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Interleukin-12, Paclitaxel, and Trastuzumab in Treating Patients With Solid Tumors

Primary Purpose

Male Breast Cancer, Recurrent Breast Cancer, Recurrent Endometrial Carcinoma

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
trastuzumab
paclitaxel
recombinant interleukin-12
Sponsored by
National Cancer Institute (NCI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Male Breast Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Histologically confirmed HER2/neu-overexpressing (2+ or 3+) malignancy by any standardized assay (fluorescence in-situ hybridization allowed) Measurable or evaluable disease Failed standard curative therapy No brain or CNS metastasis Hormone receptor status: Not specified Male or female Performance status - Karnofsky 70-100% At least 6 months Absolute neutrophil count at least 1,500/mm^3 Hemoglobin at least 8 g/dL (transfusion or epoetin alfa allowed) Platelet count at least 100,000/mm^3 Bilirubin no greater than 1.5 times upper limit of normal (ULN) AST and ALT no greater than 3.0 times ULN Hepatitis B surface antigen negative Creatinine no greater than 1.5 times ULN Calcium no greater than 11 mg/dL (calcium-lowering agents allowed) No active or unstable cardiovascular disease No cardiac disease requiring drug or device intervention No coronary artery disease No congestive heart failure Cardiac ejection fraction normal by echocardiogram or MUGA scan No significant peripheral neuropathy No significant CNS disease Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception HIV negative No serious concurrent infection requiring IV antibiotic therapy No clinically significant autoimmune disease (e.g., rheumatoid arthritis) No clinically significant gastrointestinal bleeding No uncontrolled peptic ulcer disease No inflammatory bowel disease No other major illness that would preclude study participation No other concurrent malignancy except non-melanoma skin cancer or carcinoma in situ of the cervix No prior interleukin-12 No prior trastuzumab (Herceptin®) At least 3 weeks since prior chemotherapy At least 3 weeks since prior hormonal therapy No concurrent systemic corticosteroids At least 3 weeks since prior radiotherapy At least 3 weeks since prior surgery At least 3 weeks since prior investigational drug

Sites / Locations

  • Ohio State University Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Arm I

Arm Description

Patients receive trastuzumab (Herceptin®) IV over 30-90 minutes on days 1, 8, and 15 and paclitaxel IV over 3 hours on day 1 of course 1. Beginning with course 2, patients receive trastuzumab and paclitaxel as in course 1 and interleukin-12 subcutaneously on days 2, 5, 9, 12, 16, and 19. Courses repeat every 21 days for up to 1 year in the absence of disease progression or unacceptable toxicity.

Outcomes

Primary Outcome Measures

MTD of IL-12, defined as the dose level one level beneath that dose at which 2 or more of 6 patients showed DLT, based on the NCI CTC version 2.0

