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BMS-247550 in Treating Patients With Advanced Solid Tumors or Lymphomas and Liver Dysfunction



BMS-247550 in Treating Patients With Advanced Solid Tumors or Lymphomas and Liver Dysfunction

For Condition: small intestine cancer,Leukemia,Lymphoma,adult solid tumor
Status: Recruiting
Sponsor(s): Kaplan Cancer Center , National Cancer Institute (NCI),Southwest Oncology Group
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase I trial to study the effectiveness of BMS-247550 in treating patients who have advanced solid tumors or lymphomas and liver dysfunction.
Details: OBJECTIVES: - Determine the levels of hepatic impairment at which dose modifications of BMS-247550 are required in patients with advanced solid tumors or lymphomas and varying levels of liver dysfunction. - Determine the effect of hepatic dysfunction on the plasma pharmacokinetics of this drug in these patients. - Determine the toxic effects of this drug at varying levels of hepatic dysfunction in these patients. OUTLINE: This is a dose-escalation, multicenter study. Patients are stratified according to liver function (normal vs mild dysfunction vs moderate dysfunction vs severe dysfunction). Patients receive BMS-247550 IV over 3 hours on day 1. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of BMS-247550 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, at least 6 but no more than 12 patients are treated at the recommended phase II dose. Patients are followed every 3 months for 1 year and then every 6 months for 2 years. PROJECTED ACCRUAL: A total of 12-120 patients (12 for stratum I; 12-24 for stratum II; 12-36 for stratum III; and12-48 for stratum IV) will be accrued for this study within 12 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed solid tumor or lymphoma for which standard curative or palliative measures do not exist or are no longer effective - Pathological confirmation of diagnosis not required in patients with liver mass, raised alpha-fetoprotein levels (at least 500 ng/mL), and positive serology for hepatitis consistent with a diagnosis of hepatocellular carcinoma - Any solid tumor or lymphoma tumor type eligible - Patients with glioma or brain metastases must be on a stable dose of corticosteroids and be seizure-free for the past month - Prior whole brain or gamma knife radiotherapy required for known brain metastases - No unstable or untreated (non-irradiated) brain metastases PATIENT CHARACTERISTICS: Age - 18 and over Performance status - Zubrod 0-2 Life expectancy - Not specified Hematopoietic - Absolute neutrophil count at least 1,500/mm^3 - Platelet count at least 100,000/mm^3 - No active hemolysis Hepatic - See Disease Characteristics - Patients with biliary obstruction for which a shunt has been placed are allowed if shunt is in place for at least 10 days and liver function is stable - Abnormal liver function (bilirubin and SGOT) allowed regardless of cause (metastases or other causes) - No evidence of biliary sepsis Renal - Creatinine no greater than 1.5 mg/dL Cardiovascular - No symptomatic congestive heart failure - No unstable angina pectoris - No cardiac arrhythmia Other - No concurrent uncontrolled illness - No ongoing or active infection - No uncontrolled diarrhea - No peripheral neuropathy grade II or greater - No psychiatric illness or social situation that would preclude study compliance - HIV negative - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective barrier contraception PRIOR CONCURRENT THERAPY: Biologic therapy - No concurrent immunotherapy for malignancy Chemotherapy - More than 2 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) - No other concurrent chemotherapy for malignancy Endocrine therapy - See Disease Characteristics - No concurrent oral contraceptives - No concurrent hormone therapy for malignancy Radiotherapy - See Disease Characteristics - More than 4 weeks since prior radiotherapy and recovered - No concurrent radiotherapy for malignancy Surgery - More than 2 weeks since prior major surgery Other - Recovered from prior therapy
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
AngelaDavies,  ,  University of California Davis Cancer Center

Hillman Cancer Center at University of Pittsburgh Cancer Institute *Recruiting*
Pittsburgh,  Pennsylvania,  15232
United States
Recruiting Ramesh  Ramanathan 412-648-6507

USC/Norris Comprehensive Cancer Center and Hospital *Recruiting*
Los Angeles,  California,  90033
United States
Recruiting Heinz-Josef  Lenz 323-865-3955

Puget Sound Cancer Centers *Recruiting*
Seattle,  Washington,  98133
United States
Recruiting Robert  Livingston 206-288-1085

Cardinal Bernardin Cancer Center at Loyola University Medical Center *Recruiting*
Maywood,  Illinois,  60153-5500
United States
Recruiting Patrick  Stiff 708-327-3148

Kansas Cancer Institute at the University of Kansas Medical Center *Recruiting*
Kansas City,  Kansas,  66160
United States
Recruiting Stephen  Williamson 913-588-6029

University of California Davis Cancer Center *Recruiting*
Sacramento,  California,  95817
United States
Recruiting Angela  Davies 916-734-3771

NYU School of Medicine's Kaplan Comprehensive Cancer Center *Recruiting*
New York City,  New York,  10016
United States
Recruiting Anna  Pavlick 212-263-6485

University of Texas - MD Anderson Cancer Center *Recruiting*
Houston,  Texas,  77030-4009
United States
Recruiting Melanie  Thomas 713-792-2828

City of Hope Comprehensive Cancer Center *Recruiting*
Duarte,  California,  91010-0269
United States
Recruiting Kim  Margolin 626-359-8111 Ext 62960

University of Colorado Cancer Center at University of Colorado Health Sciences Center *Recruiting*
Aurora,  Colorado,  80010
United States
Recruiting S.  Eckhardt 720-848-0300

University of Texas Health Science Center at San Antonio *Recruiting*
San Antonio,  Texas,  78229
United States
Recruiting Chris  Takimoto 210-562-1725

Albert Einstein Clinical Cancer Center *Recruiting*
Bronx,  New York,  10461
United States
Recruiting Sridhar  Mani 718-904-2488

University of Wisconsin Comprehensive Cancer Center *Recruiting*
Madison,  Wisconsin,  53792
United States
Recruiting Daniel  Mulkerin 608-262-9653

Ireland Cancer Center *Recruiting*
Cleveland,  Ohio,  44106-5065
United States
Recruiting Scot  Remick 216-844-1196

Center for Cancer Research *Recruiting*
Bethesda,  Maryland,  20889-5105
United States
Recruiting Jean  Grem 301-435-5382

Veterans Affairs Medical Center - Biloxi *Recruiting*
Biloxi,  Mississippi,  39531-2410
United States
Recruiting Robert  Veith 504-568-5151

Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support *Recruiting*
Bethesda,  Maryland,  20892-1182
United States
Recruiting Patient  Recruitment 888-NCI-1937

Barbara Ann Karmanos Cancer Institute *Recruiting*
Detroit,  Michigan,  48201
United States
Recruiting Patricia  LoRusso 313-745-8860

Cleveland Clinic Taussig Cancer Center *Recruiting*
Cleveland,  Ohio,  44195-9001
United States
Recruiting George  Budd 216-444-6480

University Cancer Center at University of Washington Medical Center *Recruiting*
Seattle,  Washington,  98109-1023
United States
Recruiting Robert  Livingston 206-288-2034


Additional Information:
Study ID Numbers:
  CDR0000258060;  NYU-0132,NCI-5707,SWOG-S0355
Study Start Date: 
Record last reviewed: October 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00049400

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