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Epoetin alfa in Treating Anemia in Patients Who Are Receiving Chemotherapy



Epoetin alfa in Treating Anemia in Patients Who Are Receiving Chemotherapy

For Condition: Lung Cancer,Leukemia,Lymphoma,Multiple Myeloma,Breast Cancer
Status: No longer recruiting
Sponsor(s): National Cancer Institute (NCI) , North Central Cancer Treatment Group
Synopsis: RATIONALE: Epoetin alfa may stimulate red blood cell production and treat anemia in patients with cancer who are receiving chemotherapy. It is not yet known whether epoetin alfa is more effective than a placebo in treating anemia in patients receiving chemotherapy. PURPOSE: Randomized double blinded phase III trial to compare the effectiveness of epoetin alfa with a placebo in treating anemia in cancer patients who are receiving chemotherapy.
Details: OBJECTIVES: I. Determine whether epoetin alfa treatment improves the quality of life in anemic patients who are undergoing chemotherapy for advanced malignancy. II. Determine whether epoetin alfa increases hemoglobin levels and decreases transfusion requirements in these patients. III. Validate or refute the use of an algorithm using pre- and posttreatment epoetin alfa, ferritin, and hemoglobin levels to predict 16 weeks response or no response to therapeutic doses of epoetin alfa as set forth by these patients. IV. Explore whether anemic patients receiving platinum-containing chemotherapy regimens experience less nephrotoxicity if they receive concurrent epoetin alfa compared to those who receive placebo. PROTOCOL OUTLINE: This is a randomized, double blind study. Patients are stratified by primary malignant disease (lung vs breast vs other), life expectancy (4-6 months vs greater than 6 months), planned concurrent radiotherapy (yes vs no), and degree of anemia (mild or at least 9 g/dL vs severe or less than 9 g/dL). Patients receiving chemotherapy are randomized to receive epoetin alfa subcutaneously once a week for a maximum of 16 weeks (arm I) or placebo subcutaneously once a week for a maximum of 16 weeks (arm II). Quality of life is assessed at randomization and monthly throughout study. Patients are followed every 6 months for 1 year. PROJECTED ACCRUAL: There will be 300 patients (150 patients per arm) accrued into this study over 11 months.
Eligibility:
Study Type:
  Interventional, Educational/Counseling/Training
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Anemic: Hemoglobin in males less than 11.5 g/dL; hemoglobin in females less than 10.0 g/dL; No anemia secondary to B12, folic acid, or iron deficiency; No anemia secondary to gastrointestinal bleed or hemolysis; No anemia secondary to a primary or chemotherapy-induced myelodysplastic syndrome; No anemia secondary to acute lymphocytic leukemia - Histologically confirmed advanced malignancy; Lung; Breast; Other - Currently receiving myelosuppressive, cytotoxic chemotherapy for advanced cancer; No patients receiving adjuvant therapy for cancer that has been surgically removed --Prior/Concurrent Therapy-- - Biologic therapy: At least 1 year since prior epoetin alfa; At least 2 weeks since prior red blood cell transfusions; No concurrent peripheral blood stem cell or bone marrow transplantation - Chemotherapy: See Disease Characteristics - Endocrine therapy: Not specified - Radiotherapy: Concurrent radiotherapy allowed - Surgery: See Disease Characteristics --Patient Characteristics-- - Age: 18 and over - Performance status: ECOG 0-1 - Life expectancy: At least 4 months - Hematopoietic: See Disease Characteristics - Hepatic: Not specified - Renal: Not specified - Cardiovascular: No uncontrolled hypertension (systolic at least 180, diastolic at least 100) - Other: Normal or elevated ferritin; No known hypersensitivity to epoetin alfa; Must be able to reliably take oral medication; Must be alert and mentally competent; Not pregnant or nursing
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
ThomasWitzig,  Study Chair,  North Central Cancer Treatment Group

CentraCare Clinic
St. Cloud,  Minnesota,  56303
United States
 

Rapid City Regional Hospital
Rapid City,  South Dakota,  57709
United States
 

CCOP - Illinois Oncology Research Association
Peoria,  Illinois,  61602
United States
 

Mayo Clinic Cancer Center
Rochester,  Minnesota,  55905
United States
 

CCOP - Toledo Community Hospital Oncology Program
Toledo,  Ohio,  43623-3456
United States
 

CCOP - Sioux Community Cancer Consortium
Sioux Falls,  South Dakota,  57105-1080
United States
 

Siouxland Hematology-Oncology
Sioux City,  Iowa,  51101-1733
United States
 

CCOP - Merit Care Hospital
Fargo,  North Dakota,  58122
United States
 

CCOP - Duluth
Duluth,  Minnesota,  55805
United States
 

Altru Health Systems
Grand Forks,  North Dakota,  58201
United States
 

CCOP - Missouri Valley Cancer Consortium
Omaha,  Nebraska,  68131
United States
 

CCOP - Carle Cancer Center
Urbana,  Illinois,  61801
United States
 

CCOP - Wichita
Wichita,  Kansas,  67214-3882
United States
 

Howard University Cancer Center
Washington D.C.,  District of Columbia,  20060
United States
 

CCOP - Scottsdale Oncology Program
Scottsdale,  Arizona,  85259-5404
United States
 

CCOP - Geisinger Clinic and Medical Center
Danville,  Pennsylvania,  17822-2001
United States
 

CCOP - Ochsner
New Orleans,  Louisiana,  70121
United States
 

CCOP - Iowa Oncology Research Association
Des Moines,  Iowa,  50309-1016
United States
 

CCOP - Cedar Rapids Oncology Project
Cedar Rapids,  Iowa,  52403-1206
United States
 

Allan Blair Cancer Centre
Regina,  Saskatchewan,  S4T 7T1
Canada
 

Medcenter One Health System
Bismark,  North Dakota,  58501
United States
 


Additional Information:
Study ID Numbers:
  CDR0000066673;  NCCTG-979253,NCI-P98-0133
Study Start Date: December 1998
Record last reviewed: February 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00003600

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