Status:
COMPLETED
Topotecan in Treating Women With Persistent or Recurrent Cervical Cancer
Lead Sponsor:
Gynecologic Oncology Group
Collaborating Sponsors:
National Cancer Institute (NCI)
Conditions:
Cervical Cancer
Eligibility:
FEMALE
18-120 years
Phase:
PHASE2
Brief Summary
RATIONALE: Drugs used in chemotherapy, such as topotecan, work in different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: This phase II trial is studying how well topot...
Detailed Description
OBJECTIVES: * Determine the antitumor activity of topotecan in patients with persistent or recurrent carcinoma of the cervix that failed higher priority treatment protocols. * Determine the nature an...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Histologically confirmed carcinoma of the cervix
- Squamous cell or nonsquamous cell
- Persistent or recurrent disease
- Documented disease progression
- Measurable disease
- At least 1 unidimensionally measurable target lesion ≥ 20 mm by conventional techniques OR ≥ 10 mm by spiral CT scan
- Tumors within a previously irradiated field are considered non-target lesions unless disease progression is documented or a biopsy is obtained to confirm persistent disease at least 90 days after completion of prior radiotherapy
- Must have received 1 prior systemic chemotherapy regimen for persistent or recurrent squamous cell or nonsquamous cell carcinoma of the cervix
- Chemotherapy administered with primary radiotherapy as a radiosensitizer is not considered a systemic chemotherapy regimen
- Not eligible for a higher priority GOG protocol (i.e., any active phase III GOG protocol for the same patient population)
- PATIENT CHARACTERISTICS:
- Age
- 18 and over
- Performance status
- GOG 0-2
- Life expectancy
- Not specified
- Hematopoietic
- Absolute neutrophil count ≥ 1,500/mm\^3
- Platelet count ≥ 100,000/mm\^3
- Hepatic
- Bilirubin ≤ 1.5 times upper limit of normal (ULN)
- SGOT ≤ 2.5 times ULN
- Alkaline phosphatase ≤ 2.5 times ULN
- Renal
- Creatinine ≤ 1.5 times ULN
- Other
- Sensory or motor neuropathy ≤ grade 1
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No active infection requiring antibiotics
- No other malignancy within the past 5 years except nonmelanoma skin cancer
- PRIOR CONCURRENT THERAPY:
- Biologic therapy
- One prior non-cytotoxic (biologic or cytostatic) regimen for recurrent or persistent disease allowed, including, but not limited to, the following:
- Monoclonal antibodies
- Cytokines
- Small-molecule inhibitors of signal transduction
- At least 3 weeks since prior biologic or immunologic agents for cervical cancer
- No concurrent prophylactic growth factors, including filgrastim (G-CSF), sargramostim (GM-CSF), or pegfilgrastim
- No concurrent prophylactic thrombopoietic agents
- Chemotherapy
- See Disease Characteristics
- Recovered from prior chemotherapy
- No more than 1 prior cytotoxic chemotherapy regimen (either with single or combination cytotoxic drug therapy)
- No prior topotecan
- Endocrine therapy
- At least 1 week since prior hormonal therapy for cervical cancer
- Concurrent hormone replacement therapy allowed
- Radiotherapy
- See Disease Characteristics
- Recovered from prior radiotherapy
- Surgery
- Recovered from prior surgery
- Other
- At least 3 weeks since other prior therapy for cervical cancer
- No prior cancer therapy that would preclude study participation
Exclusion
Key Trial Info
Start Date :
February 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
Estimated Enrollment :
27 Patients enrolled
Trial Details
Trial ID
NCT00087126
Start Date
February 1 2005
Last Update
January 8 2019
Active Locations (27)
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1
Lurleen Wallace Comprehensive Cancer at University of Alabama - Birmingham
Birmingham, Alabama, United States, 35294
2
Kaiser Permanente Medical Center - Los Angeles
Los Angeles, California, United States, 90027
3
Jonsson Comprehensive Cancer Center at UCLA
Los Angeles, California, United States, 90095-1781
4
Olive View - UCLA Medical Center Foundation
Sylmar, California, United States, 91342