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SARC003: Phase II Study of Gemcitabine & Docetaxel in Recurrent Ewings Sarcoma, Osteosarcoma, or Unresectable/Locally Recurrent Chondrosarcoma. Elizabeth Fox, NCI Pediatric Oncology Branch Shreyaskumar Patel, MD Anderson Cancer Center. Dose and Schedule. DAY 1. DAY 8. DAY 9. Gemcitabine
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SARC003: Phase II Study of Gemcitabine & Docetaxel in Recurrent Ewings Sarcoma, Osteosarcoma, or Unresectable/Locally Recurrent Chondrosarcoma Elizabeth Fox, NCI Pediatric Oncology Branch Shreyaskumar Patel, MD Anderson Cancer Center
Dose and Schedule DAY 1 DAY 8 DAY 9 Gemcitabine 675 mg/m2 IV over 90 min (7.5 mg/m2/min) Docetaxel 75 mg/m2 IV over 60 min Gemcitabine 675 mg/m2 IV over 90 min Filgrastim or Pegfilgrastim • Cycle Duration 21 days • Restaging prior to cycles 1, 3, 5, 7, 9, 13, 15, then every 4th cycle and off study • Target Response rate: • OS: 35% • EWS: 35% • Chondrosarcoma: 20%
Toxicity(Cycle 2+, n=86 cycles) • Seven patients (17%) have discontinued therapy due to toxicity • Five patients (12%) withdrew consent
Response in EWS Baseline Prior to C9 Prior to C12
Interim Conclusions • Toxicity, particularly hematological toxicity, requires close monitoring. • Pharmacokinetic samples collected on 23 patients (49%), batched for analysis. • Trial Status • Osteosarcoma cohort closed due to inactivity. • Accrual to EWS and Chondrosarcoma cohorts ongoing. • 2 PR’s in EWS cohort • Protocol Amendment F distributed 5/18/2007 • Remove maximum number of cycles • Update toxicities in consent