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Phase I Chemotherapy with Continuous Infusion Deoxyspergualin in Patients with Solid Tumors (Summary Last Modified 07/89)
Basic Trial Information
Objectives I. Determine the maximum tolerated dose of deoxyspergualin administered by 120-hour continuous infusion every 28 days in patients with cancer. II. Determine the qualitative and quantitative toxicities and reversibility of toxicity of deoxyspergualin administered in this fashion. III. Determine the pharmacokinetic parameters of deoxyspergualin administered on this schedule. IV. Collect any information concerning the antitumor effects of deoxyspergualin. V. Determine the recommended dose of deoxyspergualin administered on this schedule for initial Phase II therapeutic trials. Entry Criteria Disease Characteristics: See General Eligibility Criteria Patient Characteristics: See General Eligibility Criteria General Eligibility Criteria: Patients 18 years of age or older with a histologically proven solid neoplasm who are not candidates for or failures on known regimens or protocols of higher efficacy or priority; patients with leukemia are not eligible. Measurable disease is desirable, but not required. Patients must not have received cytotoxic chemotherapy for at least 3 weeks prior to study entry or must have recovered from the toxic effects of that therapy. A performance status of 3 or better and a life expectancy of at least 12 weeks are required, as is adequate bone marrow, liver, and renal function (i.e., peripheral WBC of at least 3,000, segmented plus unsegmented absolute granulocytes of at least 1,500, platelets of at least 100,000, total bilirubin no more than 1.5 mg%, alkaline phosphatase and SGOT no more than 2 times normal, creatinine no more than 2.0 mg%, creatinine clearance at least 50 ml/minute, and normal urinalysis). Atrial fibrillation, a history of myocardial infarction, ventricular ectopy, and angina exclude, as does a history of cerebrovascular accident. Women of childbearing potential are not eligible; a pregnancy test is required before study entry, and patients should use appropriate birth control measures. Patients with a history of active gastrointestinal bleeding, duodenal ulcers, or gastritis in the past 3 months are not eligible. Expected Enrollment At least 3 patients will be entered at each dose level; at least 6 patients will be entered at the minimal toxic dose and the maximum tolerated dose. A total of 39-42 patients are expected to be entered. As of April 1989, 50 patients have been entered, and 6 additional patients will be entered at 2 dose levels. Outline Nonrandomized study. Single-agent Chemotherapy. Deoxyspergualin, DSG, NSC-356894. Trial Lead Organizations University of Texas Health Science Center at San Antonio
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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