Clinical Trials

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 Breast Trials
TITLE WSU 2104: A Phase II Study of GW572016 and Tamoxifen in Patients with Metastatic Breast Cancer Resistant to Single Agent Tamoxifen
DESCRIPTION The purpose of this study is to determine how safe and effective GW572016 in combination with tamoxifen will be for the treatment of advanced breast cancer. Patients will take six pills of GW572016 and one pill of tamoxifen, amounting to seven pills daily as well as keep a diary.
ELIGIBILITY
  1. Age ≥ 18 years
  2. Primary adenocarcinoma of the breast confirmed by histology or cytology. ER and/or PR+
  3. Locally advanced or metastatic disease not amenable to surgery or radiation with curative intent. Must not have rapidly progressive disease
  4. Must have failed hormonal manipulation with tamoxifen. May have received treatment with an aromatase inhibitor as first line therapy for metastatic disease prior to treatment with tamoxifen, but no other hormonal manipulation upon failing tamoxifen
  5. ECOG performance status 0 – 2
  6. Patients must have normal bone marrow, liver and kidney function.
CONTACT Leda Dumadag, RN  216-844-5829
TITLE NSABP B-37: A Randomized Clinical Trial of Adjuvant Chemotherapy for Radically Resected Loco-Regional Relapse of Breast Cancer
DESCRIPTION This study will compare two different types of treatment in patients who have been diagnosed with returning breast cancer in an operated-on breast, the surgical scar, the chest wall, or the regional lymph nodes. In addition to evaluating the effectiveness of the two treatments, the study will also look at quality of life. Patients will be placed in either Group A to be given standard therapy (surgery to remove the recurrent cancer) and, if the doctor believes it appropriate, radiation therapy and/or hormonal therapy (which typically last for at least 5 years), or Group B which is identical to Group A, but also includes chemotherapy for approximately 3-6 months. Patients will not be given specific drugs as part of the study and can follow the recommendation of their doctors. 
ELIGIBILITY
  1. Must have verified first local and/or regional recurrence of invasive breast cancer following primary treatment with mastectomy or breast conserving treatment
  2. Must have surgical resection of the recurrence with uninvolved (clear) margins or surgical resection with microscopically involved margins (RI)
  3. Cannot have evidence of distant metastasis on standard staging examinations
  4. Must have measurement of hormone receptors in the recurrent tumor 
  5. Must be medically suitable for chemotherapy of 3 to 6 months duration
CONTACT Leda Dumadag, RN  216-844-5829
TITLE NSABP B-38: A Phase III, Adjuvant Trial Comparing Three Chemotherapy Regimens in Women with Node-Positive Breast Cancer:  Docetaxel/Doxorubicin/Cyclophosphamide (TAC); Dose-Dense (DD) Doxorubicin/Cyclophosphamide Followed by DD Paclitaxel (DD AC -P); DD AC Followed by DD Paclitaxel Plus Gemcitabine (DD AC -PG).
DESCRIPTION

This is a study to determine whether a regimen of dose-dense doxorubicin and cyclophosphamide followed by dose-dense paclitaxel and gemcitabine will be superior to a regimen of docetaxel, doxorubicin, and cyclophosphamide as well as to a regimen of dose-dense doxorubicin and cyclophosphamide followed by dose-dense paclitaxel alone in improving disease-free survival in women with node positive breast cancer.  Patients will be randomly assigned to one of four regimens:  (1) doxorubicin/cyclophosphamide (AC2) given every two weeks with pegfilgrastim support followed by paclitaxel also given every two weeks with pegfilgrastim support (T2); (2) an alternative dose-schedule of doxorubicin/cyclophosphamide with cyclophosphamide given orally on a daily basis and doxorubicin given weekly with filgrastim support followed by T2;  (3) AC2 followed by paclitaxel administered weekly (T1); or (4) continuous AC+G regimen followed by T1

