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A Phase II Clinical Trial of Irinotecan (CPT-11) in Patients With Advanced High Grade Neuroendocrine Tumors


Phase 2
18 Years
N/A
Not Enrolling
Both
Carcinoma of Unknown Primary, Neuroendocrine Carcinoma, Neuroendocrine Carcinoma of the Skin

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Trial Information

A Phase II Clinical Trial of Irinotecan (CPT-11) in Patients With Advanced High Grade Neuroendocrine Tumors


OBJECTIVES:

- Determine the efficacy of irinotecan in terms of tumor response, time to tumor
progression, and survival in patients with advanced high grade neuroendocrine tumors.

- Evaluate the dose limiting and nondose limiting toxicities of this treatment regimen in
this patient population.

OUTLINE: Patients receive irinotecan IV over 90 minutes once weekly for 4 weeks. Treatment
repeats every 6 weeks in the absence of disease progression or unacceptable toxicity.

Patients are followed until death.

PROJECTED ACCRUAL: A total of 10-31 patients will be accrued for this study.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Histologically proven metastatic or unresectable high grade neuroendocrine tumor
including:

- Small cell carcinoma

- Large cell neuroendocrine carcinoma

- Other high grade neuroendocrine carcinomas without specification to cell size

- No lung only involvement without any other primary site

- No primary small cell lung cancer with or without metastases

- Bidimensionally measurable disease with at least one lesion measuring at least 1 cm
by 1 cm

- High grade tumor indicated by at least one of the following:

- Growth pattern suggestive of neuroendocrine differentiation

- Mitotic rate greater than 15 mitoses per 10 hpf

- Presence of abundant necrosis

- Immunohistochemical evidence of neuroendocrine differentiation by positive staining
for chromogranin, synaptophysin, or neuron specific enolase if no classic microscopic
appearance of small cell carcinoma

- No low grade neuroendocrine tumors (e.g., carcinoid tumors, pancreatic endocrine
tumors) and atypical tumors

PATIENT CHARACTERISTICS:

Age:

- 18 and over

Performance status:

- Karnofsky 70-100%

Life expectancy:

- Not specified

Hematopoietic:

- WBC at least 3,500/mm^3

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

- Platelet count at least 75,000/mm^3

Hepatic:

- Bilirubin no greater than upper limit of normal (ULN)

- SGOT no greater than 5 times ULN

Renal:

- Creatinine no greater than 2.0 mg/dL

Cardiovascular:

- No myocardial infarction within the past 6 months

- No uncontrolled congestive heart failure requiring therapy

Other:

- No active or uncontrolled infection

- HIV negative

- No psychiatric or other disorder that would preclude study

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy

- Not specified

Chemotherapy

- No more than 2 prior chemotherapy regimens

- No prior camptothecins

Endocrine therapy

- Not specified

Radiotherapy

- Not specified

Surgery

- Not specified

Type of Study:

Interventional

Study Design:

Primary Purpose: Treatment

Principal Investigator

Sunil Sharma, MD

Investigator Role:

Study Chair

Investigator Affiliation:

Memorial Sloan-Kettering Cancer Center

Authority:

United States: Federal Government

Study ID:

99-041

NCT ID:

NCT00004922

Start Date:

June 1999

Completion Date:

June 2002

Related Keywords:

  • Carcinoma of Unknown Primary
  • Neuroendocrine Carcinoma
  • Neuroendocrine Carcinoma of the Skin
  • newly diagnosed carcinoma of unknown primary
  • recurrent carcinoma of unknown primary
  • stage III neuroendocrine carcinoma of the skin
  • recurrent neuroendocrine carcinoma of the skin
  • neuroendocrine carcinoma
  • Carcinoma
  • Carcinoma, Merkel Cell
  • Carcinoma, Neuroendocrine
  • Neuroendocrine Tumors
  • Neoplasms, Unknown Primary
  • Skin Neoplasms
  • Carcinoma, Basal Cell
  • Carcinoma, Basosquamous
  • Carcinoma, Squamous Cell

Name

Location

Memorial Sloan-Kettering Cancer CenterNew York, New York  10021