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Phase II Study of SU5416 in Patients With Unresectable Malignant Mesothelioma
Alternate Title SU5416 in Treating Patients With Malignant Mesothelioma
Objectives I. Determine the objective response rate, median and overall survival, and time to progression in patients with unresectable malignant mesothelioma treated with SU5416. II. Determine the effect of SU5416 on surrogate biologic endpoints, including microvessel density, tissue proliferative index, apoptosis, vascular endothelial growth factor levels, and tumor perfusion measured by MRI in these patients. III. Determine the toxicity of this regimen in these patients. Entry Criteria Disease Characteristics: Histologically or cytologically proven malignant mesothelioma (epithelial, sarcomatoid, or mixed subtype) that is not amenable to surgery or radiotherapy Measurable disease At least 20 mm by conventional techniques or at least 10 mm by spiral CT scan Pleural effusions and ascites are not considered measurable lesions Only site of measurable disease must not be located within prior radiotherapy port Lesion must be accessible for biopsy History of previously treated CNS metastasis allowed if: Neurologically stable No requirement for IV or oral steroids or IV anticonvulsants No active or residual disease by brain CT or MRI scan Patients with neurologic signs or symptoms suggestive of CNS metastasis must have a negative brain CT or MRI scan Prior/Concurrent Therapy: Biologic therapy: Not specified Chemotherapy: No more than 1 prior systemic chemotherapy regimen At least 4 weeks since prior systemic chemotherapy and recovered Prior intrapleural cytotoxic agents (including bleomycin) allowed No concurrent chemotherapy Endocrine therapy: See Disease Characteristics Radiotherapy: See Disease Characteristics At least 4 weeks since prior radiotherapy and recovered No concurrent radiotherapy Surgery: See Disease Characteristics Other: At least 30 days since prior investigational drug and recovered No concurrent investigational drug Patient Characteristics:
Age:
18 and over
Performance status:
WHO 0-2
Life expectancy:
At least 12 weeks
Hematopoietic:
WBC at least 3,000/mm3
Platelet count at least 75,000/mm3
Hepatic:
Bilirubin no greater than 1.5 mg/dL
SGOT and SGPT no greater than 2.5 times upper limit of normal
Renal:
Creatinine no greater than 1.5 mg/dL OR
Creatinine clearance at least 60 mL/min
Cardiovascular:
No uncompensated coronary artery disease on electrocardiogram or physical
examination
No history of myocardial infarction or severe/unstable angina within the past
6 months
No severe peripheral vascular disease associated with diabetes mellitus
No deep vein or arterial thrombosis within the past 3 months
Pulmonary:
No pulmonary embolism within the past 3 months
Other:
No significant uncontrolled underlying medical or psychiatric illness
No serious active infection
Not pregnant or nursing
Negative pregnancy test
Fertile patients must use effective contraception
No active second malignancy except nonmelanomatous skin cancer or carcinoma
in situ of the cervix
Patients are not considered to have active malignancy if they have
completed therapy and are considered to be at less than 30% risk of
relapse
No history of severe allergic or anaphylactic reactions to paclitaxel or
docetaxel
Expected Enrollment Approximately 21-45 patients will be accrued for this study within 18-24 months. Outline This is a multicenter study. Patients receive SU5416 IV over 1 hour twice weekly. Courses repeat every 4 weeks for a minimum of 2 courses in the absence of disease progression or unacceptable toxicity. Trial Lead Organizations University of Chicago Cancer Research Center
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. Back to Top |
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