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Interleukin-12 in Treating Patients With Cancer in the Abdomen

This study is ongoing, but not recruiting participants.

Sponsors and Collaborators: M.D. Anderson Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00003046
  Purpose

RATIONALE: Interleukin-12 may kill tumor cells by stimulating a person's white blood cells to kill cancer cells.

PURPOSE: Phase I trial to study the effectiveness of interleukin-12 in treating patients with cancer in the abdomen.


Condition Intervention Phase
Anal Cancer
Carcinoma of the Appendix
Colorectal Cancer
Extrahepatic Bile Duct Cancer
Gallbladder Cancer
Gastric Cancer
Gastrointestinal Carcinoid Tumor
Malignant Mesothelioma
Pancreatic Cancer
Small Intestine Cancer
Drug: recombinant interleukin-12
Phase I

Genetics Home Reference related topics:   Colorectal Cancer  

MedlinePlus related topics:   Anal Cancer   Cancer   Carcinoid Tumors   Colorectal Cancer   Intestinal Cancer   Mesothelioma   Pancreatic Cancer   Stomach Cancer  

ChemIDplus related topics:   Interleukin-12  

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment
Official Title:   Phase I Study of Intraperitoneal Recombinant Human Interleukin-12 (rhIL-12) in Patients With Peritoneal Carcinomatosis, Associated With Mullerian and Gastrointestinal Carcinomas

Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment:   40
Study Start Date:   August 1997

Detailed Description:

OBJECTIVES: I. Determine the maximum tolerated dose of intraperitoneal interleukin-12 in patients with Mullerian carcinoma (closed to accrual as of 8/23/01), gastrointestinal carcinoma, or peritoneal mesothelioma (closed to accrual as of 8/23/01). II. Determine the qualitative and quantitative toxicity and reversibility of toxicity of this regimen in these patients.

OUTLINE: This is a dose-escalation, multicenter study. Patients receive intraperitoneal interleukin-12 over 30 minutes once weekly for 4 weeks. Treatment repeats every 4 weeks for up to 6 courses in the absence of unacceptable toxicity or disease progression. Patients with stable or responsive disease may receive an additional 6 courses. Patients receive escalating doses of intraperitoneal interleukin-12 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. Once the MTD is established, additional patients are accrued to receive interleukin-12 at the recommended dose.

PROJECTED ACCRUAL: Approximately 20-40 patients will be accrued for this study within 2 years.

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

Criteria

DISEASE CHARACTERISTICS: Histologically or cytologically confirmed Mullerian carcinoma (ovarian epithelial or peritoneal carcinoma) (closed to accrual as of 8/23/01) OR Gastrointestinal cancer with abdominal carcinomatosis OR Peritoneal mesothelioma (closed to accrual as of 8/23/01) Must have received an adequate course of any platinum-based chemotherapy regimen for ovarian cancer with evidence of intraabdominal disease Must have received an adequate course of fluorouracil-based treatment for metastatic colon cancer Intact primary gastrointestinal tumor allowed if not at risk of obstruction and/or bleeding Abdominal lesions must be less than 10 cm Extraperitoneal lesions must be less than 2 cm No hepatic disease No clinically significant pleural effusion (controlled by pleurodesis allowed) No brain metastases No significant adhesions or symptoms of obstruction

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Zubrod 0-2 Life expectancy: Not specified Hematopoietic: Absolute granulocyte count at least 1,500/mm3 Platelet count at least 100,000/mm3 Hemoglobin at least 9 g/dL (transfusion allowed) Lymphocyte count at least 800/mm3 Hepatic: See Disease Characteristics Bilirubin no greater than 1.5 mg/dL SGOT or SGPT less than 2.5 times upper limit of normal Albumin at least 3.5 g/dL Hepatitis B and C negative Renal: Creatinine no greater than 1.5 mg/dL Cardiovascular: No significant heart disease Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception Loss of no more than 10% of body weight over a 4 month period No overt autoimmune disease No active ulcer disease No prior inflammatory bowel disease (e.g., Crohn's disease or ulcerative colitis)

PRIOR CONCURRENT THERAPY: Biologic therapy: No other concurrent immunotherapy Chemotherapy: At least 3 weeks since prior chemotherapy (6 weeks for mitomycin or nitrosoureas) and recovered No concurrent chemotherapy Endocrine therapy: No chronic steroid therapy Radiotherapy: At least 3 months since prior localized radiotherapy (e.g., pelvic or small field) and recovered No radiotherapy to whole abdomen No concurrent radiotherapy Surgery: Recovered from prior surgery At least 3 weeks since prior major abdominal surgery At least 2 weeks since prior laparoscopy

  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00003046

Locations
United States, Texas
University of Texas - MD Anderson Cancer Center    
      Houston, Texas, United States, 77030-4009

Sponsors and Collaborators
M.D. Anderson Cancer Center
National Cancer Institute (NCI)

Investigators
Study Chair:     Renato Lenzi, MD     M.D. Anderson Cancer Center    
  More Information

Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
 

Publications of Results:
Lenzi R, Kudelka AP, Veschraegen C, et al.: Intraperitoneal (IP) bioimmunologic responses in patients with ovarian and gastrointestinal cancers at a low toxicity dosing schedule of IP recombinant interleukin-12 (rhIL-12). [Abstract] Proc Am Assoc Cancer Res 40: A3778, 573, 1999.

Study ID Numbers:   CDR0000065681, MDA-ID-97027, NCI-T97-0034
First Received:   November 1, 1999
Last Updated:   May 23, 2008
ClinicalTrials.gov Identifier:   NCT00003046
Health Authority:   United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage IV colon cancer  
stage IV gastric cancer  
recurrent gastric cancer  
recurrent pancreatic cancer  
stage IV rectal cancer  
recurrent colon cancer  
recurrent rectal cancer  
stage IV anal cancer  
recurrent anal cancer  
metastatic gastrointestinal carcinoid tumor  
recurrent gastrointestinal carcinoid tumor
advanced malignant mesothelioma
recurrent malignant mesothelioma
small intestine adenocarcinoma
unresectable gallbladder cancer
recurrent gallbladder cancer
unresectable extrahepatic bile duct cancer
recurrent extrahepatic bile duct cancer
recurrent small intestine cancer
carcinoma of the appendix

Study placed in the following topic categories:
Gallbladder Diseases
Interleukin-12
Rectal Neoplasms
Gastrointestinal Diseases
Pancreatic Neoplasms
Colonic Diseases
Rectal Diseases
Duodenal Neoplasms
Stomach Diseases
Ileal Neoplasms
Biliary Tract Diseases
Neoplasms, Germ Cell and Embryonal
Stomach Neoplasms
Neuroepithelioma
Rectal cancer
Duodenal Diseases
Endocrine Gland Neoplasms
Bile duct cancer, extrahepatic
Jejunal Neoplasms
Biliary Tract Neoplasms

Additional relevant MeSH terms:
Neoplasms by Histologic Type
Immunologic Factors
Antineoplastic Agents
Neoplasms, Mesothelial
Growth Substances
Neoplasms, Nerve Tissue
Physiological Effects of Drugs
Adjuvants, Immunologic
Endocrine System Diseases
Angiogenesis Inhibitors
Ileal Diseases
Pharmacologic Actions
Neoplasms
Neoplasms by Site
Digestive System Diseases
Jejunal Diseases
Therapeutic Uses
Growth Inhibitors
Angiogenesis Modulating Agents
Anus Diseases

ClinicalTrials.gov processed this record on July 03, 2008




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