Bladder CancerPhase 2NCT00003657
High-dose ICE With Amifostine
A Phase 2 study testing filgrastim, Amifostine and Carboplatin in people with Bladder Cancer and Brain and Central Nervous System Tumors, run by Dana-Farber Cancer Institute at 3 sites in United States.
Trial summary
The purpose of the study is to evaluate the combination of amifostine and high dose chemotherapy with blood stem cell support. Amifostine is a druf developed to protect normal tissues against the toxicities of chemotherapy and radiotherapy and has reduced the side effects of chemotherapy given at conventional doses. Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Bladder Cancer, Brain and Central Nervous System Tumors, Carcinoma of Unknown Primary
- What is being tested?
- filgrastim, Amifostine and Carboplatin
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24 participants
- Where
- 3 sitesUnited States
- Study dates
- Jul 1998to Jun 2002
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 55 years
- All sexes
- No healthy volunteers
- Adult
Eligibility Criteria:
- Histologically documented malignancy
- Metastatic or locally unresectable malignancy
- Patient may be responding to therapy
- Responding Stage IIIC/IV or recurrent/refractory ovarian carcinoma (ineligible for other bone marrow or stem cell transplant protocols)
- Relapsed germ cell carcinomas
- Relapsed lymphomas (ineligible for other BMT or SCT protocols
- SCLC in PR or CR
- Sarcomas in or near complete remission after induction chemotherapy
- Stage IIIB NSCLC responding to chemotherapy
- Responsive bladder, head and neck carcinoma, or carcinoma of unknown primary
- Other tumors without curative or first line therapy (not eligible for phase II or III studies)
- Aged 18 to 55 Physiologic years -- Performance status: PS 0-1
- Prior Treatment
- > 1 week since surgery or RT
- > 3 weeks since prior CT
- Informed Consent
- Required initial laboratory data:
- White Cell Count Life ≥ 3000/ul
- Platelet Count ≥ 100,000/ul
- Creatinine ≤ 1.5 x normal
- Bilirubin ≤ 1.5 x normal
- No current metastases
- BM Asp \& Bx
- Brain CAT
- Creatinine Clearance ≥ 60 cc/min
- SGOT < 2.5 x normal
- No other serious medical or psychiatric illness which would prevent informed consent or general anesthesia
- Uncontrolled or severe cardiovascular disease including recent (< 6 months) myocardial infarction, or congestive heart failure
- Active uncontrolled bacterial, viral, or fungal infection; or an active duodenal ulcer; until these conditions are corrected or controlled
- Pregnancy
- Unable to stop taking antihypertensive medication 24 hours prior to administration of Ethyol
Trial locations and contacts
3 sites in 1 country.
United States3 sites
Massachusetts General Hospital Cancer Center
Boston, Massachusetts, 02114
Dana-Farber Cancer Institute
Boston, Massachusetts, 02115
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
About this study
Official title: High Dose Ifosfamide, Carboplatin and Etoposide With Amifostine Chemoprotection
The purpose of the study is to evaluate the combination of amifostine and high dose chemotherapy with blood stem cell support. Amifostine is a druf developed to protect normal tissues against the toxicities of chemotherapy and radiotherapy and has reduced the side effects of chemotherapy given at conventional doses.
- Conditions
- Bladder Cancer, Brain and Central Nervous System Tumors, Carcinoma of Unknown Primary, Extragonadal Germ Cell Tumor, Head and Neck Cancer, Kidney Cancer
- Being tested
- filgrastim, Amifostine, Carboplatin, Etoposide, Ifosfamide
- Keywords
- metastatic osteosarcoma, recurrent non-small cell lung cancer, chondrosarcoma, stage III adult soft tissue sarcoma, recurrent adult soft tissue sarcoma, stage III ovarian epithelial cancer, stage IV ovarian epithelial cancer, recurrent ovarian epithelial cancer, extensive stage small cell lung cancer, recurrent small cell lung cancer, recurrent osteosarcoma, stage III bladder cancer, recurrent bladder cancer, stage IV bladder cancer, stage III malignant testicular germ cell tumor, recurrent malignant testicular germ cell tumor, stage IIIB non-small cell lung cancer, unspecified adult solid tumor, protocol specific, classic Kaposi sarcoma, immunosuppressive treatment related Kaposi sarcoma
- Medical subject headings
- Urinary Bladder Neoplasms, Central Nervous System Neoplasms, Neoplasms, Unknown Primary, Head and Neck Neoplasms, Kidney Neoplasms, Lung Neoplasms, Ovarian Neoplasms, Sarcoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
filgrastimBiological
AmifostineDrug
Also called Ethyol®
CarboplatinDrug
Also called Paraplatin
EtoposideDrug
Also called Toposar, VePesid, Etopophos
IfosfamideDrug
Also called Ifex
peripheral blood stem cell transplantationProcedure or surgery
| Study group | Role | What they receive |
|---|---|---|
| High Dose ICF with Amifostine | Experimental | * Patients undergo peripheral blood stem cell transplantation (PBSC) harvest on day -8,
* ifosfamide IV, carboplatin IV etoposide IV (ICE) by 96 hour continuous infusion on days -7 to -4.
* Patients receive amifostine IV twice a day on days -7 to -3.
* PBSCs are reinfused on day 0.
