Overview

Irinotecan in Treating Patients With Refractory Solid Tumors and Liver Dysfunction

Status:
Completed
Trial end date:
1969-12-31
Target enrollment:
0
Participant gender:
All
Summary
Drugs used in chemotherapy us different ways to stop tumor cells from dividing so they stop growing or die. Irinotecan may be effective in treating patients with refractory solid tumors and liver dysfunction.
Phase:
Phase 1
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Pfizer
Treatments:
Irinotecan
Criteria
Other specific inclusion/exclusion criteria may apply. In order to determine eligibility,
further examination by the investigator is necessary.

Inclusion Criteria: Histological proof of malignant solid tumor that is refractory to
standard forms of therapy or for which no known curative therapy exists; Measurable or
evaluable disease; At least 6 weeks since prior chemotherapy with nitrosoureas; At least 28
days since prior anticancer therapy and recovered; At least 4 weeks since prior radiation
therapy and recovered; Age 18 years or older; SWOG 0-2; Life expectancy of at least 12
weeks; Segmented neutrophils with bands at least 1,500/mm3; Hemoglobin at least 9.0 g/dL
and platelet count at least 100,000/mm3; Prothrombin time and partial thromboplastin time
no greater than 2.0 times control; INR no greater than 3.0 times control; Concurrent use of
coumadin allowed only if dose is stable and prothrombin time and INR is stable; Total serum
bilirubin at least 1.5 but no greater than 5.0 times upper limit of normal; SGOT/SGPT no
greater than 5 times upper limit of normal; SGOT/SGPT at least 1.5 but no greater than 20.0
times upper limit of normal; Creatinine no greater than 2

Exclusion Criteria: Patients expressing tumor markers as their only evidence of disease or
who have previously irradiated areas that have not increased in size; Prior chemotherapy
treatment with irinotecan and mitomycin; Prior abdominal and/or pelvic radiation therapy;
Current history of hepatitis B infection or positive test for hepatitis B surface antigen;
Hepatic encephalopathy including somnolence, confusion, or asterixis; History of myocardial
infarction within 6 months or history of congestive heart failure (CHF); clinical evidence
of CHF; Evidence of arrhythmia in patients with history of cardiac arrhythmia; Uncontrolled
hypertension, unstable angina, active CHF, or serious uncontrolled cardiac arrhythmia;
Interstitial pneumonia or fibroid lung (patients must have large pleural effusions drained
and sclerosed or controlled prior to study; patients must have clinically apparent ascites
drained prior to irinotecan treatment); CNS metastases or carcinomatous meningitis;
Concurrent use of anticonvulsants; Active or uncontrolled