Status:

COMPLETED

Phase I and Pharmacokinetic Trial of Paclitaxel (Taxol) Given as a 3-Hour Infusion in Pediatric Patients With Refractory Malignancy

Lead Sponsor:

National Cancer Institute (NCI)

Conditions:

Neoplasms

Eligibility:

All Genders

Phase:

PHASE1

Brief Summary

The objective of this trial is to determine the maximum tolerated dose and the toxicities of paclitaxel given as a short hour infusion in children with refractory malignancy.

Detailed Description

Paclitaxel is an active antitumor agent that has demonstrated a broad range of activity in preclinical and clinical studies. The optimal dose and schedule has not yet been determined in either adults ...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed cancer (including leukemia) that is: Refractory to standard therapy (objective disease progression required) OR For which no standard therapy exists and patient is ineligible for potentially curative surgery.
  • PRIOR/CONCURRENT THERAPY:
  • Recovery from the toxic effects of prior therapy required.
  • Biologic Therapy: Not specified.
  • Chemotherapy: No prior taxanes. At least 3 weeks since myelosuppressive therapy (6 weeks since nitrosourea).
  • Endocrine Therapy: Not specified.
  • Radiotherapy: Prior extensive craniospinal or pelvic irradiation allowed.
  • Surgery: Ineligible for potential curative surgery.
  • Other: Prior bone marrow transplant allowed.
  • PATIENT CHARACTERISTICS:
  • Age: Over 1 to 21;
  • Performance status: ECOG 0-2;
  • Life expectancy: At least 8 weeks.
  • Hematopoietic: (except with leukemia, bone marrow involvement, history of bone marrow transplantation, or extensive prior radiotherapy).
  • Absolute granulocyte count at least 1,500/mm(3);
  • Platelet count at least 100,000/mm(3);
  • Hemoglobin at least 8.0 g/dL.
  • Hepatic:
  • Bilirubin no greater than 1.5 mg/dL;
  • AST less than 2 times normal.
  • Renal:
  • Creatinine no greater than 1.5 mg/dL OR;
  • Creatinine clearance at least 60 mL/min per square meter.
  • OTHER:
  • No concurrent anticonvulsant therapy.
  • No grade 2 or worse neuropathy.
  • No significant systemic illness (e.g., infection) that could compromise drug excretion or confuse assessment of toxicity.
  • Not pregnant or nursing.

Exclusion

    Key Trial Info

    Start Date :

    September 1 1994

    Trial Type :

    INTERVENTIONAL

    End Date :

    July 1 2000

    Estimated Enrollment :

    25 Patients enrolled

    Trial Details

    Trial ID

    NCT00001387

    Start Date

    September 1 1994

    End Date

    July 1 2000

    Last Update

    March 4 2008

    Active Locations (1)

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    National Cancer Institute (NCI)

    Bethesda, Maryland, United States, 20892