Spots Global Cancer Trial Database for Chemotherapy, SU5416, Radiation Therapy, and Surgery in Treating Patients With Soft Tissue Sarcoma
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Trial Identification
Brief Title: Chemotherapy, SU5416, Radiation Therapy, and Surgery in Treating Patients With Soft Tissue Sarcoma
Official Title: A Phase I/II Study Of Neoadjuvant Chemotherapy, Angiogenesis Inhibitor SU5416 (NSC # 696819; A TK Inhibitor Anti-Angionesises Compound), And Radiation Therapy In The Management Of High Risk, High-Grade, Soft Tissue Sarcomas Of The Extremities And Body Wall
Study ID: NCT00023738
Conditions
Study Description
Brief Summary: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Drugs such as SU5416 may stop the growth of cancer by stopping blood flow to the tumor. Radiation therapy uses high-energy x-rays to damage tumor cells. Giving chemotherapy, SU5416, and radiation therapy before and after surgery may kill more tumor cells. PURPOSE: Phase I/II trial to study the effectiveness of chemotherapy, SU5416, radiation therapy, and surgery in treating patients who have soft tissue sarcoma.
Detailed Description: OBJECTIVES: * Determine the maximum tolerated dose of SU5416 when administered with neoadjuvant chemotherapy and radiotherapy and adjuvant chemotherapy in patients with high-grade stage IIC-III soft tissue sarcoma. * Determine the disease-free survival, local control, and overall survival in patients treated with this regimen. * Determine histological response in patients treated with this regimen. * Determine the toxicity of this regimen in these patients. * Determine the quantitative antiangiogenic effects of SU5416 in patients treated with this regimen. OUTLINE: This is a dose-escalation study of SU5416. Patients receive neoadjuvant chemotherapy comprising doxorubicin, ifosfamide, and dacarbazine IV continuously on days 1-3, 22-24, and 43-45. Patients also receive filgrastim (G-CSF) subcutaneously once daily beginning on day 5 and continuing until blood counts recover. Patients undergo 2 courses of radiotherapy, given once daily for 11 doses per course over days 7-20 and 28-41. Patients also receive SU5416 IV over 1 hour twice weekly beginning on day 1 and continuing until 2 days before surgery. Patients undergo surgical resection on day 80. Patients then receive adjuvant chemotherapy comprising doxorubicin, ifosfamide, and dacarbazine IV continuously on days 101-103, 122-124, and 143-145. Patients also receive SU5416 IV over 1 hour twice weekly beginning on day 101 and continuing until the end of adjuvant chemotherapy. Patients with positive surgical margins receive additional radiotherapy beginning 2 weeks after resection for a total of 8 doses. Cohorts of 3-6 patients receive escalating doses of SU5416 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter. PROJECTED ACCRUAL: Approximately 68-80 patients will be accrued for this study.
Eligibility
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Locations
University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, Alabama, United States
Huntsville Hospital System, Huntsville, Alabama, United States
Comprehensive Cancer Institute of Huntsville, Huntsville, Alabama, United States
MBCCOP - Gulf Coast, Mobile, Alabama, United States
Alabama Oncology, LLC, Montgomery, Alabama, United States
Radiation Oncology Associates of West Alabama, Tuscallosa, Alabama, United States
Foundation for Cancer Research and Education, Phoenix, Arizona, United States
Mount Diablo Medical Center, Concord, California, United States
Cancer Center and Beckman Research Institute, City of Hope, Duarte, California, United States
California Cancer Center, Fresno, California, United States
Saint Agnes Cancer Center, Fresno, California, United States
Sutter Health West Cancer Research Group, Greenbrae, California, United States
Loma Linda University Medical Center, Loma Linda, California, United States
Veterans Affairs Medical Center - Long Beach, Long Beach, California, United States
USC/Norris Comprehensive Cancer Center and Hospital, Los Angeles, California, United States
Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, California, United States
CCOP - Bay Area Tumor Institute, Oakland, California, United States
Huntington Cancer Center, Pasadena, California, United States
Cancer Care Center, Pomona, California, United States
Radiation Oncology Center - Sacramento, Sacramento, California, United States
Radiation Medical Group, Inc., San Diego, California, United States
UCSF Cancer Center and Cancer Research Institute, San Francisco, California, United States
O'Connor Hospital, San Jose, California, United States
CCOP - Santa Rosa Memorial Hospital, Santa Rosa, California, United States
