Memorial Sloan-Kettering Cancer Center

  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:f0e33b992f38dbfd3343c04e0614ec19' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>The purpose of this research study is to determine the highest dose of lenalidomide and RAD001 that can be given without causing too many serious side effects. Another goal of this research study is to look at how the participants cancer may respond to the study treatment. Additionally, we wish to learn more about how the body breaks down and gets rid of the study drugs. We will also try to find substances in the blood (biomarkers) that may help predict how myeloma will respond to study treatment.</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:f0e33b992f38dbfd3343c04e0614ec19' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>An Open-Label Phase I Study of the Safety of and Efficacy of RAD001 in Combination With Lenalidomide in the Treatment of Subjects With Relapsed and Relapsed/Refractory Multiple Myeloma</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:fb5767ad02c67e0fda784738a87c8ac4' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<ul>\n<li>Researchers are looking for the highest doses of RAD001 and lenalidomide used in combination that can be given safely so small groups of people will be enrolled in steps in this trial. The first group will be given a certain dose of RAD001 and a certain dose of lenalidomide. If they have few or manageable side effects, the next small group of people will be enrolled with a higher dose of RAD001 and/or a higher dose of lenalidomide. This will continue until the highest dose of the drugs used is determined.</li>\n<li>Study treatment will be given in 28 day cycles. Both RAD001 and lenalidomide are pills that are taken orally. Both drugs will be started on the same day. RAD001 will be taken either every other day or every day for the first 3 weeks (days 1-21) of each 28-day cycle. Lenalidomide will be taken daily for the first 3 weeks (days 1-21) of each cycle.</li>\n<li>Participants will come to the clinic weekly during the first cycle to monitor side effects. The following will be performed at these clinic visits:</li>\n</ul>\n<p> physical examination, medical history update, questionnaires, and blood work.\n<ul>\n<li>On cycles 2-8, participants will come to the clinic on Day 1 of each cycle. The following will be performed at this clinic visit: physical examination, medical history update, questionnaire, and blood word.</li>\n<li>At the end of cycle 8, a skeletal survey, bone marrow aspiration and biopsy will be performed to check response to study treatment.</li>\n<li>Participants may continue to receive RAD001 and lenalidomide beyond 8 cycles if their cancer does not get worse and they do not have unacceptable side effects.</li>\n</ul>\n</p>', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:52563a5c5df3d2392a037b6e8cf12f88' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Inclusion Criteria:\n<ul>\n<li>Subject was previously diagnosed with multiple myeloma bases on standard criteria listed in protocol</li>\n<li>Patients must have relapsed or relapsed/refractory disease</li>\n<li>18 years of age or older</li>\n<li>All necessary baseline studies for determining eligibility must be obtained within 21 days prior to enrollment</li>\n<li>ECOG Performance Status of 0 to 2</li>\n<li>Able to take aspirin (81 or 325mg) daily as prophylactic anticoagulation</li>\n<li>Prior thalidomide/lenalidomide therapy is allowed</li>\n<li>Able to take bactrim</li>\n<li>Female of childbearing potential must have a negative serum or urine pregnancy test</li>\n</ul>\n</p><p> Exclusion Criteria:\n<ul>\n<li>Renal insufficiency</li>\n<li>Concommitant therapy medications that include corticosteroids or other chemotherapy that is or may be active against myeloma or therapy with chemotherapy within 2 weeks prior to day 1. Nitrosoureas must be discontinued 6 weeks prior to day 1. Concurrent radiation therapy is not permitted.</li>\n<li>Subjects with evidence of mucosal or internal bleeding and/or platelet refractory</li>\n<li>Subjects with poorly controlled diabetes mellitus</li>\n<li>Subjects with an ANC &lt; 10-00 cells/mm3</li>\n<li>Subjects with a hemoglobin &lt; 8.0 g/Dl</li>\n<li>AST (SGOT and ALT (SGPT) greater or equal to 2x ULN</li>\n<li>Prior therapy with RAD001</li>\n<li>Known hypersensitivity to thalidomide or lenalidomide</li>\n<li>Any condition, including laboratory abnormalities, that in the opinion of the Investigator, places the subject at unacceptable risk if he/she were to participate in the study</li>\n<li>Clinically relevant active infection or serious co-morbid medical conditions such as recent thromboembolic disease are ineligible if occurred less than 2 weeks prior to enrollment or clinically unstable</li>\n<li>Chronic obstructive or chronic restrictive pulmonary disease, difficult to control diabetes, upper gastrointestinal ulceration, and cirrhosis</li>\n<li>Prior malignancy (within the last 3 years) except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, in situ breast cancer, in situ prostate cancer or other cancer for which the subject has been disease-free for at least 3 years</li>\n<li>Pregnant or breast-feeding females</li>\n<li>Prior treatment with any investigational drug within preceding 4 weeks</li>\n<li>Major surgery, and or radiation with 2 weeks of study initiation</li>\n<li>Uncontrolled leptomeningeal disease</li>\n<li>Prior treatment with other mTOR inhibitors</li>\n<li>The use of G-CSF is not permitted to render the patient eligible fot the study</li>\n<li>POEMS syndrome</li>\n<li>Known HIV infection</li>\n<li>Known active Hepatitis B or C infection</li>\n<li>Myocardial infarction within 6 months prior to enrollment or has NYHA Class III or IV heart failure, uncontrolled ventricular arrhythmias, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities</li>\n<li>Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of RAD001</li>\n<li>Patients with active, bleeding diathesis or on oral anti-vitamin K medication</li>\n</ul>\n</p>', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:73401cf21714e936a9622aa906700d95' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>To evaluate the response to the combination of RAD001 and lenalidomide in subjects with multiple myeloma. [&nbsp;Time&nbsp;Frame:&nbsp;2 years&nbsp;] [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:0a066cc0ec082fe55ceb77bff62dbdf2' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:9b686ad73776dec78d59b5efbb53b7a4' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>To determine the pharmacokinetics of RAD001 and lenalidomide. [&nbsp;Time&nbsp;Frame:&nbsp;2 years&nbsp;] [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;Yes&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:9b686ad73776dec78d59b5efbb53b7a4' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:38040d490edfd3ff18b7d2ab62480acd' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>To identify possible surrogate markers to better define mechanisms of action for the combination of the two drugs. [&nbsp;Time&nbsp;Frame:&nbsp;2 years&nbsp;] [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:38040d490edfd3ff18b7d2ab62480acd' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:ff4298748f037e3a01fd6a941b24e6cc' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>RATIONALE: Aflibercept may stop the growth of tumor cells by blocking blood flow to the tumor and by carrying tumor-killing substances directly to thyroid cancer cells. PURPOSE: This phase II trial is studying how well aflibercept works in treating patients with recurrent and/or metastatic thyroid cancer that has not responded to radioactive iodine therapy.