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Fenretinide in Treating Patients With Recurrent Small Cell Lung Cancer



Fenretinide in Treating Patients With Recurrent Small Cell Lung Cancer

For Condition: extensive stage small cell lung cancer,Recurrent Small Cell Lung Cancer,limited stage small cell lung cancer
Status: Completed
Sponsor(s): University of Michigan Comprehensive Cancer Center , 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 II trial to study the effectiveness of fenretinide in treating patients who have recurrent small cell lung cancer
Details: OBJECTIVES: - Determine the efficacy of fenretinide, in terms of complete and partial response rates, duration of response, and survival, in patients with recurrent small cell lung cancer. - Determine the toxicity of this regimen in these patients. - Correlate the induction of apoptosis or the expression of molecular mediators of apoptosis in tumor cells with response rates, response duration, and survival in patients treated with this regimen. OUTLINE: This is an open-label, multicenter study. Patients receive oral fenretinide twice daily on days 1-7. Treatment continues every 21 days for at least 2 courses in the absence of disease progression or unacceptable toxicity. Patients are followed at 1 month. PROJECTED ACCRUAL: A total of 18-32 patients will be accrued for this study within 11-16 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed recurrent small cell lung cancer (SCLC) after platinum-containing chemotherapy regimen with or without thoracic radiotherapy - Limited stage or extensive stage SCLC - Measurable disease - At least 20 mm by conventional techniques OR - At least 10 mm with spiral CT scan - No pleural effusions, bone metastases, brain metastases, or abnormal radionucleotide scans as sole evidence of disease - No symptomatic or uncontrolled brain or leptomeningeal disease - Previously treated brain metastases allowed if neurologically stable PATIENT CHARACTERISTICS: Age: - 18 and over Performance status: - Zubrod 0-2 Life expectancy: - Not specified Hematopoietic: - WBC at least 2,500/mm^3 - Platelet count at least 70,000/mm^3 Hepatic: - Bilirubin no greater than 1.5 mg/dL - SGOT no greater than 2 times upper limit of normal Renal: - Creatinine no greater than 1.5 mg/dL OR - Creatinine clearance at least 60 mL/min Cardiovascular: - No symptomatic heart disease - No myocardial infarction within the past 6 months Other: - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception for 1 month before, during, and for 2 months after study - No pre-existing retinal degenerative disease (e.g., retinitis pigmentosa or associated disorders) - No other serious concurrent illness - No other malignancy within the past 5 years except localized nonmelanoma skin cancer or carcinoma in situ PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - See Disease Characteristics - At least 3 weeks since prior chemotherapy - No more than 2 prior chemotherapy regimens Endocrine therapy: - Concurrent steroids allowed at stable dose Radiotherapy: - See Disease Characteristics - No prior radiotherapy to study lesions Surgery: - Not specified Other: - At least 3 weeks since prior systemic retinoid or carotenoid therapy - No concurrent anticonvulsants
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
GregoryKalemkerian,  Study Chair,  University of Michigan Comprehensive Cancer Center

University of Michigan Comprehensive Cancer Center
Ann Arbor,  Michigan,  48109-0752
United States
 

Barbara Ann Karmanos Cancer Institute
Detroit,  Michigan,  48201-1379
United States
 


Additional Information:
Study ID Numbers:
  CDR0000068428;  NCI-T99-0112,CCUM-9940
Study Start Date: 
Record last reviewed: October 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00009971

Other Limited Stage Small Cell Lung Cancer Studies:
1. Radiolabeled SMT-487 in Treating Patients With Refractory Small Cell Lung Cancer or Metastatic Breast Cancer

2. Donepezil and Vitamin E to Prevent Side Effects Caused By Radiation Therapy to the Head in Patients Receiving Treatment for Small Cell Lung Cancer

3. Interleukin-12, Paclitaxel, and Trastuzumab in Treating Patients With Solid Tumors

4. BBR 3464 in Treating Patients With Metastatic Small Cell Lung Cancer That Has Not Responded to Previous Treatment

5. Peripheral Stem Cell Transplantation in Treating Patients With Melanoma or Small Cell Lung, Breast, Testicular, or Kidney Cancer That is Metastatic or That Cannot Be Treated With Surgery

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