Non-melanomatous Skin Cancer Clinical Trial
Official title:
A Phase I/II Pilot Study of Bioimmunotherapy With IRESSA (Gefitinib) and Pegylated Interferon Alpha-2a for Patients With Unresectable/Metastatic Squamous Cell Carcinoma of the Skin
RATIONALE: Gefitinib may stop the growth of tumor cells by blocking some of the enzymes
needed for cell growth. PEG-interferon alfa-2a may interfere with the growth of tumor cells
and slow the growth of skin cancer. Giving gefitinib together with PEG-interferon alfa-2a
may kill more tumor cells.
PURPOSE: This phase I/II trial is studying the side effects and best dose of PEG-interferon
alfa-2a when given together with gefitinib and to see how well they work in treating
patients with unresectable or metastatic skin cancer.
OBJECTIVES:
- Determine the tolerability of gefitinib and PEG-interferon alfa-2a in patients with
unresectable or metastatic squamous cell carcinoma of the skin.
- Determine the response rate in patients treated with gefitinib for 1 month.
- Determine whether the addition of weekly PEG-interferon alfa-2a to ongoing gefitinib
improves response rate in these patients .
- Determine whether PEG-interferon alfa-2a exacerbates rash in patients who have been
treated with gefitinib for 1 month.
OUTLINE: This is a phase I, pilot, dose de-escalation study of PEG-interferon alfa-2a
followed by an open-label, phase II study.
- Phase I: Patients receive oral gefitinib alone once daily for 4 weeks. Beginning in
week 5, patients also receive PEG-interferon alfa-2a subcutaneously once weekly.
Treatment continues in the absence of disease progression or unacceptable toxicity.
Cohorts of patients receive de-escalating doses of PEG-interferon alfa-2a until a tolerable
dose is determined.
- Phase II: Patients receive gefitinib and PEG-interferon alfa-2a at the tolerable dose
determined in phase I.
PROJECTED ACCRUAL: A total of 16 patients will be accrued for this study.
;
Masking: Open Label, Primary Purpose: Treatment
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