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Sponsored by: |
Cancer Biotherapy Research Group |
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Information provided by: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00002506 |
RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development or recurrence of cancer. The use of isotretinoin may be an effective way to prevent cancer or stop cancer from growing. Interferon alfa may interfere with the growth of cancer cells. Combining isotretinoin and interferon may be an effective treatment for some recurrent cancers.
PURPOSE: Phase II trial to study the effectiveness of interferon alfa plus isotretinoin in treating patients with recurrent cancer.
Condition | Intervention | Phase |
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Cervical Cancer Esophageal Cancer Head and Neck Cancer Lung Cancer Non-Melanomatous Skin Cancer Penile Cancer |
Drug: isotretinoin Drug: recombinant interferon alfa |
Phase II |
Study Type: | Interventional |
Study Design: | Treatment |
Official Title: | ALPHA INTERFERON AND CIS-RETINOIC ACID FOR THE TREATMENT OF SQUAMOUS CELL CARCINOMAS |
Study Start Date: | August 1992 |
OBJECTIVES: I. Determine the response rates to treatment with daily subcutaneous interferon alpha plus oral isotretinoin in patients with advanced squamous cell carcinomas of the following body sites: head and neck, cervix, skin, esophagus, lung, and penis. II. Determine the toxicities and side effects of this treatment.
OUTLINE: Nonrandomized study. Single-agent Chemotherapy with Biological Response Modifier Therapy. Isotretinoin, 13-CRA, NSC-329481; with Interferon alpha (Schering or Hoffmann-La Roche), IFN-A, NSC-377523 or NSC-367982.
PROJECTED ACCRUAL: 14-50 patients per tumor category (and any other tumor location, if available) will be enrolled. If none of the first 14 patients in any tumor category responds, or if only 1/22, 2/30, 3/37, 4/44, or 5/50 respond, the treatment will be considered ineffective for that tumor type.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS: Histologically proven squamous cell carcinoma that has failed standard local modalities for local disease and/or effective systemic therapy for metastatic disease, or for which other forms of systemic therapy have been refused Eligible sites include but are not limited to: Uterine cervix Head and neck Skin Esophagus Lung Penis Measurable or evaluable disease required Measurable disease defined as previously unirradiated disease reproducibly measurable in 2 dimensions by physical exam, x-ray, CT, MRI, or other radiologic procedure Documented progressive disease in a previously irradiated site is accepted as measurable Evaluable disease includes: Any visible radiologic disease not measurable in 2 perpendicular diameters Elevated squamous cell carcinoma antigen (SCCA) No active brain metastases Previously treated brain metastases that have responded to therapy do not exclude, but CNS disease is not considered measurable or evaluable
PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Hematopoietic: WBC at least 3,000 Platelets at least 100,000 Hct at least 30% Hepatic: Bilirubin less than 2.0 mg/dl PT normal PTT normal Renal: Creatinine less than 2.0 mg/dl Cardiovascular: No MI within 6 months No CHF requiring medication No arrhythmia requiring medication Pulmonary: Reasonable respiratory reserve required No requirement for supplemental oxygen No dyspnea at rest Other: No chronic underlying immunodeficiency disease No HIV positivity No pregnant patients (negative pregnancy test required) Adequate birth control required of fertile patients
PRIOR CONCURRENT THERAPY: Biologic therapy: No concomitant immunosuppressive drugs, e.g., cyclosporin Chemotherapy: At least 3 weeks since prior systemic chemotherapy with recovery Endocrine therapy: No concomitant corticosteroids Radiotherapy: No prior radiotherapy to measurable site unless disease progression is documented Surgery: Not specified
United States, California | |
Hoag Memorial Hospital Presbyterian | |
Newport Beach, California, United States, 92658 | |
United States, Indiana | |
Bloomington Hospital | |
Bloomington, Indiana, United States, 47402 | |
St. Vincent Hospital and Health Care Center | |
Indianapolis, Indiana, United States, 46260 | |
United States, Nebraska | |
Bergan Mercy Medical Center | |
Omaha, Nebraska, United States, 68124 | |
United States, Tennessee | |
Baptist Regional Cancer Center - Knoxville | |
Knoxville, Tennessee, United States, 37901 | |
United States, Texas | |
St. Joseph Regional Cancer Center | |
Bryan, Texas, United States, 77802 |
Study Chair: | Robert O. Dillman, MD, FACP | Cancer Biotherapy Research Group |
Study ID Numbers: | CDR0000077957, CBRG-9208, NBSG-9208, NCI-V92-0159 |
Study First Received: | November 1, 1999 |
Last Updated: | July 23, 2008 |
ClinicalTrials.gov Identifier: | NCT00002506 |
Health Authority: | United States: Federal Government |
recurrent non-small cell lung cancer recurrent esophageal cancer recurrent cervical cancer squamous cell lung cancer squamous cell carcinoma of the skin recurrent penile cancer recurrent skin cancer squamous cell carcinoma of the esophagus |
cervical squamous cell carcinoma penile squamous cell carcinoma recurrent squamous cell carcinoma of the lip and oral cavity recurrent squamous cell carcinoma of the oropharynx recurrent squamous cell carcinoma of the nasopharynx recurrent squamous cell carcinoma of the hypopharynx recurrent squamous cell carcinoma of the larynx recurrent squamous cell carcinoma of the paranasal sinus and nasal cavity |
Thoracic Neoplasms Interferon Type I, Recombinant Genital Neoplasms, Male Gastrointestinal Diseases Esophageal Neoplasms Squamous cell carcinoma Urogenital Neoplasms Dental Caries Respiratory Tract Diseases Lung Neoplasms Isotretinoin Carcinoma, squamous cell Laryngeal carcinoma Penile Neoplasms Neoplasms, Squamous Cell |
Esophageal neoplasm Interferon-alpha Non-small cell lung cancer Digestive System Neoplasms Esophageal disorder Skin Diseases Interferons Skin Neoplasms Genital Diseases, Male Recurrence Carcinoma Epidermoid carcinoma Nasopharyngeal carcinoma Digestive System Diseases Head and Neck Neoplasms |
Respiratory Tract Neoplasms Anti-Infective Agents Neoplasms by Histologic Type Immunologic Factors Antineoplastic Agents Growth Substances Physiological Effects of Drugs Penile Diseases Antiviral Agents |
Angiogenesis Inhibitors Pharmacologic Actions Neoplasms Neoplasms by Site Therapeutic Uses Growth Inhibitors Angiogenesis Modulating Agents Dermatologic Agents |