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Phase II Pilot Study of Toxicity Attenuation with Diethyldithiocarbamate in Patients with Epithelial Ovarian Cancer Receiving High-Dose CACP or High-Dose CBDCA
Basic Trial Information
Objectives I. Determine whether diethyldithiocarbamate (DDTC) alters the pharmacokinetics of cisplatin or carboplatin. II. Determine whether DDTC alters the formation of specific DNA-platinum adducts in the peripheral white blood cells of patients with ovarian cancer receiving treatment with either high-dose cisplatin or high-dose carboplatin. III. Determine whether DDTC alters the patterns of toxicity and/or activity of high-dose cisplatin and high-dose carboplatin in patients with refractory ovarian cancer. IV. Evaluate the quality of life and the subjective complaints of peripheral neuropathy symptoms over time in patients receiving DDTC with high-dose cisplatin or carboplatin. Entry Criteria Disease Characteristics: See General Eligibility Criteria Patient Characteristics: See General Eligibility Criteria General Eligibility Criteria: Patients with epithelial ovarian cancer that is refractory to a combination chemotherapy regimen. Patients may not have had prior therapy with more than one cycle of high-dose carboplatin; patients who have received prior therapy with high-dose cisplatin are eligible if they had an objective response to therapy. Expected Enrollment A total of 30 patients (15 per arm) will be treated; the estimated duration of the study is 2 years. Outline Randomized study (two separate Phase II studies). Patients who have previously received one cycle of high-dose carboplatin will be nonrandomly assigned to Arm II. Patients eligible for either cisplatin plus DDTC or carboplatin plus DDTC will be randomized. Arm I: Single-agent Chemotherapy plus Toxicity Attenuation. Cisplatin, cis-Platinum, CACP, NSC-119875; plus Diethyldithiocarbamate, DDTC, NSC-038583. Arm II: Single-agent Chemotherapy plus Toxicity Attenuation. Carboplatin, CBDCA, NSC-241240; plus DDTC.Published Results Rothenberg ML, Ostchega Y, Steinberg SM, et al.: High-dose carboplatin with diethyldithiocarbamate chemoprotection in treatment of women with relapsed ovarian cancer. J Natl Cancer Inst 80 (18): 1488-92, 1988.[PUBMED Abstract] Trial Lead Organizations NCI - Center for Cancer Research
Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol. |
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