Head and Neck Cancer Clinical Trial
Official title:
Cisplatin, Doxorubicin and Tamoxifen in the Treatment of Incurable Soft Tissue and Endocrine Malignancies
RATIONALE: Drugs used in chemotherapy, such as cisplatin and doxorubicin, work in different
ways to stop tumor cells from dividing so they stop growing or die. Estrogen can stimulate
the growth of tumor cells. Hormone therapy using tamoxifen may fight cancer by blocking the
uptake of estrogen. Combining tamoxifen with chemotherapy may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving cisplatin and doxorubicin together
with tamoxifen works in treating patients with solid tumors.
OBJECTIVES:
- Determine the feasibility and efficacy of cisplatin, doxorubicin, and tamoxifen (CAT)
in patients with soft tissue sarcoma, glioma, mesothelioma, hepatoma, thyroid cancer,
or adrenal cancer.
- Determine the toxicity of this regimen in these patients.
OUTLINE: Patients receive cisplatin IV over 1-2 hours followed immediately by doxorubicin IV
over 15-30 minutes on days 1-3 and oral tamoxifen twice daily on days 4-17. Treatment
continues every 3 weeks in the absence of the total cumulative doxorubicin dose reaching at
least 500 mg/m2, disease progression, or unacceptable toxicity. Patients who achieve partial
remission (PR) undergo local surgery or radiotherapy, if feasible, to convert PR to complete
remission.
Patients are followed every 2 months for 1 year and then every 3 months for 2 years.
PROJECTED ACCRUAL: A total of 14-30 patients will be accrued for this study.
;
Masking: Open Label, Primary Purpose: Treatment
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