Phase II Clinical Trial With Caelyx Mono-Chemotherapy in Patients With Advanced Mycosis Fungoides Stage IIb, IVa and IVb With or Without Previous Chemotherapy
pegylated liposomal doxorubicin hydrochloride
Maladies hématologiques et lymphatiques+10
+ Maladies du Système Immunitaire
+ Troubles immunoprolifératifs
Étude thérapeutique
Résumé
Date de début de l'étude : 1 octobre 2003
Date à laquelle le premier participant a commencé l'étude.OBJECTIVES: Primary * Determine the antitumor activity of doxorubicin HCl liposome, in terms of response rate (complete response and partial response), in patients with stage IIB, IVA, or IVB recurrent or refractory mycosis fungoides. Secondary * Determine the time to progression and duration of response in patients treated with this drug. * Determine the toxicity of this drug in these patients. OUTLINE: This is an open-label, nonrandomized, multicenter study. Patients receive doxorubicin HCl liposome IV over 1 hour on days 1 and 15. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity or until a maximum cumulative anthracycline(s) dose of 400 mg/m\^2 has been reached (including anthracyclines from prior treatment). Patients are followed every 12 weeks until disease progression. PROJECTED ACCRUAL: A total of 48 patients will be accrued for this study within 1 year.
Protocole
Cette section fournit des détails sur le plan de l'étude, y compris la manière dont l'étude est conçue et ce qu'elle évalue.49 participants à inclure
Nombre total de participants que l'essai clinique vise à recruter.Traitement
Éligibilité
Les chercheurs recherchent des patients correspondant à une certaine description appelée critères d'éligibilité : état de santé général ou traitements antérieurs du patient.Tout sexe
Le sexe biologique des participants éligibles à s'inscrire.De 18 à 120 ans
Tranche d'âge des participants éligibles à participer.Volontaires sains non autorisés
Indique si les individus en bonne santé et ne présentant pas la condition étudiée peuvent participer.Conditions
Pathologie
Critères
DISEASE CHARACTERISTICS: * Histologically confirmed mycosis fungoides * Stage IIB, IVA, or IVB * Refractory or recurrent disease after at least 2 of the following prior therapies: * Local and/or systemic steroids * Retinoids * Interferon alfa * Local carmustine * Systemic chemotherapy * Psoralen and ultraviolet A (PUVA) light therapy * No CNS involvement * No erythroderma (T4) PATIENT CHARACTERISTICS: Age * Over 18 Performance status * Karnofsky 60-100% Life expectancy * Not specified Hematopoietic * Neutrophil count at least 1,500/mm\^3 * WBC at least 2,000/mm\^3 * Platelet count at least 75,000/mm\^3 * Hemoglobin at least 10 g/dL Hepatic * Bilirubin no greater than 1.5 times upper limit of normal (ULN) * SGOT and SGPT no greater than 2.5 times ULN Renal * Creatinine no greater than 1.5 times ULN Cardiovascular * LVEF normal by echocardiography or radionuclide angiocardiography Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception during and for at least 2 years after study participation * No psychological, familial, sociological, or geographical condition that would preclude study compliance or follow-up * No active infection requiring specific therapy (e.g., antibiotics or anti-HIV therapy) * No other prior or concurrent primary malignant tumor except adequately treated carcinoma in situ of the cervix or squamous cell or basal cell skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy * See Disease Characteristics * More than 2 weeks since prior immunotherapy Chemotherapy * See Disease Characteristics * Prior systemic chemotherapy allowed provided all of the following conditions are met: * Cumulative anthracycline dose is less than 200 mg/m\^2 * No allergy to anthracyclines * Prior methotrexate is low dose (i.e., weekly dose less than 30 mg) * More than 2 weeks since prior chemotherapy Endocrine therapy * See Disease Characteristics * No concurrent systemic steroids Radiotherapy * More than 2 weeks since prior radiotherapy Surgery * Not specified Other * Recovered from toxic effects of prior therapy, excluding alopecia * No other concurrent anticancer therapy
Plan de l'étude
Découvrez tous les traitements administrés dans cette étude, leur description détaillée et ce qu'ils impliquent.Un seul groupe d'intervention est désigné dans cette étude
Cette étude ne comporte pas de groupe placebo.
Groupes de traitement
Groupe I
ExpérimentalObjectifs de l'étude
Objectifs principaux
Objectifs secondaires
Centres d'étude
Ce sont les hôpitaux, cliniques ou centres de recherche où l'essai est conduit. Vous pouvez trouver le site le plus proche de vous ainsi que son statut.Cette étude comporte 11 sites
Allgemeines Krankenhaus - Universitatskliniken
Vienna, AustriaUniversitaetsklinikum Essen
Essen, GermanyKlinikum der Friedrich-Schiller Universitaet Jena
Jena, Germany