Overview

Oxaliplatin, Ifosfamide and Etoposide in Treating Young Patients With Recurrent or Refractory Solid Tumors or Lymphoma

Status:
Terminated
Trial end date:
1969-12-31
Target enrollment:
0
Participant gender:
All
Summary
This phase I trial is studying the side effects and best dose of oxaliplatin and etoposide in treating young patients with recurrent or refractory solid tumors or lymphomas. Drugs used in chemotherapy, such as oxaliplatin and etoposide, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Oxaliplatin may also help etoposide work better by making cancer cells more sensitive to the drug. Giving oxaliplatin together with etoposide may kill more cancer cells.
Phase:
Phase 1
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
National Cancer Institute (NCI)
Treatments:
Etoposide
Etoposide phosphate
Ifosfamide
Isophosphamide mustard
Oxaliplatin
Criteria
Inclusion Criteria:

- Life expectancy > 8 weeks

- Albumin > 2 g/dL

- Histologically confirmed diagnosis of 1 of the following: solid tumor; histologic
verification not required for brainstem tumors or optic pathway tumors; lymphoma;
recurrent or refractory to conventional therapy OR no known effective therapy exists;
bone marrow involvement allowed

- Performance Status: Karnofsky >= 50 % (patients > 10 years of age) OR Lansky >= 50%
(patients for =< 10 years of age)

- Absolute neutrophil count > 1,000/mm^3

- Platelet count > 100,000/mm^3 (transfusion independent)

- Hemoglobin > 8 g/dL (transfusion allowed)

- ALT < 5.0 times ULN

- Creatinine normal OR glomerular filtration rate >= 80 mL/min/1.73 m^2

- Calcium normal (electrolyte supplements allowed)

- Echocardiogram and EKG normal

- Shortening fraction >= 27% OR ejection fraction > 50%

- No evidence of dyspnea at rest

- No exercise intolerance

- Pulse oximetry > 94% on room air

- Neurologic deficits due to CNS tumor must be relatively stable for >= 2 weeks before
study entry

- Seizure disorder allowed provided well-controlled by non-enzyme-inducing
anticonvulsants

- No peripheral neurotoxicity > grade 1

- Sodium, potassium, and magnesium normal (electrolyte supplements allowed)

- At least 1 week since prior biologic agents

- More than 1 week since prior growth factors

- More than 6 months since prior allogeneic peripheral blood stem cell transplantation
AND no active graft-versus-host disease

- More than 3 weeks since prior myelosuppressive chemotherapy (6 weeks for nitrosoureas)

- More than 2 weeks since prior focal radiotherapy for symptomatic metastatic sites

- More than 6 weeks since prior substantial bone marrow radiotherapy

- More than 3 months since prior craniospinal (> 24 Gy), whole pelvis, or total-body
radiotherapy

- Recovered from all prior therapy

- No concurrent enzyme-inducing anticonvulsants, including, but not limited to, the
following: Barbiturates; Phenytoin; Carbamazepine

Exclusion Criteria:

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- No uncontrolled infection

- No history of life-threatening hypersensitivity to platinum-containing agents

- No prior oxaliplatin

- No other concurrent investigational agents

- No other concurrent anticancer therapy

- Inability or unwillingness of research participant or legal guardian/representative to
give written informed consent.