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Temozolomide in Treating Patients With Mycosis Fungoides or Sezary Syndrome



Temozolomide in Treating Patients With Mycosis Fungoides or Sezary Syndrome

For Condition: Cutaneous T-Cell Lymphoma,mycosis fungoides and Sezary syndrome
Status: Recruiting
Sponsor(s): Robert H. Lurie Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. PURPOSE: Phase II trial to study the effectiveness of temozolomide in treating patients who have mycosis fungoides or Sezary syndrome that has not responded to previous treatment.
Details: OBJECTIVES: - Determine the response rate to temozolomide in patients with relapsed mycosis fungoides or Sezary syndrome. - Determine the toxic effects of this drug in these patients. - Correlate pretreatment AGT activity in tumor cells with response to this drug in these patients. OUTLINE: This is a multicenter study. Patients receive oral temozolomide once daily on days 1-5. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity for a maximum of 1 year. Patients are followed every 3 months. PROJECTED ACCRUAL: A total of 12-37 patients will be accrued for this study within 2 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed mycosis fungoides or Sezary syndrome - Stage IB-IVB disease - Must have failed at least one prior systemic therapy - Generalized erythroderma allowed - Measurable disease and at least one indicator lesion OR evaluable disease for erythrodermic patients only - Prior radiotherapy to areas of measurable disease allowed if disease progression is present in the site or if measurable disease is present outside irradiation port PATIENT CHARACTERISTICS: Age: - 18 and over Performance status: - ECOG 0-2 OR - WHO 0-2 Life expectancy: - At least 3 months Hematopoietic: - WBC at least 3,000/mm^3 - Absolute granulocyte count at least 1,500/mm^3 - Platelet count at least 100,000/mm^3 Hepatic: - Bilirubin no greater than 2.2 mg/dL - SGOT or SGPT no greater than 2 times upper limit of normal (ULN) - Alkaline phosphatase no greater than 2 times ULN Renal: - Creatinine no greater than 2.0 mg/dL Cardiovascular: - No New York Heart Association class III or IV heart disease - No clinically significant peripheral venous insufficiency Other: - HIV negative - No poorly controlled diabetes mellitus - No acute infection requiring IV antibiotics - No other medical condition that would prevent ingestion or absorption of oral medication - No other neoplasm within the past 5 years except curatively treated squamous cell or basal cell skin cancer, melanoma in situ, or carcinoma in situ of the cervix - Not pregnant or nursing - Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: - At least 4 weeks since prior biologic therapy and recovered - No concurrent growth factors or epoetin alfa Chemotherapy: - At least 4 weeks since prior chemotherapy and recovered Endocrine therapy: - At least 4 weeks since prior topical steroids Radiotherapy: - See Disease Characteristics - At least 2 weeks since prior radiotherapy for local control or palliation and recovered Surgery: - Recovered from prior major surgery Other: - No other concurrent investigational drugs
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
TimothyKuzel,  Study Chair,  Robert H. Lurie Cancer Center

Robert H. Lurie Comprehensive Cancer Center at Northwestern University *Recruiting*
Chicago,  Illinois,  60611-3013
United States
Recruiting Timothy  Kuzel 312-695-4544

University of Chicago Cancer Research Center *Recruiting*
Chicago,  Illinois,  60637-1470
United States
Recruiting David  Pezen 773-702-9200

Veterans Affairs Medical Center - Lakeside Chicago *Recruiting*
Chicago,  Illinois,  60611-4494
United States
Recruiting Timothy  Kuzel 312-695-4544

Tufts - New England Medical Center *Recruiting*
Boston,  Massachusetts,  02111
United States
Recruiting Francine  Foss 617-636-8884


Additional Information:
Study ID Numbers:
  CDR0000067325;  NU-FDA97H3,NCI-G99-1597
Study Start Date: 
Record last reviewed: February 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004106

Other Mycosis Fungoides And Sezary Syndrome Studies:
1. Tipifarnib in Treating Patients With Relapsed or Refractory Non-Hodgkin's Lymphoma

2. BCX-1777 in Treating Patients With Refractory Cutaneous T-Cell Lymphoma

3. Interleukin-12 and Interleukin-2 in Treating Patients With Mycosis Fungoides

4. Temozolomide in Treating Patients With Mycosis Fungoides or Sezary Syndrome

5. Reduced-Intensity Regimen Before Bone Marrow Transplantation in Treating Patients With Relapsed Non-Hodgkin's or Hodgkin's Lymphoma

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