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Combination Chemotherapy Plus Filgrastim in Treating Patients With Advanced Solid Tumors
This study is ongoing, but not recruiting participants.
First Received: April 10, 2001   Last Updated: February 6, 2009   History of Changes
Sponsors and Collaborators: Norris Cotton Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00014456
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Colony-stimulating factors such as filgrastim may increase the number of immune cells found in bone marrow or peripheral blood and may help a person's immune system recover from the side effects of chemotherapy.

PURPOSE: Phase I trial to study the effectiveness of combination chemotherapy plus filgrastim in treating patients who have advanced solid tumors.


Condition Intervention Phase
Bladder Cancer
Breast Cancer
Carcinoma of Unknown Primary
Esophageal Cancer
Gastric Cancer
Head and Neck Cancer
Lung Cancer
Melanoma (Skin)
Ovarian Cancer
Pancreatic Cancer
Prostate Cancer
Sarcoma
Biological: filgrastim
Drug: docetaxel
Drug: gemcitabine hydrochloride
Phase I

Genetics Home Reference related topics: bladder cancer breast cancer
MedlinePlus related topics: Bladder Cancer Breast Cancer Cancer Esophageal Cancer Esophagus Disorders Head and Neck Cancer Kaposi's Sarcoma Lung Cancer Melanoma Ovarian Cancer Pancreatic Cancer Prostate Cancer Soft Tissue Sarcoma Stomach Cancer Tonsils and Adenoids
Drug Information available for: Gemcitabine Docetaxel Filgrastim Gemcitabine hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment
Official Title: A Dose-Escalation Trial Of The Combination Of Docetaxel, Gemcitabine And Filgrastim (NEUPOGEN) For The Treatment Of Patients With Advanced Solid Tumors

Further study details as provided by National Cancer Institute (NCI):

Study Start Date: March 2000
Detailed Description:

OBJECTIVES:

  • Determine the maximum tolerated dose of docetaxel in combination with gemcitabine and filgrastim (G-CSF) in patients with advanced solid tumors.
  • Determine the dose-limiting toxicity associated with this regimen in these patients.
  • Assess the objective anti-tumor response in patients treated with this regimen.
  • Determine fatigue and blood cytokines in patients treated with this regimen.

OUTLINE: This is a dose-escalation study of docetaxel.

Patients receive docetaxel IV over 1 hour followed by gemcitabine IV over 30 minutes on day 1. Patients also receive filgrastim (G-CSF) subcutaneously daily beginning on day 2 and continuing until blood counts recover. Treatment repeats every 14 days in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of docetaxel until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.

Fatigue is assessed at baseline and then at weeks 2, 5, 7, and 9 during therapy.

PROJECTED ACCRUAL: A maximum of 30 patients will be accrued for this study within 15-22 months.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed advanced solid tumor that is not curable by surgery or radiotherapy

    • Sarcoma
    • Melanoma
    • Carcinoma of unknown primary
    • Pancreatic cancer
    • Lung cancer
    • Ovarian cancer
    • Breast cancer
    • Bladder cancer
    • Gastric cancer
    • Esophageal cancer
    • Prostate cancer
    • Head and neck cancer
  • No hematopoietic or lymphoid tumors
  • Measurable or evaluable disease

PATIENT CHARACTERISTICS:

Age:

  • Over 18

Performance status:

  • Karnofsky 60-100%
  • ECOG 0-2

Life expectancy:

  • Not specified

Hematopoietic:

  • Absolute neutrophil count greater than 1,000/mm^3
  • Platelet count greater than 100,000/mm^3

Hepatic:

  • Bilirubin normal
  • AST and/or ALT no greater than 5 times upper limit of normal (ULN) if alkaline phosphatase no greater than ULN OR
  • Alkaline phosphatase no greater than 5 times ULN if AST and ALT no greater than ULN OR
  • AST and/or ALT no greater than 1.5 times ULN if alkaline phosphatase no greater than 2.5 times ULN