David Grant Medical Center, Travis Air Force Base, California, United States
Memorial Hospital Cancer Center, Colorado Springs, Colorado, United States
University of Colorado Cancer Center, Denver, Colorado, United States
Saint Mary's Hospital and Medical Center, Grand Junction, Colorado, United States
CCOP - Christiana Care Health Services, Wilmington, Delaware, United States
University of Florida Health Science Center, Gainesville, Florida, United States
Health First Holmes Regional Medical Center, Melbourne, Florida, United States
CCOP - Mount Sinai Medical Center, Miami Beach, Florida, United States
Veterans Affairs Medical Center - Miami, Miami, Florida, United States
Sylvester Cancer Center, University of Miami, Miami, Florida, United States
Baptist Hospital of Miami, Miami, Florida, United States
Florida Radiation Oncology Group, Orange Park, Florida, United States
MD Anderson Cancer Center Orlando, Orlando, Florida, United States
Bay Medical Center, Panama City, Florida, United States
Gulf Coast Cancer Treatment Center, Panama City, Florida, United States
Sarasota Radiation and Medical Oncology Center, Sarasota, Florida, United States
Tallahassee Memorial Healthcare, Tallahassee, Florida, United States
H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, United States
Emory University Hospital - Atlanta, Atlanta, Georgia, United States
CCOP - Atlanta Regional, Atlanta, Georgia, United States
Medical Center/John B. Amos Community Cancer Center, Columbus, Georgia, United States
Regional Radiation Oncology Center at Rome, Rome, Georgia, United States
MBCCOP - Hawaii, Honolulu, Hawaii, United States
Northwest Community Hospital, Arlington Heights, Illinois, United States
Northwestern Memorial Hospital, Chicago, Illinois, United States
CCOP - Central Illinois, Decatur, Illinois, United States
Ingalls Memorial Hospital, Harvey, Illinois, United States
Loyola University Medical Center, Maywood, Illinois, United States
Lutheran General Cancer Care Center, Park Ridge, Illinois, United States
Methodist Medical Center of Illinois, Peoria, Illinois, United States
St. John's Medical Center, Anderson, Indiana, United States
Bloomington Hospital, Bloomington, Indiana, United States
Veterans Affairs Medical Center - Indianapolis (Roudebush), Indianapolis, Indiana, United States
Clarian Health Partners Inc., Indianapolis, Indiana, United States
Community Hospitals of Indianapolis - Regional Cancer Center, Indianapolis, Indiana, United States
Ball Memorial Hospital, Muncie, Indiana, United States
CCOP - Northern Indiana CR Consortium, South Bend, Indiana, United States
Wendt Regional Cancer Center of Finley Hospital, Dubuque, Iowa, United States
Central Baptist Hospital, Lexington, Kentucky, United States
Albert B. Chandler Medical Center, University of Kentucky, Lexington, Kentucky, United States
James Graham Brown Cancer Center, Louisville, Kentucky, United States
Louisville Radiation Oncology, Louisville, Kentucky, United States
Merle M. Mahr Cancer Center, Madisonville, Kentucky, United States
Mary Bird Perkins Cancer Center, Baton Rouge, Louisiana, United States
MBCCOP - LSU Health Sciences Center, New Orleans, Louisiana, United States
Tulane University School of Medicine, New Orleans, Louisiana, United States
CCOP - Ochsner, New Orleans, Louisiana, United States
Maine Medical Center, Portland, Maine, United States
Anne Arundel Oncology Center, Annapolis, Maryland, United States
Greater Baltimore Medical Center and Cancer Center, Baltimore, Maryland, United States
Harbor Hospital Center, Baltimore, Maryland, United States
Sinai Hospital of Baltimore, Baltimore, Maryland, United States
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland, United States
Peninsula Regional Medical Center, Salisbury, Maryland, United States
Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States
Cape Cod Hospital, Hyannis, Massachusetts, United States
Veterans Affairs Medical Center - Boston (Jamaica Plain), Jamaica Plain, Massachusetts, United States
CCOP - Ann Arbor Regional, Ann Arbor, Michigan, United States
University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan, United States
Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, United States
Henry Ford Hospital, Detroit, Michigan, United States
McLaren Regional Cancer Center, Flint, Michigan, United States
Hurley Medical Center, Flint, Michigan, United States
CCOP - Kalamazoo, Kalamazoo, Michigan, United States
Marquette General Hospital, Marquette, Michigan, United States
MidMichigan Medical Center - Midland, Midland, Michigan, United States
William Beaumont Hospital, Royal Oak, Michigan, United States
William Beaumont Hospital - Troy, Troy, Michigan, United States
