Gemcitabine and Oxaliplatin as Second-Line Therapy in Treating Patients With Metastatic Colon Cancer

• Status: Terminated
• Trial end date: 2008-05-01
• Target enrollment: 0
• Participant gender: All

Summary

RATIONALE: Drugs used in chemotherapy, such as gemcitabine and oxaliplatin work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving gemcitabine together with oxaliplatin works as second-line therapy in treating patients with metastatic or recurrent colon cancer.

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

Details

• Lead Sponsor: University of Miami; University of Miami Sylvester Comprehensive Cancer Center
• Treatments: Gemcitabine; Oxaliplatin

Criteria

DISEASE CHARACTERISTICS:

• Histologically or cytologically confirmed adenocarcinoma of the colon

• Metastatic or recurrent disease

• Redocumentation of tumor histology or cytology prior to protocol therapy is not required if documented tumor was confirmed prior to initial therapy

• Measurable disease

• Lesion of ≥ 1 cm in longest diameter that can be repetitively assessed by radiographic measurement or any lesion of ≥ 2 cm in longest diameter that can be repetitively assessed by physical examination

• Positive bone scans, osteoblastic or osteolytic bone lesions, pleural effusions, and positive bone marrow biopsies are not considered measurable or evaluable lesions

• Metastatic disease to the brain allowed if emergent radiotherapy for symptomatic CNS disease is not required

• Must have received at least one prior chemotherapy regimen (with or without radiotherapy)

• One of the prior regimens must include irinotecan hydrochloride, fluorouracil, and leucovorin calcium or irinotecan hydrochloride and other fluoropyrimidine

• Previous therapy with C-225 and/or bevacizumab is allowed

• .

PATIENT CHARACTERISTICS:

• ECOG performance status 0-2

• Granulocyte count ≥1,500/mm^3

• Platelet count ≥ 100,000/mm^3

• Creatinine ≤ 2.0 mg/dL

• Bilirubin < 1.5 mg/dL

• SGOT ≤ 2 times upper limit of normal (ULN)

• Alkaline phosphatase < 2.5 times ULN

• Not pregnant or nursing

• Negative pregnancy test

• Fertile patients must use effective contraception

• No serious medical or psychiatric illness that would render chemotherapy unsafe

• No concurrent clinically evident malignancy except inactive nonmelanoma skin cancer, low-grade low-stage bladder carcinoma followed off therapy, or lobular neoplasia of the breast

• No clinical AIDS or known positive HIV serology

PRIOR CONCURRENT THERAPY:

• See Disease Characteristics

• Recovered from prior therapy

• No investigational agent for at least 30 days prior to study entry

• No chemotherapy within the past 3 weeks

• No radiotherapy for palliation within the past 2 weeks prior to study entry

• No prior oxaliplatin or gemcitabine hydrochloride

• No concurrent participation in another clinical trial

• No other concurrent anticancer therapy including chemotherapy, radiotherapy, hormonal therapy, or immunotherapy

• No other concurrent investigational drugs