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Vaccine Therapy in Treating Patients With Metastatic Breast Cancer
This study is ongoing, but not recruiting participants.
Study NCT00003761   Information provided by National Cancer Institute (NCI)
First Received: November 1, 1999   Last Updated: February 6, 2009   History of Changes

November 1, 1999
February 6, 2009
February 1999
 
 
 
Complete list of historical versions of study NCT00003761 on ClinicalTrials.gov Archive Site
 
 
 
Vaccine Therapy in Treating Patients With Metastatic Breast Cancer
A Phase I Trial of Recombinant Vaccinia Virus That Expresses DF3/MUC1 in Patients With Metastatic Adnocarcinoma of the Breast

RATIONALE: Vaccines may make the body build an immune response that will kill tumor cells.

PURPOSE: Phase I trial to study the effectiveness of vaccine therapy in treating patients who have metastatic breast cancer.

OBJECTIVES: I. Determine the toxicity associated with repeated vaccination with recombinant vaccinia DF3/MUC1 vaccine (rV-DF3/MUC1) in patients with metastatic breast cancer. II. Determine the maximum tolerated dose of rV-DF3/MUC1, based on cellular and humoral immunity, in these patients. III. Determine whether vaccination with rV-DF3/MUC1 is associated with antitumor activity in these patients.

OUTLINE: This is an open label, dose escalation study. Patients receive recombinant vaccinia DF3/MUC1 vaccine (rV-DF3/MUC1) intradermally. Treatment repeats every month for 3 courses in the absence of disease progression or unacceptable toxicity. Cohorts of at least 6 patients receive escalating doses of rV-DF3/MUC1 until the maximum tolerated dose (MTD) or the highest dose level to be tested is reached. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose limiting toxicity. Patients are followed monthly for 6 months.

PROJECTED ACCRUAL: A total of 16-28 patients will be accrued for this study within 1-2 years.

Phase I
Interventional
Treatment
Breast Cancer
Biological: recombinant vaccinia DF3/MUC1 vaccine
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Active, not recruiting
28
 
 

DISEASE CHARACTERISTICS: Histologically proven metastatic adenocarcinoma of the breast Tumor tissue positive for staining with DF3 (CA27-29) and/or DF3-P OR Elevated serum CA15-3 (CA27-29) May have received no prior treatment or any number of prior regimens for metastatic disease Hormone receptor status: Not specified

PATIENT CHARACTERISTICS: Age: 18 and over Menopausal status: Not specified Performance status: ECOG 0 or 1 Life expectancy: Not specified Hematopoietic: WBC greater than 2,000/mm3 Platelet count greater than 100,000/mm3 Hepatic: Bilirubin less than 2.0 mg/dL SGPT less than 4 times upper limit of normal Renal: Creatinine less than 2.0 mg/dL Immunologic: At least normal delayed type hypersensitivity At least normal CD4:CD8 ratio (greater than 1) At least normal lymphocyte proliferation to concanavalin A At least normal immunoglobulin levels No evidence of altered immune responsiveness or autoimmune syndromes (scleroderma, systemic lupus erythematosus, etc.) If no antivaccinia antibodies, then must have physician certification of prior vaccinia immunization OR patient recollection and appropriate vaccination site scar Other: HIV negative No prior or concurrent extensive skin disorders (e.g., eczema, extensive psoriasis, burns, impetigo, disseminated zoster) No other serious medical condition that would preclude study participation No active infection requiring antibiotics Must be able to avoid close contact with children under 3 years old, pregnant women, individuals with eczema or other skin conditions, and immunosuppressed people for 2 weeks after each vaccination No seizures, encephalitis, or multiple sclerosis No allergy to eggs Not pregnant or nursing Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY: Biologic therapy: Prior vaccinia virus exposure required No other concurrent biologic therapy Chemotherapy: See Disease Characteristics At least 3 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) Endocrine therapy: At least 3 weeks since prior hormonal therapy No concurrent steroids or hormonal therapy Radiotherapy: At least 3 weeks since prior radiotherapy No concurrent radiotherapy Surgery: No prior splenectomy Other: At least 3 days since prior antibiotics

Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00003761
 
CDR0000066886, DFCI-97050, NCI-T98-0057
Dana-Farber Cancer Institute
National Cancer Institute (NCI)
Study Chair: Donald W. Kufe, MD Dana-Farber Cancer Institute
National Cancer Institute (NCI)
June 2002

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP