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Immunotoxin Therapy in Treating Patients With Advanced Solid Tumors

Primary Purpose

Cervical Cancer, Fallopian Tube Cancer, Head and Neck Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
SS1(dsFv)-PE38 immunotoxin
Sponsored by
National Cancer Institute (NCI)
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cervical Cancer focused on measuring ovarian carcinosarcoma, ovarian clear cell cystadenocarcinoma, ovarian endometrioid adenocarcinoma, ovarian mixed epithelial carcinoma, ovarian serous cystadenocarcinoma, ovarian undifferentiated adenocarcinoma, recurrent ovarian epithelial cancer, Brenner tumor, primary peritoneal cavity cancer, fallopian tube cancer, epithelial mesothelioma, recurrent malignant mesothelioma, recurrent pancreatic cancer, cervical squamous cell carcinoma, recurrent cervical cancer, recurrent non-small cell lung cancer, squamous cell lung cancer, recurrent squamous cell carcinoma of the lip and oral cavity, recurrent squamous cell carcinoma of the paranasal sinus and nasal cavity, recurrent metastatic squamous neck cancer with occult primary, recurrent salivary gland cancer, salivary gland squamous cell carcinoma, recurrent squamous cell carcinoma of the hypopharynx, recurrent squamous cell carcinoma of the larynx, recurrent squamous cell carcinoma of the oropharynx, recurrent squamous cell carcinoma of the nasopharynx

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed advanced malignancy of 1 of the following types: Ovarian cancer All nonmucinous epithelial histologies are eligible Primary peritoneal cavity cancer Fallopian tube cancer Malignant mesothelioma No sarcomatous histology Pancreatic cancer Squamous cell cancer (SCC) of the lung SCC of the cervix SCC of the head and neck Recurrent unresectable disease, meeting 1 of the following criteria: Previously treated with definitive standard therapy Patient refused prior standard therapy Initial or recurrent tumor positive (at least 30% of tumor cells) for mesothelin by immunohistochemistry* NOTE: *Immunohistochemical evaluation not required for patients with pancreatic cancer Measurable or evaluable disease No clinically significant pericardial effusion No known CNS or spinal cord involvement by tumor PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy At least 12 weeks Hematopoietic Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 75,000/mm^3 Hepatic Bilirubin no greater than upper limit of normal (ULN) AST and ALT no greater than 2.5 times ULN Albumin at least 3.0 g/dL Hepatitis B and C negative Seropositive allowed if clinically asymptomatic except if clinically asymptomatic and bilirubin and AST and ALT meet the outlined criteria Renal Creatinine no greater than ULN Calcium no greater than ULN Cardiovascular No New York Heart Association class II-IV cardiovascular disease Pulmonary Oxygen saturation at least 93% on room air DLCO at least 50% of predicted* Total lung capacity and vital capacity at least 50% of predicted* FEV_1 at least 50% of predicted* NOTE: *For patients with pleural mesothelioma and as clinically indicated Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No infection requiring parenteral antibiotics No HIV infection Serum neutralizing activity to SS1(dsFv)-PE38 immunotoxin (at 200 ng/mL) no greater than 75% PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy Not specified Endocrine therapy Not specified Radiotherapy Not specified Surgery Not specified Other At least 4 weeks since prior therapy and recovered No other concurrent antitumor therapy

Sites / Locations

  • Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support
  • Comprehensive Cancer Center at Wake Forest University

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
August 6, 2003
Last Updated
April 29, 2015
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00066651
Brief Title
Immunotoxin Therapy in Treating Patients With Advanced Solid Tumors
Official Title
Phase I Study Of SS1(dsFv)-PE38 Anti-Mesothelin Immunotoxin In Advanced Malignancies: I.V. Infusion QOD Dosing
Study Type
Interventional