</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:ff4298748f037e3a01fd6a941b24e6cc' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>A Phase II Study of Single Agent Intravenous (IV) in Patients With Poor Prognostic Recurrent and/or Metastatic Thyroid Cancer After RAI Therapy</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:1d5f407716cd1095cce70c1112e76d1a' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>OBJECTIVES: Primary\n<ul>\n<li>To determine the radiographic response rate, per RECIST criteria, in patients with recurrent and/or metastatic, radioactive iodine-refractory, differentiated thyroid carcinoma of follicular cell origin after completion of 8 weeks of intravenous aflibercept therapy.</li>\n<li>To determine the 6-month progression-free survival rate in patients treated with this drug.</li>\n</ul>\n</p><p> Secondary\n<ul>\n<li>To determine the safety and toxicity profile of this drug in these patients.</li>\n<li>To determine the biologic effect of this drug on fludeoxyglucose F 18 (FDG) avidity after 8 weeks of therapy in these patients using pre- and post-treatment FDG-PET scans.</li>\n<li>To correlate thyroglobulin concentration with radiographic response at 8 weeks and progression-free survival at 6 months in patients treated with this drug.</li>\n<li>To correlate pre-treatment serum VEGF concentration with clinical outcomes after therapy in these patients.</li>\n</ul>\n</p><p> Tertiary\n<ul>\n<li>To determine the population pharmacokinetics of this drug in these patients.</li>\n<li>To determine whether antibodies to this drug develop in these patients.</li>\n</ul>\n</p><p> OUTLINE: Patients receive aflibercept IV over 1 hour on day 1. Treatment repeats every 14 days for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients experiencing clear clinical benefit with aflibercept may continue treatment beyond 12 months, at the discretion of the study sponsor. Patients undergo fludeoxyglucose F 18 (FDG)-PET scans at baseline and after 8 weeks of study therapy to evaluate changes in FDG avidity on FDG-PET scan. Blood samples are obtained at baseline and periodically during study for laboratory correlative studies. Samples are examined for pretreatment serum VEGF concentration, thyroglobulin levels (when elevated) after 8 weeks of therapy, serum pharmacokinetics of aflibercept by ELISA, and anti-aflibercept antibodies. After completion of study therapy, patients are followed for up to 3 months.</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:0eeddc6b425c97aa0650d3a509673bd5' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>DISEASE CHARACTERISTICS:\n<ul>\n<li>Histopathologically confirmed differentiated thyroid carcinoma of follicular cell origin, including any of the following histologies and their respective variants:\n<ul>\n<li>Papillary</li>\n<li>Follicular</li>\n<li>H&#252;rthle cell</li>\n</ul>\n</li>\n<li>Must have surgically inoperable and/or recurrent or metastatic disease</li>\n<li>At least one fludeoxyglucose F 18 (FDG)-PET-avid lesion, defined as any focus of increased FDG uptake &gt; normal mediastinal activity with standard uptake variable (SUV) maximum levels &#8805; 3, as documented by baseline PET scan</li>\n<li>Measurable disease, defined as &#8805; 1 unidimensionally measurable lesion &#8805; 20 mm by conventional techniques or &#8805; 10 mm by spiral CT scan</li>\n<li>Progressive disease, defined by &#8805; 1 of the following occurring during or after prior treatment (e.g., radioactive isotope [RAI] treatment):\n<ul>\n<li>Presence of new or progressive lesions on CT scan or MRI</li>\n<li>New lesions on bone scan or PET scan</li>\n<li>Rising thyroglobulin level documented by a minimum of 3 consecutive rises, with an interval of &gt; 1 week between each determination</li>\n</ul>\n</li>\n<li>Refractory to RAI, as defined by one of the following:\n<ul>\n<li>Absent or insufficient RAI uptake in either all lesions and/or the index lesion (e.g., dominant mass) as documented by whole body RAI scan &lt; 6 months prior to initiation of therapy on this protocol\n<ul>\n<li>Insufficient uptake will be defined as &quot;faint&quot; or &quot;minimal&quot; based on independent assessment by 2 observers from either endocrinology or nuclear medicine\n<ul>\n<li>In the setting of insufficient uptake, &#8805; 1 evaluable lesion with absent RAI uptake must be present</li>\n</ul>\n</li>\n</ul>\n</li>\n<li>Progression of disease after RAI treatment, as defined above\n<ul>\n<li>RAI treatment must occur within 6 months of repeat imaging and/or thyroglobulin testing</li>\n</ul>\n</li>\n<li>FDG-avid lesions via PET scan</li>\n</ul>\n</li>\n<li>No known history of brain metastasis</li>\n</ul>\n</p><p> PATIENT CHARACTERISTICS:\n<ul>\n<li>ECOG performance status (PS) 0-2 OR Karnofsky PS 60-100%</li>\n<li>ANC &#8805; 1,500/mcL</li>\n<li>Platelet count &#8805; 75,000/mcL</li>\n<li>WBC &#8805; 3,000/mcL</li>\n<li>Total bilirubin &#8804; 1.5 times upper limit of normal(ULN)</li>\n<li>AST and ALT &#8804; 2.5 times ULN</li>\n<li>Creatinine &#8804; 1.5 times ULN OR creatinine clearance &#8805; 60 mL/min</li>\n<li>INR &#8804; 1.2 (&#8804; 1.5 times ULN if on prophylactic-dose anticoagulation)</li>\n<li>Urine protein:creatinine ratio &lt; 1 OR 24-hour urine protein &lt; 500 mg</li>\n<li>Not pregnant or nursing</li>\n<li>Negative pregnancy test</li>\n<li>Fertile patients must use effective contraception during and for &#8805; 6 months after completion of study therapy</li>\n<li>Must have documentation of stable blood pressure on 3 separate days prior to the start of treatment, including the reading at the screening visit and two historical readings within the past 3 months</li>\n<li>No known hypersensitivity to Chinese hamster ovary cell products or other recombinant human antibodies</li>\n<li>No history of allergic reactions attributed to compounds of similar chemical or biologic composition to other agents used in the study</li>\n<li>No serious or non-healing wound, ulcer, or bone fracture</li>\n<li>No abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess in the past 28 days</li>\n<li>No significant traumatic injury within the past 28 days</li>\n<li>No clinically significant cardiovascular disease, defined as any of the following:\n<ul>\n<li>Cerebrovascular accident within the past 6 months</li>\n<li>Uncontrolled hypertension, defined as systolic blood pressure &gt; 180 mm Hg OR diastolic blood pressure &gt; 105 mm Hg on &#8805; 2 repeated determinations on separate days within the past 3 months</li>\n<li>Myocardial infarction within the past 6 months</li>\n<li>Coronary artery bypass grafting or unstable angina within the past 6 months</li>\n<li>NYHA grade III-IV congestive heart failure</li>\n<li>Serious cardiac arrhythmia requiring anti-arrhythmic medication</li>\n<li>Canadian Cardiovascular Class grade III or greater angina within the past 6 months</li>\n<li>Clinically significant peripheral vascular disease within the past 6 months</li>\n<li>Pulmonary embolism, deep-vein thrombosis, or other thromboembolic event within the past 6 months</li>\n<li>Uncontrolled coronary artery disease, angina, congestive heart failure, or ventricular arrhythmia requiring acute medical management</li>\n<li>Myocardial infarction, cerebrovascular accident, or transient ischemic attack within the past 6 months</li>\n</ul>\n</li>\n<li>No evidence of bleeding diathesis or coagulopathy</li>\n<li>No uncontrolled intercurrent illness including, but not limited to, ongoing or active infection or psychiatric illness or social situation that would limit study compliance</li>\n</ul>\n</p><p> PRIOR CONCURRENT