Overview

Inhaled Doxorubicin in Treating Patients With Primary Lung Cancer or Lung Metastases

Status:
Completed
Trial end date:
2004-02-01
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 I trial to study the effectiveness of inhaled doxorubicin in treating patients who have primary lung cancer or lung metastases.
Phase:
Phase 1
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Memorial Sloan Kettering Cancer Center
Collaborator:
National Cancer Institute (NCI)
Treatments:
Doxorubicin
Liposomal doxorubicin
Criteria
DISEASE CHARACTERISTICS:

- Histologically confirmed primary lung cancer or cancer metastatic to the lung that is
not potentially curable by standard chemotherapy, radiotherapy, or surgery

- Bronchoalveolar cell lung cancer allowed

- Lung metastases from soft tissue sarcoma allowed

- No leukemia or lymphoma

PATIENT CHARACTERISTICS:

Age:

- 18 and over

Performance status:

- Karnofsky 70-100%

Life expectancy:

- Not specified

Hematopoietic:

- WBC at least 4,000/mm^3

- Platelet count at least 160,000/mm^3

- Hemoglobin at least 9 g/dL

Hepatic:

- Bilirubin no greater than 1.0 mg/dL

- AST/ALT less than 1.5 times upper limit of normal

Renal:

- Creatinine no greater than 1.2 mg/dL OR

- Creatinine clearance at least 50 mL/min

Cardiovascular:

- LVEF normal by MUGA scan or echocardiography

- No unstable angina

- No congestive heart failure

- No symptomatic arrhythmias

Pulmonary:

- DLCO at least 65% of normal

- FVC at least 50% predicted

- FEV1 at least 50% predicted

- Resting oxygen saturation at least 90%

- Exercise oxygen saturation at least 85%

- No complete atelectasis

- No asthma

Other:

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception during and for 6 months after study

- No congenital problems (e.g., cleft palate) or other anomalies that would prevent
tight fit of mouth seal

- No other concurrent illness that would preclude study therapy

PRIOR CONCURRENT THERAPY:

Biologic therapy:

- Not specified

Chemotherapy:

- See Disease Characteristics

- At least 3 weeks since prior chemotherapy and recovered

- No prior bleomycin or nitrosoureas

- No prior mitomycin greater than 25 mg/m^2

- No prior anthracyclines greater than 450 mg/m^2

- No other concurrent chemotherapy

Endocrine therapy:

- Not specified

Radiotherapy:

- See Disease Characteristics

- At least 3 weeks since prior radiotherapy and recovered

- No prior chest (pulmonary or mediastinal) or thoracic spine radiotherapy

- Patients with only chest wall or primary breast radiation are eligible

- No concurrent thoracic irradiation

Surgery:

- See Disease Characteristics

- No prior pneumonectomy

Other:

- No daily or as necessary respiratory drugs via inhaler or nebulizer

- No other concurrent experimental drugs