Erlotinib, Cisplatin, and Radiation Therapy in Treating Patients With Stage IB-Stage IVA Cervical Cancer

NCT ID: NCT00428194

Last Updated: 2017-11-29

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

WITHDRAWN

Clinical Phase

PHASE1

Study Classification

INTERVENTIONAL

Study Start Date

2007-01-31

Study Completion Date

2008-03-31

Brief Summary

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RATIONALE: Erlotinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Radiation therapy uses high-energy x-rays to kill tumor cells. Erlotinib and cisplatin may make tumor cells more sensitive to radiation therapy. Giving erlotinib together with cisplatin and radiation therapy may kill more tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of erlotinib when given together with cisplatin and radiation therapy in treating patients with stage IB, stage II, stage III, or stage IVA cervical cancer.

Detailed Description

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OBJECTIVES:

Primary

* Determine the maximum tolerated dose of erlotinib hydrochloride when administered with cisplatin and pelvic radiotherapy in patients with stage IB-IVA squamous cell carcinoma of the cervix.

Secondary

* Determine the toxicity profile of this regimen.

OUTLINE: This is a multicenter, open-label, dose-escalation study of erlotinib hydrochloride.

Patients receive oral erlotinib hydrochloride once daily on days 1-35 and cisplatin IV on days 1, 8, 15, 22, and 29. Patients also undergo radiotherapy daily, 5 days a week, for approximately 5 weeks concurrently with chemotherapy.

Cohorts of 3-6 patients receive escalating doses of erlotinib hydrochloride until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose proceeding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.

After completion of study treatment, patients are followed at 6 weeks.

Conditions

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Cervical Cancer

Keywords

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stage IIA cervical cancer stage IB cervical cancer stage IIB cervical cancer stage III cervical cancer stage IVA cervical cancer cervical squamous cell carcinoma

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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Cohort 1

Erlotinib 100 mg/day by mouth beginning on day 1 of radiotherapy (RT) and cisplatin dosing (40 mg/m\^2 intravenous every 7 days during RT) and continuing daily through radiation

Group Type EXPERIMENTAL

cisplatin

Intervention Type DRUG

40 mg/m\^2 every 7 days during radiation

erlotinib hydrochloride

Intervention Type DRUG

Erlotinib escalating dose per schedule - 100, 125 and 150 mg/m\^2 by mouth once a day beginning day 1.

radiation therapy

Intervention Type PROCEDURE

standard (fixed) doses of pelvic irradiation (as determined by their radiation oncologist)

Cohort 2

Erlotinib 125 mg/day by mouth beginning on day 1 of radiotherapy (RT) and cisplatin dosing (40 mg/m\^2 intravenous every 7 days during RT) and continuing daily through radiation

Group Type EXPERIMENTAL

cisplatin

Intervention Type DRUG

40 mg/m\^2 every 7 days during radiation

erlotinib hydrochloride

Intervention Type DRUG

Erlotinib escalating dose per schedule - 100, 125 and 150 mg/m\^2 by mouth once a day beginning day 1.

radiation therapy

Intervention Type PROCEDURE

standard (fixed) doses of pelvic irradiation (as determined by their radiation oncologist)

Cohort 3

Erlotinib 150 mg/day by mouth beginning on day 1 of radiotherapy (RT) and cisplatin dosing (40 mg/m\^2 intravenous every 7 days during RT) and continuing daily through radiation

Group Type ACTIVE_COMPARATOR

cisplatin

Intervention Type DRUG

40 mg/m\^2 every 7 days during radiation

erlotinib hydrochloride

Intervention Type DRUG

Erlotinib escalating dose per schedule - 100, 125 and 150 mg/m\^2 by mouth once a day beginning day 1.

radiation therapy

Intervention Type PROCEDURE

standard (fixed) doses of pelvic irradiation (as determined by their radiation oncologist)

Interventions

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cisplatin

40 mg/m\^2 every 7 days during radiation

Intervention Type DRUG

erlotinib hydrochloride

Erlotinib escalating dose per schedule - 100, 125 and 150 mg/m\^2 by mouth once a day beginning day 1.

Intervention Type DRUG

radiation therapy

standard (fixed) doses of pelvic irradiation (as determined by their radiation oncologist)

Intervention Type PROCEDURE

Other Intervention Names

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cisplatinum CDDP Tarceva(R) irradiation

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of squamous cell carcinoma of the cervix

* Stage IB-IVA disease
* Scheduled to undergo standard radiotherapy and receive weekly cisplatin
* ECOG performance status 0-2
* Not pregnant
* Negative pregnancy test
* Fertile patients must use effective contraception during and for ≥ 1 week after completion of study treatment
* Must be able to take oral medication

Exclusion Criteria

* Malabsorption syndrome
* Serious underlying medical condition that would impair the ability of patient to receive treatment
* Known hypersensitivity to erlotinib hydrochloride
* Psychological, familial, sociological, or geographical conditions that would preclude study compliance
* Less than 21 days since prior nonapproved or investigational drugs
* Prior chemotherapy
* Prior radiotherapy
* Prior anti-epidermal growth factor receptor treatment
* Prior gastrointestinal surgery that limits absorption (i.e., requiring total parenteral nutrition)
* Concurrent use of any of the following agents and therapies:

* Other antineoplastic or antitumor agents
* Other chemotherapy
* Other investigational agents
* Radiotherapy
* Immunotherapy
* Anticancer hormonal therapy
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Masonic Cancer Center, University of Minnesota

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Levi S. Downs, MD

Role: STUDY_CHAIR

Masonic Cancer Center, University of Minnesota

Locations

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University of Minnesota Cancer Center

Minneapolis, Minnesota, United States

Site Status

Countries

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United States

Other Identifiers

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UMN-0604M84827

Identifier Type: OTHER

Identifier Source: secondary_id

2006LS019

Identifier Type: -

Identifier Source: org_study_id