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Decitabine in Treating Patients With Advanced Solid Tumors
This study has been completed.
First Received: February 14, 2002   Last Updated: January 10, 2009   History of Changes
Sponsor: USC/Norris Comprehensive Cancer Center
Collaborator: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00030615
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.

PURPOSE: This phase I trial is studying the side effects and best dose of decitabine in treating patients with advanced solid tumors that have not responded to previous treatment.


Condition Intervention Phase
Bladder Cancer
Breast Cancer
Melanoma (Skin)
Unspecified Adult Solid Tumor, Protocol Specific
Drug: decitabine
Phase I

Study Type: Interventional
Study Design: Treatment
Official Title: A Phase I Study Of The Toxicities, Biologic And Clinical Effects Of Daily 5 Aza 2'Deoxycytidine (DAC), NSC 127716 (IND 50733) For Four Weeks In Patients With Advanced Malignancies

Resource links provided by NLM:


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

Estimated Enrollment: 24
Study Start Date: February 2002
Primary Completion Date: September 2008 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Determine the maximum tolerated dose of decitabine in patients with advanced solid tumors.
  • Determine the toxic effects of this drug in these patients.
  • Determine the dose of this drug with biologic activity in these patients.
  • Determine the pharmacokinetics of this drug in these patients.
  • Determine clinical response to this drug in these patients.

OUTLINE: This is a dose-escalation, multicenter study.

Patients receive decitabine IV over 30 minutes on days 1-5 weekly for 4 weeks. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity.

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

Patients are followed at 2 weeks.

PROJECTED ACCRUAL: Approximately 12-24 patients will be accrued for this study.

  Eligibility

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

DISEASE CHARACTERISTICS:

  • Diagnosis of advanced metastatic solid tumor for which all standard therapy has failed, including, but not limited to the following:

    • Stage III or IV melanoma

      • Mucosal melanoma allowed
      • No resectable stage III melanoma
    • Bladder cancer
    • Breast cancer
  • No active symptomatic CNS disease
  • No radiographically evident cerebral edema
  • Hormone receptor status:

    • Not specified

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Sex:

  • Male or female

Menopausal status:

  • Not specified

Performance status:

  • ECOG 0-1

Life expectancy:

  • Not specified

Hematopoietic:

  • Hemoglobin at least 9.0 g/dL
  • Platelet count at least 100,000/mm^3
  • WBC at least 3,500/mm^3
  • Absolute granulocyte count at least 1,500/mm^3
  • No coagulation disorders

Hepatic:

  • Bilirubin no greater than 1.5 times upper limit of normal (ULN)
  • SGOT and SGPT less than 2.5 times ULN
  • Hepatitis B surface antigen negative
  • Hepatitis C antibody negative

Renal:

  • Creatinine no greater than 1.5 times ULN

Cardiovascular:

  • No major cardiovascular system illness

Pulmonary:

  • No major respiratory system illness

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • HIV negative
  • No major systemic infection

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • Not specified

Endocrine therapy:

  • Not specified

Radiotherapy:

  • At least 1 month since prior radiotherapy

Surgery:

  • Not specified

Other:

  • At least 1 month since any prior anticancer therapy or adjuvant therapy
  • No other experimental treatment within 30 days prior to, during, and for 30 days after study therapy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00030615

Locations
United States, California
City of Hope Comprehensive Cancer Center
Duarte, California, United States, 91010-3000
University of California Davis Cancer Center
Sacramento, California, United States, 95817
USC/Norris Comprehensive Cancer Center and Hospital
Los Angeles, California, United States, 90089-9181
Sponsors and Collaborators
USC/Norris Comprehensive Cancer Center
Investigators
Study Chair: Ana Aparicio, MD M.D. Anderson Cancer Center
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000069182, LAC-USC-0C0101, NCI-5353
Study First Received: February 14, 2002
Last Updated: January 10, 2009
ClinicalTrials.gov Identifier: NCT00030615     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage IV breast cancer
recurrent breast cancer
recurrent bladder cancer
stage IV bladder cancer
stage III melanoma
stage IV melanoma
recurrent melanoma
unspecified adult solid tumor, protocol specific
male breast cancer

Additional relevant MeSH terms:
Antimetabolites
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Neoplasms, Nerve Tissue
Urogenital Neoplasms
Urologic Neoplasms
Melanoma
Neoplasms by Site
Urologic Diseases
Neoplasms, Germ Cell and Embryonal
Therapeutic Uses
Nevi and Melanomas
Breast Diseases
Neoplasms by Histologic Type
Skin Diseases
Urinary Bladder Diseases
Urinary Bladder Neoplasms
Breast Neoplasms
Enzyme Inhibitors
Decitabine
Pharmacologic Actions
Neuroendocrine Tumors
Neuroectodermal Tumors
Neoplasms

ClinicalTrials.gov processed this record on November 25, 2009