A Phase II Study of Second-Line SarCNU (NSC 364432) in Patients With Recurrent/Metastatic Colorectal Cancer
Inclusion Criteria
DISEASE CHARACTERISTICS:
- Histologically confirmed colorectal cancer
- Locally recurrent or metastatic disease
- Previously treated with 1 chemotherapy regimen for recurrent or metastatic
disease
- At least 1 unidimensionally measurable lesion
- At least 20 mm by conventional techniques OR
- At least 10 mm by spiral CT scan
- No prior radiotherapy to indicator lesion (clear disease progression or new
lesion within a prior radiation port is acceptable)
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- ECOG 0-2
Life expectancy:
- Not specified
Hematopoietic:
- Absolute granulocyte count at least 1,500/mm^3
- Platelet count at least 120,000/mm^3
Hepatic:
- Bilirubin normal
- AST and ALT no greater than 2.5 times upper limit of normal
Renal:
- Creatinine normal OR
- Creatinine clearance at least 60 mL/min
Cardiovascular:
- No symptomatic congestive heart failure
- No unstable angina pectoris
- No cardiac arrhythmia
Pulmonary:
- DLCO at least 80% predicted
- FVC at least 80% predicted
- No history of significant pulmonary disease
- No concurrent symptomatic pulmonary disease (e.g., chronic obstructive pulmonary
disorder, chronic asthma)
Other:
- No other malignancy within the past 5 years except adequately treated nonmelanoma
skin cancer or curatively treated carcinoma in situ of the cervix
- No other serious illness or medical condition that would preclude study
- No ongoing or active uncontrolled infection
- No history of significant neurologic or psychiatric disorder that would preclude
study
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 3 months after study
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- At least 4 weeks since prior immunotherapy
- No concurrent immunotherapy
Chemotherapy:
- See Disease Characteristics
- Prior adjuvant chemotherapy allowed
- No prior nitrosoureas
- No prior second-line chemotherapy for recurrent or metastatic disease
- At least 4 weeks since prior chemotherapy
- No other concurrent chemotherapy
Endocrine therapy:
- No concurrent corticosteroids
Radiotherapy:
- See Disease Characteristics
- Prior radiotherapy as part of primary therapy allowed
- At least 4 weeks since prior radiotherapy
- No concurrent radiotherapy
Surgery:
- Prior surgery as part of primary therapy allowed
- Prior reoperation for recurrent disease allowed
- At least 2 weeks since prior surgery other than biopsy
Other:
- At least 4 weeks since prior investigational agent
- No other concurrent investigational agents or therapy
- No other concurrent anticancer therapy