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Home > "G" Clinical Trials Conditions > Gefitinib in Treating Patients With Metastatic or Unresectable Head and Neck Cancer or Non-Small Cell Lung Cancer

Gefitinib in Treating Patients With Metastatic or Unresectable Head and Neck Cancer or Non-Small Cell Lung Cancer



Gefitinib in Treating Patients With Metastatic or Unresectable Head and Neck Cancer or Non-Small Cell Lung Cancer

For Condition: Head and Neck Cancer,thorax and respiratory cancer
Status: Recruiting
Sponsor(s): Southwest Oncology Group , National Cancer Institute (NCI)
Synopsis: RATIONALE: Gefitinib may stop the growth of cancer cells by blocking the enzymes necessary for cancer cell growth. PURPOSE: Phase I trial to study the effectiveness of gefitinib in treating patients who have metastatic or unresectablehead and neck cancer or non-small cell lung cancer.
Details: OBJECTIVES: - Determine the feasibility of a structured pilot study that includes pharmacokinetic sampling in patients age 75 and over or age 50 and under with metastatic or unresectable head and neck cancer or non-small lung cancer treated with gefitinib. - Compare, preliminarily, the peak concentration level, elimination half-life, and steady state level of gefitinib between patients in these two age groups. OUTLINE: This is a pilot, multicenter study. Patients are stratified according to age (75 years and over vs 50 years and under) Patients receive oral gefitinib on day 1 and then daily beginning on day 8. Treatment continues in the absence of disease progression or unacceptable toxicity. Patients are followed every 6 months for up to 3 years after study registration. PROJECTED ACCRUAL: A total of 40 patients (20 per stratum) will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: /
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed head and neck carcinoma or non-small cell lung cancer - Metastatic or unresectable disease for which standard curative or palliative treatment measures do not exist or are no longer effective - Previously treated with at least 1 and no more than 3 prior chemotherapeutic regimens, including prior adjuvant chemotherapy if completed within the past year - No known brain metastases PATIENT CHARACTERISTICS: Age - 50 and under or 75 and over Performance status - Zubrod 0-2 Life expectancy - Not specified Hematopoietic - Absolute granulocyte count at least 1,500/mm^3 - Platelet count at least 100,000/mm^3 Hepatic - Bilirubin no greater than upper limit of normal (ULN) - SGOT or SGPT no greater than ULN - Alkaline phosphatase no greater than ULN Renal - Creatinine no greater than ULN Cardiovascular - No severe unstable or uncompensated cardiac disease Pulmonary - No severe unstable or uncompensated respiratory disease Other - Not pregnant or nursing - Fertile patients must use effective contraception - No other concurrent severe or uncontrolled systemic disease or infection - Able to swallow oral medication in pill form PRIOR CONCURRENT THERAPY: Biologic therapy - No prior epidermal growth factor receptor inhibitors - No concurrent immunotherapy for the malignancy Chemotherapy - See Disease Characteristics - No concurrent chemotherapy Endocrine therapy - No concurrent hormonal therapy Radiotherapy - No concurrent radiotherapy Surgery - Not specified Other - No concurrent agents that induce CYP3A4, including the following: - Nafcillin - Rifampin - Carbamazepine - Phenobarbital - Phenytoin - Oxcarbazepine - Fosphenytoin - Primidone - St. John's wort - Rifabutin - Rifapentine - Modafinil - No concurrent retroviral therapies for HIV-positive patients - Recovered from prior therapy
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
KimMargolin,  ,  Beckman Research Institute

University of Texas - MD Anderson Cancer Center *Recruiting*
Houston,  Texas,  77030-4095
United States
Recruiting Scott  Lippman 713-745-3672

Barbara Ann Karmanos Cancer Institute *Recruiting*
Detroit,  Michigan,  48201-1379
United States
Recruiting Lawrence  Flaherty 313-745-9155

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

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

University of Texas Health Science Center at San Antonio *Recruiting*
San Antonio,  Texas,  78229-3900
United States
Recruiting Geoffrey  Weiss 210-617-5120

Swedish Cancer Institute at Swedish Medical Center - First Hill Campus *Recruiting*
Seattle,  Washington,  98104
United States
Recruiting Saul  Rivkin 206-386-2441

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

University of Colorado Cancer Center at University of Colorado Health Sciences Center *Recruiting*
Aurora,  Colorado,  80010
United States
Recruiting Anthony  Elias 720-848-1622

Kansas Cancer Institute at the University of Kansas Medical Center *Recruiting*
Kansas City,  Kansas,  66160-7353
United States
Recruiting Sarah  Taylor 913-588-6029

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

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

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


Additional Information:
Study ID Numbers:
  CDR0000322890;  SWOG-S0322
Study Start Date: 
Record last reviewed: August 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00068497

Other Head And Neck Cancer Studies:
1. Iseganan Hydrochloride in Preventing Oral Mucositis in Patients Who Are Undergoing Radiation Therapy for Head and Neck Cancer

2. ONYX-015 With Cisplatin and Fluorouracil in Treating Patients With Advanced Head and Neck Cancer

3. Bevacizumab and Erlotinib in Treating Patients With Recurrent or Metastatic Head and Neck Cancer

4. Combination Chemotherapy Plus Radiation Therapy in Treating Patients With Advanced and/or Recurrent Head and Neck Cancer

5. Perifosine in Treating Patients With Recurrent or Metastatic Head and Neck Cancer

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Gefitinib in Treating Patients With Metastatic or Unresectable Head and Neck Cancer or Non-Small Cell Lung Cancer

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