Phase II Study Of Antineoplastons A10 And AS2-1 In Patients With Mesothelioma
Summary: Phase II Study Of Antineoplastons A10 And AS2-1 In Patients With Mesothelioma
Provide the treatment for incurable mesothelioma.
Evaluate the adverse effects and tolerance of Antineoplaston A10 and AS2-1 in these patients.
* Patients who have histologically confirmed, mesothelioma, stage IV and are unlikely to have a curative respond to existing standard regimen including surgery, radiation therapy and chemotherapy.
* There will be no exclusion based on tumor size or systemic metastases.
* Radiological evidence of tumor by gadolinium-enhanced MRI or contrast-enhanced CT scan, chest x-ray, or radionuclide scan, if necessary, performed within 14 days before initiating the treatment.
* Patients who have previously received radiation therapy, chemotherapy, immunotherapy or cytodifferentiating agent are eligible.
* Patients who did not receive standard therapy are eligible.
* Patients may be male or female. If female, the patient must not be pregnant or breast-feeding an infant, and either incapable of becoming pregnant or currently using contraceptive methods. Acceptable methods include the birth control pill, use of a diaphragm, intrauterine device, or condom by the patient's sexual partner. If male, the patient should use appropriate contraception, such as condoms, during the study and at least 4 weeks following completion of the study.
* The patients must be 18 years of age or older.
* Patient must sign the Informed Consent Form indicating an awareness of the experimental nature of this study. In the event that the patient has impairment of higher intellectual function, example aphasia, then the patient's legal next of kin or legal guardian must sign the Informed Consent Form indicating an awareness of the experimental nature of the study (Appendix B).
* Patient must fully recover from the operative procedure and have life expectancy of two months or more. The patient's Performance Status should be consistent with outpatient therapy, i.e. 60% to 100% Karnofsky. The use of corticosteroids is permitted, if necessary. It is recommended that the smallest dose be used and recorded.
* Patient must have a relatively normal hematological, hepatic and renal function, a white blood count of at least 2000/ mm3 and a platelet count of at least 50,000/ mm3.
* Patients must have no evidence of hepatic insufficiency or renal insufficiency, total bilirubin within normal range and creatinine concentration in serum not higher than 2.5 mg/ml, and SGOT and SGPT not higher than five times the upper limit.
* Patients must recover from the adverse effect of previous therapy. At least eight weeks must have elapsed since the last dose of radiation therapy and at least four weeks must have elapsed since the last dose of chemotherapy (six weeks for nitrosoureas) or immunotherapy. Patients with multiple tumors who have received radiation therapy to some but not all of their tumors, may be admitted earlier than eight weeks from the last dose of radiation therapy. However, for such patients pretreatment measurement of irradiated lesions shall be made not earlier than eight weeks from the last dose of radiation therapy.
* Failure to meet all inclusion criteria.
* Patient either pregnant or breast-feeding an infant.
* Patient is a high medical or psychiatric risk, having non-malignant systemic disease which would, in the opinion of the investigator, make therapy with an investigational drug unwise.
* Patient is incompetent to give his informed consent to treatment. However, the patient may be admitted if a legally-appointed guardian gives consent.
* Presence of active infection.
* Patients with known chronic heart failure and serious lung disease, such as severe COPD.
* Patients with hypertension are excluded unless the blood pressure is adequately controlled. Patients who have had prior Antineoplaston treatment should be excluded from this protocol.
* Patients who do not have adequate hepatic function.
* The patients with hypertension, history of congestive heart failure, or history of cardiovascular renal conditions that medically contraindicate administration of high dosages of sodium are not to be enrolled on treatment.
Salim Qazizadeh M.D.
S. R. Burzynski Clinic
9432 Old Katy, Suite 200
Houston, TX 77055