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Study Summary
No. 2004-0089:.......Head And Neck......George Blumenschein......Thoracic and Head and Neck Med
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Study Summary Title
Study Summary
Number:
2004-0089
Study Title:Phase II Study of ZD1839 (Iressa®), Epidermal Growth Factor Receptor (EGFR) Tyrosine Kinase Inhibitor in Patients with Advanced, Recurrent or Metastatic Salivary Gland Cancer" (IRUSIRES0198)
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Physician New Patient Referral
Name:George BlumenscheinPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Thoracic and Head and Neck MedReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-6363
Contact us about clinical trials
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General Information
Disease Group:Head And NeckSupported By:N/A
Phase of Study:Phase IIReturn
Visit:
Every 4 weeks
Treatment
Agents:
IressaHome Care:ZD1839 treatment will be taken once a day, every day about the same time. It
can be taken with or without food.
Treatment Loc:Only at MDACC
Estimated
Length of Stay
in Houston:
N/A
Description/
Intervention:
The goal of this clinical research study is to learn if ZD1839 (Iressa®,
gefitinib can help to shrink or slow the growth of advanced, recurrent, or
metastatic salivary gland cancer. The safety of this drug will also be
studied.
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Study Objectives / Outcomes
Primary Objectives
1. To determine the response rate of in patients with advanced, recurrent, or metastatic salivary gland cancer who are not candidate for curative surgery or radiotherapy.

Secondary Objectives
1. To determine progression-free survival and overall survival.
2. To determine disease control rate and duration.
3. To determine time to disease progression.
4. To further characterize the safety profile of 250 mg daily dose of ZD1839.

Exploratory Objectives
1. To demonstrate the effectiveness of ZD1839 as an inhibitor of epithelial growth factor (EGFR) phosphorylation, MAP kinase activation, and vascular endothelial growth factor (VEGF) secretion in salivary gland cancer.
2. To estimate the correlation of HER2/neu expression and the probability of tumor response.
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Study Status Information
Study Activation / Registration Date:05/20/2004
IRB Review and Approval Date:03/03/2004
Study Type:Therapeutic
Recruitment Status:Closed
Projected Accrual:N/A
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Histologically or cytologically confirmed salivary gland carcinoma.

2) Patients with advanced or recurrent salivary gland cancer who are not candidates for curative surgery or radiotherapy.

3) Measurable disease per the RECIST criteria. For disease occurring in previously irradiated field, there must be confirmed progression prior to the date registration and more than three months after completion of radiotherapy

4) ECOG performance status 0-2.

5) Prior CNS involvement by tumor is permissible if previously treated and clinically stable for two weeks after completion of treatment.

6) At least a 2-week recovery from prior therapy toxicity.

7) Provision of written informed consent.

8) Childbearing potential either terminated by surgery, radiation, or menopause, or attenuated by use of an approved contraceptive method (IUD, birth control pills, or barrier device) during and for 3 months after completion of trial therapy.

Exclusion Criteria:1) Known severe hypersensitivity to or any of the excipients of this product.

2) Other coexisting malignancies or malignancies diagnosed within the last 5 years, with the exception of basal cell carcinoma, squamous cell carcinoma of the skin, or cervical cancer in situ.

3) Concomitant use of phenytoin, carbamazepine, rifampicin, phenobarbital, or St John's Wort or CYP3A4 (e.g. itracinazole, ketaconazole)

4) Treatment with a investigational drug within 28 days before Day 1 of trial treatment.

5) Any unresolved chronic toxicity greater than CTC grade 2 from previous anticancer therapy (except alopecia)

6) Incomplete healing from previous surgery.

7) Serum creatinine level greater than CTC grade 2.

8) Women who are pregnant or breast feeding.

9) Prior or other EGFR inhibiting agents.

10) Serum bilirubin greater than 1.25 times the upper limit of reference range (ULRR).

11) Any evidence of severe or uncontrolled systemic disease (e.g., unstable or uncompensated respiratory, cardiac, hepatic, or renal disease).

12) Alanine amino transferase (ALT) or aspartate amino transferase (AST) greater than 2.5 times the ULRR if no demonstrable liver metastases or greater than 5 times the ULRR in the presence of liver metastases.

13) Evidence of any other significant clinical disorder or laboratory finding that makes it undesirable for the patient to participate in the trial.

14) Uncontrolled seizure disorder, active neurological disease, or greater than Grade 2 neuropathy.

15) Keratoconjunctivitis sicca or incompletely treated eye infection.

16) Abnormal marrow function as defined as absolute neutrophil count <1,500/ul or platelets <100,000/ul.

17) Second primary malignancy (except in situ carcinoma of the cervix or adequately treated nonmelanomatous carcinoma of the skin or other malignancy treated at least 3 years previously with no evidence of recurrence; prior low grade [Gleason score less than 6] localized prostate cancer is allowed).

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Links
Registration Number: NCT00509002
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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