Lung Cancer Clinical Trial
Official title:
Phase II Trial of 6-Hydroxymethylacylfulvene (HMAF; MGI-114) in Patients With Relapsed or Refractory Non-Small Cell Lung Cancer
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die.
PURPOSE: Phase II trial to study the effectiveness of irofulven in treating patients with
relapsed or refractory non-small cell lung cancer.
OBJECTIVES: I. Determine the response rate to 6-hydroxymethylacylfulvene (HMAF) as salvage
chemotherapy in patients with relapsed or refractory non-small cell lung cancer. II.
Determine the duration of response to this regimen in this patient population. III.
Determine the effect of prior response to chemotherapy on the response to HMAF in these
patients. IV. Determine the survival and failure-free survival of patients treated with
HMAF. V. Evaluate the toxicity profile of HMAF as salvage therapy in these patients.
OUTLINE: Patients are stratified into relapsed or refractory patient groups based on results
achieved with prior therapy. Patients receive 6-hydroxymethylacylfulvene IV over 5 minutes
daily for 5 days. Courses repeat every 28 days. Patients with stable or responding disease
are treated for a minimum of 6 courses (2 courses beyond optimal response) in the absence of
unacceptable toxic effects or disease progression. Patients are followed at least every 3
months for 1 year, then every 6 months until death.
PROJECTED ACCRUAL: A total of 66 patients (33 for each stratum) will be accrued for this
study within 12-18 months.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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