Skip to main content
OpenTrials
Completed

NCT Number: NCT00504140

Recombinant Interferon Alpha and Etoposide in Relapsed Osteosarcoma

Primary Objectives:

1. To determine the efficacy of combining Interferon Alpha (IFN) with etoposide for the treatment of relapsed osteosarcoma. 2. To determine if IFN alters the plasma pharmacokinetics of etoposide. 3. To determine the toxicities of IFN and etoposide when administered together. 4. To determine IFN blood levels following combination therapy.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Osteosarcoma Neoplasms Neoplasms by Histologic Type Neoplasms, Bone Tissue Neoplasms, Connective Tissue Neoplasms, Connective and Soft Tissue Sarcoma

Age range

5 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

U.T.M.D. Anderson Cancer Center

Houston, Texas, 77030, United States

About this study

Interferon Alpha (IFN)- will be given as a shot under the skin. One hour later, VP-16 will be infused through a catheter (tube) placed in a vein over 3 hours. The drugs will be given daily for 5 days. The treatment will be repeated every 3 - 4 weeks for up to 24 - 32 weeks (8 courses). The catheter will remain in place throughout treatment.

Patients who are candidates for surgery will first receive two courses of treatment. If the tumor gets worse or if severe side effects occur, treatment will be stopped, and the tumor will be removed right away. If the tumor responds well (begins to shrink or does not get worse) and severe side effects do not occur, the patient will receive six more courses of treatment after surgery.

Patients who are not candidates for surgery will receive two initial courses of treatment. If the tumor responds well and severe side effects do not occur, the patient will receive six more courses of treatment.

The treatment will be given in the outpatient department. Before treatment begins, the patient will have a health examination. Blood tests, a urine test, and heart tests will be given. X-rays, computed tomography (CT) scans, and a bone scan will be done. The location and size of all lesions will be recorded.

During treatment, patients will have a blood test every week. Before each course, a health examination, a urine test, and chest x-ray will be given and the size of all measurable cancer will be recorded. After the second course, the CT and bone scans will be repeated. All the tests will be repeated at the end of the study.

About 37 patients will be treated on the study at M. D. Anderson.

THIS IS AN INVESTIGATIONAL STUDY. IFN- and VP-16 are approved by the U.S. Food and Drug Administration for treating some types of cancer. Their use together against osteosarcoma is investigational.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients with histologically confirmed relapsed osteosarcoma who have failed standard chemotherapy.
  • Age 5-70 years.
  • Life expectancy of at least 12 weeks and a Zubrod performance status of less than or equal to 2.
  • Patients must have measurable disease.
  • Adequate hematologic, coagulation, renal, and hepatic function.
  • No chemotherapy, immunotherapy, hormonal therapy or radiation therapy within 3 weeks of study entry.

Exclusion criteria

  • Patients who are likely to have significant systems because of rapidly progressive disease, ascites or hepatic metastasis.
  • Pregnant or lactating women.
  • Patients who have had more than one prior biologic response modifier.
  • Serious intercurrent illness, active infections, or central nervous system (CNS) disease.
  • Patients of childbearing potential, not practicing adequate contraception.
  • Significant cardiovascular disease.

Treatment and study plan

etoposide

Drug

100 mg/m^2 Intravenous Daily for 5 days, beginning one hour after IFN-alpha treatment.

Other names: VP-16

interferon alpha

Drug

5x10^6 mu/m^2 Subcutaneously Daily for 5 Days

Other names: IFN-, Roferon

Primary outcomes

  1. Number of Patients with Response when combining IFN with etoposide for the treatment of relapsed osteosarcoma.

    Time frame: Up to 24 - 32 weeks (8 courses of 3 - 4 weeks)

    Complete Response (CR): Disappearance of all evidence of tumor for at least one cycle; Lytic or mixed bone lesions improved by scan or shown some ossification by x-ray; and free of all symptoms of cancer. Partial Response (PR): 50% or > decrease in sum of product of diameters of all measured lesions persisting for at least one cycle or 4 weeks. No lesion may increase in size or new lesion appear. Minor Response (MR): Decrease in measurable lesion(s) too small or too brief to qualify as Partial Response.

Sponsors and collaborators

Lead sponsor

M.D. Anderson Cancer Center

Other

Collaborators

  • Schering-Plough

Registry information

Official study title

Phase II Study of Recombinant Interferon Alpha and Etoposide in Patients With Relapsed Osteosarcoma

Important dates

Study start
1996
Primary completion
2007
Study completion
2009
First posted
Jul 19, 2007
Registry last updated
Aug 2, 2012

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.