Gefitinib and Combination Chemotherapy in Treating Patients With Advanced or Recurrent Colorectal Cancer

• Status: Terminated
• Trial end date: 1969-12-31
• Target enrollment: 0
• Participant gender: All

Summary

Phase II trial to study the effectiveness of combining gefitinib with fluorouracil, leucovorin, and irinotecan in treating patients who have advanced or recurrent colorectal cancer. Biological therapies such as gefitinib may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining gefitinib with fluorouracil, leucovorin, and irinotecan may kill more tumor cells

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: National Cancer Institute (NCI)
• Treatments: Calcium; Camptothecin; Fluorouracil; Gefitinib; Irinotecan; Leucovorin; Levoleucovorin

Criteria

Inclusion Criteria:

• Histologically confirmed advanced (stage IV) or recurrent adenocarcinoma of the colon or rectum

• Must have available tissue for immunohistochemical analysis

• At least one unidimensionally measurable lesion

• At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan

• Tumor marker (carcinoembryonic antigen) elevation alone is insufficient for study entry

• No known brain metastases

• Performance status - ECOG 0-2

• Granulocyte count at least 1,500/mm^3

• Platelet count at least 100,000/mm^3

• Bilirubin no greater than 1.5 times upper limit of normal (ULN)

• AST less than 2 times ULN (5 times ULN if liver involvement of tumor)

• Creatinine no greater than 1.5 times ULN

• No symptomatic congestive heart failure

• No unstable angina pectoris

• No cardiac arrhythmia

• Not pregnant or nursing

• Fertile patients must use effective contraception

• HIV negative

• No other severe or uncontrolled concurrent illness that would adversely impact the safety or efficacy of study therapy

• No ongoing or active infection

• No other prior malignancy unless curatively treated and no evidence of recurrence

• No history of allergic reactions attributed to compounds of similar chemical or biologic composition to gefitinib

• No psychiatric illness or social situation that would preclude study compliance

• No prior chemotherapy for advanced disease

• More than 4 weeks since other prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered

• More than 4 weeks since prior radiotherapy and recovered

• At least 6 months since prior adjuvant therapy

• No prior epidermal growth factor receptor inhibitor

• No other concurrent investigational agents

• No other concurrent anticancer therapy

• No concurrent phenytoin, carbamazepine, barbiturates, rifampin, rifapentine, oxacarbazepine, modafinil, griseofulvin, or Hypericum perforatum