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Last Modified: 6/26/2009     First Published: 8/24/2005  
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Phase II Study of Isotretinoin, Interferon alfa-2b, and Paclitaxel in Patients With Stage IVB, Recurrent, or Persistent Cervical Cancer

Alternate Title
Basic Trial Information
Objectives
Entry Criteria
Expected Enrollment
Outcomes
Outline
Trial Contact Information
Registry Information

Alternate Title

Isotretinoin, Interferon alfa-2b, and Paclitaxel in Treating Patients With Stage IV, Recurrent, or Persistent Cervical Cancer

Basic Trial Information

PhaseTypeStatusAgeSponsorProtocol IDs
Phase IITreatmentActiveOver 18OtherCINJ-100101
NJ 1703, CINJ-3390, CINJ-NJ1703, NCT00138151

Objectives

  1. Determine the response in patients with stage IVB, recurrent, or persistent cervical cancer treated with isotretinoin, interferon alfa-2b, and paclitaxel.

Entry Criteria

Disease Characteristics:

  • Histologically and/or cytologically confirmed cervical cancer, meeting 1 of the following criteria:
    • Stage IVB disease
    • Recurrent disease
    • Persistent disease


  • Patients previously treated with chemoradiotherapy as initial therapy must demonstrate disease progression


  • Measurable disease by physical exam or radiographic studies


  • Not amenable to chemoradiotherapy or surgery


Prior/Concurrent Therapy:

Biologic therapy

  • No prior interferon
  • No other concurrent immunotherapy

Chemotherapy

  • See Disease Characteristics
  • At least 3 months since prior chemoradiotherapy (6 weeks for patients experiencing disease progression after completion of initial chemoradiotherapy)
  • No other prior chemotherapy

Endocrine therapy

  • No concurrent hormonal therapy for cancer

Radiotherapy

  • See Disease Characteristics
  • See Chemotherapy
  • Recovered from prior radiotherapy
  • No concurrent radiotherapy

Surgery

  • Recovered from prior surgery
  • No concurrent surgery for cancer

Other

  • No prior retinoids
  • No other concurrent anticancer therapy
  • No other concurrent experimental agents

Patient Characteristics:

Age

  • Over 18

Performance status

  • ECOG 0-2

Life expectancy

  • At least 6 months

Hematopoietic

  • WBC ≥ 3,500/mm3
  • Platelet count ≥ 100,000/mm3

Hepatic

  • SGOT and SGPT ≤ 2 times upper limit of normal
  • Bilirubin ≤ 1.5 mg/dL

Renal

  • Creatinine ≤ 1.5 mg/dL

    OR

  • Creatinine clearance ≥ 50 mL/min

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No known HIV positivity
  • No active infection
  • No medical condition that would preclude study compliance

Expected Enrollment

66

A total of 27-66 patients will be accrued for this study.

Outcomes

Primary Outcome(s)

Response rate (complete and partial)

Outline

This is a multicenter study.

Patients receive oral isotretinoin and interferon alfa-2b subcutaneously once daily on days 1-4 and paclitaxel IV over 3 hours on day 4. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Trial Contact Information

Trial Lead Organizations

Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School

Lorna Rodriguez, MD, PhD, Principal investigator
Ph: 732-235-8521
Email: deleonli@umdnj.edu

Trial Sites

U.S.A.
New Jersey
  Hamilton
 Cancer Institute of New Jersey at Hamilton
 Clinical Trials Office - Cancer Institute of New Jersey at Hamilton
Ph: 609-631-6946
  Morristown
 Carol G. Simon Cancer Center at Morristown Memorial Hospital
 Contact Person
Ph: 973-971-6100
800-247-9580
  New Brunswick
 Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
 Clinical Trials Office - Cancer Institute of New Jersey
Ph: 732-235-8675
 Saint Peter's University Hospital
 Contact Person
Ph: 732-745-8600

Registry Information
Official Title A Phase II Trial of Chemosensitization with Paclitaxel, 13-cis Retinoic Acid and Interferon Alpha-2b in Advanced Uterine Cervical Carcinoma
Trial Start Date 2001-03-01
Trial Completion Date 2008-12-31 (estimated)
Registered in ClinicalTrials.gov NCT00138151
Date Submitted to PDQ 2005-05-16
Information Last Verified 2009-06-26
NCI Grant/Contract Number CA72720

Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol.

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