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Phase II Chemotherapy with Tiazofurin in Patients with Refractory Metastatic Breast Cancer
Basic Trial Information
Objectives I. Determine the efficacy of tiazofurin given intravenously for 5 days in patients with metastatic breast cancer who have failed standard systemic therapy. II. Determine the toxicity of tiazofurin given on this schedule. Entry Criteria Disease Characteristics: See General Eligibility Criteria Patient Characteristics: See General Eligibility Criteria General Eligibility Criteria: Patients with histologic proof of breast cancer that is not curable by surgery or radiotherapy. Disease must be metastatic and either unresponsive or no longer responsive to previous standard chemotherapeutic agents or hormone therapy. There may have been no more than 2 prior combination chemotherapy regimens. It is encouraged that tiazofurin be given as second-line chemotherapy when feasible. There must be bidimensionally measurable disease by clinical or radiologic means (NB osteolytic metastases may be used as index lesions if sharply defined and at least one cm in diameter). Patients with only osteoblastic disease and those with evaluable but not measurable disease are excluded, as are those with previously irradiated index lesions unless lesions have increased at least 50% in size since irradiation. At least 3 weeks must have elapsed since prior radiotherapy or chemotherapy, and patients must have recovered from such therapy. A life expectancy of at least 3 months, an ECOG performance status of 0-2, and adequate hematologic function are required. A bilirubin of 35 micromoles/liter or less, an SGOT of 45 U/liter or less, and normal serum creatinine, calcium, and uric acid are required. Expected Enrollment A minimum of 15 patients will be studied. If there is evidence of response in the first 15 patients, 10 additional patients will be entered; if there is no response, the study will be closed. 3-5 patients will be accrued per month. Outline Nonrandomized study. Single-agent Chemotherapy. Tiazofurin, TCAR, NSC-286193. Trial Lead Organizations NCIC-Clinical Trials Group
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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