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Brief Title: Palliative Therapy With or Without Chemotherapy in Treating Patients With Malignant Mesothelioma
Official Title: Randomized Feasibility Study Of Active Symptom Control With Or Without Chemotherapy In The Treatment Of Patients With Mesothelioma
Study ID: NCT00030459
Brief Summary: RATIONALE: Palliative therapy may help patients with advanced cancer live more comfortably. It is not yet known if palliative therapy is more effective with or without chemotherapy in treating patients who have malignant mesothelioma. PURPOSE: Randomized phase II trial to compare the effectiveness of palliative therapy with or without different chemotherapy regimens in treating patients who have malignant mesothelioma.
Detailed Description: OBJECTIVES: * Determine the feasibility of palliative therapy alone versus palliative therapy with mitomycin, vinblastine, and cisplatin versus palliative therapy with vinorelbine in patients with malignant mesothelioma. * Determine the quality of life of patients treated with these regimens. OUTLINE: This is a randomized, multicenter study. Patients are randomized to one of three treatment arms. * Arm I: Patients receive palliative therapy alone comprising non-chemotherapeutic therapy (e.g., radiotherapy, painkillers, steroids, relaxants, and special pain relief techniques). * Arm II: Patients receive palliative therapy as in arm I and chemotherapy comprising mitomycin IV (courses 1, 2, and 4 only), vinblastine IV, and cisplatin IV over 4 hours on day 1. Chemotherapy repeats every 21 days for a total of 4 courses. * Arm III: Patients receive palliative therapy as in arm I and chemotherapy comprising vinorelbine IV over 5 minutes once weekly on weeks 1-6 and 9-14. Quality of life is assessed at baseline for all patients; at weeks 3, 6, 9, and 12 for arm I; at weeks 4, 7, 10, and 13 for arm II; at weeks 3, 6, 10, and 13 for arm III; at weeks 21 and 29, and then every 8 weeks thereafter for all patients. Patients are followed every 8 weeks. PROJECTED ACCRUAL: A total of 60 patients (20 per treatment arm) will be accrued for this study within 1 year.
Minimum Age:
Eligible Ages: CHILD, ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Princess Royal Hospital, Hull, England, United Kingdom
Leeds Teaching Hospital Trust, Leeds, England, United Kingdom
Saint Bartholomew's Hospital, London, England, United Kingdom
Medical Research Council Clinical Trials Unit, London, England, United Kingdom
Royal Marsden Hospital, Sutton, England, United Kingdom
Aberdeen Royal Infirmary, Aberdeen, Scotland, United Kingdom
Stobhill General Hospital, Glasgow, Scotland, United Kingdom
Dorothy House Foundation, Bradford-Onavon, , United Kingdom
St. Peters Hospital, Chertsey Surrey, , United Kingdom
Name: Martin F. Muers, MD
Affiliation: Leeds General Infirmary
Role: STUDY_CHAIR
Name: David J. Girling, MD
Affiliation: Medical Research Council
Role: STUDY_CHAIR