* Filgrastim (G-CSF) is administered subcutaneously beginning on day 0 at least 2 hours after infusion of the stem cells and continuing until blood cell counts recover.
* Patients are followed monthly for the first 2 months and then for survival. Receives: Biological: filgrastim; Drug: Amifostine; Drug: Carboplatin; Drug: Etoposide; Drug: Ifosfamide; Procedure: peripheral blood stem cell transplantation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants with Grade 2 or higher renal toxicities
Measured: 2 Months
Secondary outcomes (1)
Full Pharmacokinetic profiles for ifosfamide and its metabolites MTD of ICE with amifostine
Measured: 2 Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Mar 2004 (estimated)
- Study startJul 1998
- Primary completionNov 2000
- Study completionJun 2002
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Bladder CancerStudies of the same condition, open and under way.
- More trials run by Dana-Farber Cancer InstituteThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 24 participants (actual)
Sponsor and investigators
- Lead sponsor
- Dana-Farber Cancer Institute
- Sponsor type
- University, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Responsible party
- Principal investigator, Paul G. Richardson, MD, Dana-Farber Cancer Institute
- Investigators
- Paul G.G. Richardson, MD, Principal investigator, Dana-Farber Cancer Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00003657
- Sponsor's protocol ID
- 98-068
- Other IDs
- P30CA006516, DFCI-98068, ALZA-97-038-ii, NCI-V98-1491
- Status last verified
- Jan 2017
- First submitted
- 1 Nov 1999
- Last updated
- 20 Jan 2017
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- No
Publications
Elias AD, Richardson P, Tretyakov O, et al.: Amifostine with high dose infosfamide, carboplatin, and etoposide (ICE) with hematopoietic STEM cell support. [Abstract] Proceedings of the American Society of Clinical Oncology 19: A197, 2000.
Study at a glance
From the registry record, last updated by the sponsor on 20 Jan 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- High Dose Ifosfamide, Carboplatin and Etoposide With Amifostine Chemoprotection
- ClinicalTrials.gov ID
- NCT00003657
- Acronym / sponsor ID
- 98-068
- Conditions
- Bladder Cancer, Brain and Central Nervous System Tumors, Carcinoma of Unknown Primary, Extragonadal Germ Cell Tumor, Head and Neck Cancer, Kidney Cancer
- Keywords
- metastatic osteosarcoma, recurrent non-small cell lung cancer, chondrosarcoma, stage III adult soft tissue sarcoma, recurrent adult soft tissue sarcoma, stage III ovarian epithelial cancer, stage IV ovarian epithelial cancer, recurrent ovarian epithelial cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 24 participants (actual)
- Lead sponsor
- Dana-Farber Cancer InstituteUniversity, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Study start
- Jul 1998
- Primary completion
- Nov 2000 (actual)
- Study completion
- Jun 2002 (actual)
- First posted
- 31 Mar 2004 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to evaluate the combination of amifostine and high dose chemotherapy with blood stem cell support. Amifostine is a druf developed to protect normal tissues against the toxicities of chemotherapy and radiotherapy and has reduced the side effects of chemotherapy given at conventional doses.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| High Dose ICF with Amifostine | Experimental | Biological: filgrastim, Drug: Amifostine, Drug: Carboplatin, Drug: Etoposide, Drug: Ifosfamide, Procedure: peripheral blood stem cell transplantation* Patients undergo peripheral blood stem cell transplantation (PBSC) harvest on day -8, * ifosfamide IV, carboplatin IV etoposide IV (ICE) by 96 hour continuous infusion on days -7 to -4. * Patients receive amifostine IV twice a day on days -7 to -3. * PBSCs are reinfused on day 0. * Filgrastim (G-CSF) is administered subcutaneously beginning on day 0 at least 2 hours after infusion of the stem cells and continuing until blood cell counts recover. * Patients are followed monthly for the first 2 months and then for survival. |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| filgrastim | Biological | High Dose ICF with Amifostine |
| AmifostineAlso: Ethyol® | Drug | High Dose ICF with Amifostine |
| CarboplatinAlso: Paraplatin | Drug | High Dose ICF with Amifostine |
| EtoposideAlso: Toposar, VePesid, Etopophos | Drug | High Dose ICF with Amifostine |
| IfosfamideAlso: Ifex | Drug | High Dose ICF with Amifostine |
| peripheral blood stem cell transplantation | Procedure or surgery | High Dose ICF with Amifostine |
Primary outcome
Percentage of Participants with Grade 2 or higher renal toxicities
Time frame: 2 Months
1 secondary outcome
Full Pharmacokinetic profiles for ifosfamide and its metabolites MTD of ICE with amifostine
Time frame: 2 Months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jan 2017.
- Results publicationElias AD, Richardson P, Tretyakov O, et al.: Amifostine with high dose infosfamide, carboplatin, and etoposide (ICE) with hematopoietic STEM cell support. [Abstract] Proceedings of the American Society of Clinical Oncology 19: A197, 2000.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Paul G.G. Richardson, MD principal investigator
Dana-Farber Cancer Institute
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing filgrastim, Amifostine and Carboplatin in people with Bladder Cancer and Brain and Central Nervous System Tumors, run by Dana-Farber Cancer Institute at 3 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants with Grade 2 or higher renal toxicities (time frame: 2 Months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00003657, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jan 2017.