ELIGIBILITY
  1. The interval between last surgery for breast cancer staging or treatment and randomized must be not more than 84 days.
  2. Patient’s tumor must be invasive carcinoma of the breast on histological examination.
  3. Patients must have had either a lumpectomy or a total mastectomy.
  4. Patients must complete one of the following procedures for evaluation of pathologic nodal status:  sentinel lymphadenectomy followed by removal of additional non-sentinel lymph node; sentinel lymphadenectomy according to criteria; or an axial lymphadenectomy.
  5. Patients must have no clinical or radiologic evidence of metastatic disease.
  6. Patients must be female with a life expectancy of at last 10 years and a Zubrod performance status of 0 or 1.
CONTACT Leda Dumadag, RN  216-844-5829
TITLE WUMC 1104: A Phase II Trial of 4 Months of Letrozole 2.5 mg Daily for Postmenopausal Women with Estrogen Receptor Positive and/or Progesterone Receptor Positive T2, T3, T4a-c, NO-2, MO Breast Cancer-Novel Biomarkers for Aromatase Inhibitor Therapy
DESCRIPTION

This research study is being conducted for postmenopausal women who have developed breast cancer. The purpose of this study is to find new ways to predict who will respond well to Letrozole therapy and to examine a patient’s breast cancer and blood to find out more about how Letrozole works. The research will also find out what effects taking the drug for 4 to 6 months before surgery will have on breast cancer. 

ELIGIBILITY
  1. Have cancer of the breast that can be confirmed by a core-needle biopsy and that meets certain other clinical criteria
  2. Have estrogen positive and/or progesterone positive tumors
  3. Benefit from preoperative therapy with an improvement in surgical outcomes defined as: 
    Marginal candidate for lumpectomy (lumpectomy feasible but patient at risk for positive margins or poor cosmetic outcome). Patient desires breast-conserving surgery if possible 
    Ineligible for lumpectomy but modified radical mastectomy currently feasible. Patient desires breast-conserving surgery if possible and surgeon judges this would be possible if the primary tumor were smaller;
    Inoperable, systemic therapy required for patient to become operable by modified radical mastectomy.
  4. Be postmenopausal
    Be willing to undergo breast surgery at the end of the preoperative treatment period.
CONTACT Leda Dumadag, RN  216-844-5829
TITLE S 0230: Phase III Trial of LHRH Analog Administration During Chemotherapy to Reduce Ovarian Failure Following Standard Adjuvant Chemotherapy in Early Stage, Hormone Receptor Negative Breast Cancer
DESCRIPTION

This research study is being conducted for premenopausal women with early-stage hormone-receptor negative breast cancer. It will compare the rate of premature ovarian failure following standard adjuvant (assisting in the cure of disease) chemotherapy with or without the addition of ovarian suppression with a drug called a LHRH analog (luteinizing hormone-releasing hormone) during chemotherapy. Also, it will compare the rates of ovarian dysfunction following this treatment and evaluate ovarian reserves. The study will also describe pregnancy and fertility in the two groups after treatment and during the five-year follow-up period.

ELIGIBILITY
  1.  Have a histologically confirmed diagnosis of operable Stage I, II, or IIA invasive breast cancer. Patients who have completed surgery must have pathologic Stage I, II, or IIA disease 
  2. Be premenopausal 
  3. Have tumors that are both estrogen receptor negative and progesterone receptor negative 
  4. Be 18 years of age or greater and under age 50
  5. Accept that planned treatment may include 3 to 8 months of cycles of an alkylating agent containing post-operative or pre-operative chemotherapy regimen, that chemotherapy will be administered in the pre-operative setting but not in the post-operative setting, and must be registered within 84 days after the final surgical procedure required to treat the primary tumor or axilla; 
  6. Performance status 0-2;
  7. Be able to give written informed consent.
CONTACT Leda Dumadag, RN  216-844-5829
TITLE NSABP B-39: A Randomized Phase III Study of Conventional Whole Breast Irradiation (WBI) Versus Partial Breast Irradiation (PBI) for Women with Stage 0, I or II Breast Cancer
DESCRIPTION

This study is being conducted to evaluate whether partial breast irradiation (PBI) is as effective as whole breast irradiation (WBI) in keeping cancer from coming back to the breast following lumpectomy for early stage breast cancer. A random selection process will determine whether patients will be placed into Group 1 to receive WBI, or Group 2 to receive PBI. Patients in both groups may receive chemotherapy and hormonal therapy if their doctors decide it is necessary. 
Patients in Group 1 will start WBI soon after joining the study if there is no need for chemotherapy. If chemotherapy is needed, it will be given before radiation. After the chemotherapy is finished, WBI will be given once a day for 5 days a week over 5 to 7 weeks. Patients in Group 2 will start PBI soon after joining the study. The treatments will be given 2 times a day, about 6 hours apart, for 5 days. The treatments may be given over a period of 5 to 10 days. If chemotherapy is needed, it will start after the PBI treatment is finished. Both Group 1 and 2 will receive at least 5 years of hormonal therapy if an individual patient’s breast cancer is affected by hormones (estrogen or progesterone). If chemotherapy is needed, the hormonal therapy will begin after chemotherapy has ended. If chemotherapy is not needed, hormonal therapy can begin before, during, or after the radiation therapy. 

