Pemetrexed Disodium and Docetaxel in Treating Patients With Advanced Solid Tumors
Breast Cancer, Esophageal Cancer, Gastric Cancer
About this trial
This is an interventional treatment trial for Breast Cancer focused on measuring stage IIIA non-small cell lung cancer, stage IIIB non-small cell lung cancer, stage IV non-small cell lung cancer, recurrent non-small cell lung cancer, male breast cancer, stage IIIA breast cancer, stage IIIB breast cancer, stage IIIC breast cancer, stage IV breast cancer, recurrent breast cancer, stage III prostate cancer, stage IV prostate cancer, recurrent prostate cancer, stage III esophageal cancer, stage IV esophageal cancer, recurrent esophageal cancer, recurrent adenoid cystic carcinoma of the oral cavity, recurrent mucoepidermoid carcinoma of the oral cavity, stage III adenoid cystic carcinoma of the oral cavity, stage III mucoepidermoid carcinoma of the oral cavity, stage IV adenoid cystic carcinoma of the oral cavity, stage IV mucoepidermoid carcinoma of the oral cavity, recurrent basal cell carcinoma of the lip, stage III basal cell carcinoma of the lip, stage IV basal cell carcinoma of the lip, recurrent lymphoepithelioma of the nasopharynx, stage III lymphoepithelioma of the nasopharynx, stage IV lymphoepithelioma of the nasopharynx, recurrent lymphoepithelioma of the oropharynx, stage III lymphoepithelioma of the oropharynx, stage IV lymphoepithelioma of the oropharynx, recurrent esthesioneuroblastoma of the paranasal sinus and nasal cavity, recurrent inverted papilloma of the paranasal sinus and nasal cavity, recurrent midline lethal granuloma of the paranasal sinus and nasal cavity, stage III esthesioneuroblastoma of the paranasal sinus and nasal cavity, stage III inverted papilloma of the paranasal sinus and nasal cavity, stage III midline lethal granuloma of the paranasal sinus and nasal cavity, stage IV esthesioneuroblastoma of the paranasal sinus and nasal cavity, stage IV inverted papilloma of the paranasal sinus and nasal cavity, stage IV midline lethal granuloma of the paranasal sinus and nasal cavity, recurrent salivary gland cancer, stage III salivary gland cancer, stage IV salivary gland cancer, stage III ovarian epithelial cancer, stage IV ovarian epithelial cancer, recurrent ovarian epithelial cancer, stage III ovarian germ cell tumor, stage IV ovarian germ cell tumor, recurrent ovarian germ cell tumor, stage III gastric cancer, stage IV gastric cancer, recurrent gastric cancer, recurrent hypopharyngeal cancer, stage III hypopharyngeal cancer, stage IV hypopharyngeal cancer, recurrent laryngeal cancer, stage III laryngeal cancer, stage IV laryngeal cancer
Eligibility Criteria
DISEASE CHARACTERISTICS:
Diagnosis of advanced or recurrent solid tumors
Patients for whom docetaxel is considered appropriate anticancer therapy; docetaxel is currently approved for use in patients with the following solid tumors:
- Non-small cell lung (NSCLC)
- Breast
- Prostate
- Esophageal
- Head and neck
- Ovarian
- Gastric
- Measurable or non-measurable disease
- No squamous cell NSCLC
Controlled brain metastases allowed
- Clinically stable with no signs of progression by MRI or CAT scan ≥ 60 days after treatment
- Patients must be asymptomatic with no steroid requirements
PATIENT CHARACTERISTICS:
- ECOG performance status 0-1
- Life expectancy ≥ 12 weeks
- WBC ≥ 3,000/mm^3*
- ANC ≥ 1,500/mm^3*
- Hemoglobin ≥ 9 g/dL
- Platelet count ≥ 100,000/mm^3
- Total bilirubin normal
AST, ALT, and alkaline phosphatase (AP) must meet one of the following criteria:
- AST or ALT ≤ 3** times upper limit of normal (ULN) AND AP normal
- AST or ALT ≤ 1.5 times ULN AND AP ≤ 2.5 times ULN
- AST or ALT normal AND AP ≤ 5 times ULN
- Calculated creatinine clearance ≥ 45 mL/min OR GFR measured by Tc99m-DPTA serum clearance method
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for ≥ 3 months after completion of study treatment
- Able to interrupt aspirin or other NSAIDs pre- and post- twice-monthly drug dosing
- Able to take folic acid, vitamin B12, or corticosteroids
- No uncontrolled serious active infections
- No pre-existing peripheral neuropathy > grade 1
- No significant cardiac disease (i.e., uncontrolled high blood pressure, unstable angina, congestive heart failure within the past 6 months, LVEF < normal, myocardial infarction within the past year, or serious cardiac arrhythmias requiring medication)
- No known severe hypersensitivity reaction to docetaxel or other drugs formulated in polysorbate 80 NOTE: *No concurrent colony-stimulating factors to maintain these values
NOTE: **For patients with liver metastases, AST or ALT ≤ 5 times ULN AND AP normal
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- Have received 0-1 prior systemic therapy regimens (prior adjuvant chemotherapy will be considered a prior systemic therapy regimen)
- At least 4 weeks since prior systemic anticancer therapy (6 weeks for mitomycin C and nitrosoureas)
- At least 2 weeks since prior radiotherapy and recovered from the side effects to ≤ grade 1
- At least 2 weeks since prior pleurodesis
- No concurrent radiotherapy
Sites / Locations
- Arizona Cancer Center at University of Arizona Health Sciences Center
Arms of the Study
Arm 1
Experimental
Alimta and Taxotere
Alimta and Taxotere given in combination with dose modifications.