THERAPY:\n<ul>\n<li>See Disease Characteristics</li>\n<li>Recovered from prior therapy</li>\n<li>No prior VEGF-targeted antibody therapy (e.g., bevacizumab or aflibercept)</li>\n<li>More than 4 weeks since prior systemic therapy or radiotherapy</li>\n<li>More than 7 days since prior core biopsy</li>\n<li>Up to 1 prior targeted biologic agent (e.g., small-molecule tyrosine kinase inhibitor or histone deacetylase inhibitor) allowed provided treatment was stopped &#8805; 4 weeks prior to initiation of therapy on this study</li>\n<li>Up to 1 prior cytotoxic chemotherapy (e.g., doxorubicin hydrochloride) allowed provided treatment was stopped &#8805; 4 weeks prior to initiation of therapy on this study</li>\n<li>Prior systemic chemotherapy administered as part of initial definitive treatment (e.g., as a radiation sensitizer or as initial adjuvant therapy) allowed provided treatment was stopped &#8805; 3 months prior to initiation of therapy on this study and does not count in the determination of prior targeted or cytotoxic therapy</li>\n<li>At least 4 weeks since prior cyclooxygenase-2 (COX-2) inhibitors, cis-retinoic acid, or complementary medications, even if given with anti-cancer intent\n<ul>\n<li>Medications given for a specific clinical indication (e.g., daily aspirin status post myocardial infarction or COX-2 inhibitors at standard anti-inflammatory/pain doses) may be continued based on the clinical judgment of the involved investigator</li>\n</ul>\n</li>\n<li>Prior RAI therapy allowed provided it was stopped &gt; 3 months prior to initiation of therapy on this protocol and evidence of progression (as defined above) has been documented in the interim\n<ul>\n<li>A diagnostic study using &lt; 10 mCi of RAI is not considered RAI therapy</li>\n</ul>\n</li>\n<li>Prior external-beam radiotherapy to index lesions allowed provided there has been documented progression by RECIST criteria and at least 4 weeks have elapsed\n<ul>\n<li>At least 4 weeks since prior external-beam radiation therapy to non-index lesions</li>\n</ul>\n</li>\n<li>At least 4 weeks since prior surgery</li>\n<li>Concurrent therapeutic-dose anticoagulants (e.g., warfarin) with PT INR &gt; 1.5 allowed provided that both of the following criteria are met:\n<ul>\n<li>In-range INR appropriate to the treatment indication (e.g., between 2 and 3 for atrial fibrillation) AND on a stable dose of oral anticoagulant or on a stable dose of low molecular weight heparin</li>\n<li>No active bleeding or pathological condition that carries a high risk of bleeding (e.g., tumor involving major vessels or known varices)</li>\n</ul>\n</li>\n<li>Patients receiving concurrent antihypertensive agents must have documentation of the date of the last change in dosage</li>\n<li>No other concurrent investigational agents</li>\n<li>No major surgical procedure or open biopsy within the past 28 days</li>\n<li>No anticipation of need for major surgical procedures during the course of the study</li>\n</ul>\n</p>', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:d9383b9e55a51c8355f5c9212663f319' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Pharmacokinetics [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:1911b8a9e43d11d1377c49510aa0ae00' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Radiographic response rate as assessed by RECIST criteria after completion of 8 weeks of study therapy [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:9c40809e5d66cdc54e1757234b1c4092' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>6-month progression-free survival rate [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:f05044c2336d046d5366f0f6e61b9e3a' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Safety and toxicity profile, in terms of adverse events, laboratory data, and vital sign data [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;Yes&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:352be204b71315044ec6db5592cd2a8d' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Biologic effect of aflibercept on fludeoxyglucose F 18 avidity at 8 weeks [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:28ab42690c856b38dd41caa4b5029fb2' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Correlation of thyroglobulin concentration with radiographic response at 8 weeks [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:6895617c887d117c7447587cf9f310b6' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Correlation of thyroglobulin concentration with progression-free survival at 6 months [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:cd0d9fbfcc69cf66e5fa4ce4e8bb3a19' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Correlation of pre-treatment serum aflibercept concentration with clinical outcomes after therapy [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:bfe6a773cae2ff2de6bda0ae315b34f8' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:b222303f60d7a9ccc5c52287279984e4' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Development of aflibercept antibodies [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:b222303f60d7a9ccc5c52287279984e4' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:bae5d473cc2761ad4bdd1a12040f68dc' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>The purpose of this study is to use cone-beam CT scans to more accurately position the tumor during radiation and to see whether this method is more effective than the standard method of using 2D images (portal images), which is a type of X-ray. Cone-beam CT is a type of CT scanner attached to the treatment accelerator that produces 3D images of the patient. The ability to eliminate the tumor with radiation depends in part on the accuracy of delivering the radiation to the lung. The position of the tumor changes because of normal breathing. Therefore, we want to improve the accuracy of the way the radiation is delivered to the tumor. With cone-beam CT scans taken before and during your treatment, we will be able to determine the location of the tumor with 3D images, measure how much the tumor moves as you breathe, and then position you so that the tumor will get the best delivery of radiation.</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:bae5d473cc2761ad4bdd1a12040f68dc' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:dea763c255016639053364de5258421b' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>The Use of Multiple Respiration-Correlated Cone Beam CT Scans to Reduce Target Positioning Errors in Radiotherapy Treatment of Thoracic Cancer.</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:dea763c255016639053364de5258421b' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:cc7819055cde3194bb3b136bad5cf58d' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>&nbsp;</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:cc7819055cde3194bb3b136bad5cf58d' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:457e1279b1f6cb83e047166c0b90c04f' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Inclusion Criteria:\n<ul>\n<li>Patients must have histologic proof of a thoracic malignancy, confirmed at MSKCC and suitable for radiation therapy, in order to be eligible for this study.</li>\n<li>Patients must be older than 18 years of age</li>\n<li>At least part of the tumor must be visible as observed in a diagnostic or planning CT. Patients must have Karnofsky Performance Status &#8805; 70%</li>\n</ul>\n</p><p> Exclusion Criteria:\n<ul>\n<li>Pregnant Women</li>\n</ul>\n</p>', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:457e1279b1f6cb83e047166c0b90c04f' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:c78d7ec5568ad72b3fd12b3f2b370c8c' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>HER2 is a protein that sits on the surface of breast cancer cells in some people. Because you are one of these people, your breast cancer is called &quot;HER2-positive.