ef5 prior to surgery or biopsy in patients with breast, prostate, or cervical cancer or high grade soft tissue sarcoma

Conditions: Breast Cancer; Cervical Cancer; Head and Neck Cancer; Prostate Cancer; Sarcoma

Summary: rationale: ef5 may detect the presence of oxygen in tumor cells and help plan effective cancer treatment. purpose: phase i trial to study the effectiveness of ef5 in detecting the presence of oxygen in tumor cells of patients who are undergoing surgery or biopsy for breast, prostate, or cervical cancer or high grade soft tissue sarcoma.

objectives: i. determine the optimal dose of etanidazole derivative ef5 that is safely tolerated and provides optimal binding in resected tumor specimens or tumor biopsies in patients with breast, head and neck, prostate, or cervical carcinoma or high grade soft tissue sarcomas. ii. define the toxic effects of ef5 in this patient population. outline: this is a dose-escalation study. patients receive etanidazole derivative ef5 iv over 1-2 hours. approximately 24-48 hours after ef5 treatment, patients undergo surgical resection or biopsy of tumor. cohorts of 6 patients receive escalating doses of ef5 until the maximum tolerated dose (mtd) or optimal dose is determined. the mtd is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. the optimal dose is defined as the dose level at or preceding the mtd and resulting in optimal tumor-to-normal-tissue binding. patients are followed at 28 days. projected accrual: a total of 18-36 patients will be accrued for this study within 12-18 months.

Eligibility criteria:
disease characteristics: histologically proven breast, head and neck, prostate, or cervical carcinoma or high grade (defined as grades 2 or 3) soft tissue sarcoma sarcoma tumors must be confined to truncal or extremity locations must have a clinical condition and physiologic status which demonstrates that the appropriate or standard initial therapy for the tumor is surgical biopsy or resection tumors no greater than 15 cm in any diameter hormone receptor status: not specified patient characteristics: age: 18 and over menopausal status: not specified performance status: ecog 0 or 1 life expectancy: not specified hematopoietic: absolute neutrophil count greater than 2,000/mm3 platelet count greater than 100,000/mm3 hepatic: bilirubin less than 2.0 mg/dl renal: creatinine less than 2.0 mg/dl or creatinine clearance greater than 50 ml/min cardiovascular: no significant cardiac disease that would preclude the safe use of general anesthesia pulmonary: no significant pulmonary disease that would preclude the safe use of general anesthesia other: not pregnant or nursing negative pregnancy test fertile patients must use effective contraception during and for 1 month after study no grade 3 or 4 peripheral neuropathy prior concurrent therapy: biologic therapy: not specified chemotherapy: not specified endocrine therapy: not specified radiotherapy: not specified surgery: see disease characteristics

Keywords: stage i breast cancer stage ii breast cancer stage iv breast cancer stage iiia breast cancer breast cancer in situ recurrent breast cancer stage iiib breast cancer stage 0 cervical cancer stage iii cervical cancer recurrent cervical cancer stage ib cervical cancer stage iib cervical cancer stage ivb cervical cancer stage ia cervical cancer stage iia cervical cancer stage iva cervical cancer inflammatory breast cancer stage iii adult soft tissue sarcoma recurrent adult soft tissue sarcoma stage i prostate cancer stage iib prostate cancer stage iia prostate cancer stage iii prostate cancer stage iv prostate cancer recurrent prostate cancer stage i nasopharyngeal cancer stage ii nasopharyngeal cancer stage iii nasopharyngeal cancer stage iv nasopharyngeal cancer recurrent nasopharyngeal cancer stage 0 paranasal sinus and nasal cavity cancer stage 0 nasopharyngeal cancer stage 0 oropharyngeal cancer stage 0 laryngeal cancer stage 0 hypopharyngeal cancer stage i salivary gland cancer stage ii salivary gland cancer stage iii salivary gland cancer stage iv salivary gland cancer recurrent salivary gland cancer untreated metastatic squamous neck cancer with occult primary recurrent metastatic squamous neck cancer with occult primary stage 0 lip and oral cavity cancer stage iv adult soft tissue sarcoma stage i lip and oral cavity cancer stage ii lip and oral cavity cancer stage iii lip and oral cavity cancer stage iv lip and oral cavity cancer recurrent lip and oral cavity cancer stage i hypopharyngeal cancer stage ii hypopharyngeal cancer stage iii hypopharyngeal cancer stage iv hypopharyngeal cancer recurrent hypopharyngeal cancer stage i laryngeal cancer stage ii laryngeal cancer stage iii laryngeal cancer stage iv laryngeal cancer recurrent laryngeal cancer stage i paranasal sinus and nasal cavity cancer stage ii paranasal sinus and nasal cavity cancer stage iii paranasal sinus and nasal cavity cancer stage iv paranasal sinus and nasal cavity cancer recurrent paranasal sinus and nasal cavity cancer stage i oropharyngeal cancer stage ii oropharyngeal cancer stage iii oropharyngeal cancer stage iv oropharyngeal cancer recurrent oropharyngeal cancer stage ii adult soft tissue sarcoma stage i adult soft tissue sarcoma