Erlotinib, Cisplatin, and Radiation Therapy in Treating Patients With Stage IB-Stage IVA Cervical Cancer
| Status: | Withdrawn |
|---|---|
| Conditions: | Cervical Cancer, Cervical Cancer, Cancer, Women's Studies |
| Therapuetic Areas: | Oncology, Reproductive |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 12/1/2017 |
| Start Date: | January 2007 |
| End Date: | March 2008 |
Erlotinib in Combination With Cisplatin as Radiosensitizing Agents in Women Receiving Radiation Therapy for Locally Advanced Squamous Cell Carcinoma of the Cervix; A Phase I Trial
RATIONALE: Erlotinib may stop the growth of tumor cells by blocking some of the enzymes
needed for cell growth. Drugs used in chemotherapy, such as cisplatin, work in different ways
to stop the growth of tumor cells, either by killing the cells or by stopping them from
dividing. Radiation therapy uses high-energy x-rays to kill tumor cells. Erlotinib and
cisplatin may make tumor cells more sensitive to radiation therapy. Giving erlotinib together
with cisplatin and radiation therapy may kill more tumor cells.
PURPOSE: This phase I trial is studying the side effects and best dose of erlotinib when
given together with cisplatin and radiation therapy in treating patients with stage IB, stage
II, stage III, or stage IVA cervical cancer.
needed for cell growth. Drugs used in chemotherapy, such as cisplatin, work in different ways
to stop the growth of tumor cells, either by killing the cells or by stopping them from
dividing. Radiation therapy uses high-energy x-rays to kill tumor cells. Erlotinib and
cisplatin may make tumor cells more sensitive to radiation therapy. Giving erlotinib together
with cisplatin and radiation therapy may kill more tumor cells.
PURPOSE: This phase I trial is studying the side effects and best dose of erlotinib when
given together with cisplatin and radiation therapy in treating patients with stage IB, stage
II, stage III, or stage IVA cervical cancer.
OBJECTIVES:
Primary
- Determine the maximum tolerated dose of erlotinib hydrochloride when administered with
cisplatin and pelvic radiotherapy in patients with stage IB-IVA squamous cell carcinoma
of the cervix.
Secondary
- Determine the toxicity profile of this regimen.
OUTLINE: This is a multicenter, open-label, dose-escalation study of erlotinib hydrochloride.
Patients receive oral erlotinib hydrochloride once daily on days 1-35 and cisplatin IV on
days 1, 8, 15, 22, and 29. Patients also undergo radiotherapy daily, 5 days a week, for
approximately 5 weeks concurrently with chemotherapy.
Cohorts of 3-6 patients receive escalating doses of erlotinib hydrochloride until the maximum
tolerated dose (MTD) is determined. The MTD is defined as the dose proceeding that at which 2
of 3 or 2 of 6 patients experience dose-limiting toxicity.
After completion of study treatment, patients are followed at 6 weeks.
Primary
- Determine the maximum tolerated dose of erlotinib hydrochloride when administered with
cisplatin and pelvic radiotherapy in patients with stage IB-IVA squamous cell carcinoma
of the cervix.
Secondary
- Determine the toxicity profile of this regimen.
OUTLINE: This is a multicenter, open-label, dose-escalation study of erlotinib hydrochloride.
Patients receive oral erlotinib hydrochloride once daily on days 1-35 and cisplatin IV on
days 1, 8, 15, 22, and 29. Patients also undergo radiotherapy daily, 5 days a week, for
approximately 5 weeks concurrently with chemotherapy.
Cohorts of 3-6 patients receive escalating doses of erlotinib hydrochloride until the maximum
tolerated dose (MTD) is determined. The MTD is defined as the dose proceeding that at which 2
of 3 or 2 of 6 patients experience dose-limiting toxicity.
After completion of study treatment, patients are followed at 6 weeks.
Inclusion Criteria:
- Diagnosis of squamous cell carcinoma of the cervix
- Stage IB-IVA disease
- Scheduled to undergo standard radiotherapy and receive weekly cisplatin
- ECOG performance status 0-2
- Not pregnant
- Negative pregnancy test
- Fertile patients must use effective contraception during and for ≥ 1 week after
completion of study treatment
- Must be able to take oral medication
Exclusion Criteria:
- Malabsorption syndrome
- Serious underlying medical condition that would impair the ability of patient to
receive treatment
- Known hypersensitivity to erlotinib hydrochloride
- Psychological, familial, sociological, or geographical conditions that would preclude
study compliance
- Less than 21 days since prior nonapproved or investigational drugs
- Prior chemotherapy
- Prior radiotherapy
- Prior anti-epidermal growth factor receptor treatment
- Prior gastrointestinal surgery that limits absorption (i.e., requiring total
parenteral nutrition)
- Concurrent use of any of the following agents and therapies:
- Other antineoplastic or antitumor agents
- Other chemotherapy
- Other investigational agents
- Radiotherapy
- Immunotherapy
- Anticancer hormonal therapy
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