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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.
First Received: July 11, 2001   Last Updated: February 6, 2009   History of Changes
Sponsored by: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00020163
  Purpose

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.


Condition Intervention Phase
Breast Cancer
Kidney Cancer
Lung Cancer
Ovarian Cancer
Sarcoma
Unspecified Adult Solid Tumor, Protocol Specific
Biological: aldesleukin
Biological: recombinant interleukin-12
Phase I

Study Type: Interventional
Study Design: Treatment
Official Title: A Phase I Investigation of IL-12/Pulse IL-2 in Adults With Advanced Solid Tumors

Resource links provided by NLM:


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

Study Start Date: June 2000
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.

  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 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
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00020163

Locations
United States, Maryland
NCI - Center for Cancer Research
Bethesda, Maryland, United States, 20892
Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support
Bethesda, Maryland, United States, 20892-1182
Sponsors and Collaborators
Investigators
Study Chair: John E. Janik, MD NCI - Metabolism Branch;MET
  More Information

Additional Information:
Publications:
Wigginton J, Donovan C, Choyke P, et al.: A phase I investigation of dose-intensive intravenous IL-12/pulse IL-2 in adults with advanced solid tumors. [Abstract] J Immunother 26 (6 Suppl 1): A-101, S42-3, 2003.
Wigginton J, Edgerly M, Choyke P, et al.: A phase I investigation of IL-12/pulse IL-2 in adults with advanced solid tumors. [Abstract] J Immunother 25 (6): S2, 2002.

Study ID Numbers: CDR0000067889, NCI-00-C-0121, NCI-41
Study First Received: July 11, 2001
Last Updated: February 6, 2009
ClinicalTrials.gov Identifier: NCT00020163     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage IV breast cancer
recurrent breast cancer
metastatic osteosarcoma
recurrent non-small cell lung cancer
chondrosarcoma
recurrent adult soft tissue sarcoma
stage IV renal cell cancer
recurrent renal cell cancer
extensive stage small cell lung cancer
recurrent small cell lung cancer
recurrent osteosarcoma
stage IIIB non-small cell lung cancer
stage IV non-small cell lung cancer
unspecified adult solid tumor, protocol specific
classic Kaposi sarcoma
immunosuppressive treatment related Kaposi sarcoma
AIDS-related Kaposi sarcoma
recurrent Kaposi sarcoma
pulmonary carcinoid tumor
stage IV uterine sarcoma
recurrent uterine sarcoma
ovarian sarcoma
metastatic Ewing sarcoma/peripheral primitive neuroectodermal tumor
recurrent Ewing sarcoma/peripheral primitive neuroectodermal tumor
clear cell sarcoma of the kidney
stage IV adult soft tissue sarcoma

Study placed in the following topic categories:
Thoracic Neoplasms
Neuroectodermal Tumors, Primitive
Urogenital Neoplasms
Urologic Neoplasms
Kaposi Sarcoma
Neoplasms, Connective and Soft Tissue
Lung Neoplasms
Ovarian Cancer
Neuroepithelioma
Osteogenic Sarcoma
Kidney Diseases
Breast Diseases
Endocrine Gland Neoplasms
Anti-HIV Agents
Adjuvants, Immunologic
Genital Neoplasms, Female
Sarcoma, Clear Cell
Breast Neoplasms
Endocrine System Diseases
Ewing's Sarcoma
Carcinoma
Carcinoma, Small Cell
Neuroectodermal Tumors
Malignant Mesenchymal Tumor
Aldesleukin
Lung Diseases
Uterine Sarcoma
Sarcoma
Carcinoid Tumor
Carcinoma, Non-Small-Cell Lung

Additional relevant MeSH terms:
Thoracic Neoplasms
Anti-Infective Agents
Interleukin-12
Immunologic Factors
Antineoplastic Agents
Gonadal Disorders
Physiological Effects of Drugs
Urogenital Neoplasms
Ovarian Diseases
Urologic Neoplasms
Genital Diseases, Female
Neoplasms, Connective and Soft Tissue
Neoplasms by Site
Anti-Retroviral Agents
Urologic Diseases
Respiratory Tract Diseases
Lung Neoplasms
Kidney Neoplasms
Therapeutic Uses
Growth Inhibitors
Angiogenesis Modulating Agents
Kidney Diseases
Breast Diseases
Endocrine Gland Neoplasms
Respiratory Tract Neoplasms
Anti-HIV Agents
Ovarian Neoplasms
Neoplasms by Histologic Type
Skin Diseases
Growth Substances

ClinicalTrials.gov processed this record on July 02, 2009