2. Study Status

Record Verification Date
February 2006
Overall Recruitment Status
Completed
Study Start Date
July 2003 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Immunotoxins can locate tumor cells and kill them without harming normal cells. Immunotoxin therapy may be effective in treating advanced solid tumors. PURPOSE: This phase I trial is studying the side effects and best dose of immunotoxin therapy in treating patients with recurrent unresectable advanced solid tumors.
Detailed Description
OBJECTIVES: Primary Determine the maximum tolerated dose of SS1(dsFv)-PE38 immunotoxin in patients with advanced mesothelin-expressing malignancies. Secondary Determine the toxic effects of this drug in these patients. Determine the plasma pharmacokinetics of this drug in these patients. Determine the response in patients treated with this drug. Correlate the induction of antibody against this drug with its pharmacokinetics in these patients. OUTLINE: This is an open-label, dose-escalation study. Patients receive a test dose of SS1(dsFv)-PE38 immunotoxin IV over 1-2 minutes on day 1 followed by SS1(dsFv)-PE38 immunotoxin IV over 30 minutes on days 1, 3, and 5. Treatment repeats every 4 weeks for up to 3 courses in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of SS1(dsFv)-PE38 immunotoxin 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. PROJECTED ACCRUAL: A total of 3-15 patients will be accrued for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Cancer, Fallopian Tube Cancer, Head and Neck Cancer, Lung Cancer, Malignant Mesothelioma, Ovarian Cancer, Pancreatic Cancer, Primary Peritoneal Cavity Cancer
Keywords
ovarian carcinosarcoma, ovarian clear cell cystadenocarcinoma, ovarian endometrioid adenocarcinoma, ovarian mixed epithelial carcinoma, ovarian serous cystadenocarcinoma, ovarian undifferentiated adenocarcinoma, recurrent ovarian epithelial cancer, Brenner tumor, primary peritoneal cavity cancer, fallopian tube cancer, epithelial mesothelioma, recurrent malignant mesothelioma, recurrent pancreatic cancer, cervical squamous cell carcinoma, recurrent cervical cancer, recurrent non-small cell lung cancer, squamous cell lung cancer, recurrent squamous cell carcinoma of the lip and oral cavity, recurrent squamous cell carcinoma of the paranasal sinus and nasal cavity, recurrent metastatic squamous neck cancer with occult primary, recurrent salivary gland cancer, salivary gland squamous cell carcinoma, recurrent squamous cell carcinoma of the hypopharynx, recurrent squamous cell carcinoma of the larynx, recurrent squamous cell carcinoma of the oropharynx, recurrent squamous cell carcinoma of the nasopharynx

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Masking
None (Open Label)

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
SS1(dsFv)-PE38 immunotoxin

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed advanced malignancy of 1 of the following types: Ovarian cancer All nonmucinous epithelial histologies are eligible Primary peritoneal cavity cancer Fallopian tube cancer Malignant mesothelioma No sarcomatous histology Pancreatic cancer Squamous cell cancer (SCC) of the lung SCC of the cervix SCC of the head and neck Recurrent unresectable disease, meeting 1 of the following criteria: Previously treated with definitive standard therapy Patient refused prior standard therapy Initial or recurrent tumor positive (at least 30% of tumor cells) for mesothelin by immunohistochemistry* NOTE: *Immunohistochemical evaluation not required for patients with pancreatic cancer Measurable or evaluable disease No clinically significant pericardial effusion No known CNS or spinal cord involvement by tumor PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy At least 12 weeks Hematopoietic Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 75,000/mm^3 Hepatic Bilirubin no greater than upper limit of normal (ULN) AST and ALT no greater than 2.5 times ULN Albumin at least 3.0 g/dL Hepatitis B and C negative Seropositive allowed if clinically asymptomatic except if clinically asymptomatic and bilirubin and AST and ALT meet the outlined criteria Renal Creatinine no greater than ULN Calcium no greater than ULN Cardiovascular No New York Heart Association class II-IV cardiovascular disease Pulmonary Oxygen saturation at least 93% on room air DLCO at least 50% of predicted* Total lung capacity and vital capacity at least 50% of predicted* FEV_1 at least 50% of predicted* NOTE: *For patients with pleural mesothelioma and as clinically indicated Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No infection requiring parenteral antibiotics No HIV infection Serum neutralizing activity to SS1(dsFv)-PE38 immunotoxin (at 200 ng/mL) no greater than 75% PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy Not specified Endocrine therapy Not specified Radiotherapy Not specified Surgery Not specified Other At least 4 weeks since prior therapy and recovered No other concurrent antitumor therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Raffit Hassan, MD
Organizational Affiliation
National Cancer Institute (NCI)
Official's Role
Study Chair
Facility Information:
Facility Name
Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support
City
Bethesda
State/Province
Maryland
ZIP/Postal Code
20892-1182
Country
United States
Facility Name
Comprehensive Cancer Center at Wake Forest University
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27157-1096
Country
United States

12. IPD Sharing Statement

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Immunotoxin Therapy in Treating Patients With Advanced Solid Tumors

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