Phase II Trial of 2-Fluorouracil Recombinant Alpha-2a-Interferon and Intravenous Hydroxyurea With Filigrastim in Patients With Refractory GI Malignancies Grant Application Title: Parenteral Hydroxyurea: A Modulator in Pancreatic Cancer
OBJECTIVES: I. Determine the objective response rates in patients with unresectable locally
advanced or advanced gastrointestinal malignancy treated with intravenous hydroxyurea,
fluorouracil, interferon alfa, and filgrastim (G-CSF). II. Determine the toxic effects of
this regimen in these patients. III. Determine the reversal of toxic effects of this regimen
in these patients.
OUTLINE: Patients are stratified according to site of primary disease (hepatobiliary vs
gastric vs pancreatic). Patients receive fluorouracil IV over 48 hours and hydroxyurea IV
over 48 hours on days 1, 8, 22, and 29. Patients also receive interferon alfa subcutaneously
(SC) on days 1, 3, and 5 and filgrastim (G-CSF) SC on days 3-6 of weeks 1, 2, 4, and 5.
Treatment repeats every 6 weeks in the absence of disease progression or unacceptable
PROJECTED ACCRUAL: A total of 31-60 patients (18-33 with hepatobiliary or gastric cancer and
13-27 with pancreatic cancer) will be accrued for this study.
Primary Purpose: Treatment
Scott Wadler, MD
Albert Einstein College of Medicine of Yeshiva University
United States: Federal Government
|Albert Einstein Comprehensive Cancer Center||Bronx, New York 10461|