ELIGIBILITY
  1. Stage 0 (DCIS) or stage I or II invasive adenocarcinoma of the breast with no evidence of metastatic disease. If stage II, tumor size must be 3 cm or less
  2. Undergone a lumpectomy with the margins of the resected specimen histologically-free of cancer including DCIS
  3. Axillary staging which can include sentinel node biopsy alone (if sentinel node is negative), sentinel node biopsy followed by axillary dissection or sampling with a minimum total of 6 axillary nodes (for invasive cancer)
  4. Axillary nodes restricted to those with 0 to 3 positive axillary nodes
  5. Life expectancy of at least ten years, excluding diagnosis of breast cancer 
CONTACT Leda Dumadag, RN  216-844-5829
TITLE S 0221: Phase III Trial of Continuous Schedule AC + G vs. Q2 Week Schedule AC, Followed by Paclitaxel Given Either Every 2 Weeks or Weekly for 12 weeks as Post-Operative Adjuvant Therapy in Node Negative or High Risk Node-Negative Breast Cancer.
DESCRIPTION

This is a study to compare disease-free survival of patients with node-positive or high-risk node-negative breast cancer treated with the combination of doxorubicin and cyclophosphamide with pegfilgrastim support with that of patients treated weekly with doxorubicin and daily oral cyclophosphamide with filgrastim support with both treatments to be followed by paclitaxel given according to one of two schedules.  Patients will be randomly assigned to one of four treatment arms:  (1) doxorubicin/cyclophosphamide (AC2) given every two weeks with pegfilgrastim support followed by paclitaxel also given every two weeks with pegfilgrastim support (T2); (2) an alternative dose-schedule of doxorubicin/cyclophosphamide with cyclophosphamide given orally on a daily basis and doxorubicin given weekly with filgrastim support followed by T2; (3) AC2 followed by paclitaxel administered weekly (T1); or (4) continuous AC+G regimen followed by T1.

ELIGIBILITY
  1. Patients must have had either a modified radical mastectomy or local excision of all tumors plus an axillary lymph node dissection or sentinel node resection prior to registration. Patients with resection margins positive for lobular carcinoma in-situ will be eligible.
  2. Patients must be registered with 84 days from the final surgical procedure required to adequately treat the primary tumor and/or axilla.
  3. Patients must not have received prior cytotoxic chemotherapy for breast cancer.
  4. Patients must not have received prior radiation therapy for current malignancy.
  5. Patients with the clinical diagnosis of congestive heart failure or angina pectoris are not eligible.
  6. Patients must have normal liver function.
CONTACT Leda Dumadag, RN  216-844-5829
TITLE GLAX 1Y04:  An Open Label, Phase Ib Roll-Over Study to Assess the Long-Term Safety Profile of Lapatinib in Cancer Patients
DESCRIPTION This is a study to determine the long-term safety and tolerability of lapatinib as monotherapy or as part of a combination regimen of therapy for advanced or metastatic breast cancer. Patients may continue in this study until disease progression, unacceptable toxicity, maximum benefit, or until commercial supplies of lapatinib are available locally.
ELIGIBILITY

Patients must be experiencing therapeutic benefits while receiving treatment with lapatinib through participation in a Phase I study of lapatinib.Patients may be male or female.

