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Interleukin-2 and Interleukin-12 in Treating Patients With Refractory or Advanced Solid Tumors

This study is ongoing, but not recruiting participants.
Study NCT00020163.   Last updated on October 18, 2008.   Information provided by National Cancer Institute (NCI)

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Descriptive Information Fields
Brief Title  Interleukin-2 and Interleukin-12 in Treating Patients With Refractory or Advanced Solid Tumors
Official Title  A Phase I Investigation of IL-12/Pulse IL-2 in Adults With Advanced Solid Tumors
Brief Summary

RATIONALE: Interleukin-2 may stimulate a person's lymphocytes to kill solid tumor cells. Interleukin-12 may kill tumor cells by stopping blood flow to the tumor and by stimulating a person's white blood cells to kill solid tumor cells. Combining interleukin-2 with interleukin-12 may kill more tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of interleukin-2 and interleukin-12 in treating patients with refractory or advanced solid tumors.

Detailed Description

OBJECTIVES:

  • Determine the maximum tolerated dose and dose-limiting toxic effects of interleukin-12 and interleukin-2 in patients with refractory or advanced solid tumors.
  • Assess the pharmacokinetics of this treatment regimen in these patients.
  • Assess the antitumor effect of this treatment regimen in this patient population.
  • Determine the immunomodulatory activity of this regimen in these patients.

OUTLINE: This is a dose-escalation study.

  • Part I: Patients receive interleukin-2 IV over 15 minutes every 8 hours on days 1 and 9 and interleukin-12 IV on days 2, 4, 6, 10, 12, and 14. Treatment continues every 35 days for at least 4 courses in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of interleukin-12 and interleukin-2 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.

  • Part II: Once the MTD is determined, an additional 10 patients are treated at the MTD.

Patients are followed at 3 weeks.

PROJECTED ACCRUAL: A total of 24-34 patients will be accrued for part I and total of 10 patients will be accrued part II of the study within approximately 2 years.

Study Phase Phase I
Study Type  Interventional
Study Design  Treatment
Primary Outcome Measure 
Secondary Outcome Measure 
Condition  Breast Cancer
Kidney Cancer
Lung Cancer
Ovarian Cancer
Sarcoma
Unspecified Adult Solid Tumor, Protocol Specific
Intervention  Drug: aldesleukin
Drug: recombinant interleukin-12
MEDLINE PMIDs
Links Clinical trial summary from the National Cancer Institute's PDQ® database This link exits the ClinicalTrials.gov site
Recruitment Information Fields
Recruitment Status  Active, not recruiting
Enrollment 
Start Date  June 2000
Completion Date
Eligibility Criteria 

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed refractory or advanced nonhematologic malignancy (e.g., breast, lung, or renal cell cancer or sarcoma) for which no curative therapy exists

    • Patients with renal cell cancer must have specifically refused or been ineligible to receive prior interleukin-2
  • Evaluable disease
  • No clinically significant pleural effusion
  • No prior or concurrent brain metastases
  • Hormone receptor status:

    • Not specified

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Sex:

  • Not specified

Menopausal status:

  • Not specified

Performance status:

  • ECOG 0-1

Life expectancy:

  • At least 12 weeks

Hematopoietic:

  • Absolute neutrophil count greater than 1,500/mm^3
  • Platelet count greater than 100,000/mm^3
  • No history of congenital or acquired coagulation disorder

Hepatic:

  • Bilirubin less than 2.0 mg/dL
  • Transaminases less than 2.5 times upper limit of normal
  • Hepatitis B negative

Renal:

  • Creatinine less than 2.0 mg/dL OR
  • Creatinine clearance greater than 60 mL/min

Cardiovascular:

  • No history of coronary artery disease, angina, or myocardial infarction
  • Normal stress thallium testing if over the age of 50

Pulmonary:

  • Normal pulmonary function, defined as DLCO more than 60% predicted and FEV1 more than 70% predicted

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective barrier contraception during and for 2 months after study
  • HIV negative
  • No concurrent acute infection
  • No other systemic illness (not critically ill or medically unstable)
  • No malignant hyperthermia
  • No prior or concurrent autoimmune disease
  • No history of ongoing or intermittent bowel obstruction

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • See Disease Characteristics
  • At least 4 weeks since prior immunotherapy, filgrastim (G-CSF) or sargramostim (GM-CSF), interferons or interleukins, epoetin alfa, or intravenous immunoglobulins
  • No prior therapy with IL-2
  • No prior interleukin-12
  • No prior bone marrow or stem cell transplantation
  • No other concurrent cytokines or potential immunomodulators

Chemotherapy:

  • At least 4 weeks since prior chemotherapy
  • No concurrent chemotherapy

Endocrine therapy:

  • At least 4 weeks since prior systemic corticosteroids, growth hormone treatment, or myelosuppressive hormonal therapy
  • No concurrent hormonal therapy (including oral contraceptives) except systemic corticosteroids in the case of life-threatening complications such as Pneumocystis carinii pneumonia

Radiotherapy:

  • At least 4 weeks since prior radiotherapy
  • Concurrent radiotherapy allowed if it is not necessitated by disease progression

Surgery:

  • Not specified

Other:

  • At least 4 weeks since prior investigational agents
  • At least 4 weeks since prior tretinoin
  • No other concurrent investigational agents
  • No concurrent tretinoin
Gender Both
Ages 18 Years and older
Accepts Healthy Volunteers No
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00020163
Organization ID CDR0000067889
Secondary IDs †† NCI-00-C-0121, NCI-41
Study Sponsor  NCI - Center for Cancer Research-Medical Oncology
Collaborators †† National Cancer Institute (NCI)
Investigators 
Study Chair:     John E. Janik, MD     NCI - Metabolism Branch;MET    
Information Provided By National Cancer Institute (NCI)
Verification Date February 2007
First Received Date  July 11, 2001
Last Updated Date October 18, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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