RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase II trial to study the effectiveness of exatecan mesylate in treating patients who have metastatic stomach cancer.
OBJECTIVES: * Determine the objective response rate of patients with previously untreated metastatic gastric cancer treated with exatecan mesylate (DX-8951f). * Determine the time to tumor progression in this patient population when treated with this drug. * Determine the survival at 6 and 12 months in this patient population when treated with this drug. * Determine the quantitative and qualitative toxic effects of this drug in this patient population. * Determine the pharmacokinetics of this drug in the plasma of these patients. OUTLINE: This is a multicenter study. Patients receive exatecan mesylate (DX-8951f) IV over 30 minutes on days 1-5. Treatment repeats every 21 days for at least 2 courses in the absence of disease progression or unacceptable toxicity. Patients are followed every 3 months. PROJECTED ACCRUAL: A total of 12-37 patients will be accrued for this study within 12 months.
Study Type
INTERVENTIONAL
Purpose
TREATMENT
Pacific Shores Medical Group
Long Beach, California, United States
Rocky Mountain Cancer Centers
Denver, Colorado, United States
Simmons Cancer Center - Dallas
Dallas, Texas, United States
University of Texas - MD Anderson Cancer Center
Houston, Texas, United States
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Cancer Therapy and Research Center
San Antonio, Texas, United States
Cancer Care Ontario-Hamilton Regional Cancer Centre
Hamilton, Ontario, Canada