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Home > "3" Clinical Trials Conditions > 3-AP Plus Cisplatin in Treating Patients With Recurrent or Metastatic Adenocarcinoma of the Esophagus or Gastroesophageal Junction

3-AP Plus Cisplatin in Treating Patients With Recurrent or Metastatic Adenocarcinoma of the Esophagus or Gastroesophageal Junction



3-AP Plus Cisplatin in Treating Patients With Recurrent or Metastatic Adenocarcinoma of the Esophagus or Gastroesophageal Junction

For Condition: recurrent esophageal cancer,stage 4 esophageal cancer,Adenocarcinoma of the Esophagus
Status: Recruiting
Sponsor(s): University of Chicago Cancer Research Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: Drugs used in chemotherapy, such as 3-AP and cisplatin, work in different ways to stop tumor cells from dividing so they stop growing or die. 3-AP may help cisplatin kill more cancer cells by making them more sensitive to the drug. PURPOSE: Phase II trial to study the effectiveness of combining 3-AP with cisplatin in treating patients who have recurrent or metastaticadenocarcinoma of the esophagus or gastroesophageal junction.
Details: OBJECTIVES: Primary - Determine the objective response rate in patients with recurrent or metastatic adenocarcinoma of the esophagus or gastroesophageal junction treated with 3-AP (Triapine^® ) and cisplatin. Secondary - Determine the toxicity of this regimen in these patients. - Determine the duration of response and overall survival of patients treated with this regimen. - Determine the palliative benefits with regard to dysphagia in patients treated with this regimen. OUTLINE: This is a multicenter study. Patients receive 3-AP (Triapine^®) IV over 2 hours on days 1-4. Patients also receive cisplatin IV over 60 minutes on days 2 and 3 before 3-AP infusion. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients are followed for up to 2 years. PROJECTED ACCRUAL: A total of 19-39 patients will be accrued for this study within 20 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed adenocarcinoma of the esophagus or gastroesophageal junction - Metastatic or recurrent disease - Measurable disease - At least 1 unidimensionally measurable lesion 20 mm by conventional techniques OR 10 mm by spiral CT scan - Outside prior irradiation port - No known brain metastases PATIENT CHARACTERISTICS: Age - 18 and over Performance status - ECOG 0-2 OR - Karnofsky 50-100% Life expectancy - More than 6 months Hematopoietic - Absolute neutrophil count 1,500/mm^3 - WBC 3,000/mm ^3 - Platelet count 100,000/mm^3 Hepatic - AST and ALT 2.5 times upper limit of normal - Bilirubin normal Renal - Creatine normal OR - Creatinine clearance 50 mL/min Cardiovascular - No prior myocardial infarction - No unstable angina - No cardiac arrhythmia - No uncontrolled congestive heart failure Pulmonary - No pulmonary disease requiring supplemental oxygen Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception during and for 3 months after study participation - No G6PD deficiency - No other concurrent uncontrolled illness - No active or ongoing infection - No active second malignancy - No prior allergic reaction to compounds of similar chemical or biological composition to 3-AP or other study agents - No psychiatric illness or social situation that would preclude study compliance PRIOR CONCURRENT THERAPY: Biologic therapy - Not specified Chemotherapy - At least 1 year since prior platinum-derivative agents - No prior chemotherapy for metastatic or recurrent esophageal cancer Endocrine therapy - Not specified Radiotherapy - See Disease Characteristics - At least 2 weeks since prior radiotherapy and recovered Surgery - Not specified Other - No other concurrent anticancer therapy - No other concurrent investigational agents - No concurrent combination antiretroviral therapy for HIV-positive patients
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
AnnMauer,  Study Chair,  University of Chicago Cancer Research Center

Oncology/Hematology Associates of Central Illinois, P.C. *Recruiting*
Peoria,  Illinois,  61602
United States
Recruiting James  Knost 309-672-5681

Medical College of Wisconsin Cancer Center *Recruiting*
Milwaukee,  Wisconsin,  53226
United States
Recruiting Stuart  Wong 414-805-4603

CCOP - Northern Indiana CR Consortium *Recruiting*
South Bend,  Indiana,  46601
United States
Recruiting David  Taber 800-284-7370

Ingalls Memorial Hospital *Recruiting*
Harvey,  Illinois,  60426
United States
Recruiting Mark  Kozloff 708-333-2300

Oncology Care Associates, P.L.L.C. *Recruiting*
Saint Joseph,  Michigan,  49085
United States
Recruiting Eric  Lester 269-985-0029

Evanston Northwestern Health Care - Evanston Hospital *Recruiting*
Evanston,  Illinois,  60201-1781
United States
Recruiting Bruce  Brockstein 847-570-1489

University of Chicago Cancer Research Center *Recruiting*
Chicago,  Illinois,  60637-1470
United States
Recruiting Everett  Vokes 773-834-3093

Fort Wayne Medical Oncology and Hematology, Incorporated *Recruiting*
Ft. Wayne,  Indiana,  46885-5099
United States
Recruiting David  Sciortino 219-484-8830

Central Illinois Hematology Oncology Center *Recruiting*
Springfield,  Illinois,  62701
United States
Recruiting Edem  Agamah 217-525-2500

Cardinal Bernardin Cancer Center at Loyola University Medical Center *Recruiting*
Maywood,  Illinois,  60153
United States
Recruiting Ellen  Gaynor 708-327-3101

Decatur Memorial Hospital Cancer Care Institute *Recruiting*
Decatur,  Illinois,  62526
United States
Recruiting James  Wade 217-876-6603

Holden Comprehensive Cancer Center at University of Iowa *Recruiting*
Iowa City,  Iowa,  52242-1009
United States
Recruiting Gerald  Clamon 319-356-8110


Additional Information:
Study ID Numbers:
  CDR0000352307;  NCI-6285,UCCRC-12765A
Study Start Date: 
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00077545

Other Stage 4 Esophageal Cancer Studies:
1. DX-8951f in Treating Patients With Metastatic Stomach Cancer

2. 3-AP Plus Cisplatin in Treating Patients With Recurrent or Metastatic Adenocarcinoma of the Esophagus or Gastroesophageal Junction

3. PNU-93914 in Treating Patients With Locally Advanced or Metastatic Cancer of the Esophagus

4. Quality-of-Life Assessment of Patients Who Have Cancer of the Esophagus

5. BMS-247550 in Treating Patients With Recurrent Metastatic Stomach Cancer That Has Been Previously Treated With Chemotherapy

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3-AP Plus Cisplatin in Treating Patients With Recurrent or Metastatic Adenocarcinoma of the Esophagus or Gastroesophageal Junction

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