R115777 in Treating Patients With Recurrent or Metastatic Non-small Cell Lung Cancer
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Purpose
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.
PURPOSE: Phase II trial to study the effectiveness of R115777 in treating patients who have recurrent or metastatic non-small cell lung cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Lung Cancer |
Drug: tipifarnib |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Primary Purpose: Treatment |
| Official Title: | A Phase II Study of Farnesyl Transferase Inhibitor R115777 in Patients With Advanced Non-Small Cell Lung Cancer |
| Study Start Date: | November 2002 |
| Study Completion Date: | July 2007 |
| Primary Completion Date: | July 2007 (Final data collection date for primary outcome measure) |
OBJECTIVES:
- Assess the response rate of patients with recurrent or metastatic non-small cell lung cancer when treated with tipifarnib.
- Determine the clinical toxicities of this treatment in these patients.
- Assess the overall survival and time to progression of this patient population when treated with this regimen.
- Evaluate the inhibition of protein farnesylation in vivo and correlate such inhibition to plasma levels of tipifarnib.
- Evaluate the occurrence of CYP450 polymorphisms and relate these to drug toxicity, pharmacokinetics, and response to this treatment in this patient population.
OUTLINE: This is a multicenter study.
Patients receive oral tipifarnib twice daily on days 1-21. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months for 5 years.
PROJECTED ACCRUAL: A total of 50 patients will be accrued for this study over 12 months.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
- Histologically or cytologically confirmed recurrent or metastatic non-small cell lung cancer (NSCLC)
Measurable disease
- At least 20 mm in at least one dimension
Nonmeasurable is defined as any of the following:
- Bone lesions
- Leptomeningeal disease
- Ascites
- Pleural/pericardial effusion
- Inflammatory breast disease
- Lymphangitis cutis/pulmonis
- Abdominal masses not confirmed and followed by imaging techniques
- Cystic lesions
- No CNS metastases
PATIENT CHARACTERISTICS:
Age
- 18 and over
Performance status
- ECOG 0-2
Life expectancy
- At least 12 weeks
Hematopoietic
- Absolute neutrophil count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
Hepatic
- Bilirubin no greater than 2 times upper limit of normal (ULN)
- AST no greater than 3 times ULN (no greater than 5 times ULN in case of hepatic metastases)
Renal
- Creatinine no greater than 2 times ULN
Cardiovascular
- No New York Heart Association class III or IV heart disease
Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No uncontrolled infection
- No other prior malignancy in past 5 years except adequately treated basal cell or squamous cell skin cancer or other adequately treated noninvasive carcinomas
- No other concurrent severe underlying disease
PRIOR CONCURRENT THERAPY:
Biologic therapy
- No prior biologic, gene, or immunotherapy
Chemotherapy
- No prior chemotherapy for NSCLC except low dose cisplatin as radiosensitizer
Endocrine therapy
- Not specified
Radiotherapy
- Prior radiotherapy to less than 25% of bone marrow allowed
Surgery
- Not specified
Contacts and Locations| United States, Florida | |
| Mayo Clinic in Florida | |
| Jacksonville, Florida, United States | |
| United States, Illinois | |
| University of Chicago Cancer Research Center | |
| Chicago, Illinois, United States, 60637 | |
| United States, Minnesota | |
| Mayo Clinic | |
| Rochester, Minnesota, United States, 55905 | |
| Study Chair: | Julian Molina, MD | Mayo Clinic |
| Principal Investigator: | Elizabeth Johnson, MD | Mayo Clinic |
More Information
Additional Information:
No publications provided
| Responsible Party: | Julian R. Molina, M.D., Ph.D., Mayo Clinic Cancer Center |
| ClinicalTrials.gov Identifier: | NCT00005989 History of Changes |
| Other Study ID Numbers: | CDR0000067978, U01CA069912, P30CA015083, 982401 |
| Study First Received: | July 5, 2000 |
| Last Updated: | August 2, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Mayo Clinic:
|
recurrent non-small cell lung cancer stage IV non-small cell lung cancer |
Additional relevant MeSH terms:
|
Carcinoma, Non-Small-Cell Lung Lung Neoplasms Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site |
Neoplasms Lung Diseases Respiratory Tract Diseases Tipifarnib Antineoplastic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013