Status:

TERMINATED

Gemcitabine and Imatinib Mesylate in Treating Patients With Recurrent or Metastatic Non-Small Cell Lung Cancer

Lead Sponsor:

Rutgers, The State University of New Jersey

Collaborating Sponsors:

National Cancer Institute (NCI)

Novartis

Conditions:

Lung Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as gemcitabine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Imatinib mesylate m...

Detailed Description

OBJECTIVES: Primary * Evaluate the response rate in patients with recurrent or metastatic non-small cell lung cancer treated with gemcitabine hydrochloride and imatinib mesylate. Secondary * Asses...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed non-small cell cancer
  • Recurrent disease after adjuvant treatment OR progressive disease after 1 prior treatment for recurrent or metastatic disease
  • Received at least 1 prior chemotherapy regimen and meets the following criteria:
  • No more than 1 prior chemotherapeutic regimen in the recurrent or metastatic setting
  • Patients who received prior chemotherapy in the adjuvant setting are eligible when 1 of the following criteria is met:
  • In first recurrence (after 1 prior regimen)
  • Received first-line chemotherapy in the recurrent setting after 2 prior regimens
  • Measurable disease
  • Must have ≥ 1 measurable target lesion outside prior radiotherapy field OR radiologic confirmation of disease progression within a prior radiotherapy field
  • No known or untreated brain metastases or carcinomatous meningitis
  • Clinically stable, treated brain metastases allowed provided it has been \> 7 days since prior steroids
  • PATIENT CHARACTERISTICS:
  • ECOG performance status 0-1
  • Life expectancy ≥ 3 months
  • Absolute neutrophil count ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • AST and ALT ≤ 2.5 times ULN
  • Creatinine ≤ 1.5 times ULN OR creatinine clearance ≥ 60 mL/min
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 3 months after completion of study treatment
  • Able to swallow oral medication
  • No concurrent medical condition that would preclude study compliance
  • No history of allergic reaction to compounds of similar chemical or biological composition to gemcitabine hydrochloride or imatinib mesylate
  • No uncontrolled illness that would preclude study compliance, including any of the following:
  • Symptomatic congestive heart failure
  • Unstable angina pectoris
  • Cardiac arrhythmia requiring therapy
  • Myocardial infarction within the past 6 months
  • Active infection
  • No New York Heart Association class III-IV congestive heart failure
  • No chronic liver disease (i.e., chronic active hepatitis, cirrhosis)
  • No HIV positivity
  • No other primary malignancies within the past 5 years, except carcinoma in situ of the cervix or nonmelanoma skin cancer
  • PRIOR CONCURRENT THERAPY:
  • See Disease Characteristics
  • At least 3 weeks since prior chemotherapy (6 weeks for nitrosoureas)
  • At least 3 weeks since prior anti-vascular endothelial growth factor therapy and recovered
  • At least 3 weeks since prior radiotherapy and recovered
  • More than 28 days since prior and no other concurrent investigational or commercial agents
  • More than 2 weeks since prior major surgery
  • No prior gemcitabine hydrochloride or imatinib mesylate for metastatic disease
  • No prior tyrosine kinase inhibitor, except for gefitinib or erlotinib hydrochloride
  • No concurrent therapeutic warfarin (prophylactic warfarin therapy ≤ 1 mg daily allowed)
  • No other concurrent medications that would preclude study compliance
  • No concurrent chronic systemic corticosteroids

Exclusion

    Key Trial Info

    Start Date :

    April 1 2006

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    October 1 2008

    Estimated Enrollment :

    17 Patients enrolled

    Trial Details

    Trial ID

    NCT00323362

    Start Date

    April 1 2006

    End Date

    October 1 2008

    Last Update

    May 22 2014

    Active Locations (3)

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    Page 1 of 1 (3 locations)

    1

    Cancer Institute of New Jersey at Hamilton

    Hamilton, New Jersey, United States, 08690

    2

    Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School

    New Brunswick, New Jersey, United States, 08903

    3

    Saint Peter's University Hospital

    New Brunswick, New Jersey, United States, 08903