Temozolomide and Vinorelbine in Treating Patients With Recurrent Brain Metastases

INCLUSION CRITERIAL:

* Age \> or = 18 years.
* Karnofsky performance score \> or = 60.
* Histopathologic confirmation of the diagnosis of a solid tumor malignancy. The brain metastasis diagnosis per se does not have to be pathologically confirmed if the clinical and neuro radiographic picture is typical.
* MRI (or CT if the patient cannot undergo MRI) evidence of evaluable disease in the brain.
* Absolute neutrophil count \> or = 1,500/mm³. Platelet count \> or = 100,000/mm³.
* Hemoglobin \> or = 10 g/dl.
* BUN and serum creatinine both \< 1.5 times upper limit of normal.
* Total and direct bilirubin both \< 1.5 times upper limit of normal.
* SGOT and SGPT both \< or = 3 times upper limit of normal.
* Alkaline phosphatase \< or = 2 times upper limit of normal.
* At least two weeks must have elapsed from brain biopsy, craniotomy, or other surgery.
* Life expectancy \> or = 8 weeks.
* Patient or their legal guardian or legal next-of-kin must provide written informed consent prior to patient's registration on study.
* At least four weeks must have elapsed from previous external beam radiation therapy, or eight weeks from stereotactic radiosurgery.
* Patients treated with radiosurgery should have evidence of progression at a distant site in the brain, or confirmation of tumor progression by biopsy or PET scan.

EXCLUSION CRITERIA:

* Previous treatment with temozolomide, dacarbazine or vinorelbine.
* Patients who have not recovered from all acute toxicities of prior therapies.
* Patients with evidence of leptomeningeal metastases or primary dural metastases.
* Patients who are poor medical risks because of nonmalignant systemic disease, as well as those with acute infection requiring treatment with intravenous antibiotics.
* Patients whose psychiatric condition would, in the judgment of the principal investigator, make it unlikely that they could adhere to the requirements of the protocol.