CONTACT Leda Dumadag, RN  216-844-5829
TITLE WSU 1104 A Phase II Clinical Trial of 17-Allylamino-17-Demethoxygeldanamycin (17-AG) in Chemotherapy Refractory Metastatic Breast Cancer
DESCRIPTION This study is being done to determine the response rate of 17-AAG in patients with refractory/resistant metastatic breast cancer. Patients will receive 17-AAG by IV infusion on days 1, 4, 8 and 11 of a 21-day cycle. Patients will continue protocol treatment indefinitely with stable or responsive disease.
ELIGIBILITY
  1. Patients must have primary adenocarcinoma of the breast confirmed by histology or cytology.
  2. Patients must have locally advanced or metastatic disease not amenable to surgery or radiation therapy with curative intent.
  3. Progressive disease following hormonal therapy in appropriate patients (ER-positive and/or indolent disease).
  4. Progressive disease following treatment with both an anthracycline and a taxane (as adjuvant therapy or for metastatic disease) or contraindication to such treatment.
  5. Patients must have normal kidney, liver and bone marrow function.
CONTACT Leda Dumadag , RN 216-844-5829
TITLE WAGM 1Y04: Phase I Dose Escalation Study of Oral SKI-606 in Subjects with Advanced Malignant Solid Tumors
DESCRIPTION This study is being done to evaluate the safety and tolerability of oral SKI-606 administered on a daily schedule to subjects with advanced malignant solid tumor and to define a maximum tolerated dose in this subject population. Patients will receive SKI-606 by mouth in the morning with water and food as a single dose on day 1 and as continuous once-daily dosing from day 3. All patients will receive SKI-606 until disease progression, unacceptable toxicity or withdrawal of consent for up to 9 cycles. Patients with evidence of clinical benefit (SD or better) after 9 cycles may continue to receive SKI-606.
ELIGIBILITY
  1. Patients must have advanced or recurrent solid malignancy confirmed histologically or cytologically for which no effective therapy is available.
  2. Patients must have measurable and/or evaluable disease as outlined by RECIST criteria.
  3. Patients must not have received any systemic antitumor agents or any investigational agent within 28 days prior to the first dose of test article.
  4. Patients must not have had prior exposure to SKI-606 or any other Src-kinase inhibitor.
  5. Patients must have normal kidney, liver and bone marrow function.
CONTACT Leda Dumadag , RN 216-844-5829
TITLE CWRU 6Z03: Impact of Treatment with Taxane or Platinum-Containing Regimens on Peripheral Nerve Functioning in Older Cancer Patients with Diabetes: An Exploratory Study
DESCRIPTION This study is being done to determine the change in peripheral nerve function of diabetics occurring during and after treatment with neurotoxic taxane or platinum-containing chemotherapy regimens. Data will be collected at baseline, and every 3 weeks of treatment for an average of 4 cycles of therapy, and two months after the completion of therapy providing 6 data points per subject over 6 months.
ELIGIBILITY
  1. Patients diagnosed with solid tumor cancers.
  2. Patients must be receiving neoadjuvant or adjuvant treatment for loco-regional definitive therapy or systemic therapy for metastatic (Stage IV) disease with taxane and/or platinum containing regimens.
  3. Patients must have a history of diabetes mellitus (Types I or II).
  4. Patients must not have received previous treatment with chemotherapy
CONTACT Leda Dumadag , RN 216-844-5829
TITLE NSABP B-31: A Randomized Trial Comparing the Safety and Efficacy of Adriamycin and Cyclophosphamide Followed by Taxol (AC – T) to that of Adriamycin and Cyclophosphamide Followed by Taxol plus Herceptin (AC-T) in Node-Positive Breast Cancer Patients who have Tumors that Overexpress HER2.
DESCRIPTION This study will compare the cardiotoxicity of four cycles of Adriamycin and cyclophosphamide (AC) followed by four cycles of Taxol, with that of the same chemotherapy regimen plus Herceptin, in patients with operable, histologically node-positive breast cancer which overexpresses the HER2 protein. Patients will be randomized to 1 of 2 groups. Patients in group 1 will receive AC and Taxol for 4 cycles. Patients in group 2 will receive AC and Taxol for 4 cycles plus Herceptin weekly for 1 year.
ELIGIBILITY
  1. Patients must have a diagnosis of invasive adenocarcinoma that is HER2-positive.
  2. Patients must have undergone either a total mastectomy and an axillary dissection or a lumpectomy and an axillary dissection.
  3. Patients must not have metastatic disease.
