RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Docetaxel may also stop the growth of tumor cells by blocking blood flow to the tumor. Giving daily doses of docetaxel may kill more tumor cells. PURPOSE: This phase I trial is studying the side effects and best dose of docetaxel in treating patients with refractory or recurrent advanced gynecologic cancer.
OBJECTIVES: Primary * Determine the maximum tolerated dose of metronomic docetaxel in patients with progressive or recurrent gynecologic cancer. Secondary * Determine the response rate in patients treated with this drug. * Determine the pharmacokinetics associated with this drug in these patients. OUTLINE: This is a dose-escalation study. Patients receive docetaxel intravenously (IV) over 1-2 minutes daily for up to 6 months in the absence of unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of docetaxel 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. After completion of study treatment, patients are followed every 3 months.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
18
Three patients will be enrolled and dosed at each level; from dose level 1 of 2.9 mg/m\^2/day up to dose level 6 of 6.4 mg/m\^2/day
Maximum Tolerated Dose
Determine the maximum tolerated dose of metronomic docetaxel in patients with progressive or recurrent gynecologic cancer
Time frame: Up to 180 Days
Response to Treatment
Determine the response rate in patients treated with this drug.
Time frame: Up to 180 Days
Pharmacokinetics
Determine the pharmacokinetics associated with this drug in these patients.
Time frame: Day 1 through Day 5
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