Skip to content

Celecoxib and Radiation Therapy in Treating Patients With Stage II or Stage III Soft Tissue Sarcoma of the Arm, Hand, Leg, or Foot That Has Been Removed by Surgery

A Phase I Trial of Postoperative Radiation With Dose-Escalation of A Cox-2 Inhibitor, Celebrex™ (CELECOXIB) in Patients With Soft Tissue Sarcoma of the Extremity

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00450736
Enrollment
3
Registered
2007-03-22
Start date
2004-03-31
Completion date
2009-05-31
Last updated
2016-12-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Childhood Malignant Fibrous Histiocytoma of Bone, Sarcoma

Keywords

chondrosarcoma, adult angiosarcoma, adult fibrosarcoma, adult leiomyosarcoma, adult liposarcoma, adult neurofibrosarcoma, adult synovial sarcoma, childhood angiosarcoma, childhood fibrosarcoma, childhood leiomyosarcoma, childhood liposarcoma, childhood neurofibrosarcoma, childhood synovial sarcoma, nonmetastatic childhood soft tissue sarcoma, stage II adult soft tissue sarcoma, stage III adult soft tissue sarcoma, adult malignant fibrous histiocytoma, adult malignant hemangiopericytoma, childhood malignant hemangiopericytoma, localized childhood malignant fibrous histiocytoma of bone

Brief summary

RATIONALE: Celecoxib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Radiation therapy uses high-energy x-rays to kill tumor cells. Giving celecoxib together with radiation therapy after surgery may kill any tumor cells that remain after surgery. PURPOSE: This phase I trial is studying the side effects and best dose of celecoxib when given together with radiation therapy in treating patients with stage II or stage III soft tissue sarcoma of the arm, hand, leg, or foot that has been removed by surgery.

Detailed description

OBJECTIVES: * Determine the maximum tolerated dose of adjuvant celecoxib administered with radiotherapy in patients with resected stage II or III soft tissue sarcoma of the extremity. OUTLINE: This is a dose-escalation study of celecoxib. Beginning within 10 weeks of the most recent resection, patients undergo standard radiotherapy once daily, 5 days a week, in weeks 1-7. Patients also receive oral celecoxib twice daily in weeks 1-7 in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of celecoxib until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 6 patients experience dose-limiting toxicity. A maximum of 6 patients are treated at the MTD. After completion of study treatment, patients are followed periodically. PROJECTED ACCRUAL: A total of 24 patients will be accrued for this study.

Interventions

DRUGcelecoxib
PROCEDUREadjuvant therapy
RADIATIONradiation therapy

Sponsors

University of Miami
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 120 Years
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Histologically confirmed soft tissue sarcoma of the extremity, including the following disease types: * Liposarcoma * Leiomyosarcoma * Synovial cell sarcoma * Malignant fibrous histiocytoma * Spindle cell sarcoma * Fibrosarcoma * Chondrosarcoma * Angiosarcoma * Hemangiopericytoma * Neurofibrosarcoma * The following disease types are excluded: * Kaposi's sarcoma * Rhabdomyosarcoma * Dermatofibrosarcoma * Epithelioid cell sarcoma * Ewing's sarcoma * Osteosarcoma * Intermediate- or high-grade tumor ≥ 5.0 cm in 1 dimension (stage II or III disease) * Locally resected disease * One prior wide local excision of the sarcoma in the same location of the extremity within the past 6 months allowed * Prior neoadjuvant chemotherapy (of ≤ 3 courses), followed by a limb-sparing surgical resection of sarcoma found to have \< 90% pathological tumor necrosis allowed * Prior resection of an extremity mass that is subsequently found to be a sarcoma meeting study criteria, followed by ≤ 3 courses of chemotherapy (independent of the percentage of pathological tumor necrosis) allowed * No evidence of nodal or distant metastases PATIENT CHARACTERISTICS: * Karnofsky performance status 70-100% * WBC ≥ 3,000/mm³ * Absolute granulocyte count ≥ 1,500/mm³ * Platelet count ≥ 100,000/mm³ * Bilirubin ≤ 1.5 mg/dL * SGPT and SGOT ≤ 2.5 times upper limit of normal (ULN) * Creatinine ≤ 1.5 times ULN * Calcium ≤ 1.3 times ULN * No prior malignancy except cutaneous nonmelanomatous skin cancer, carcinoma in situ of the cervix, or other cancer for which the patient has been disease-free for at least 5 years * No history of allergic reaction to sulfonamides or NSAIDs * No known hypersensitivity to celecoxib or any component of its formulation * No known HIV positivity * No known coronary artery disease * No cardiac event of any kind within the past 6 months * No concurrent unstable cardiac status * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: * See Disease Characteristics * No prior radiotherapy to the extremity requiring radiation for this study * No prior systemic chemotherapy for a malignant tumor * No concurrent dilantin or lithium carbonate * No other concurrent prescription or over-the-counter nonsteroidal anti-inflammatory agents (NSAIDs)

Design outcomes

Primary

MeasureTime frame
Local failure3 years
Regional relapse3 years
Distant failure3 years
Overall survival3 years
Progression-free survival3 years

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026