  4. Patients must have a life expectancy of at least 10 years, excluding a diagnosis of cancer.
  5. Patients must have normal heart, bone marrow, liver and kidney function.
CONTACT Leda Dumadag , RN 216-844-5829
TITLE IBCSG 24-02: A Phase III Trial Evaluating the Role of Ovarian Function Suppression and the Role of Exemestane as Adjuvant Therapies for Premenopausal Women with Endocrine Responsive Breast Cancer
DESCRIPTION This study will evaluate the worth of ovarian function suppression plus tamoxifen compared with tamoxifen alone for premenopausal women with steroid hormone receptor positive early invasive breast cancer who either receive adjuvant chemotherapy or remain premenopausal following adjuvant and/or neoadjuvant chemotherapy. Patients will be randomized to receive either Tamoxifen alone for 5 years or ovarian function suppression plus tamoxifen for 5 years or ovarian function suppression plus exemestane for 5 years.
ELIGIBILITY
  1. Patients must be premenopausal and must have histologically proven, resected breast cancer that is hormone receptor positive.
  2. Tumor must be confined to the breast and axillary nodes without detected metastases elsewhere, with the exception of tumor detected in internal mammary chain nodes by sentinel node procedure.
  3. Patients must have had proper surgery for primary breast cancer with no known clinical residual loco-regional disease.
  4. Either axillary lymph node dissection or a negative axillary sentinel node biopsy is required.
  5. Patients who have had a bilateral oopherectomy or ovarian irradiation or are planning oopherectomy within 5 years are not eligible.
CONTACT Leda Dumadag , RN 216-844-5829
TITLE NSABP B-36: A Clinical Trial of Adjuvant Therapy Comparing Six Cycles of 5-Fluorouracil, Epirubicin and cyclophosphamide (FEC) to Four Cycles of Adriamycin and Cyclophosphamide (AC), With or Without Celecoxib, in Patients with Node-Negative Breast Cancer
DESCRIPTION This study will determine superiority among the proposed regimens for prolonging disease-free survival in women with node-negative, hormone-receptor positive or negative breast cancer. Patients will be stratified based on hormone-receptor status and type of surgery. Patients will then be randomized to one of four treatment groups. Patients in treatment group 1 will receive AC for 4 cycles followed by daily Celecoxib for 3 years. Patients in treatment group 2 will receive AC for 4 cycles followed by daily placebo for 3 years. Patients in treatment group 3 will receive FEC for 6 cycles followed by daily Celecoxib for 3 years. Patients in treatment group 4 will receive FEC for 6 cycles followed by daily placebo for 3 years. All patients will receive hormonal therapy for 5 years.
ELIGIBILITY
  1. Patients must have a diagnosis of invasive adenocarcinoma that is T1-3 by clinical and pathologic evaluation and lymph nodes must be histologically negative by standard H & E staining.
  2. Patients must have a life expectancy of at least 10 years, excluding a diagnosis of breast cancer.
  3. The interval between the last surgery for breast cancer treatment and randomization must be no more than 84 days.
  4. Patients must have no evidence of metastatic disease.
  5. Patients must have normal heart, bone marrow, kidney and liver function.
CONTACT Leda Dumadag , RN 216-844-5829
TITLE CALGB 40101: Cyclophosphamide and Doxorubicin (CA) versus Paclitaxel as Adjuvant Therapy for Women with Node-Negative Breast Cancer: A 2x2 Factorial Phase III Randomized Study
DESCRIPTION This study will determine the equivalence of paclitaxel given every two weeks with CA given every two weeks as adjuvant therapy for women with high-risk node-negative breast cancer for disease-free survival. Patients will be randomized to receive either CA or paclitaxel. Patients will then be randomized to duration of therapy and will receive either 4 or 6 cycles of therapy. Patients in the standard chemotherapy arm will receive cyclophosphamide and doxorubicin administered every 14 days for 4 or 6 cycles. Patients in the single agent arm will receive paclitaxel administered every 14 days for 4 or 6 cycles. 
ELIGIBILITY
  1. Patients must have histologically confirmed invasive carcinoma of the female breast, with negative axillary lymph nodes.
  2. Patients must have undergone either modified radical mastectomy or lumpectomy, within 84 days of registration.
  3. Patients must not have received previous chemotherapy or hormonal therapy for this malignancy. Patients may have received up to 4 weeks of tamoxifen or another selective estrogen receptor modulator for prevention or for other indications. 
