Concurrent Pemetrexed/Cisplatin With Pleural Intensity Modulated Radiation Therapy for Patients With Unresectable Malignant Pleural Mesothelioma
The purpose of this study is to evaluate the safety of combining chemotherapy at different doses with a specific type of radiation therapy delivered to the entire lining of the lung to find out what effects, if any, it has on people. This radiation technique is called pleural intensity modulated radiation therapy (IMRT). IMRT specifically targets the lining of the lung (pleura) where the cancer is and reduces the risk of damaging the lung itself. When given after chemotherapy, pleural IMRT has demonstrated promising results with respect to keeping mesothelioma under control longer. However, the investigators want to determine if giving pleural IMRT at the same time as chemotherapy is safe. If safe, further studies will be done to see if chemotherapy and pleural IMRT given at the same time keeps the tumor under control for a longer period of time than chemotherapy followed by pleural IMRT.
Checked against the public recordLast updated Dec 7, 2016 · Source: ClinicalTrials.gov
What this study is about
- Purpose
- Treatment
- Study type
- Interventional
- Phase
- Phase 1
- Sponsor
- Memorial Sloan Kettering Cancer Center
- Interventions being studied
- Drug: Pemetrexed/Cisplatin; Radiation: Pleural Intensity Modulated Radiation Therapy; Device: MRI
How this study is categorized
These labels come from structured fields and exact terms in the public record.
Who may be able to participate
Inclusion Criteria: * Pathologically confirmed diagnosis of malignant pleural mesothelioma at MSKCC * No plans for surgical resection * Stage T1-4, N0-3, M0 * No prior radiation therapy to the chest, breast or supraclavicular fossa that would limit radiation delivery to the full prescription dose * Prior chemotherapy regimens ≤1 * Age ≥18 years * Karnofsky performance status ≥ 80% * Pulmonary function tests as follows: DLCO\>50% predicted * Adequate hematologic, hepatic, and renal function as indicated by the following laboratory values * Absolute neutrophil count ≥ 1,500/mcL * Platelets ≥ 100,000/mcL * Calculated creatinine clearance (CrCl) ≥ 45mL/min (using Cockcroft \& Gault method) * Serum total bilirubin ≤ 1.5 x upper limit of normal (ULN) (unless known Gilbert's disease) * AST (SGOT) and ALT (SGPT) ≤ 3.0 x ULN Exclusion Criteria: * Pregnant or lactating women, or men or women not using effective contraception * Patients with an active infection that requires systemic antibiotics, antiviral, or antifungal treatments * Patients with a concurrent active malignancy (with the exception of skin cancer) * Patients with serious unstable medical illness * Patients with idiopathic pulmonary fibrosis * Patients with NYHA heart failure class \>2 * Patients with only one kidney that is ipsilateral to the mesothelioma * Implanted pacemaker and/or defibrillator ipsilateral to the mesothelioma if it cannot be moved * Patients meeting the following exclusion criteria will be excluded from the MRI portion only: * Metallic implant, e.g. pacemaker, defibrillator * Unmanageable claustrophobia * High risk for nephrogenic systemic fibrosis
Important: This is the sponsor’s public criteria, not a determination of eligibility. The study team must review your individual situation.
U.S. locations
- Memorial Sloan Kettering at Basking RidgeBasking Ridge, New Jersey
- Memorial Sloan Kettering Cancer Center @ SuffolkCommack, New York
- Memorial Sloan Kettering West HarrisonEast White Plains, New York
- Memorial Sloan Kettering Cancer CenterNew York, New York
- Memorial Sloan Kettering at Mercy Medical CenterRockville Centre, New York
- Memoral Sloan Kettering Cancer Center at PhelpsSleepy Hollow, New York
Source and freshness
Processed from ClinicalTrials.gov. Last public update: Dec 7, 2016. Always confirm current availability with the study team.