Recombinant Interferon Alpha and Etoposide in Relapsed Osteosarcoma

NCT ID: NCT00504140

Last Updated: 2012-08-02

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

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

1996-11-30

Study Completion Date

2009-03-31

Brief Summary

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Primary Objectives:

1. To determine the efficacy of combining Interferon Alpha (IFN) with etoposide for the treatment of relapsed osteosarcoma.
2. To determine if IFN alters the plasma pharmacokinetics of etoposide.
3. To determine the toxicities of IFN and etoposide when administered together.
4. To determine IFN blood levels following combination therapy.

Detailed Description

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Interferon Alpha (IFN)- will be given as a shot under the skin. One hour later, VP-16 will be infused through a catheter (tube) placed in a vein over 3 hours. The drugs will be given daily for 5 days. The treatment will be repeated every 3 - 4 weeks for up to 24 - 32 weeks (8 courses). The catheter will remain in place throughout treatment.

Patients who are candidates for surgery will first receive two courses of treatment. If the tumor gets worse or if severe side effects occur, treatment will be stopped, and the tumor will be removed right away. If the tumor responds well (begins to shrink or does not get worse) and severe side effects do not occur, the patient will receive six more courses of treatment after surgery.

Patients who are not candidates for surgery will receive two initial courses of treatment. If the tumor responds well and severe side effects do not occur, the patient will receive six more courses of treatment.

The treatment will be given in the outpatient department. Before treatment begins, the patient will have a health examination. Blood tests, a urine test, and heart tests will be given. X-rays, computed tomography (CT) scans, and a bone scan will be done. The location and size of all lesions will be recorded.

During treatment, patients will have a blood test every week. Before each course, a health examination, a urine test, and chest x-ray will be given and the size of all measurable cancer will be recorded. After the second course, the CT and bone scans will be repeated. All the tests will be repeated at the end of the study.

About 37 patients will be treated on the study at M. D. Anderson.

THIS IS AN INVESTIGATIONAL STUDY. IFN- and VP-16 are approved by the U.S. Food and Drug Administration for treating some types of cancer. Their use together against osteosarcoma is investigational.

Conditions

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Osteosarcoma

Keywords

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Osteosarcoma Interferon Alpha IFN- Roferon Recombinant Interferon Alpha Etoposide VP-16

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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Interferon Alpha + Etoposide

Interferon Alpha 5x10\^6 mu/m\^2 subcutaneously and Etoposide 100 mg/m\^2 intravenously, both daily for 5 days

Group Type EXPERIMENTAL

Etoposide

Intervention Type DRUG

100 mg/m\^2 Intravenous Daily for 5 days, beginning one hour after IFN-alpha treatment.

Interferon Alpha

Intervention Type DRUG

5x10\^6 mu/m\^2 Subcutaneously Daily for 5 Days

Interventions

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Etoposide

100 mg/m\^2 Intravenous Daily for 5 days, beginning one hour after IFN-alpha treatment.

Intervention Type DRUG

Interferon Alpha

5x10\^6 mu/m\^2 Subcutaneously Daily for 5 Days

Intervention Type DRUG

Other Intervention Names

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VP-16 IFN- Roferon

Eligibility Criteria

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Inclusion Criteria

1. Patients with histologically confirmed relapsed osteosarcoma who have failed standard chemotherapy.
2. Age 5-70 years.
3. Life expectancy of at least 12 weeks and a Zubrod performance status of less than or equal to 2.
4. Patients must have measurable disease.
5. Adequate hematologic, coagulation, renal, and hepatic function.
6. No chemotherapy, immunotherapy, hormonal therapy or radiation therapy within 3 weeks of study entry.

Exclusion Criteria

1. Patients who are likely to have significant systems because of rapidly progressive disease, ascites or hepatic metastasis.
2. Pregnant or lactating women.
3. Patients who have had more than one prior biologic response modifier.
4. Serious intercurrent illness, active infections, or central nervous system (CNS) disease.
5. Patients of childbearing potential, not practicing adequate contraception.
6. Significant cardiovascular disease.
Minimum Eligible Age

5 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Schering-Plough

INDUSTRY

Sponsor Role collaborator

M.D. Anderson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eugenie S. Kleinerman, MD

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Locations

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U.T.M.D. Anderson Cancer Center

Houston, Texas, United States

Site Status

Countries

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United States

Related Links

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http://www.mdanderson.org

The University of Texas M.D.Anderson Cancer Center

Other Identifiers

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P96-221

Identifier Type: -

Identifier Source: org_study_id