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Chemotherapy Plus Peripheral Stem Cell Transplantation in Treating Patients With Melanoma or Metastatic Kidney Cancer
This study is ongoing, but not recruiting participants.
Study NCT00004135   Information provided by National Cancer Institute (NCI)
First Received: December 10, 1999   Last Updated: February 6, 2009   History of Changes

December 10, 1999
February 6, 2009
February 1999
 
 
 
Complete list of historical versions of study NCT00004135 on ClinicalTrials.gov Archive Site
 
 
 
Chemotherapy Plus Peripheral Stem Cell Transplantation in Treating Patients With Melanoma or Metastatic Kidney Cancer
Allogeneic Stem Cell Transplantation of Renal Cell Cancer and Metastatic Melanoma After Non-Myeloablative Chemotherapy

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Peripheral stem cell transplantation may be able to replace immune cells that were destroyed by chemotherapy used to kill tumor cells.

PURPOSE: Phase II trial to study the effectiveness of chemotherapy plus peripheral stem cell transplantation in treating patients who have metastatic kidney cancer or melanoma.

OBJECTIVES:

  • Evaluate the safety of nonmyeloablative chemotherapy followed by allogeneic peripheral blood stem cell transplantation in patients with metastatic renal cell carcinoma or melanoma.
  • Determine the incidence and severity of all adverse events related to this treatment regimen in this patient population.
  • Determine the efficacy of this treatment regimen in terms of tumor regression, response duration, progression free survival, and overall survival in these patients.
  • Measure the resulting chimerism and immune reconstitution in these patients after this treatment regimen and correlate with clinical response.

OUTLINE: Patients receive fludarabine IV over 30 minutes on days -8 through -4 and cyclophosphamide IV over 1 hour on days -3 and -2. Immediately following each daily donor leukapheresis, patients receive allogeneic peripheral blood stem cells (PBSC) IV over 15 minutes beginning on day 0 and continuing until the target cells are collected. Patients receive filgrastim (G-CSF) subcutaneously beginning on day 5 and continuing until blood counts recover.

If no graft versus host disease has developed within 4 weeks of allogeneic PBSC transplantation, patients with disease progression or recurrence who have residual donor hematopoiesis on chimerism analysis may receive donor T lymphocytes IV over 30 minutes. Patients may receive an additional course of donor T lymphocytes at the investigator's discretion.

Patients are followed at days 30 and 100, and then every 3 months thereafter.

PROJECTED ACCRUAL: A total of 10-38 patients will be accrued for this study within 2.5 years.

Phase II
Interventional
Treatment
  • Kidney Cancer
  • Melanoma (Skin)
  • Biological: filgrastim
  • Biological: therapeutic allogeneic lymphocytes
  • Drug: cyclophosphamide
  • Drug: fludarabine phosphate
  • Procedure: peripheral blood stem cell transplantation
 
 

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

DISEASE CHARACTERISTICS:

  • Histologically confirmed metastatic renal cell carcinoma or melanoma that is not potentially curable by surgery
  • Evaluable disease or bidimensionally measurable disease on physical examination, chest x-ray, CT scan, or MRI

    • Measurable disease by radiography must be reproducible
    • Bony disease or effusions not measurable
  • No active CNS disease currently receiving radiotherapy or steroids
  • No effusion or ascites of more than 1 liter prior to drainage
  • HLA 5/6 or 6/6 matched sibling donor available

    • No known hypersensitivity to E. coli derived products
    • No active infection
    • No health condition that would preclude donation

PATIENT CHARACTERISTICS:

Age:

  • 18 to 65

Performance status:

  • CALGB 0-2

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Bilirubin no greater than 2.0 g/dL
  • No active hepatitis

Renal:

  • Creatinine no greater than 2.0 mg/dL OR
  • Creatinine clearance greater than 50 mL/min

Cardiovascular:

  • LVEF at least 50%

Pulmonary:

  • DLCO at least 50% of predicted

Other:

  • No active infection
  • HIV negative
  • No psychological problem that would preclude study compliance
  • No known hypersensitivity to E. coli derived products
  • Not pregnant or nursing
  • Negative pregnancy test

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • At least 4 weeks since prior systemic chemotherapy

Endocrine therapy:

  • See Disease Characteristics

Radiotherapy:

  • See Disease Characteristics
  • At least 4 weeks since prior radiotherapy

Surgery:

  • See Disease Characteristics
Both
18 Years to 65 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00004135
 
CDR0000067365, UCCRC-9672, UCCRC-CTRC-9866, NCI-G99-1612
University of Chicago
National Cancer Institute (NCI)
Study Chair: Todd M. Zimmerman, MD University of Chicago
National Cancer Institute (NCI)
October 2003

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