Paclitaxel, Folic Acid, and Lometrexol in Treating Patients With Locally Advanced or Metastatic Solid Tumors

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

Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Folic acid may protect normal cells from the side effects of chemotherapy and may increase the effectiveness of chemotherapy by making tumor cells more sensitive to the drug. Lometrexol may stop the growth of tumors by blocking one of the enzymes necessary for cancer cell growth. Combining chemotherapy with folic acid and lometrexol may kill more tumor cells.

PURPOSE: Phase I trial to study the effectiveness of combining paclitaxel, folic acid, and lometrexol in treating patients who have locally advanced or metastatic solid tumors.

• Phase: Phase 1
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Jonsson Comprehensive Cancer Center
• Collaborator: National Cancer Institute (NCI)
• Treatments: Albumin-Bound Paclitaxel; Folic Acid; Lometrexol; Paclitaxel; Tetrahydrofolates; Vitamin B Complex

Criteria

DISEASE CHARACTERISTICS:

• Histologically or cytologically proven locally advanced or metastatic solid tumor that is refractory to standard therapies or for which there are no therapies of potential major benefit

• Measurable disease

• No hematologic malignancies, including leukemia, lymphoma, or multiple myeloma

• No symptomatic effusions or ascites unless drained before study entry

• No clinically apparent CNS metastases or carcinomatous meningitis

PATIENT CHARACTERISTICS:

Age:

• 18 and over

Performance status:

• WHO 0-1

Life expectancy:

• At least 12 weeks

Hematopoietic:

• Absolute neutrophil count at least 1,500/mm^3*

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

• Hemoglobin at least 9.0 g/dL* NOTE: * Without growth factor support

Hepatic:

• Bilirubin no greater than 2.0 mg/dL

• SGOT and SGPT no greater than 2.5 times upper limit of normal (ULN) (5 times ULN if tumor involvement of liver)

• Albumin greater than 2.5 g/dL

Renal:

• Glomerular filtration rate at least 65 mL/min

Gastrointestinal:

• No inflammatory bowel disease

• No radiation enteritis

• No malabsorption syndrome

Other:

• Not pregnant or nursing

• Negative pregnancy test

• Fertile patients must use effective contraception

• No known hypersensitivity to study drugs or related compounds (e.g., LY309887, multi-targeted antifolate, AG-2034, methotrexate, docetaxel, or polyoxyethylated castor oil)

• No active uncontrolled infection unless approved by the investigator

• No other severe concurrent disease that would preclude study therapy

• No body surface area greater than 3.0 m^2

• No known vitamin B12 deficiency

PRIOR CONCURRENT THERAPY:

Biologic therapy:

• No concurrent routine or prophylactic filgrastim (G-CSF), sargramostim (GM-CSF), or epoetin alfa

• No concurrent biologic-response modifiers

Chemotherapy:

• At least 4 weeks since prior chemotherapy (6 weeks for mitomycin, carboplatin, or nitrosourea) and recovered

• No other concurrent cytotoxic chemotherapy

Endocrine therapy:

• No concurrent hormonal therapy

Radiotherapy:

• Recovered from prior radiotherapy

• No prior radiotherapy to 25% or more of bone marrow (e.g., whole-pelvic irradiation)

• No concurrent radiotherapy (including palliative radiotherapy)

Surgery:

• At least 4 weeks since prior major surgery and recovered

Other:

• At least 4 weeks since prior investigational agent

• No more than 2 prior therapies for locally advanced or metastatic solid tumor

• No other concurrent investigational agent

• No concurrent trimethoprim, co-trimoxazole, proguanil, or pyrimethamine