Secondary Outcome Measures

Full Information

First Posted
January 4, 2002
Last Updated
June 3, 2013
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00028535
Brief Title
Interleukin-12, Paclitaxel, and Trastuzumab in Treating Patients With Solid Tumors
Official Title
Phase I Trial of Interleukin-12 in Combination With Paclitaxel Plus Herceptin in Patients With Her2-positive Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
November 2001 (undefined)
Primary Completion Date
February 2009 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
Phase I trial to study the effectiveness of interleukin-12, paclitaxel, and trastuzumab in treating patients who have solid tumors. Interleukin-12 may kill tumor cells by stopping blood flow to the tumor and by stimulating a person's white blood cells to kill cancer cells. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Monoclonal antibodies such as trastuzumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining interleukin-12, chemotherapy, and monoclonal antibody therapy may kill more tumor cells.
Detailed Description
OBJECTIVES: I. Determine the maximum tolerated dose of interleukin-12 when given in combination with paclitaxel and trastuzumab (Herceptin®) in patients with HER2/neu-overexpressing malignancies. II. Determine the response rate and time to progression in patients treated with this regimen. III. Determine the anti-tumor effect of this regimen in these patients. OUTLINE: This is a dose-escalation study of interleukin-12. Patients receive trastuzumab (Herceptin®) IV over 30-90 minutes on days 1, 8, and 15 and paclitaxel IV over 3 hours on day 1 of course 1. Beginning with course 2, patients receive trastuzumab and paclitaxel as in course 1 and interleukin-12 subcutaneously on days 2, 5, 9, 12, 16, and 19. Courses repeat every 21 days for up to 1 year in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of interleukin-12 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 every 3 months for 1 year and then every 6 months thereafter.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Male Breast Cancer, Recurrent Breast Cancer, Recurrent Endometrial Carcinoma, Recurrent Gastric Cancer, Recurrent Non-small Cell Lung Cancer, Recurrent Ovarian Epithelial Cancer, Recurrent Small Cell Lung Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm I
Arm Type
Experimental
Arm Description
Patients receive trastuzumab (Herceptin®) IV over 30-90 minutes on days 1, 8, and 15 and paclitaxel IV over 3 hours on day 1 of course 1. Beginning with course 2, patients receive trastuzumab and paclitaxel as in course 1 and interleukin-12 subcutaneously on days 2, 5, 9, 12, 16, and 19. Courses repeat every 21 days for up to 1 year in the absence of disease progression or unacceptable toxicity.
Intervention Type
Biological
Intervention Name(s)
trastuzumab
Other Intervention Name(s)
anti-c-erB-2, Herceptin, MOAB HER2
Intervention Description
Given IV
Intervention Type
Drug
Intervention Name(s)
paclitaxel
Other Intervention Name(s)
Anzatax, Asotax, TAX, Taxol
Intervention Description
Given IV
Intervention Type
Biological
Intervention Name(s)
recombinant interleukin-12
Other Intervention Name(s)
cytotoxic lymphocyte maturation factor, IL-12, interleukin-12, natural killer cell stimulatory factor, Ro 24-7472
Intervention Description
Given SC
Primary Outcome Measure Information:
Title
MTD of IL-12, defined as the dose level one level beneath that dose at which 2 or more of 6 patients showed DLT, based on the NCI CTC version 2.0
Time Frame
Up to 21 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed HER2/neu-overexpressing (2+ or 3+) malignancy by any standardized assay (fluorescence in-situ hybridization allowed) Measurable or evaluable disease Failed standard curative therapy No brain or CNS metastasis Hormone receptor status: Not specified Male or female Performance status - Karnofsky 70-100% At least 6 months Absolute neutrophil count at least 1,500/mm^3 Hemoglobin at least 8 g/dL (transfusion or epoetin alfa allowed) Platelet count at least 100,000/mm^3 Bilirubin no greater than 1.5 times upper limit of normal (ULN) AST and ALT no greater than 3.0 times ULN Hepatitis B surface antigen negative Creatinine no greater than 1.5 times ULN Calcium no greater than 11 mg/dL (calcium-lowering agents allowed) No active or unstable cardiovascular disease No cardiac disease requiring drug or device intervention No coronary artery disease No congestive heart failure Cardiac ejection fraction normal by echocardiogram or MUGA scan No significant peripheral neuropathy No significant CNS disease Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception HIV negative No serious concurrent infection requiring IV antibiotic therapy No clinically significant autoimmune disease (e.g., rheumatoid arthritis) No clinically significant gastrointestinal bleeding No uncontrolled peptic ulcer disease No inflammatory bowel disease No other major illness that would preclude study participation No other concurrent malignancy except non-melanoma skin cancer or carcinoma in situ of the cervix No prior interleukin-12 No prior trastuzumab (Herceptin®) At least 3 weeks since prior chemotherapy At least 3 weeks since prior hormonal therapy No concurrent systemic corticosteroids At least 3 weeks since prior radiotherapy At least 3 weeks since prior surgery At least 3 weeks since prior investigational drug
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
William Carson
Organizational Affiliation
Ohio State University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ohio State University Medical Center
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States

12. IPD Sharing Statement

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Interleukin-12, Paclitaxel, and Trastuzumab in Treating Patients With Solid Tumors

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