&quot; The HER2 protein is involved in the growth of your breast cancer. Certain drugs can interfere with the ability of the HER2 protein to cause breast cancer growth. Trastuzumab is one of these drugs. You must have already received trastuzumab as treatment for your breast cancer to be considered for this study. Other drugs are being studied in women with HER2-positive breast cancer. Lapatinib (Tykerb&#8482;) blocks signals that stimulate HER2-positive breast cancers to grow. The FDA approved lapatinib for use with capecitabine (Xeloda&#8482;) in patients who have metastatic breast cancer that has grown or spread after treatment with trastuzumab. Capecitabine was approved by the FDA in 1998 for treating metastatic breast cancer. Capecitabine is a pill that blocks the way cancer cells multiply and grow. Usually, this medicine is taken twice a day for fourteen days. Then, patients do not take the pill for seven days. With this schedule and dose, some patients have had side effects that interfered with their comfort. We have used mathematical models to recommend a new schedule of capecitabine. In animals, 7 days of treatment with capecitabine followed by a 7-day break was safer and more active against breast cancer. The purpose of this study is to find out what effect (both good and bad) capecitabine has on you and your breast cancer when given in this new schedule and combined with lapatinib.</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:c78d7ec5568ad72b3fd12b3f2b370c8c' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:5ff8856c932ce51232cbee3f841a8071' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>This study is being done to see if lymph nodes that drain the arm also drain the breast. An axillary lymph node dissection removes lymph nodes under the arm. It is done to help prevent cancer cells from spreading to the rest of the body. Usually, about 12 to 15 nodes are removed. They are then examined to see if they have cancer cells. Removing these lymph nodes has some side effects. The most common is lymphedema. This is the build-up of fluid in the arm. This study will tell us if it may be possible in the future to identify lymph nodes that just drain the arm. Leaving those nodes may help to reduce the rate of lymphedema for future patients.</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:5ff8856c932ce51232cbee3f841a8071' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:2947f2abbab869625956c0eeaa6e0f03' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Upper Extremity Lymphatic Mapping for Breast Cancer Patients: A Pilot Study</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:2947f2abbab869625956c0eeaa6e0f03' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:cc7819055cde3194bb3b136bad5cf58d' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>&nbsp;</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:cc7819055cde3194bb3b136bad5cf58d' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:5898f56d5e6aec5f9e80853a3f3a24af' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Inclusion Criteria:\n<ul>\n<li>Females with Stage II invasive breast cancer and documented axillary metastases by core biopsy, clinical examination, or fine-needle aspiration who are scheduled to undergo an ALND.</li>\n<li>Females &gt; 21 years of age</li>\n</ul>\n</p><p> Exclusion Criteria:\n<ul>\n<li>Prior ipsilateral axillary surgery</li>\n<li>Prior ipsilateral axillary radiation</li>\n<li>Prior ipsilateral breast cancer</li>\n<li>Prior ipsilateral breast radiation</li>\n<li>Allergy to isosulfan blue dye</li>\n<li>History of ipsilateral upper extremity lymphedema</li>\n<li>Prior history of surgical excision of the upper outer quadrant of the ipsilateral breast</li>\n<li>Prior history of neoadjuvant chemotherapy for current breast cancer</li>\n<li>Bulky axillary disease at presentation (N2)</li>\n</ul>\n</p>', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:5898f56d5e6aec5f9e80853a3f3a24af' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:f10fbc1c1cfe156012ba694ef6cc8677' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Number and prevalence of metastases of blue nodes in the ALND specimen (nodes draining the breast). [&nbsp;Time&nbsp;Frame:&nbsp;conclusion of the study&nbsp;] [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:f10fbc1c1cfe156012ba694ef6cc8677' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:4444e4551458507b86064cf28505c2af' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Number and prevalence of metastases of radioactive nodes in the ALND specimen (nodes draining the ipsilateral upper extremity). [&nbsp;Time&nbsp;Frame:&nbsp;conclusion of the study&nbsp;] [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:4444e4551458507b86064cf28505c2af' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:06690e61340deeccf824250899840879' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Number and prevalence of metastases of nodes that are neither blue nor radioactive. [&nbsp;Time&nbsp;Frame:&nbsp;conclusion of the study&nbsp;] [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:06690e61340deeccf824250899840879' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:82f5153c3589f3c5ee58a4b269473bfd' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>The purpose of this study is to learn how many lung cancer survivors will agree to a physical activity program. We also want to know if lung cancer survivors benefit from this program. This information will help us to develop our services for lung cancer survivors.</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:82f5153c3589f3c5ee58a4b269473bfd' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:0b9c1f215b78743e70da3f5b334bc135' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>The purpose of this study is to test if cetuximab (Erbitux) can shrink lung cancers that initially became smaller after taking erlotinib and then started to get bigger despite continuing treatment. Cetuximab is a medicine approved by the U.S. Food and Drug administration for treatment of head and neck and colon cancer. The goal of the phase I portion of this trial is to find out the highest dose of cetuximab that can be taken together with erlotinib. This study will also give an idea of how well cetuximab shrinks lung cancer when given with erlotinib. The purpose of this study is to test if cetuximab (Erbitux) can shrink lung cancers that initially became smaller after taking erlotinib or gefitinib and then started to get bigger despite continuing treatment. Cetuximab is a medicine approved by the U.S. Food and Drug administration for treatment of head and neck and colon cancer. The goal of this phase is to determine if cetuximab given with erlotinib causes lung cancers to shrink in size.