Mayo Clinic Cancer Center, Rochester, Minnesota, United States
CCOP - Metro-Minnesota, Saint Louis Park, Minnesota, United States
Ellis Fischel Cancer Center - Columbia, Columbia, Missouri, United States
CCOP - Kansas City, Kansas City, Missouri, United States
Mallinckrodt Institute of Radiology, Saint Louis, Missouri, United States
St. Louis University Health Sciences Center, Saint Louis, Missouri, United States
Cancer Research for the Ozarks, Springfield, Missouri, United States
CCOP - Cancer Research for the Ozarks, Springfield, Missouri, United States
CCOP - Montana Cancer Consortium, Billings, Montana, United States
Methodist Cancer Center - Omaha, Omaha, Nebraska, United States
Nebraska Health System, Omaha, Nebraska, United States
CCOP - Southern Nevada Cancer Research Foundation, Las Vegas, Nevada, United States
Norris Cotton Cancer Center, Lebanon, New Hampshire, United States
Elliot Regional Cancer Center, Manchester, New Hampshire, United States
Veterans Affairs Medical Center - East Orange, East Orange, New Jersey, United States
John F. Kennedy Medical Center, Edison, New Jersey, United States
Trinitas Hospital - Jersey Street Campus, Elizabeth, New Jersey, United States
Monmouth Medical Center, Long Branch, New Jersey, United States
South Jersey Regional Cancer Center, Millville, New Jersey, United States
Fox Chase Cancer Center at Virtua Memorial Hospital Burlington County, Mount Holly, New Jersey, United States
Cancer Institute of New Jersey, New Brunswick, New Jersey, United States
Newark Beth Israel Medical Center, Newark, New Jersey, United States
Atlantic City Medical Center, Pomona, New Jersey, United States
Valley Hospital, Ridgewood, New Jersey, United States
Community Medical Center, Toms River, New Jersey, United States
St. Francis Medical Center, Trenton, New Jersey, United States
Associated Radiologists, P.A., Warren, New Jersey, United States
Radiation Oncology Associates of Albuquerque, Albuquerque, New Mexico, United States
Cancer Center of Albany Medical Center, Albany, New York, United States
State University of New York Health Science Center at Brooklyn, Brooklyn, New York, United States
New York Methodist Hospital, Brooklyn, New York, United States
Roswell Park Cancer Institute, Buffalo, New York, United States
Finger Lakes Radiation Oncology Center, Clifton Springs, New York, United States
CCOP - North Shore University Hospital, Manhasset, New York, United States
Herbert Irving Comprehensive Cancer Center, New York, New York, United States
Champlain Valley Physicians Hospital Medical Center, Plattsburgh, New York, United States
Vassar Brothers Hospital, Poughkeepsie, New York, United States
University of Rochester Cancer Center, Rochester, New York, United States
CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C., Syracuse, New York, United States
Riverhill Radiation Oncology, Yonkers, New York, United States
Lineberger Comprehensive Cancer Center, UNC, Chapel Hill, North Carolina, United States
Northeast Medical Center, Concord, North Carolina, United States
East Carolina University School of Medicine, Greenville, North Carolina, United States
CCOP - Southeast Cancer Control Consortium, Winston-Salem, North Carolina, United States
Comprehensive Cancer Center at Wake Forest University, Winston-Salem, North Carolina, United States
Trinity Cancer Care Center, Minot, North Dakota, United States
Akron General Medical Center, Akron, Ohio, United States
Akron City Hospital, Akron, Ohio, United States
Christ Hospital, Cincinnati, Ohio, United States
Barrett Cancer Center, The University Hospital, Cincinnati, Ohio, United States
Ireland Cancer Center, Cleveland, Ohio, United States
University Hospitals of Cleveland, Cleveland, Ohio, United States
Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio, United States
CCOP - Columbus, Columbus, Ohio, United States
Arthur G. James Cancer Hospital - Ohio State University, Columbus, Ohio, United States
CCOP - Dayton, Kettering, Ohio, United States
CCOP - Toledo Community Hospital Oncology Program, Toledo, Ohio, United States
St. Anthony Hospital, Oklahoma City, Oklahoma, United States
University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States
St. John Health System, Tulsa, Oklahoma, United States
CCOP - Columbia River Program, Portland, Oregon, United States
Lehigh Valley Hospital, Allentown, Pennsylvania, United States
St. Luke's Hospital Regional Cancer Center, Bethlehem, Pennsylvania, United States
Geisinger Medical Center, Danville, Pennsylvania, United States
Fitzgerald Mercy Hospital, Darby, Pennsylvania, United States
Delaware County Memorial Hospital, Drexel Hill, Pennsylvania, United States
Pocono Cancer Center, East Stroudsburg, Pennsylvania, United States
Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States
University of Pennsylvania Cancer Center, Philadelphia, Pennsylvania, United States
Veterans Affairs Medical Center - Philadelphia, Philadelphia, Pennsylvania, United States
Kimmel Cancer Center of Thomas Jefferson University - Philadelphia, Philadelphia, Pennsylvania, United States
Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States
Albert Einstein Cancer Center, Philadelphia, Pennsylvania, United States
University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania, United States
Mercy Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States
Western Pennsylvania Hospital, Pittsburgh, Pennsylvania, United States
Reading Hospital and Medical Center, Reading, Pennsylvania, United States
Mercy Hospital Cancer Center - Scranton, Scranton, Pennsylvania, United States
Wilkes Barre General Hospital, Wilkes-Barre, Pennsylvania, United States
York Hospital, York, Pennsylvania, United States
Roger Williams Medical Center/BUSM, Providence, Rhode Island, United States
CCOP - Greenville, Greenville, South Carolina, United States
CCOP - Upstate Carolina, Spartanburg, South Carolina, United States
Jackson-Madison County General Hospital, Jackson, Tennessee, United States
University of Tennessee, Memphis Cancer Center, Memphis, Tennessee, United States
Vanderbilt-Ingram Cancer Center, Nashville, Tennessee, United States
Harrington Cancer Center, Amarillo, Texas, United States
University of Texas Medical Branch, Galveston, Texas, United States
University of Texas - MD Anderson Cancer Center, Houston, Texas, United States
Wilford Hall - 59th Medical Wing, Lackland Air Force Base, Texas, United States
Joe Arrington Cancer Research and Treatment Center, Lubbock, Texas, United States
Dixie Regional Medical Center, Saint George, Utah, United States
University of Utah Health Sciences Center, Salt Lake City, Utah, United States
Latter Day Saints Hospital, Salt Lake City, Utah, United States
Vermont Cancer Center, Burlington, Vermont, United States
Cancer Center at the University of Virginia, Charlottesville, Virginia, United States
RMH Regional Cancer Center, Harrisonburg, Virginia, United States
Naval Medical Center, Portsmouth, Portsmouth, Virginia, United States
Bon-Secours - St. Mary's Hospital, Richmond, Virginia, United States
Massey Cancer Center, Richmond, Virginia, United States
Virginia Mason Medical Center, Seattle, Washington, United States
Deaconess Medical Center, Spokane, Washington, United States
Yakima Valley Memorial Hospital, Yakima, Washington, United States
Schiffler Cancer Center, Wheeling, West Virginia, United States
St. Vincent Hospital, Green Bay, Wisconsin, United States
Gundersen Lutheran Medical Foundation, La Crosse, Wisconsin, United States
Southern Wisconsin Radiotherapy Center, Madison, Wisconsin, United States
University of Wisconsin Comprehensive Cancer Center, Madison, Wisconsin, United States
Marshfield Clinic, Marshfield, Wisconsin, United States
Community Memorial Hospital, Menomonee Falls, Wisconsin, United States
Columbia Hospital, Milwaukee, Wisconsin, United States
St. Luke's Medical Center, Milwaukee, Wisconsin, United States
Medical College of Wisconsin, Milwaukee, Wisconsin, United States
Southeastern Wisconsin Regional Cancer Center, Racine, Wisconsin, United States
Waukesha Memorial Hospital, Waukesha, Wisconsin, United States
Tom Baker Cancer Center - Calgary, Calgary, Alberta, Canada
Cross Cancer Institute, Edmonton, Alberta, Canada
Saint John Regional Hospital, Saint John, New Brunswick, Canada
Newfoundland Cancer Treatment and Research Foundation, St. Johns, Newfoundland and Labrador, Canada
Nova Scotia Cancer Centre, Halifax, Nova Scotia, Canada
Cancer Care Ontario-Hamilton Regional Cancer Centre, Hamilton, Ontario, Canada
Kingston Regional Cancer Centre, Kingston, Ontario, Canada
Cancer Care Ontario-London Regional Cancer Centre, London, Ontario, Canada
Ottawa Regional Cancer Centre, Ottawa, Ontario, Canada
Northeastern Ontario Regional Cancer Centre, Sudbury, Sudbury, Ontario, Canada
Northwestern Ontario Regional Cancer Centre, Thunder Bay, Thunder Bay, Ontario, Canada
Toronto Sunnybrook Regional Cancer Centre, Toronto, Ontario, Canada
Princess Margaret Hospital, Toronto, Ontario, Canada
CHUS-Hopital Fleurimont, Fleurimont, Quebec, Canada
Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
McGill University, Montreal, Quebec, Canada
Centre Hospitalier Universitaire de Quebec, Quebec City, Quebec, Canada
Allan Blair Cancer Centre, Regina, Saskatchewan, Canada
Saskatoon Cancer Centre, Saskatoon, Saskatchewan, Canada
Contact Details
Name: Burton L. Eisenberg, MD
Affiliation: Fox Chase Cancer Center
Role: STUDY_CHAIR
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