Renal:

  • Creatinine no greater than 2 times ULN OR
  • Creatinine clearance at least 50 mL/min

Cardiovascular:

  • No congestive heart failure
  • No unstable angina

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No uncontrolled infection
  • No known sensitivity to E. coli-derived products

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • At least 2 weeks since prior cytotoxic anti-tumor therapy (4 weeks for nitrosourea or mitomycin) and recovered
  • No prior docetaxel or gemcitabine

Endocrine therapy:

  • Not specified

Radiotherapy:

  • See Disease Characteristics
  • At least 2 weeks since prior radiotherapy and recovered

Surgery:

  • Not specified
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00014456

Locations
United States, New Hampshire
Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, United States, 03756-0002
Sponsors and Collaborators
Norris Cotton Cancer Center
Investigators
Study Chair: Konstantin H. Dragnev, MD Norris Cotton Cancer Center
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000068545, DMS-9933, NCI-G01-1933
Study First Received: April 10, 2001
Last Updated: February 6, 2009
ClinicalTrials.gov Identifier: NCT00014456     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage IV breast cancer
recurrent breast cancer
stage IV gastric cancer
recurrent gastric cancer
metastatic osteosarcoma
recurrent non-small cell lung cancer
stage II pancreatic cancer
stage III pancreatic cancer
recurrent pancreatic cancer
stage II esophageal cancer
stage III esophageal cancer
stage IV esophageal cancer
recurrent esophageal cancer
chondrosarcoma
recurrent adult soft tissue sarcoma
stage IV ovarian epithelial cancer
recurrent ovarian epithelial cancer
extensive stage small cell lung cancer
recurrent small cell lung cancer
recurrent osteosarcoma
recurrent bladder cancer
stage IV bladder cancer
stage IV prostate cancer
recurrent prostate cancer
stage IV melanoma
recurrent melanoma
stage IV non-small cell lung cancer
stage IV salivary gland cancer
recurrent salivary gland cancer
classic Kaposi sarcoma

Study placed in the following topic categories:
Thoracic Neoplasms
Neuroectodermal Tumors, Primitive
Prostatic Diseases
Pancreatic Neoplasms
Urogenital Neoplasms
Squamous Cell Carcinoma
Urologic Neoplasms
Kaposi Sarcoma
Docetaxel
Neoplasms, Connective and Soft Tissue
Carcinoma, Adenoid Cystic
Lung Neoplasms
Neoplasm Metastasis
Osteogenic Sarcoma
Neuroepithelioma
Ovarian Cancer
Gemcitabine
Salivary Gland Diseases
Breast Diseases
Endocrine Gland Neoplasms
Neoplasms, Unknown Primary
Nasopharyngeal Carcinoma
Digestive System Neoplasms
Urinary Bladder Diseases
Genital Neoplasms, Female
Urinary Bladder Neoplasms
Endocrine System Diseases
Breast Neoplasms
Esophageal Cancer
Carcinoma, Basal Cell

Additional relevant MeSH terms:
Thoracic Neoplasms
Anti-Infective Agents
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Prostatic Diseases
Pancreatic Neoplasms
Physiological Effects of Drugs
Urogenital Neoplasms
Urologic Neoplasms
Docetaxel
Neoplasms, Connective and Soft Tissue
Pathologic Processes
Neoplasms by Site
Lung Neoplasms
Therapeutic Uses
Neoplasm Metastasis
Gemcitabine
Breast Diseases
Endocrine Gland Neoplasms
Neoplasms, Unknown Primary
Digestive System Neoplasms
Urinary Bladder Diseases
Urinary Bladder Neoplasms
Genital Neoplasms, Female
Breast Neoplasms
Endocrine System Diseases
Genital Diseases, Male
Carcinoma
Neuroectodermal Tumors
Neoplasms

ClinicalTrials.gov processed this record on May 06, 2009