Malignant Mesothelioma Clinical Trial
Official title:
Phase 2 Pharmacological Study of Pemetrexed Administered With Cisplatin and a Vitamin Supplement in Patients With Nonresectable Pleural Mesothelioma
RATIONALE: Pemetrexed may stop the growth of tumor cells by blocking some of the enzymes
needed for cell growth. Drugs used in chemotherapy, such as cisplatin, work in different
ways to stop the growth of tumor cells, either by killing the cells or by stopping them from
dividing. Giving pemetrexed together with cisplatin and vitamin B12 may kill more tumor
cells.
PURPOSE: This phase II clinical trial is studying how well giving pemetrexed together with
cisplatin and vitamin B12 works in treating patients with mesothelioma of the chest that
cannot be removed by surgery.
OBJECTIVES:
Primary
- Define an individually adapted (by dosage) protocol of pemetrexed disodium, cisplatin,
and vitamin B12 in patients with unresectable pleural mesothelioma.
Secondary
- Determine the relationship between pharmacokinetic and pharmacodynamic parameters
(hematologic and nonhematologic).
- Analyze the inter-individual pharmacokinetic variations and the influence of the
covariables on the pharmacokinetics of pemetrexed disodium.
- Analyze the impact of pharmacogenetic (MTHFR, TS, GSTpi, ERCC1, XPD) variations on the
toxicity of pemetrexed disodium.
- Validate a strategy of adapting dosage.
OUTLINE: This is a multicenter study.
Patients receive pemetrexed disodium IV over 10 minutes and cisplatin IV over 2 hours on day
1. Treatment repeats every 3 weeks for up to 6 courses in the absence of disease progression
or unacceptable toxicity. Patients also receive vitamin B12 intramuscularly on day -7 and
then every 9 weeks until chemotherapy is completed.
Blood samples are collected during the first and third courses of chemotherapy. Samples are
analyzed by pharmacogenetic (MTHFR, TS, GSTpi, ERCC1, xPD), pharmacokinetic, and other
pharmacological methods.
;
Allocation: Non-Randomized, Primary Purpose: Treatment
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