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Fluorouracil, Phenylbutyrate, Indomethacin, and Interferon Gamma in Treating Patients With Advanced Colorectal Cancer
This study has been completed.
Study NCT00002796   Information provided by National Cancer Institute (NCI)
First Received: November 1, 1999   Last Updated: February 6, 2009   History of Changes

November 1, 1999
February 6, 2009
May 1997
 
 
 
Complete list of historical versions of study NCT00002796 on ClinicalTrials.gov Archive Site
 
 
 
Fluorouracil, Phenylbutyrate, Indomethacin, and Interferon Gamma in Treating Patients With Advanced Colorectal Cancer
Phase I-II Study of Fluorouracil in Combination With Phenylbutyrate in Advanced Colorectal Cancer

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Interferon-gamma may interfere with the growth of tumor cells and slow the growth of the tumor. Combining more than one drug with interferon-gamma may kill more tumor cells.

PURPOSE: This phase I/II trial is studying the side effects and best dose of giving fluorouracil together with phenylbutyrate, indomethacin, and interferon-gamma and to see how well it works in treating patients with stage IV colorectal cancer.

OBJECTIVES:

  • Determine the maximum tolerated dose of fluorouracil administered with phenylbutyrate, indomethacin, and interferon gamma in patients with advanced colorectal adenocarcinoma.
  • Determine the toxic effects of this regimen in these patients.
  • Determine the efficacy of this regimen in these patients.

OUTLINE: This is a dose-escalation study of fluorouracil (5-FU).

  • Phase I:Patients receive 5-FU IV over 24 hours on day 1; phenylbutyrate IV over 120 hours and oral indomethacin daily on days 2-6; and interferon gamma subcutaneously on days 2, 4, and 6. Courses repeat weekly in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of 5-FU until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which less than 2 of 6 patients experience dose-limiting toxicity (DLT).

  • Phase II :Patients receive 5-FU, phenylbutyrate, indomethacin, and interferon gamma as in phase I at the MTD.

Patients are followed for survival.

PROJECTED ACCRUAL: A maximum of 24 patients will be accrued for the phase I portion of this study and approximately 46 patients will be accrued for the phase II portion of this study.

Phase I, Phase II
Interventional
Treatment
Colorectal Cancer
  • Biological: recombinant interferon gamma
  • Drug: fluorouracil
  • Drug: indomethacin
  • Drug: sodium phenylbutyrate
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
 
 
 

DISEASE CHARACTERISTICS:

  • Histologically confirmed stage IV colorectal adenocarcinoma
  • Bidimensionally measurable disease on x-ray, CT scan, or MRI required for phase II patients
  • No brain metastases

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • Karnofsky 70-100%

Life expectancy:

  • At least 16 weeks

Hematopoietic:

  • WBC at least 3,000/mm^3
  • Platelet count at least 100,000/mm^3

Hepatic:

  • Bilirubin no greater than 2 times upper limit of normal (ULN)

Renal:

  • Creatinine no greater than 2 times ULN

Cardiovascular:

  • No New York Heart Association class III-IV heart disease

Nutritional:

  • Adequate oral intake
  • No diarrhea

Other:

  • No other serious concurrent illness
  • No dependence on immunosuppressive drugs, including corticosteroids
  • No other malignancy within the past 5 years except:

    • Inactive nonmelanoma skin cancer
    • Carcinoma in situ of the cervix
    • Grade I bladder cancer
  • No allergy to interferon gamma or E. coli-derived products
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective barrier contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • No prior chemotherapy for metastatic disease
  • At least 12 months since prior adjuvant chemotherapy

Endocrine therapy

  • No concurrent corticosteroids

Radiotherapy

  • At least 12 months since prior adjuvant radiotherapy

Surgery

  • Not specified

Other

  • No concurrent immunosuppressive drugs
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00002796
 
CDR0000064879, MTS-96322-ME, NCI-T96-0015O
Mount Sinai School of Medicine
National Cancer Institute (NCI)
Study Chair: Max W. Sung, MD Mount Sinai School of Medicine
National Cancer Institute (NCI)
October 2003

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP