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Decitabine in Treating Patients With Advanced Solid Tumors



Decitabine in Treating Patients With Advanced Solid Tumors

For Condition: Male Breast Cancer,Breast Cancer,Melanoma,Bladder Cancer,adult solid tumor
Status: Recruiting
Sponsor(s): University of Southern California , National Cancer Institute (NCI)
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 decitabine in treating patients who have advanced solid tumors that have not responded to previous treatment.
Details: OBJECTIVES: - Determine the maximum tolerated dose of decitabine in patients with advanced solid tumors. - Determine the toxic effects of this drug in these patients. - Determine the dose of this drug with biologic activity in these patients. - Determine the pharmacokinetics of this drug in these patients. - Determine clinical response to this drug in these patients. OUTLINE: This is a dose-escalation, multicenter study. Patients receive decitabine IV over 30 minutes on days 1-5 weekly for 4 weeks. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of decitabine 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. Patients are followed at 2 weeks. PROJECTED ACCRUAL: Approximately 12-24 patients will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Diagnosis of advanced metastatic solid tumor for which all standard therapy has failed, including, but not limited to: - Stage III or IV melanoma - Mucosal melanoma allowed - Resectable stage III melanoma not allowed - Bladder cancer - Breast cancer - At least 2 cutaneous, mucosal, or lymph nodal lesions that can be biopsied OR 1 lesion large enough to be biopsied twice by large bore needle or excisional biopsy - No active symptomatic CNS disease - No radiographically evident cerebral edema - Hormone receptor status: - Not specified PATIENT CHARACTERISTICS: Age: - 18 and over Sex: - Male or female Menopausal status: - Not specified Performance status: - ECOG 0-1 Life expectancy: - Not specified Hematopoietic: - Hemoglobin at least 9.0 g/dL - Platelet count at least 100,000/mm^3 - WBC at least 3,500/mm^3 - Absolute granulocyte count at least 1,500/mm^3 - No coagulation disorders Hepatic: - Bilirubin no greater than 1.5 times upper limit of normal (ULN) - SGOT and SGPT less than 2.5 times ULN - Hepatitis B surface antigen negative - Hepatitis C antibody negative Renal: - Creatinine no greater than 1.5 times ULN Cardiovascular: - No major cardiovascular system illness Pulmonary: - No major respiratory system illness Other: - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - HIV negative - No major systemic infection PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - Not specified Endocrine therapy: - Not specified Radiotherapy: - At least 1 month since prior radiotherapy Surgery: - Not specified Other: - At least 1 month since any prior anticancer therapy or adjuvant therapy - No other experimental treatment within 30 days prior to, during, and for 30 days after study therapy
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
JeffreyWeber,  Study Chair,  University of Southern California

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

USC/Norris Comprehensive Cancer Center and Hospital *Recruiting*
Los Angeles,  California,  90089
United States
Recruiting Jeffrey  Weber 323-865-3360

City of Hope Comprehensive Cancer Center *Recruiting*
Duarte,  California,  91010-3000
United States
Recruiting Lucille  Leong 626-359-8111


Additional Information:
Study ID Numbers:
  CDR0000069182;  LAC-USC-0C0101,NCI-5353
Study Start Date: 
Record last reviewed: December 2002
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00030615

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