Full Text View
Tabular View
No Study Results Posted
Related Studies
Interleukin-12 Gene in Treating Patients With Liver Metastases Secondary to Colorectal Cancer
This study is currently recruiting participants.
Study NCT00072098   Information provided by National Cancer Institute (NCI)
First Received: November 4, 2003   Last Updated: June 9, 2009   History of Changes

November 4, 2003
June 9, 2009
September 2003
 
 
 
Complete list of historical versions of study NCT00072098 on ClinicalTrials.gov Archive Site
 
 
 
Interleukin-12 Gene in Treating Patients With Liver Metastases Secondary to Colorectal Cancer
Phase I Trial Of Adenoviral Vector Delivery Of The Human Interleukin-12 cDNA By Intratumoral Injection In Patients With Metastatic Colorectal Cancer To The Liver

RATIONALE: Inserting the interleukin-12 gene into a person's cancer cells may make the body build an immune response to kill tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of interleukin-12 gene when injected into the tumors of patients with liver metastases secondary to colorectal cancer.

OBJECTIVES:

  • Determine the toxicity and maximum tolerated dose of intratumoral adenoviral vector-delivered interleukin-12 gene in patients with liver metastases secondary to colorectal cancer .
  • Determine the tumor response in patients treated with this regimen.
  • Determine the immune response in patients treated with this regimen.

OUTLINE: This is a dose-escalation study.

Patients receive ultrasound-guided intratumoral injections of adenoviral vector-delivered interleukin-12 gene (ADV-hIL12) on day 1.

Cohorts of 3-6 patients receive escalating doses of ADV-hIL12 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.

Patients are followed at days 11, 15, 29, 43, and 57 and are then followed for survival thereafter.

PROJECTED ACCRUAL: A total of 30-36 patients will be accrued for this study.

Phase I
Interventional
Treatment
  • Colorectal Cancer
  • Metastatic Cancer
  • Biological: adenovirus vector
  • Biological: interleukin-12 gene
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
36
 
 

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed* colorectal adenocarcinoma metastatic to the liver

    • Solitary or multiple metastatic tumors in the liver

      • Metastatic involvement of the liver no greater than 40% of estimated liver volume NOTE: *Must be from the hepatic tumor designated for study injection
  • Metastatic liver tumors must be bidimensionally measurable by CT scan or MRI
  • At least 1 metastatic liver tumor measuring at least 2.0 cm must be visualized by ultrasound (US) and accessible for US-guided percutaneous injection
  • Extrahepatic metastases allowed
  • No prior or current ascites
  • Ineligible for hepatic resection

PATIENT CHARACTERISTICS:

Age

  • Adult

Performance status

  • Karnofsky 70-100%

Life expectancy

  • At least 16 weeks

Hematopoietic

  • Granulocyte count at least 1,500/mm^3
  • Hemoglobin at least 9.0 g/dL
  • Platelet count at least 100,000/mm^3

Hepatic

  • No clinical evidence of other severe liver disease (e.g., portosystemic encephalopathy)
  • PT no greater than 14 seconds
  • Bilirubin no greater than 2.0 times upper limit of normal (ULN)
  • Transaminases no greater than 2.5 times ULN

Renal

  • Creatinine no greater than 1.5 mg/dL OR
  • Creatinine clearance at least 45 mL/min

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective nonhormonal contraception during and for at least 2 months after study participation
  • HIV negative
  • No active infection
  • No other concurrent serious medical illness
  • No other malignancy within the past 5 years except inactive nonmelanoma skin cancer, carcinoma in situ of the cervix, or grade 1 papillary bladder cancer
  • Oriented and rational
  • Weight at least 30 kg

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas)

Endocrine therapy

  • At least 2 months since prior corticosteroids

Radiotherapy

  • Not specified

Surgery

  • Not specified

Other

  • At least 2 months since prior systemic immunosupppressive drugs
  • No concurrent immunosuppressive drugs
  • No concurrent anticoagulant therapy with heparin or warfarin
Both
18 Years and older
No
 
United States
 
NCT00072098
 
CDR0000335463, MTS-GCO-975642, MTS-GCO-971592
Mount Sinai School of Medicine
National Cancer Institute (NCI)
Principal Investigator: Max W. Sung, MD Mount Sinai School of Medicine
National Cancer Institute (NCI)
June 2009

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