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Clinical Trial: Temozolomide in Treating Patients With Advanced Soft Tissue Sarcoma
This study is no longer recruiting patients.
Purpose
RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. PURPOSE: Phase II trial to study the effectiveness of temozolomide in treating patients who have advanced soft tissue sarcoma.
| Condition | Treatment or Intervention | Phase |
|---|---|---|
| cellular diagnosis, adult soft tissue sarcoma cellular diagnosis, uterine sarcoma Cancer stage, adult soft tissue sarcoma adult soft tissue sarcoma musculoskeletal cancer body system/site cancer female reproductive cancer uterine sarcoma stage, uterine sarcoma stage IV adult soft tissue sarcoma adult solid tumor solid tumor Muscle Cancer | Drug: temozolomide | Phase II |
MedlinePlus related topics: Cancer; Cancer Alternative Therapy; Muscle Disorders; Reproductive Health; Soft Tissue Sarcoma; Uterine Cancer; Uterine Fibroids
Study Type: Interventional
Study Design: Treatment
Official Title: Phase II Study of Temozolomide in Previously Treated Patients With Unresectable, Stage IV or Recurrent Soft Tissue Sarcoma
Study start: September 1998
OBJECTIVES: I. Determine the efficacy, as measured by the response rate, of temozolomide in patients with unresectable, stage IV, or recurrent soft tissue sarcoma who have failed no more than 2 prior treatment regimens. II. Determine the clinical and laboratory toxicities, as well as patient tolerance, of this regimen in this patient population.
PROTOCOL OUTLINE: Patients are stratified according to ECOG performance status (0-1 vs 2), prior surgery (yes vs no), prior radiotherapy (yes vs no), and prior chemotherapy regimens (0 vs 1 vs 2). Patients receive oral temozolomide every 12 hours for 5 days. Courses repeat every 4 weeks for at least 18 months in the absence of unacceptable toxicity or disease progression. Patients are followed every 3 months for the first 18 months, every 6 months for the next 18 months, and then annually thereafter until death.
PROJECTED ACCRUAL: A total of 15-25 patients will be accrued for this study.
Eligibility
Ages Eligible for Study: 18 Years and above
Criteria
PROTOCOL ENTRY CRITERIA:
--Disease Characteristics--
- Histologically, cytologically, or clinically confirmed unresectable, stage IV, or recurrent soft tissue sarcoma; No Ewing's sarcoma, Kaposi's sarcoma, bone sarcomas, mesotheliomas, or primitive neuroectodermal tumors
- Bidimensionally measurable disease by x-ray, CT scan or MRI, or physical examination
- No CNS metastases
- No more than 2 prior chemotherapy regimens for advanced, recurrent, or metastatic disease
--Prior/Concurrent Therapy--
- Biologic therapy: Prior biologic response modifier treatment allowed; At least 4 weeks since prior immunotherapy; At least 4 weeks since prior biologic therapy; No concurrent epoetin alfa
- Chemotherapy: See Disease Characteristics; Prior dacarbazine allowed; At least 4 weeks since prior chemotherapy; No other concurrent chemotherapy
- Endocrine therapy: No concurrent hormonal therapy for malignancy
- Radiotherapy: At least 3 weeks since prior radiotherapy and recovered; No prior radiotherapy to areas of measurable disease unless there is clear progression or there is measurable disease outside the area of prior radiation; No concurrent radiotherapy
- Surgery: At least 4 weeks since prior surgery and recovered
- Other: No other concurrent investigational drugs
--Patient Characteristics--
- Age: 18 and over
- Performance status: ECOG 0-2
- Life expectancy: Greater than 12 weeks
- Hematopoietic: Platelet count at least 100,000/mm3; Hemoglobin greater than 10.0 g/dL; WBC at least 3,500/mm3 OR Absolute neutrophil count at least 1,500/mm3
- Hepatic: Bilirubin no greater than 1.5 times upper limit of normal (ULN); SGOT/SGPT no greater than 1.5 times ULN; Alkaline phosphatase less than 2 times ULN
- Renal: Calcium less than ULN; Creatinine or BUN less than 1.5 times ULN OR Creatinine clearance greater than 60 mL/min
- Other: Not pregnant or nursing; Negative pregnancy test; Fertile patients must use effective contraception; No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or fully excised and/or treated stage I cancer currently in complete remission; No nonmalignant systemic disease rendering patient a poor medical risk; No acute infection requiring IV antibiotics HIV negative; No AIDS-related illness; No frequent vomiting or medical condition that could interfere with oral medication intake (e.g., partial bowel obstruction)
Location Information
Robert N. Taub, Study Chair, Herbert Irving Comprehensive Cancer Center
More Information
Clinical trial summary from the National Cancer Institute's PDQ® database
Record last reviewed: April 2004
Last Updated: October 13, 2004
Record first received: November 1, 1999
ClinicalTrials.gov Identifier: NCT00003718
Health Authority: Unspecified
ClinicalTrials.gov processed this record on 2005-04-08
Source: ClinicalTrials.gov
Cache Date: April 9, 2005
Resources
- ACOG's Physician Directory (American College of Obstetricians and Gynecologists)
- ClinicalTrials.gov: Leiomyoma (National Institutes of Health)

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