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| ID | Type | Description | Link |
|---|---|---|---|
| ILEX-C03-IVB/173 | |||
| BB-C03-IVB/173 | |||
| NCI-V96-1113 |
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RATIONALE: Marimastat may stop the growth of non-small cell lung cancer by stopping blood flow to the tumor.
PURPOSE: Randomized double-blinded phase III trial to determine the effectiveness of marimastat in treating patients who have residual stage III non-small cell lung cancer.
OBJECTIVES: I. Compare the effect of marimastat (a matrix metalloproteinase inhibitor) vs. placebo on overall survival in patients with Stage III non-small cell lung cancer who have minimal residual disease following chemotherapy, radiotherapy, and/or surgery. II. Assess the effect of marimastat on time to disease progression in these patients. III. Assess the safety and tolerability of marimastat in these patients.
OUTLINE: This is a randomized, double-blind study. Patients are randomized no less than 2 and no more than 8 weeks after the last prior treatment modality received. Patients are stratified by participating institution. Patients are randomly assigned to receive either oral marimastat or oral placebo twice daily. Treatment begins within 5 days of minimization and continues for up to 18 months after the last patient is enrolled, unless disease progression or unacceptable toxicity intervenes. Patients deriving benefit at end of study may continue treatment if desired. Patients are followed every 3 months.
PROJECTED ACCRUAL: A total of 504 patients will be entered over 30 months from approximately 60 centers.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| marimastat | Drug |
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed non-small cell lung cancer Stage IIIA/B disease No malignant pleural effusions Minimal residual disease after one or a combination of the following: Incomplete surgical resection i.e., macroscopic residual disease at completion of surgery Radical radiotherapy with no evidence of disease progression at entry Documented complete or partial tumor response following at least 2 courses of cytotoxic chemotherapy No evidence of disease progression during or following prior therapy
PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Hematopoietic: Absolute neutrophil count greater than 500/mm3 Platelet count greater than 50,000/mm3 Hepatic: Bilirubin less than 2.0 times upper limit of normal (ULN) AST/ALT no greater than 3.0 times ULN Renal: Creatinine no greater than 1.5 times ULN Other: No acute illness within 1 week of start of study No other illness that would significantly interfere with study outcome No major medical illness that precludes prolonged marimastat administration No second malignancy within 5 years except: Adequately treated basal cell carcinoma of the skin In situ carcinoma of the cervix Not pregnant or nursing Medically approved method of contraception required of fertile women Willing and able to tolerate and comply with study requirements
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: See Disease Characteristics No prior marimastat, batimastat, bleomycin, or busulphan No more than 1 cytotoxic chemotherapy regimen for non-small cell lung cancer Endocrine therapy: Not specified Radiotherapy: See Disease Characteristics Surgery: See Disease Characteristics Other: At least 4 weeks since any investigational drug therapies
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| Name | Affiliation | Role |
|---|---|---|
| Kathleen Heck, MEd, MBA | ILEX Oncology Services, Incorporated | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Comprehensive Cancer Institute of Huntsville | Huntsville | Alabama | 35801 | United States | ||
| Hematology Associates, Ltd. |
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| Phoenix |
| Arizona |
| 85013 |
| United States |
| Marin Cancer Institute | Greenbrae | California | 94904 | United States |
| Scripps Clinic | La Jolla | California | 92037 | United States |
| Scripps Memorial Hospital Stevens Cancer Center | La Jolla | California | 92037 | United States |
| USC/Norris Comprehensive Cancer Center | Los Angeles | California | 90033-0800 | United States |
