Lung Cancer Clinical Trial
Official title:
A Phase II Study of Photodynamic Therapy (PDT) Using 2-[1-hexyloxyethyl]-2 Devinyl Pyropheophorbide-a (HPPH) for Treatment of Advanced Obstructing Endobronchial Lung Cancer
RATIONALE: Photodynamic therapy uses a drug, such as HPPH, that becomes active when it is
exposed to a certain kind of light. When the drug is active, tumor cells are killed. This
may be an effective treatment for advanced non-small cell lung cancer that blocks the air
passages.
PURPOSE: This phase II trial is studying how well photodynamic therapy using HPPH works in
treating patients with advanced non-small cell lung cancer that blocks the air passages.
Status | Terminated |
Enrollment | 6 |
Est. completion date | March 2014 |
Est. primary completion date | November 2009 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
DISEASE CHARACTERISTICS: - Biopsy confirmed advanced obstructing endobronchial non-small cell lung cancer - May have squamous cell carcinoma, adenocarcinoma, or large cell carcinoma histology - Ineligible for or refused surgical resection - Local endobronchial recurrence after prior surgical resection, radiotherapy, or chemotherapy allowed - No evidence of tumor encasement of major pulmonary vessels on CT scan of the chest PATIENT CHARACTERISTICS: - Karnofsky performance status (PS) 50-100% OR ECOG PS 0-2 - WBC = 4,000/mm³ - Platelet count = 100,000/mm³ - Prothrombin time < 1.5 times upper limit of normal (ULN) - Total bilirubin = 2.0 mg/dL - Creatinine = 2.0 mg/dL - Alkaline phosphatase (hepatic) = 3 times ULN - SGOT = 3 times ULN - No contraindications for bronchoscopy - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception during and for 3 months after the completion of study treatment - Patients with underlying lung disease must be judged (by the principal investigator) able to withstand mucous/debris formation at the site of treatment - Patients who cannot breathe due to complete upper airway obstruction and who need emergency treatment to open the airway are not eligible - No porphyria or hypersensitivity to porphyrin or porphyrin-like compounds - No severe chronic obstructive pulmonary disease that, in the opinion of the investigator, would preclude multiple bronchoscopies - No partial central airway obstruction from mucous/debris formation - No high-grade upper airway obstruction of the trachea PRIOR CONCURRENT THERAPY: - Any type of prior therapy (e.g., chemotherapy or radiotherapy) for lung cancer allowed - At least 4 weeks since prior and no concurrent chemotherapy or radiotherapy |
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Roswell Park Cancer Institute | Buffalo | New York |
Lead Sponsor | Collaborator |
---|---|
Roswell Park Cancer Institute | National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Tumor Response | 6 months | No | |
Secondary | Palliation of Symptoms as Assessed by the Pulmonary Symptom Scale | 2 months | No | |
Secondary | Photosensitizer (HPPH) Concentration in Tumor | 2 months | No | |
Secondary | STAT3 Cross-links as Assessed by Western Blotting | 2 months | No | |
Secondary | Inflammation and Apoptosis as Assessed by Immunohistochemistry | 2 months | No |
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