Decitabine in Treating Patients With Unresectable Lung or Esophageal Cancer or Malignant Mesothelioma of the Pleura
Esophageal Cancer, Lung Cancer, Malignant Mesothelioma
About this trial
This is an interventional treatment trial for Esophageal Cancer focused on measuring recurrent non-small cell lung cancer, stage II esophageal cancer, stage III esophageal cancer, stage IV esophageal cancer, recurrent esophageal cancer, extensive stage small cell lung cancer, recurrent small cell lung cancer, advanced malignant mesothelioma, recurrent malignant mesothelioma, stage IIIB non-small cell lung cancer, stage IV non-small cell lung cancer, malignant pleural effusion
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed unresectable primary small cell lung cancer (SCLC) or non-small cell lung cancer (NSCLC), unresectable esophageal cancer, malignant pleural mesothelioma, or pleural effusions secondary to extrathoracic malignancies Disease must be readily accessible to biopsy by endoscopy or percutaneous fine-needle aspiration Extrathoracic metastatic disease allowed if no evidence of active intracranial or leptomeningeal metastases Patients treated with prior resection or radiotherapy for intracranial metastatic disease may be eligible provided there is no evidence of active disease on two MRIs (taken one month apart) and patients require no anticonvulsant medications or steroids to control residual symptoms No limited stage SCLC or operable NSCLC PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: At least 6 months Hematopoietic: Platelet count greater than 100,000/mm^3 Hemoglobin greater than 10 g/dL WBC greater than 3,500/mm^3 Hepatic: PT normal Bilirubin less than 1.5 times upper limit of normal Renal: Creatinine no greater than 1.6 mg/dL OR Creatinine clearance greater than 60 mL/min Cardiovascular: Any of the following conditions require clearance by a cardiologist: Prior coronary artery disease Prior transmural myocardial infarction Congestive heart failure Fixed defects on thallium scan with ejection fraction greater than 40% No unstable angina No recent deep venous thrombosis requiring anticoagulation Pulmonary: FEV1 and DLCO greater than 30% of predicted pCO_2 less than 50 mm Hg pO_2 greater than 60 mm Hg on room air No recent pulmonary embolism requiring anticoagulation Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No active infection HIV negative PRIOR CONCURRENT THERAPY: Biologic therapy: At least 30 days since prior biologic therapy for the malignant tumor Chemotherapy: No prior decitabine At least 30 days since other prior chemotherapy for the malignant tumor Endocrine therapy: See Disease Characteristics Radiotherapy: See Disease Characteristics At least 30 days since prior radiotherapy for the malignant tumor (14 days for localized radiotherapy to nontarget lesions) and recovered Surgery: See Disease Characteristics
Sites / Locations
- Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support
- Center for Cancer Research