Status:
COMPLETED
Irinotecan and Celecoxib in Treating Patients With Unresectable or Metastatic Colorectal Cancer
Lead Sponsor:
Roswell Park Cancer Institute
Collaborating Sponsors:
National Cancer Institute (NCI)
Conditions:
Colorectal Cancer
Diarrhea
Eligibility:
All Genders
18+ years
Phase:
PHASE1
Brief Summary
RATIONALE: Drugs used in chemotherapy, such as irinotecan, work in different ways to stop tumor cells from dividing so they stop growing or die. Celecoxib may stop the growth of tumor cells by blockin...
Detailed Description
OBJECTIVES: Primary * Determine the maximum tolerated dose of irinotecan when administered with celecoxib in patients with unresectable or metastatic colorectal cancer. Secondary * Determine the d...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Histologically confirmed colorectal cancer
- Metastatic or unresectable disease
- Failed first-line or second-line therapy OR recurred after receiving fluorouracil-based adjuvant chemotherapy
- No known brain metastases
- PATIENT CHARACTERISTICS:
- Age
- 18 and over
- Performance status
- ECOG 0-2 OR
- Karnofsky 60-100%
- Life expectancy
- More than 12 weeks
- Hematopoietic
- Absolute neutrophil count ≥ 1,500/mm\^3
- Platelet count ≥ 100,000/mm\^3
- WBC ≥ 3,000/mm\^3
- Hepatic
- AST and ALT ≤ 2.5 times upper limit of normal
- Bilirubin normal
- No Gilbert's disease
- Renal
- Creatinine normal OR
- Creatinine clearance ≥ 60 mL/min
- Cardiovascular
- No symptomatic congestive heart failure
- No unstable angina pectoris
- No cardiac arrhythmia
- Gastrointestinal
- Able to receive oral medications
- No prior inflammatory bowel disease
- No active ulcer disease or gastritis
- No contraindications for sigmoidoscopy
- No active colostomy
- Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 3 months after study participation
- No prior allergic reaction to compounds of similar chemical or biological composition to irinotecan, celecoxib, sulfonamides, or other study agents
- No active or ongoing infection
- No other concurrent uncontrolled illness
- No psychiatric illness or social situation that would preclude study compliance
- PRIOR CONCURRENT THERAPY:
- Biologic therapy
- No concurrent filgrastim (G-CSF) or sargramostim (GM-CSF)
- Chemotherapy
- See Disease Characteristics
- No more than 2 prior different chemotherapy regimens, including adjuvant therapy
- More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered
- No prior irinotecan
- Endocrine therapy
- Not specified
- Radiotherapy
- More than 4 weeks since prior radiotherapy and recovered
- No prior radiotherapy of more than 3,000 cGy
- No prior radiotherapy to extended marrow-generating fields
- No prior abdomino-pelvic irradiation
- Surgery
- No prior abdominoperineal resection
- Other
- More than 2 weeks since prior cyclo-oxygenase-2 (COX-2) inhibitors
- No concurrent combination antiretroviral therapy for HIV-positive patients
- No other concurrent investigational agents
- No other anticancer therapy
- No other concurrent COX-2 inhibitors
- Low-dose aspirin allowed
Exclusion
Key Trial Info
Start Date :
March 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
Estimated Enrollment :
2 Patients enrolled
Trial Details
Trial ID
NCT00084721
Start Date
March 1 2005
Last Update
January 31 2013
Active Locations (1)
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1
Roswell Park Cancer Institute
Buffalo, New York, United States, 14263-0001