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A Study of TNFerade™ Biologic With 5-FU and Radiation Therapy for First-Line Treatment of Unresectable Locally Advanced Pancreatic Cancer
This study is currently recruiting participants.
Verified by GenVec, November 2009
First Received: January 10, 2003   Last Updated: November 19, 2009   History of Changes
Sponsor: GenVec
Information provided by: GenVec
ClinicalTrials.gov Identifier: NCT00051467
  Purpose

The primary purpose of this study is to assess the safety and effectiveness of TNFerade™ Biologic when administered concurrently with 5-FU and radiation therapy as first-line treatment of unresectable locally advanced pancreatic cancer.

TNFerade™ is a replication deficient adenovirus vector containing the gene for TNF-alpha controlled by a chemoradiation inducible promoter. This allows the expression of TNF-alpha to be greatest in the area receiving radiation. TNF-alpha is a cytokine that has been shown to have potent anti-cancer activities but, due to systemic toxicity, could not be delivered at effective doses. TNFerade™ Biologic is a novel way of selective delivery of TNF-alpha to tumor cells.

TNFerade™ Biologic will be injected during five weekly injection sessions, concomitant with radiation and 5-FU. TNFerade™ Biologic will be administered by direct intratumoral injection using a percutaneous approach (PTA) or endoscopic ultrasound (EUS).


Condition Intervention Phase
Pancreatic Cancer
Genetic: TNFerade
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Safety/Efficacy Study
Official Title: A Randomized, Phase II/III, Study of TNFerade™ Biologic With 5-FU and Radiation Therapy for First-line Treatment of Unresectable Locally Advanced Pancreatic Cancer

Resource links provided by NLM:

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria

  • Age ≥18 years old
  • Patients with unresectable, locally advanced adenocarcinoma of the pancreas proven by biopsy or cytology (defined as direct extension to the SMA and/or celiac axis with absence of a fat plane between the low-density tumor and these arterial structures, or loss of patent superior mesenteric-portal vein confluence), who have not received previous treatment for pancreatic cancer. Patients who have been surgically explored and deemed unresectable on that basis are eligible, provided other entry criteria are met
  • Informed consent
  • Karnofsky performance status = or >70%
  • Life expectancy greater than 3 months
  • Measurable disease

Exclusion Criteria

  • Metastatic (stage IV) disease (including involvement of the colon, adrenals, or kidney, or radiographic evidence of peritoneal seeding)
  • Patients with ascites detected by CT, US or MRI
  • Patients with bulky celiac adenopathy (i.e., > 2.5 cm)
  • Diagnosis of islet cell tumor of the pancreas, lymphoma of the pancreas
  • History of other malignancy in the past 2 years except carcinoma in situ of the cervix or bladder, non-melanomatous skin cancer or localized early stage prostate cancer
  • Previous chemotherapy or radiation for pancreatic cancer or previous radiation to the target field
  • Liver enzymes >3 x ULN (ALT, AST, total bilirubin, alkaline phosphatase)
  • Coagulopathy (INR >1.5, PTT ratio >1.5)
  • Renal insufficiency (serum creatinine >2.0 mg/dL)
  • Significant anemia (e.g. hematocrit <28% or hemoglobin <9 g/dL) (may have RBC transfusion), or thrombocytopenia (platelet count <100,000/µL); or neutropenia (ANC <1500/µL)
  • Patients with clinically significant pancreatitis within 12 weeks of treatment
  • Pancreatic pseudocyst
  • Contraindication to both percutaneous- and endoscopic- guided delivery
  • Patients with history of deep venous thrombosis or pulmonary embolus
  • Patients with doppler evidence of deep venous thrombosis at screening
  • Patients with history of coagulopathy or known thrombophilic disorders
  • Patients receiving hormone replacement therapy including oral contraceptives within 2 weeks prior to Day 1.
  • Clinical evidence of active infection of any type, including hepatitis B or C virus
  • Pregnant or lactating women. It is recommended that both men and women use condoms or another barrier method of birth control for at least 8 weeks following the last administration of TNFerade™ biologic and some form of birth control for at least 1 year
  • Experimental medications within the last 4 weeks prior to Day 1
  • Surgery within the last 4 weeks prior to Day 1 (if patient was ambulatory within 48 hours of surgery, patient may be considered eligible)
  • Chronic systemic corticosteroid use at superphysiologic doses (greater than 10mg prednisone per day or equivalent)
  • Significant concurrent medical or psychiatric illness which, in the opinion of the investigator, would interfere with the patient's ability to participate in the trial

Please note that there are additional entry criteria. The study center will determine if you meet all criteria. If you do qualify to participate, study personnel will explain the study and answer any questions you may have. You can decide whether or not you wish to participate but if you do not qualify for this trial, study staff will explain the reasons. Please contact your local center listed below, or call the toll free PACT study line for assistance at 1-888-344-6096