</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:0b9c1f215b78743e70da3f5b334bc135' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:618f4a53d9ff7a23802643457a94c3ba' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>A Phase I/II Trial of Cetuximab in Patients With Lung Adenocarcinoma Receiving Erlotinib That Have Developed &quot;Acquired Resistance&quot; to Erlotinib</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:618f4a53d9ff7a23802643457a94c3ba' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:cc7819055cde3194bb3b136bad5cf58d' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>&nbsp;</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:cc7819055cde3194bb3b136bad5cf58d' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:bea8badc76e91e5594bae9adcc12d4ea' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Inclusion Criteria:\n<ul>\n<li>Pathologic evidence of lung adenocarcinoma confirmed at MSKCC</li>\n<li>Measurable (RECIST) indicator lesions not previously irradiated</li>\n<li>Radiographic progression by RECIST during treatment with erlotinib</li>\n<li>Received treatment with erlotinib throughout the one month prior to enrollment</li>\n<li>Received treatment with erlotinib for &gt;3 months</li>\n<li>At least one of the following:</li>\n<li>Previously received treatment with erlotinib, gefitinib, or an investigational EGFR TK inhibitor (patients may have received other treatments subsequently including radiation or chemotherapy) and had a radiographic partial or complete response to treatment as defined by RECIST criteria</li>\n<li>A documented mutation in EGFR exons 19 or 21.</li>\n<li>Karnofsky performance status &#8805; or = to 70%</li>\n<li>Total bilirubin: within normal institutional limits. AST/(SGOT)/ALT(SGPT)&lt; or = to 2.5 X institutional upper limit of normal (ULN)</li>\n<li>Signed informed consent</li>\n<li>Effective contraception *</li>\n<li>Age &gt; 18 years old\n<ul>\n<li>Sexually active women of childbearing potential must use an effective method of birth control during the course of the study, in a manner such that risk of failure is minimized. Prior to study enrollment, women of childbearing potential (WOCBP) must be advised of the importance of avoiding pregnancy during trial participation and the potential risk factors for an unintentional pregnancy. In addition, men enrolled on this study should understand the risks to any sexual partner of childbearing potential and should practice an effective method of birth control. All WOCBP MUST have a negative pregnancy test within two weeks prior to first receiving investigational product. If the pregnancy test is positive, the patient must not receive investigational product and must not be enrolled in the study. In addition, all WOCBP should be instructed to contact the Investigator immediately if they suspect they might be pregnant (e.g., missed or late menstrual period) at any time during study participation. The Investigator must immediately notify BMS in the event of a confirmed pregnancy in a patient participating in the study.</li>\n</ul>\n</li>\n</ul>\n</p><p> Exclusion Criteria:\n<ul>\n<li>CNS lesions which are symptomatic and/or requiring escalating doses of corticosteroids.</li>\n<li>Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.</li>\n<li>Prior cetuximab or panitumumab. Prior severe infusion reaction to a monoclonal antibody.</li>\n<li>Current grade 2 or greater skin toxicity on erlotinib therapy</li>\n<li>Radiotherapy &#8804; or = to 14 days prior to enrollment</li>\n<li>Any investigational agent or therapy &#8804; or = to 30 days before enrollment</li>\n<li>Systemic chemotherapy, hormonal therapy, immunotherapy, or experimental or approved proteins/antibodies (except erlotinib) &#8804; or = to 30 days before enrollment</li>\n<li>Women who are pregnant or lactating.</li>\n<li>Known positive test(s) for human immunodeficiency virus infection, hepatitis C virus, acute or chronic active hepatitis B infection</li>\n<li>Major surgery within 28 days or minor surgery within 14 days of study enrollment</li>\n<li>Men or women of child-bearing potential (women who are post-menopausal &lt; 52 weeks, not surgically sterilized, or not abstinent) not consenting to use adequate contraception (per institutional standard of care) during the course of the study and after the last investigational product(s) administration (24 weeks for women, 4 weeks for men)</li>\n</ul>\n</p>', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:bea8badc76e91e5594bae9adcc12d4ea' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:540c49a5ca1fe4a396563c9a979c20f5' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>For patients with this type of cancer, the standard of care is treatment with chemotherapy. Radiation therapy is typically not used. This is because radiation to the entire lining of the lung has many side effects that are often severe including damage to the lung (pneumonitis). There is a new radiation technique using Intensity Modulated Radiation Therapy (IMRT) that has been shown to reduce many of the side effects of standard radiation therapy. This type of radiation therapy specifically targets the lining of the lung, where you have your cancer, and reduces the risk of damaging the lung itself. The purpose of this study is to test the safety and toxicity of standard chemotherapy followed by IMRT.</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:540c49a5ca1fe4a396563c9a979c20f5' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:62db201b39026db48e66b0d0fda026b6' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Phase II Toxicity Study Using Chemotherapy Followed by Intensity Modulated Radiation Therapy to the Pleura in Patients With Locally Advanced But Unresectable Malignant Pleural Mesothelioma</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:62db201b39026db48e66b0d0fda026b6' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:cc7819055cde3194bb3b136bad5cf58d' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>&nbsp;</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:cc7819055cde3194bb3b136bad5cf58d' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:6608b704f4171eb971c35340addff9cf' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Inclusion Criteria:\n<ul>\n<li>Patients must have a pathologically confirmed diagnosis of malignant pleural mesothelioma.</li>\n<li>Patients must have unresectable disease, defined as locally advanced and surgically unresectable or medically inoperable.</li>\n<li>No prior chemotherapy or radiation therapy.</li>\n<li>Patient age &#8805; or = to 18 years on day of signing informed consent.</li>\n<li>Karnofsky performance status &#8805; or = to 70%</li>\n<li>Patients must have the ability to take folic acid, Vitamin B12, and dexamethasone according to protocol.</li>\n<li>Patient must have the ability to interrupt NSAIDS 2 days before (5 days for longacting NSAIDs), the day of, and 2 days following administration of pemetrexed.</li>\n<li>Pulmonary Function Tests:</li>\n<li>FEV1 &#8805; 30% of predicted postoperative (ppoFEV1) (as if the patient underwent a pneumonectomy) based on the following formula using the quantitative</li>\n</ul>\n</p><p> V/Q scan:\n<ul>\n<li>Predicted post-resection FEV1 = FEV1 x % perfusion to uninvolved lung from the quantitative V/Q scan report.</li>\n<li>DLCO &gt; 35% predicted</li>\n<li>Patient must have adequate organ function as indicated by the following laboratory values:</li>\n<li>Hematological:</li>\n<li>Absolute neutrophil count &#8805; or = to 1,500 /mcL</li>\n<li>Platelets &#8805; or = to 100,000 / mcL</li>\n<li>Renal Calculated creatinine clearance (CrCl) &#8805; or = to 55 mL/min (Creatinine clearance must be calculated using Cockcroft &amp; Gault method)</li>\n<li>Hepatic</li>\n<li>Serum total bilirubin &#8804; or = to 1.5 X upper limit of normal (ULN) AST (SGOT) or ALT (SGPT) &#8804; or = to 3.0 X ULN</li>\n</ul>\n</p><p> Exclusion Criteria:\n<ul>\n<li>Pregnant or lactating women, or men or women not using effective contraception.</li>\n<li>Patients with an active infection that require systemic antibiotics, antiviral, or antifungal treatments.</li>\n<li>Patients with a concurrent active malignancy.</li>\n<li>Patients with serious unstable medical illness.</li>\n<li>Presence of third space fluid that cannot be controlled by drainage. For patients who develop or have baseline clinically significant pleural effusions before or during initiation of pemetrexed therapy consideration should be given to draining the effusion prior to dosing.</li>\n</ul>\n</p>', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:6608b704f4171eb971c35340addff9cf' in /persistent/html/includes/cache.inc on line 109.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '1:f48caab32cc32d4356457b6f54ada17b' in /persistent/html/includes/cache.inc on line 26.
