Amifostine Plus Irinotecan in Treating Patients With Metastatic Colorectal Cancer

Inclusion Criteria:

18 years of age or older
ECOG 0-2
Life expectancy of at least 12 weeks
Pathologically confirmed diagnosis of metastatic colorectal cancer
Measureable disease
Have not received therapy for cancer within 4 weeks of enrollment on study
Prior radiation therapy to the pelvis for treatment of colorectal cancer is allowed. Radiation therapy delivered elsewhere is allowed as long as the patient has been off treatment for at least six weeks and measurable lesions are present outside the radiation field
Pretreatment granulocyte count of > 1500/mm3, hemoglobin > 9.0 g/dL (without transfusion), and platelet count of > 100,000/um
Serum creatinine < 2.0 mg/dL
Adequate hepatic function as documented by a serum bilirubin < 2.0 mg/dL regardless of whether patients have liver involvement secondary to tumor. AST must be < 3x the upper limit of normal unless the liver is involved with tumor, in which case the AST must be < 5x institutional upper limit of normal

Exclusion Criteria:

Prior therapy with Irinotecan
Patients with any active or uncontrolled infection
Patients with psychiatric disorders that would interfere with consent or follow-up
Patients with a history of myocardial infarction within the previous six months, congestive heart failure, or cerebrovascular disease
History of prior malignancy except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer for which the patient has been disease-free for at least five years
Presence of clinically apparent central nervous system metastases or carcinomatous meningitis
Patients with uncontrolled diabetes mellitus
Any other sever concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study
Patients unable to stop taking antihypertensive medication 24 hour prior to administration of Ethyol (off x 1 day)