| St. Joseph Hospital - Orange | Orange | California | 92613-5600 | United States |
| John Wayne Cancer Institute | Santa Monica | California | 90404 | United States |
| Kaiser Permanente Medical Center - Vallejo | Vallejo | California | 94589 | United States |
| Rocky Mountain Cancer Center | Denver | Colorado | 80218 | United States |
| University of Colorado Cancer Center | Denver | Colorado | 80262 | United States |
| University of Connecticut Health Center | Farmington | Connecticut | 06360-7106 | United States |
| Vincent T. Lombardi Cancer Research Center, Georgetown University | Washington D.C. | District of Columbia | 20007 | United States |
| Comprehensive Cancer Center at JFK Medical Center | Atlantis | Florida | 33462 | United States |
| Radiation Therapy Associates - Fort Myers | Fort Myers | Florida | 33901 | United States |
| Oncology-Hematology Group of South Florida | Miami | Florida | 33176 | United States |
| Bay Area Oncology, MD'S, PA | Tampa | Florida | 33607-6381 | United States |
| Rush-Presbyterian-St. Luke's Medical Center | Chicago | Illinois | 60612 | United States |
| University of Chicago Cancer Research Center | Chicago | Illinois | 60637 | United States |
| Community Hospitals of Indianapolis - Regional Cancer Center | Indianapolis | Indiana | 46219 | United States |
| Memorial Hospital of South Bend | South Bend | Indiana | 46601 | United States |
| Veterans Affairs Medical Center - Lexington | Lexington | Kentucky | 40511-1093 | United States |
| Louisiana State University School of Medicine | New Orleans | Louisiana | 70112-2822 | United States |
| Hubert H. Humphrey Cancer Center | Coon Rapids | Minnesota | 55433 | United States |
| St. Louis University Health Sciences Center | St Louis | Missouri | 63110-0250 | United States |
| Southwest Cancer Clinic | Henderson | Nevada | 89014 | United States |
| Cancer Institute of New Jersey at Hamilton | Hamilton | New Jersey | 08690 | United States |
| Beth Israel Medical Center | New York | New York | 10003 | United States |
| Kaplan Cancer Center | New York | New York | 10016 | United States |
| Strong Memorial Hospital of the University of Rochester | Rochester | New York | 14642 | United States |
| Barrett Cancer Center, The University Hospital | Cincinnati | Ohio | 45219 | United States |
| Ireland Cancer Center | Cleveland | Ohio | 44106-5065 | United States |
| Natalie Warren Bryant Cancer Center | Tulsa | Oklahoma | 74136 | United States |
| Abington Memorial Hospital | Abington | Pennsylvania | 19001 | United States |
| Hematology-Oncology Mawr Medical North | Bryn Mawr | Pennsylvania | 19010 | United States |
| Milton S. Hershey Medical Center | Hershey | Pennsylvania | 17033 | United States |
| University of Pennsylvania Cancer Center | Philadelphia | Pennsylvania | 19104 | United States |
| Care Group | Philadelphia | Pennsylvania | 19145 | United States |
| Allegheny University Hospitals - Graduate MCP | Philadelphia | Pennsylvania | 19146 | United States |
| University of Pittsburgh Cancer Institute | Pittsburgh | Pennsylvania | 15213 | United States |
| Pittsburgh Pediatric Research, Inc. | Pittsburgh | Pennsylvania | 15216 | United States |
| Roger Williams Medical Center/BUSM | Providence | Rhode Island | 02908-4735 | United States |
| Jackson Clinic Professional Association | Jackson | Tennessee | 38301 | United States |
| Baptist Regional Cancer Center - Knoxville | Knoxville | Tennessee | 37901 | United States |
| Texas Oncology PA (TOPA) at Baylor-Sammons | Dallas | Texas | 75246 | United States |
| University of Texas Medical Branch | Galveston | Texas | 77555-1329 | United States |
| University of Texas - MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| Joe Arrington Cancer Research and Treatment Center | Lubbock | Texas | 79410-1894 | United States |
| Ottawa Regional Cancer Center - General Division | Ottawa | Ontario | K1H 8L6 | Canada |
| Toronto General Hospital | Toronto | Ontario | M5G 2C4 | Canada |
| ID | Term |
|---|---|
| D008175 | Lung Neoplasms |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
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| ID | Term |
|---|---|
| C100342 | marimastat |
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