  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>To determine the pattern of progression: local recurrence versus metastatic disease. [&nbsp;Time&nbsp;Frame:&nbsp;conclusion of study&nbsp;] [&nbsp;Designated&nbsp;as&nbsp;safety&nbsp;issue:&nbsp;No&nbsp;]</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:f48caab32cc32d4356457b6f54ada17b' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Standard chemotherapy drugs generally work by killing rapidly dividing cells in your body. Cancers cells are some of the most rapidly dividing cells and that is why chemotherapy can be effective in some patients. Gemcitabine and Cisplatin are an effective and standard drug combination used to treat locally advanced and metastatic urothelial cancer. However, these drugs do not shrink tumors in all patients and when they do, it is generally for a limited amount of time. This has led scientists to look for different ways to treat cancer. New drugs have been developed to treat cancer that work differently than standard chemotherapy drugs. These drugs attempt to decrease the blood supply to tumors. By doing so, this may limit the tumor\'s source of oxygen and nutrients and prevent the tumor from growing. Sorafenib is an example of a drug that works in this way. In some patients with advanced kidney cancer, sorafenib alone has been shown to slow the progression of their disease. The purpose of this study is to find out what effects, good and/or bad, the combination of gemcitabine, cisplatin, and sorafenib has on you and your cancer.</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:f6360cd0ad63fac40f0c481e3df9658a' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>Inclusion Criteria:\n<ul>\n<li>Patients must have measurable or evaluable urothelial cancer.\n<ul>\n<li>Measurable disease includes unresectable or metastatic urothelial tract tumors that are unidimensionally measurable by xray,CT/MRI scan or physical examination.</li>\n<li>Evaluable disease is restricted to patients with unresectable primary bladder tumors which can be evaluated for response by cystoscopy.</li>\n</ul>\n</li>\n<li>Pathologic confirmation by the Department of Pathology at MSKCC.</li>\n<li>Karnofsky Performance Status (KPS) &#8805;60%.</li>\n<li>Adequate marrow function defined as granulocytes &#8805; 1500 cells/mm 3 , platelets &#8805; 100,000 cells/mm 3 , and hemoglobin &#8805; 8.0 g/dl.</li>\n<li>Serum creatinine &lt; 2.0 mg/dl</li>\n<li>24-hour urine sample demonstrating creatinine clearance &#8805; 60 ml/min/1.73m2 or calculated creatinine clearance &#8805; 60 ml/min/1.73m 2 using the formula: Jeliffe Equation: estimated creatinine clearance =&#65279; 98 x (0.8 [age(yrs) 20]/Serum Creatinine (mg/dL) x (0.9 if Female))</li>\n<li>Adequate hepatic function defined as:\n<ul>\n<li>Total Bilirubin &lt; or = to 1.5 x ULN</li>\n<li>AST and ALT &lt; or = to 3.0 x ULN (&lt; or = to 5.0 x ULN is acceptable if liver has tumor involvement)</li>\n</ul>\n</li>\n<li>Normal coagulation profile including PT/INR and PTT, unless patient is receiving anticoagulation therapy with agents such as warfarin or heparin.</li>\n<li>Age &#8805; 18 years</li>\n<li>Informed consent</li>\n<li>Women of childbearing potential must have a negative pregnancy test.</li>\n<li>Men and women of childbearing potential must be willing to consent to using effective contraception while on treatment and for at least 3 months thereafter.</li>\n<li>Patients are encouraged to continue barrier method contraception for two years or longer after treatment.</li>\n</ul>\n</p><p> Exclusion Criteria:\n<ul>\n<li>Prior treatment with systemic chemotherapy (prior intravesical therapy is permitted).</li>\n<li>Current, recent (within 4 weeks of the first infusion of this study), or planned participation in an experimental drug study.</li>\n<li>Blood Pressure of &gt; 150/100 mm Hg.</li>\n<li>Irradiation within 4 weeks of start of protocol.</li>\n<li>Evidence of another active cancer, except for nonmelanoma skin carcinoma, insitu carcinoma of the cervix curatively treated, and adenocarcinoma of the prostate that has been surgically treated with a post-treatment PSA that is nondetectable.</li>\n<li>Significant cardiovascular disease including congestive heart failure (New York Heart Association Class II or higher) or active angina pectoris.</li>\n<li>History of a myocardial infarction within 6 months.</li>\n<li>History of a stroke or transient ischemic attack within 6 months.</li>\n<li>Clinically significant peripheral vascular disease.</li>\n<li>Evidence of bleeding diathesis or coagulopathy.</li>\n<li>Presence of central nervous system or brain metastases.</li>\n<li>Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 0.</li>\n<li>Minor surgical procedures such as fine needle aspirations or core biopsies within 7 days prior to Day 0.</li>\n<li>History of abdominal fistula, gastrointestinal perforation, or intraabdominal abscess within 6 months prior to Day 0.</li>\n<li>Serious nonhealing wound, ulcer, or bone fracture.</li>\n<li>History of persistent gross hematuria.</li>\n<li>Uncontrolled infection.</li>\n<li>Hypersensitivity to sorafenib, or any component of the formulation.</li>\n<li>Pregnant (positive pregnancy test) or lactating.</li>\n<li>Inability to comply with the study and/or followup procedures.</li>\n</ul>\n</p>', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:32a4194da08b0b48f1a7e1279d76b676' in /persistent/html/includes/cache.inc on line 109.
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  • user warning: Table './intheclinic/cache_filter' is marked as crashed and should be repaired query: UPDATE cache_filter SET data = '<p>This is a study for patients who have head and neck cancer that has recurred in the body area where they previously received radiation, and for whom surgery is not planned. A widely accepted treatment option in this situation is chemotherapy alone. Another approach that has been used in clinical trials is to treat patients with a repeat course of radiation. In these studies, some patients received chemotherapy at the same time as the radiation. In this clinical study, we wish to treat with radiation plus two drugs during the course of reirradiation, Taxotere&#174; (docetaxel) and Erbitux&#174; (cetuximab). Docetaxel and cetuximab both are chemotherapy drugs which are administered by vein. Both drugs help radiation kill cancer cells. The radiation will be administered using a strategy called intensity-modulated radiation therapy (IMRT), which focuses the radiation beam on the tumor. Docetaxel and cetuximab are both approved for the treatment of patients with head and neck cancer. However, the combination of radiation + docetaxel + cetuximab for patients with recurrent head and neck cancer is considered to be a topic for clinical research. The purpose of this study is to determine the good and bad effects of treatment with radiation + docetaxel + cetuximab.</p>\n', created = 1283571496, expire = 1283657896, headers = '', serialized = 0 WHERE cid = '1:88f018785363842a59e29dc88355ef5d' in /persistent/html/includes/cache.inc on line 109.
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RAD001 and Lenalidomide in the Treatment of Subjects With Relapsed and Relapsed/Refractory Multiple Myeloma

