Neuroblastoma
Conditions
Keywords
recurrent neuroblastoma
Brief summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase II trial to study the effectiveness of rebeccamycin analog in treating children who have relapsed or refractory neuroblastoma.
Detailed description
OBJECTIVES: * Determine the response rate to rebeccamycin analogue in children with relapsed or refractory neuroblastoma. * Determine the toxicity of this drug in these patients. * Identify and establish in vitro biologic correlates of clinical responses and toxicity of this drug in these patients. OUTLINE: Patients receive rebeccamycin analogue IV over 1 hour once on days 1-5. Treatment repeats every 3 weeks for at least 2 courses in the absence of disease progression or unacceptable toxicity. PROJECTED ACCRUAL: This study will accrue up to 30 patients within 1.5 years.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
DISEASE CHARACTERISTICS: * Histologically proven relapsed or refractory neuroblastoma * Measurable disease PATIENT CHARACTERISTICS: Age: * Children Performance status: * ECOG 0-2 Life expectancy: * At least 2 months Hematopoietic: * Not specified Hepatic: * Bilirubin less than 1.5 mg/dL * SGOT and SGPT less than 2.5 times upper limit of normal (ULN) * Adequate liver function unless due to disease Renal: * Creatinine no greater than 1.5 times ULN OR * Creatinine clearance at least 60 mL/min * Adequate renal function unless due to disease Other: * No other serious concurrent illness * No active uncontrolled infection * Not pregnant * Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: * Recovered from prior immunotherapy * Prior autologous bone marrow transplantation allowed * No concurrent immunotherapy Chemotherapy: * At least 4 weeks since prior chemotherapy and recovered * No other concurrent systemic chemotherapy Endocrine therapy: * Not specified Radiotherapy: * Recovered from prior radiotherapy Surgery: * Not specified
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Response (complete response, very good partial response, or partial response) | — |
| Freedom from progression | — |
| Time to treatment failure | — |
Secondary
| Measure | Time frame |
|---|---|
| Toxicity | — |
Countries
United States