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Keep this study
Lead
Case Comprehensive Cancer Center
With
National Cancer Institute (NCI)
OBJECTIVES:
* Determine the response rate of patients with metastatic colorectal carcinoma treated with O6-benzylguanine and carmustine.
* Evaluate tumor tissue biochemical and immunohistochemical predictors of response in patients treated with this regimen.
* Correlate carcinoembryonic antigen levels in the peripheral blood with response in patients treated with this regimen.
OUTLINE: This is a multicenter study.
Patients receive O6-benzylguanine (BG) IV over 1 hour and carmustine IV over 1 hour (beginning 1 hour after completion of BG infusion) on day 1. Treatment continues every 6 weeks in the absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months.
PROJECTED ACCRUAL: A total of 19-36 patients will be accrued for this study within 1.7-3 years.
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
DISEASE CHARACTERISTICS:
Diagnosis of metastatic colorectal carcinoma
Bidimensionally measurable disease
PATIENT CHARACTERISTICS:
Age:
18 and over
Performance status:
ECOG 0-2
Life expectancy:
At least 12 weeks
Hematopoietic:
WBC at least 4,000/mm\^3
Granulocyte count at least 1,500/mm\^3
Absolute neutrophil count at least 1,500/mm\^3
Platelet count at least 100,000/mm\^3
Hemoglobin greater than 8 g/dL
Hepatic:
Bilirubin no greater than 1.2 mg/dL
AST and ALT less than 2.5 times upper limit of normal (ULN)
PT no greater than ULN (not on anticoagulation therapy)
Renal:
Creatinine no greater than 1.5 mg/dL
Creatine clearance greater than 60 mL/min
Pulmonary:
DLCO at least 60%
Other:
Not pregnant or nursing
Negative pregnancy test
Fertile patients must use effective contraception during and for 2 months after study
No other concurrent active malignancies
Prior malignancies presumed to be cured allowed
No other concurrent uncontrolled severe medical problem that would preclude study participation
PRIOR CONCURRENT THERAPY:
Biologic therapy:
Not specified
Chemotherapy:
At least 6 months since prior adjuvant chemotherapy without disease recurrence
No more than 1 prior chemotherapy regimen for metastatic disease
Endocrine therapy:
Not specified
Radiotherapy:
Prior adjuvant radiotherapy allowed
No prior radiotherapy to more than 25% of total bone marrow