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Rosiglitazone in Treating Patients With Liposarcoma

Information source: National Cancer Institute (NCI)
Information obtained from ClinicalTrials.gov on May 09, 2007
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Sarcoma

Intervention: rosiglitazone maleate (Drug); biological therapy (Procedure); differentiation therapy (Procedure)

Phase: Phase 2

Status: No longer recruiting

Sponsored by: Dana-Farber Cancer Institute

Official(s) and/or principal investigator(s):
George D. Demetri, MD, Study Chair, Affiliation: Dana-Farber Cancer Institute

Summary

RATIONALE: Rosiglitazone may help liposarcoma cells develop into normal fat cells.

PURPOSE: Phase II trial to study the effectiveness of rosiglitazone in treating patients who have liposarcoma.

Clinical Details

Official title: Phase II Clinical Trial of Rosiglitazone, a Full-Agonist Ligand for the Peroxisome Proliferator-Activated Receptor Gamma (PPAR), as Differentiation Therapy for Patients With Liposarcoma

Study design: Interventional, Treatment

Detailed description: OBJECTIVES:

* Determine the clinical activity of rosiglitazone in patients with liposarcoma.

* Assess the impact of this regimen on markers of tumor proliferation and differentiation status in these patients using biologic and biochemical testing and correlative imaging.

* Determine the tolerance and safety of this regimen in these patients.

OUTLINE: Patients are stratified by histologic subtype (well differentiated vs dedifferentiated vs myxoid/round cell vs pleomorphic).

Patients receive oral rosiglitazone twice daily. Treatment continues in the absence of disease progression or unacceptable toxicity.

Patients are followed at 1-3 weeks and then every 3 months thereafter.

PROJECTED ACCRUAL: A total of 56-120 patients (14-30 per stratum) will be accrued for this study within 15 months.

Eligibility

Minimum age: 18 Years. Gender(s): Both.

Criteria:

DISEASE CHARACTERISTICS:

* Histologically proven liposarcoma that is incurable with standard multimodality approaches (e. g., surgery and/or radiotherapy and/or chemotherapy)

- Well differentiated OR

- Dedifferentiated OR

- Myxoid/round cell OR

- Pleomorphic

* Measurable disease

* No clinically unstable brain metastases

* No progression on prior troglitazone therapy for liposarcoma

PATIENT CHARACTERISTICS:

Age:

* 18 and over

Performance status:

* ECOG 0-2

Life expectancy:

* At least 3 months

Hematopoietic:

* Absolute neutrophil count at least 1,000/mm3

* Platelet count at least 90,000/mm3

Hepatic:

* Bilirubin no greater than 2. 0 mg/dL

* SGOT less than 5 times upper limit of normal

Renal:

* Creatinine no greater than 2. 4 mg/dL

Cardiovascular:

* No poorly controlled atrial arrhythmias, symptomatic angina pectoris, or myocardial infarction within the past 4 months

* No symptomatic congestive heart failure, percutaneous transluminal coronary angioplasty, or coronary artery bypass graft within the past 3 months

Other:

* Not pregnant or nursing

* Negative pregnancy test

* Fertile patients must use effective barrier contraception

- Oral contraceptives are not considered effective contraception

* No active retroviral disease

* No condition that would preclude informed consent

PRIOR CONCURRENT THERAPY:

Biologic therapy:

* Not specified

Chemotherapy:

* See Disease Characteristics

* Prior chemotherapy allowed and recovered

* No concurrent cytotoxic therapy

Endocrine therapy:

* No concurrent hormonal therapy

Radiotherapy:

* See Disease Characteristics

* Prior radiotherapy allowed and recovered

* At least 6 months since prior radiotherapy to the sole site of measurable disease

* Concurrent localized radiotherapy to a single site of disease allowed if there are other sites of measurable disease

Surgery:

* Not specified

Locations and Contacts

Dana-Farber Cancer Institute, Boston, Massachusetts 02115, United States
Additional Information

Clinical trial summary from the National Cancer Institute's PDQ® database

Starting date: October 1999
Last updated: March 5, 2007

Page last updated: May 09, 2007

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