Trial phase: 
Phase I
Recruitment status: 
Recruiting

The purpose of this research study is to determine the highest dose of lenalidomide and RAD001 that can be given without causing too many serious side effects. Another goal of this research study is to look at how the participants cancer may respond to the study treatment. Additionally, we wish to learn more about how the body breaks down and gets rid of the study drugs. We will also try to find substances in the blood (biomarkers) that may help predict how myeloma will respond to study treatment.

Background information
Trial ID: 
NCT00729638
Other unique IDs: 
07-288
RV-MM-PI-142
Official title: 

An Open-Label Phase I Study of the Safety of and Efficacy of RAD001 in Combination With Lenalidomide in the Treatment of Subjects With Relapsed and Relapsed/Refractory Multiple Myeloma

Detailed description: 
  • Researchers are looking for the highest doses of RAD001 and lenalidomide used in combination that can be given safely so small groups of people will be enrolled in steps in this trial. The first group will be given a certain dose of RAD001 and a certain dose of lenalidomide. If they have few or manageable side effects, the next small group of people will be enrolled with a higher dose of RAD001 and/or a higher dose of lenalidomide. This will continue until the highest dose of the drugs used is determined.
  • Study treatment will be given in 28 day cycles.
Number to be enrolled: 
40 patients

Aflibercept in Treating Patients With Recurrent and/or Metastatic Thyroid Cancer That Did Not Respond to Radioactive Iodine Therapy

Trial phase: 
Phase II
Recruitment status: 
Recruiting

RATIONALE: Aflibercept may stop the growth of tumor cells by blocking blood flow to the tumor and by carrying tumor-killing substances directly to thyroid cancer cells. PURPOSE: This phase II trial is studying how well aflibercept works in treating patients with recurrent and/or metastatic thyroid cancer that has not responded to radioactive iodine therapy.

Background information
Trial ID: 
NCT00729157
Other unique IDs: 
CDR0000608163
MSKCC-08066
Official title: 

A Phase II Study of Single Agent Intravenous (IV) in Patients With Poor Prognostic Recurrent and/or Metastatic Thyroid Cancer After RAI Therapy

Detailed description: 

OBJECTIVES: Primary

  • To determine the radiographic response rate, per RECIST criteria, in patients with recurrent and/or metastatic, radioactive iodine-refractory, differentiated thyroid carcinoma of follicular cell origin after completion of 8 weeks of intravenous aflibercept therapy.
  • To determine the 6-month progression-free survival rate in patients treated with this drug.

Number to be enrolled: 
41 patients

Multiple Respiration-Correlated Cone Beam Computed Tomography (CT) Scans to Reduce Target Positioning Errors in Radiotherapy Treatment of Thoracic Cancer

Trial phase: 
Phase I
Recruitment status: 
Recruiting

The purpose of this study is to use cone-beam CT scans to more accurately position the tumor during radiation and to see whether this method is more effective than the standard method of using 2D images (portal images), which is a type of X-ray. Cone-beam CT is a type of CT scanner attached to the treatment accelerator that produces 3D images of the patient. The ability to eliminate the tumor with radiation depends in part on the accuracy of delivering the radiation to the lung. The position of the tumor changes because of normal breathing. Therefore, we want to improve the accuracy of the way the radiation is delivered to the tumor. With cone-beam CT scans taken before and during your treatment, we will be able to determine the location of the tumor with 3D images, measure how much the tumor moves as you breathe, and then position you so that the tumor will get the best delivery of radiation.

Background information
Trial ID: 
NCT00722605
Other unique IDs: 
08-080
Official title: 

The Use of Multiple Respiration-Correlated Cone Beam CT Scans to Reduce Target Positioning Errors in Radiotherapy Treatment of Thoracic Cancer.

Detailed description: 

 

Number to be enrolled: 
20 patients

Novel Capecitabine Dosing Schedule in Combination With Lapatinib, Based on the Norton-Simon Mathematical Method in Patients With HER2 Overexpressed/Amplified, Trastuzumab (Herceptin) -Refractory, Metastatic Breast Cancer

HER2 is a protein that sits on the surface of breast cancer cells in some people. Because you are one of these people, your breast cancer is called "HER2-positive." The HER2 protein is involved in the growth of your breast cancer. Certain drugs can interfere with the ability of the HER2 protein to cause breast cancer growth. Trastuzumab is one of these drugs. You must have already received trastuzumab as treatment for your breast cancer to be considered for this study. Other drugs are being studied in women with HER2-positive breast cancer. Lapatinib (Tykerb™) blocks signals that stimulate HER2-positive breast cancers to grow. The FDA approved lapatinib for use with capecitabine (Xeloda™) in patients who have metastatic breast cancer that has grown or spread after treatment with trastuzumab. Capecitabine was approved by the FDA in 1998 for treating metastatic breast cancer. Capecitabine is a pill that blocks the way cancer cells multiply and grow. Usually, this medicine is taken twice a day for fourteen days. Then, patients do not take the pill for seven days. With this schedule and dose, some patients have had side effects that interfered with their comfort. We have used mathematical models to recommend a new schedule of capecitabine. In animals, 7 days of treatment with capecitabine followed by a 7-day break was safer and more active against breast cancer. The purpose of this study is to find out what effect (both good and bad) capecitabine has on you and your breast cancer when given in this new schedule and combined with lapatinib.