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00051467

  Hide Study Locations
Locations
United States, California
UCLA School of Medicine, Division of Hematology-Oncology Recruiting
Los Angeles, California, United States
Contact: Nathalie Chorn     310-825-4493     nchorn@mednet.ucla.edu    
UC Irvine Medical Center Recruiting
Orange, California, United States
Contact: Sentelle Eubanks     714-456-3860     sentelle@uci.edu    
University of California San Diego Moores Cancer Center Recruiting
La Jolla, California, United States
Contact: Anna War     858-822-1847     ajwarr@ucsd.edu    
United States, Colorado
University of Colorado Health Science Center Facility Recruiting
Denver, Colorado, United States
Contact: Maximiliano Smolkin     303-724-1872     maximiliano.smolkin@uchsc.edu    
United States, District of Columbia
Georgetown, MedStar Research Institute Recruiting
Washington, District of Columbia, United States
Contact: Lisa Ley     202-687-6653     leyl@georgetown.edu    
United States, Florida
Tampa General Hospital Recruiting
Tampa, Florida, United States
Contact: Jennifer Cooper     813-844-4218     jcooper@hsc.usf.edu    
H. Lee Moffitt Cancer Center & Research Institute Recruiting
Tampa, Florida, United States
Contact: Tiffany Campos     813-745-8358     Tiffany.campos@moffitt.org    
United States, Georgia
Winship Cancer Center, Emory University Recruiting
Atlanta, Georgia, United States
Contact: Ira Blount     404-778-4449     iblount@emory.edu    
United States, Illinois
The Universtiy of Chicago Medical Center Recruiting
Chicago, Illinois, United States
Contact: Sharone Kaplan     773-702-3712     skaplan@surgery.bsd.uchicago.edu    
St. James Hospital and Health Centers Comprehensive Cancer Institute Recruiting
Olympia Fields, Illinois, United States
Contact: Maureen McGlashan     708-747-4000     maureen.mcglashan@ssfhs.org    
United States, Indiana
Indiana University Medical Goup Recruiting
Indianapolis, Indiana, United States
Contact: Kathleen McGreevy, RN     317-274-5392     kmcgreev@iupui.edu    
United States, Maryland
Johns Hopkins Medical Center Recruiting
Baltimore, Maryland, United States
Contact: Dionne Savage     410-614-0382     dsavage3@jhmi.edu    
United States, Massachusetts
Beth Israel Deaconess Medical Center Recruiting
Boston, Massachusetts, United States
Contact: Molly Considine     617-667-1980     mconsidi@bidmc.harvard.edu    
United States, Michigan
Wayne State University, Karmanos Cancer Institute Recruiting
Detroit, Michigan, United States
Contact: Ann Marie Ferris, RN, BSN, CCRP     313-576-9373     ferrisa@karmanos.org    
United States, Missouri
Washington University Recruiting
St. Louis, Missouri, United States
Contact: Karla Bergeron     314-747-5591     bergerok@ccadmin.wustl.edu    
Research Medical Center Recruiting
Kansas City, Missouri, United States
Contact: Pam McCann     816-276-2890     pamela.mccann@hcamidwest.com    
United States, New York
Beth Israel Medical Center, BI Cancer Center Recruiting
New York, New York, United States
Contact: Sherly Jacob-Perez     212-844-8292     sjacob@chpnet.org    
United States, North Carolina
Leo W. Jenkins Cancer Center Recruiting
Greenville, North Carolina, United States
Contact: Denise Brigham, RN     252-744-5138     brigham@ecu.edu    
United States, South Carolina
Cancer Centers of the Carolinas Recruiting
Greenville, South Carolina, United States
Contact: Julie Martin, APRN, NP     864-679-3966     julie.martin@usoncology.com    
United States, Texas
Mary Crowley Medical Center Recruiting
Dallas, Texas, United States
Contact: Terrya Addae     214-658-1993     taddae@marycrowley.org    
Baylor College of Medicine Recruiting
Houston, Texas, United States
Contact: Glenn Wilson     713-798-3468     ggwilson@bcm.tmc.edu    
Univeristy of Texas Southwestern Medical Center Recruiting
Dallas, Texas, United States
Contact: Dendra Vonmerveldt     214-648-5107     entra.vonmerveldt@utsouthwestern.edu    
United States, Virginia
Virginia Commonwealth University Recruiting
Richmond, Virginia, United States
Contact: Diane Holdford, RN, BSN, CCRC     804-828-0296     djholdfo@hsc.vcu.edu    
United States, Washington
Virginia Mason Medical Center Recruiting
Seattle, Washington, United States
Contact: Jody C Mooney, MS     206-341-1452     jody.mooney@vmmc.org    
United States, Wisconsin
University of Wisconsin, Division of Neoplastic Diseases & Related Disorders Recruiting
Milwaukee, Wisconsin, United States
Contact: Brenda Davies     414-805-4639     bdavies@mcw.edu    
Sponsors and Collaborators
GenVec
  More Information

No publications provided

Study ID Numbers: GV-001.004
Study First Received: January 10, 2003
Last Updated: November 19, 2009
ClinicalTrials.gov Identifier: NCT00051467     History of Changes
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Neoplasms
Digestive System Diseases
Neoplasms by Site
Digestive System Neoplasms
Pancreatic Neoplasms
Endocrine System Diseases
Pancreatic Diseases
Endocrine Gland Neoplasms

ClinicalTrials.gov processed this record on November 27, 2009