Overview

Ecteinascidin 743 in Treating Patients With Malignant Mesothelioma

Status:
Terminated
Trial end date:
2002-02-01
Target enrollment:
0
Participant gender:
All
Summary
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 ecteinascidin 743 in treating patients who have malignant mesothelioma that cannot be removed by surgery.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
PharmaMar
Collaborator:
National Cancer Institute (NCI)
Treatments:
Trabectedin
Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed malignant mesothelioma
that is not amenable to curative surgery At least 1 unidimensionally measurable lesion that
is at least 15 mm by CT scan OR At least 1 bidimensionally measurable lesion that is at
least 10 mm by CT scan Lesions in previously irradiated area are not considered measurable
unless there is evidence of progression No symptomatic brain or leptomeningeal involvement

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-1 OR Karnofsky 70-100%
Life expectancy: At least 3 months Hematopoietic: Neutrophil count at least 1,500/mm3
Platelet count at least 100,000/mm3 Hemoglobin at least 10 g/dL Hepatic: Bilirubin no
greater than upper limit of normal (ULN) Alkaline phosphatase no greater than ULN unless
bone metastases are present AST/ALT no greater than 2.5 times ULN Albumin at least 2.5 g/dL
No chronic active liver disease Renal: Creatinine no greater than 1.5 mg/dL OR Creatinine
clearance at least 40 mL/min Cardiovascular: No uncontrolled heart disease No uncontrolled
hypertension Other: Not pregnant or nursing Negative pregnancy test Fertile patients must
use effective contraception during and for one month after study No other serious illness
or medical condition No history of significant neurological or psychiatric disorders No
significant active infection No other concurrent neoplastic disease except non-melanoma
skin cancer or carcinoma in situ of the cervix

PRIOR CONCURRENT THERAPY: Biologic therapy: No prophylactic hematopoietic
colony-stimulating factors (e.g., filgrastim (G-CSF) or sargramostim (GM-CSF))
Chemotherapy: No prior systemic chemotherapy No other concurrent chemotherapy Endocrine
therapy: No concurrent hormonal therapy Radiotherapy: See Disease Characteristics At least
30 days since prior radiotherapy and recovered No concurrent radiotherapy except palliative
local radiotherapy to non-target lesions Surgery: See Disease Characteristics At least 14
days since prior pleurodesis Recovered from prior surgery Other: At least 30 days since
prior participation in another therapeutic clinical trial or therapy with other
investigational drugs No concurrent treatment for other neoplastic disease No other
concurrent experimental anticancer medication