Esophageal Cancer
Conditions
Keywords
stage I esophageal cancer, stage II esophageal cancer, stage III esophageal cancer, adenocarcinoma of the esophagus, squamous cell carcinoma of the esophagus
Brief summary
RATIONALE: Gefitinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving gefitinib before surgery may shrink the tumor so that it can be removed. PURPOSE: This phase II trial is studying how well gefitinib works in treating patients with stage I, stage II, or stage III esophageal cancer that can be removed by surgery.
Detailed description
OBJECTIVES: Primary * Determine the safety and tolerability of neoadjuvant gefitinib in patients with resectable stage I-III esophageal cancer. Secondary * Determine the epidermal growth factor-receptor expression in tissue samples obtained at diagnosis and surgery from patients treated with this drug. OUTLINE: This is an open-label study. Patients receive oral gefitinib once daily beginning between days -21 and -14 and continuing until day -1. Patients undergo tumor resection on day 0. After completion of study treatment, patients are followed periodically for 6 months. PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
DISEASE CHARACTERISTICS: * Histologically confirmed squamous cell or adenocarcinoma of the thoracic esophagus * Resectable, localized disease with or without metastases in local lymph nodes (T1, T2, or T3; any N; M0) * Stage I-III disease * No known distant metastases * No cervical-esophageal tumors (upper border \< 18 cm from the incisor teeth) * No supraclavicular metastases PATIENT CHARACTERISTICS: Performance status * ECOG 0-2 Life expectancy * Not specified Hematopoietic * Adequate bone marrow function Hepatic * Adequate hepatic function * No unstable or uncompensated hepatic disease Renal * Creatinine ≤ grade 2 by Common Toxicity Criteria * Adequate renal function * No unstable or uncompensated renal disease Cardiovascular * No unstable or uncompensated cardiac disease Pulmonary * No clinically active interstitial lung disease unless it is asymptomatic with chronic stable radiographic changes * No unstable or uncompensated respiratory disease Other * Not pregnant or nursing * Fertile patients must use effective contraception * No known hypersensitivity to gefitinib or any of the excipients * No other malignancy within the past 2 years except basal cell carcinoma or carcinoma in situ of the cervix * No evidence of severe or uncontrolled systemic disease * No other significant clinical disorder or laboratory finding that would preclude study participation PRIOR CONCURRENT THERAPY: Endocrine therapy * Concurrent stable-dose steroids allowed Surgery * Recovered from any prior oncologic or other major surgery Other * More than 30 days since prior nonapproved or investigational drug * No prior therapy for this or any other malignancy * No concurrent phenytoin, carbamazepine, barbiturates, rifampin, or Hypericum perforatum (St. John's wort)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effect on the signaling pathways by immunohistochemistry after 2-3 weeks of exposure to gefitinib | — |
Countries
United States