  4. Patients with locally advanced, metastatic or inflammatory breast cancer are not eligible.
  5. Patients must have normal bone marrow, liver and kidney function.
CONTACT Leda Dumadag , RN 216-844-5829
TITLE CASE 5Y03 A Double-Blind Randomized Trial of Pyridoxine versus Placebo for the Prevention of Doxil-Related Palmar-Plantar Erythrodysesthesia (Hand-Foot Syndrome)
DESCRIPTION This study will compare the efficacy of pyridoxine versus placebo in the prevention of PPE/HFS in patients treated with Doxil with recurrent ovarian cancer or metastatic breast cancer. Patients will be randomized to receive either Doxil plus Pyridoxine every 4 weeks or Doxil plus placebo every 4 weeks until disease progression or unacceptable toxicity. 
ELIGIBILITY
  1. Patients must be treated for recurrent ovarian cancer, metastatic breast cancer or advanced endometrial cancer.
  2. Patients must be initiating Doxil chemotherapy. Patients may receive concurrent chemotherapy so long as the additional chemotherapeutic agent does not cause PPE/HFS.
  3. Any hormonal therapy directed at the malignant tumor, must be discontinued at least one week prior to registration. Any other prior therapy directed at the malignant tumor, including radiotherapy, biological and immunologic agents, must be discontinued at least 3 weeks prior to registration.
  4. Patients who have had prior therapy with Doxil are not eligible.
    5. Patients must have normal bone marrow, liver, kidney and heart function.
CONTACT Nancy Fusco, RN 216-844-1661
TITLE NCIC MA.27: A Randomized Phase III Trial of Exemestane Versus Anastrozole With or Without Celecoxib in Post Menopausal Women with Receptor Positive Primary Breast Cancer
DESCRIPTION This study will compare event free survival between women treated with exemestane or anastrozole as adjuvant therapy. Patients will be randomized to one of four arms. Patients on all arms will receive treatment for 5 years or until recurrence/second malignancy is documented. Patients randomized to Arm 1 will receive oral Exemestane daily for 5 years plus twice daily oral Celecoxib for 3 years. Patients randomized to Arm 2 will receive oral Exemestane daily for 5 years plus twice daily oral Placebo for 3 years. Patients randomized to Arm 3 will receive oral Anastrozole daily for 5 years plus twice daily oral Celecoxib for 3 years. Patients randomized to Arm 4 will receive oral Anastrozole daily for 5 years plus twice daily oral Placebo for 3 years. 
ELIGIBILITY
  1. Patients must have completely resected and histologically confirmed invasive breast cancer which was pT1, pT2 or pT3, pNx, pN0, or pN1, M0 (AJCC).
  2. The primary tumor must be receptor-positive i.e., ER and/or PgR positive.
  3. Patients must have postmenopausal status prior to chemotherapy.
  4. Patients with only synchronous bilateral breast cancer are eligible. Either or both tumors need to have receptor positive markers. Once could be negative.
  5. Patients must have had a bilateral mammogram within 10 months prior to randomization.
  6. Patients must have no radiologic evidence of metastases.
  7. Patients must be randomized a minimum of 3 weeks and a maximum of 3 months after completion of chemotherapy.
  8. Patients must have adequate bone marrow, kidney and liver function.
CONTACT Leda Dumadag , RN 216-844-5829
TITLE CWRU 1100: Phase II Study of Safety and Tolerability of Adjuvant Chemotherapy with Continuous Infusion Paclitaxel and Dose Intense Cyclophosphamide and Hematopoietic Growth Factor Support followed by Doxorubicin for Stage II-IIIA Breast Cancer Involving >10 Lymph Nodes
DESCRIPTION The study will determine the safety of administering continuous infusion paclitaxel with dose intense cyclophosphamide as adjuvant therapy with filgrastim support. There will be close monitoring of febrile neutropenia and low neutrophil counts during the first cycle of therapy to evaluate for dose delays and dose reduction of the regimen.
ELIGIBILITY

 

  1. Men or women with Stage IIA-IIIA invasive breast cancer and 10 or more axillary lymph nodes; must have undergone lumpectomy or mastectomy with axillary lymph node dissection.
  2. Margins of resection must be free of disease and protocol treatment must begin within 8 weeks of surgery.
  3. ECOG Performance Status of 0 or 1
  4. No evidence of systemic metastatic disease after staging evaluation
  5. No severe concurrent medical or psychiatric illness
  6. Adequate renal, hepatic, and hematologic function as determined by blood levels
  7. Patients with a known sensitivity to E. coli are not eligible.
CONTACT Leda Dumadag , RN 216-844-5829
 

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