Inhalation SLIT Cisplatin (Liposomal) for the Treatment of Osteosarcoma Metastatic to the Lung

Inclusion Criteria: Histologically proven, Progressive or recurrent high grade osteosarcoma metastatic to the lung Patients with histologically proven, fully malignant high-grade osteosarcoma of bone Measureable pulmonary metastases Less than grade 3 neuropathies, insignificant decreases in cardiac or auditory function ECOG performance status of 0, 1 or 2 FEV1 of 50% or greater of predicted value FEV1/FVC ratio of 65% or greater Serum creatinine of ≤ 1.5 mg/dl Total bilirubin ≤ 1.5mg/dl and SGOT or SGPT < 2.5 times upper normal limit ANC of ≥ 1,000/mm3 and platelet count of ≥ 100,000/mm3 Exclusion Criteria: Grade 3 or higher painful neuropathy persisting after a prior platinum containing regimen Patients who are pregnant or are of childbearing potential and not using methods to avoid pregnancy Concurrent systemic chemotherapy Greater than Grade 2 pulmonary toxicity Pulmonary atelectasis Reactive airway disease which has resulted in hospitalization within the last year or which requires daily treatment with bronchodilator therapy Concurrent serious infections Unstable or serious concurrent medical condition Recent major surgery or thoracic radiation therapy or chemotherapy Significant pulmonary fibrosis secondary to prior radiation Major ventilatory distribution abnormalities Osteosarcoma secondary to radiation or premalignant conditions History of prior malignancy Low grade osteosarcoma, parosteal or periosteal sarcoma