Background information
Other unique IDs: 
08-025

Upper Extremity Lymphatic Mapping for Breast Cancer Patients

Recruitment status: 
Recruiting

This study is being done to see if lymph nodes that drain the arm also drain the breast. An axillary lymph node dissection removes lymph nodes under the arm. It is done to help prevent cancer cells from spreading to the rest of the body. Usually, about 12 to 15 nodes are removed. They are then examined to see if they have cancer cells. Removing these lymph nodes has some side effects. The most common is lymphedema. This is the build-up of fluid in the arm. This study will tell us if it may be possible in the future to identify lymph nodes that just drain the arm. Leaving those nodes may help to reduce the rate of lymphedema for future patients.

Background information
Trial ID: 
NCT00717886
Other unique IDs: 
08-051
Official title: 

Upper Extremity Lymphatic Mapping for Breast Cancer Patients: A Pilot Study

Detailed description: 

 

Number to be enrolled: 
30 patients

Physical Activity Intervention for Lung Cancer Survivors

The purpose of this study is to learn how many lung cancer survivors will agree to a physical activity program. We also want to know if lung cancer survivors benefit from this program. This information will help us to develop our services for lung cancer survivors.

Background information
Other unique IDs: 
08-067

Cetuximab in Patients With Lung Adenocarcinoma Receiving Erlotinib That Have Developed "Acquired Resistance" to Erlotinib

Trial phase: 
Phase I
Recruitment status: 
Recruiting

The purpose of this study is to test if cetuximab (Erbitux) can shrink lung cancers that initially became smaller after taking erlotinib and then started to get bigger despite continuing treatment. Cetuximab is a medicine approved by the U.S. Food and Drug administration for treatment of head and neck and colon cancer. The goal of the phase I portion of this trial is to find out the highest dose of cetuximab that can be taken together with erlotinib. This study will also give an idea of how well cetuximab shrinks lung cancer when given with erlotinib. The purpose of this study is to test if cetuximab (Erbitux) can shrink lung cancers that initially became smaller after taking erlotinib or gefitinib and then started to get bigger despite continuing treatment. Cetuximab is a medicine approved by the U.S. Food and Drug administration for treatment of head and neck and colon cancer. The goal of this phase is to determine if cetuximab given with erlotinib causes lung cancers to shrink in size.

Background information
Trial ID: 
NCT00716456
Other unique IDs: 
08-055
Official title: 

A Phase I/II Trial of Cetuximab in Patients With Lung Adenocarcinoma Receiving Erlotinib That Have Developed "Acquired Resistance" to Erlotinib

Detailed description: 

 

Number to be enrolled: 
44 patients

Study Using Chemotherapy Followed by Intensity Modulated Radiation Therapy to the Pleura in Patients With Locally Advanced But Unresectable Malignant Pleural Mesothelioma

Trial phase: 
Phase II
Recruitment status: 
Recruiting

For patients with this type of cancer, the standard of care is treatment with chemotherapy. Radiation therapy is typically not used. This is because radiation to the entire lining of the lung has many side effects that are often severe including damage to the lung (pneumonitis). There is a new radiation technique using Intensity Modulated Radiation Therapy (IMRT) that has been shown to reduce many of the side effects of standard radiation therapy. This type of radiation therapy specifically targets the lining of the lung, where you have your cancer, and reduces the risk of damaging the lung itself. The purpose of this study is to test the safety and toxicity of standard chemotherapy followed by IMRT.

Background information
Trial ID: 
NCT00715611
Other unique IDs: 
08-053
Official title: 

Phase II Toxicity Study Using Chemotherapy Followed by Intensity Modulated Radiation Therapy to the Pleura in Patients With Locally Advanced But Unresectable Malignant Pleural Mesothelioma

Detailed description: 

 

Number to be enrolled: 
28 patients

Gemcitabine and Cisplatin (GC) Plus Sorafenib in Chemotherapy-naïve Patients With Locally Advanced or Metastatic Urothelial Carcinoma

Trial phase: 
Phase II
Recruitment status: 
Recruiting

Standard chemotherapy drugs generally work by killing rapidly dividing cells in your body. Cancers cells are some of the most rapidly dividing cells and that is why chemotherapy can be effective in some patients. Gemcitabine and Cisplatin are an effective and standard drug combination used to treat locally advanced and metastatic urothelial cancer. However, these drugs do not shrink tumors in all patients and when they do, it is generally for a limited amount of time. This has led scientists to look for different ways to treat cancer. New drugs have been developed to treat cancer that work differently than standard chemotherapy drugs. These drugs attempt to decrease the blood supply to tumors. By doing so, this may limit the tumor's source of oxygen and nutrients and prevent the tumor from growing. Sorafenib is an example of a drug that works in this way. In some patients with advanced kidney cancer, sorafenib alone has been shown to slow the progression of their disease. The purpose of this study is to find out what effects, good and/or bad, the combination of gemcitabine, cisplatin, and sorafenib has on you and your cancer.

Background information
Trial ID: 
NCT00714948
Other unique IDs: 
07-168
Official title: 

Phase II Study of Gemcitabine and Cisplatin (GC) Plus Sorafenib in Chemotherapy-naïve Patients With Locally Advanced or Metastatic Urothelial Carcinoma

Detailed description: 

 

Number to be enrolled: 
39 patients

Docetaxel + Cetuximab + Concurrent Re-Irradiation (Intensity - Modulated Radiation Therapy, IMRT) for Patients With Locoregionally Recurrent Head and Neck Cancer

This is a study for patients who have head and neck cancer that has recurred in the body area where they previously received radiation, and for whom surgery is not planned. A widely accepted treatment option in this situation is chemotherapy alone. Another approach that has been used in clinical trials is to treat patients with a repeat course of radiation. In these studies, some patients received chemotherapy at the same time as the radiation. In this clinical study, we wish to treat with radiation plus two drugs during the course of reirradiation, Taxotere® (docetaxel) and Erbitux® (cetuximab). Docetaxel and cetuximab both are chemotherapy drugs which are administered by vein. Both drugs help radiation kill cancer cells. The radiation will be administered using a strategy called intensity-modulated radiation therapy (IMRT), which focuses the radiation beam on the tumor. Docetaxel and cetuximab are both approved for the treatment of patients with head and neck cancer. However, the combination of radiation + docetaxel + cetuximab for patients with recurrent head and neck cancer is considered to be a topic for clinical research. The purpose of this study is to determine the good and bad effects of treatment with radiation + docetaxel + cetuximab.

Background information
Other unique IDs: 
08-050
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