Malignancies

NCT ID: NCT00251407

Last Updated: 2012-08-09

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

PHASE1

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

1999-09-30

Study Completion Date

2009-04-30

Brief Summary

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The purpose of this study is to find the highest dose of the combination of taxotere, cisplatin and CPT-11, that can be given without causing severe side effects. We also want to test the safety of this drug combination and see what effects (good and bad) it has on patients with advanced cancer for which there is no known curable treatment.

Detailed Description

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* This is a Phase I clinical trial. We are unsure of the safest and most effective dose of the drugs and therefore are planning on treating 3-6 patients with a given dose before increasing to higher dose levels.
* Each patient will receive approximately two cycles of therapy. On day one and day eight, they will receive taxotere, cisplatin and CPT-11 intravenously. The cycle will begin again on day 22.
* The following tests and procedures will be performed: CAT scan prior to beginning therapy, after every 2 cycles of therapy, and at the end of the study; physical exam before each course of therapy; vital signs before and with each dose of therapy; routine blood tests before starting therapy and weekly during treatment; chest x-ray and echocardiogram before starting therapy and; toxicity assessment each week of therapy.
* Patients will remain on the study as long as their cancer responds to treatment and they do not have unacceptable side effects.

Conditions

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Solid Tumor

Keywords

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Advanced solid tumor malignancy cisplatin CPT-11 taxotere

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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taxotere, cisplatin, irinotecan

Group Type EXPERIMENTAL

Taxotere

Intervention Type DRUG

Given intravenously on days 1 and 8 of a 21-day cycle. Participants can continue to receive study drug as long as there disease does not worsen and they do not experience serious side effects.

Cisplatin

Intervention Type DRUG

Given intravenously on days 1 and 8 of a 21-day cycle. Participants can continue to receive study drug as long as there disease does not worsen and they do not experience serious side effects.

CPT-11

Intervention Type DRUG

Given intravenously on days 1 and 8 of a 21-day cycle. Participants can continue to receive study drug as long as there disease does not worsen and they do not experience serious side effects.

Interventions

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Taxotere

Given intravenously on days 1 and 8 of a 21-day cycle. Participants can continue to receive study drug as long as there disease does not worsen and they do not experience serious side effects.

Intervention Type DRUG

Cisplatin

Given intravenously on days 1 and 8 of a 21-day cycle. Participants can continue to receive study drug as long as there disease does not worsen and they do not experience serious side effects.

Intervention Type DRUG

CPT-11

Given intravenously on days 1 and 8 of a 21-day cycle. Participants can continue to receive study drug as long as there disease does not worsen and they do not experience serious side effects.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed, incurable solid tumor malignancy
* 18 years of age or older
* ECOG performance status of \< or = to 2
* Life expectancy of greater than 12 weeks
* WBC \> 3,000/mm3
* ANC \> 1,500/mm3
* Platelet count \> 100,000/mm3
* Total bilirubin within normal limits
* SGOT \< 2.5 x ULN
* Alkaline phosphatase \< 4 x ULN

Exclusion Criteria

* Prior chemotherapy for the treatment of metastatic or recurrent cancer
* Prior radiotherapy to greater than or equal to 15% of bone marrow
* Prior pelvic radiation therapy
* Prior nitrosoureas or mitomycin C
* Myocardial infarction in the past 6 months
* Major surgery in past 2 weeks
* Uncontrolled serious medical or psychiatric illness
* Uncontrolled diarrhea
* Peripheral neuropathy \> grade 1
* Pregnant or lactating women
* Clinically apparent central nervous system metastases or carcinomatous meningitis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role collaborator

Massachusetts General Hospital

OTHER

Sponsor Role collaborator

Dana-Farber Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Charles S. Fuchs, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Charles S. Fuchs, MD

Role: PRINCIPAL_INVESTIGATOR

Dana-Farber Cancer Institute

Locations

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Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Enzinger PC, Ryan DP, Clark JW, Muzikansky A, Earle CC, Kulke MH, Meyerhardt JA, Blaszkowsky LS, Zhu AX, Fidias P, Vincitore MM, Mayer RJ, Fuchs CS. Weekly docetaxel, cisplatin, and irinotecan (TPC): results of a multicenter phase II trial in patients with metastatic esophagogastric cancer. Ann Oncol. 2009 Mar;20(3):475-80. doi: 10.1093/annonc/mdn658. Epub 2009 Jan 12.

Reference Type RESULT
PMID: 19139178 (View on PubMed)

Other Identifiers

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99-149

Identifier Type: -

Identifier Source: org_study_id