Lung Function Testing in Patients With Locally Advanced or Metastatic Solid Tumors

Barbara Ann Karmanos Cancer Institute

Status: Completed

Conditions: Unspecified Adult Solid Tumor, Protocol Specific

Treatments: Procedure: pulmonary function testing

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00914147

P30CA022453 (U.S. NIH Grant/Contract)

WSU-2009-004

CDR0000642265

Details and patient eligibility

About

RATIONALE: Measuring how well the lungs work in patients with cancer may help doctors predict how patients will respond to treatment and help plan the best treatment.

PURPOSE: This clinical trial is studying lung function testing in patients with locally advanced or metastatic solid tumors.

Full description

OBJECTIVES:

Primary

• To obtain the distribution of DLCO, FVC, and FEV_1 by pulmonary function testing (PFT) in patients with heavily pretreated locally advanced or metastatic solid tumors referred to the Karmanos Cancer Institute (KCI) Phase I Clinical Trials Program.
• To estimate the mean DLCO to within 4 units (% of predicted) of the true mean with 95% confidence.

Secondary

• To estimate the percentage of patients who meet the defined eligibility criteria (including PFT levels, especially DLCO) from the entire population enrolled in the KCI Phase I Clinical Trials Program.

OUTLINE: Patients undergo pulmonary function testing comprising spirometry test, lung volumes, and DLCO measurement utilizing the single-breath breath-holding technique. Patients then proceed to treatment on a phase I clinical trial.

Enrollment: 48 patients

Sex: All

Ages: 18 to 120 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

DISEASE CHARACTERISTICS:

• Histologically confirmed solid tumor

  • Locally advanced or metastatic disease

• Disease progressed on or after standard therapy OR there is no standard therapy for the malignancy

  • Standard therapy is defined as first- or second-line therapy that has been shown to provide clinical benefit

• Life-long non-smoker

• No lung metastasis and/or pleural effusion causing signs or symptoms that impact patient performance status

PATIENT CHARACTERISTICS:

• ECOG performance status 0-1

• Body mass index ≤ 35

• No concurrent uncontrolled illness including, but not limited to, the following:

  • Ongoing or active infection
  • Symptomatic congestive heart failure
  • Unstable angina pectoris
  • Ventricular arrhythmia
  • Psychiatric illness or social situation that would limit compliance with study requirements

• No uncontrolled chest or abdominal pain

• No oral or facial pain exacerbated by an oral device

• No stress incontinence

• No COPD, interstitial lung disease, pulmonary embolism, or hemorrhage within the past 6 months

• No history of pulmonary fibrosis or pulmonary hypertension

• No oxygen requirement at baseline

• No asthma

• No occupational lung disease, including, but not limited to, asbestos exposure

• No polycythemia

• No history of connective tissue disease

PRIOR CONCURRENT THERAPY:

• No prior radiotherapy to the lung
• At least 6 months since prior lung surgery
• No prior amiodarone hydrochloride
• No prior high-dose chemotherapy with autologous or allogeneic hematopoietic stem cell transplantation
• No concurrent combination antiretroviral therapy for HIV-positive patients

Trial design

Primary purpose: Diagnostic

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

48 participants in 1 patient group

Pulmonary Function Test (PFT)

Other group

Description:

After signing consent, patients will undergo a complete spirometry test, lung volumes and diffusing capacity (DLCO) measurement utilizing the single-breath breath holding technique, according to the ATS/ERS consensus and standardization. PFT measurements will be reported as absolute values (e.g. liters) and percentage of predicted. The predicted normal values will be calculated according to sex, age, height and race using the Third National Health and Nutrition Examination Survey (NHANES III) reference equation. Predicted values for diffusion capacity will be calculated using the Morris/Polgar equation. DLCO values will be adjusted to anemia (hemoglobin levels)

Treatment:

Procedure: pulmonary function testing