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In Vivo Angiostatin Generation Using Tissue Plasminogen Activator and Captopril in Treating Patients With Progressive Metastatic Cancer

Primary Purpose

Unspecified Adult Solid Tumor, Protocol Specific

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
recombinant tissue plasminogen activator
captopril
Sponsored by
Northwestern University
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Unspecified Adult Solid Tumor, Protocol Specific focused on measuring unspecified adult solid tumor, protocol specific

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Diagnosis of progressive metastatic cancer, excluding hematologic malignancies (i.e., leukemia or lymphoma) Measurable disease not required Must have received at least 1 prior systemic treatment for metastatic disease No known CNS involvement CNS involvement allowed provided it is successfully controlled by prior surgery or radiotherapy and there is no current requirement for corticosteroids PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy At least 3 months Hematopoietic Granulocyte count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 No bleeding diathesis Hepatic Bilirubin no greater than 1.5 mg/dL SGOT no greater than 3 times upper limit of normal Albumin normal PT and aPTT normal Fibrinogen > lower limit of normal Renal Creatinine no greater than 1.8 mg/dL Cardiovascular No myocardial infarction within the past 6 months No history of stroke, transient ischemic attack, or symptoms of cerebral ischemia No history of angioedema with captopril No severe or uncontrolled hypertension (i.e., systolic blood pressure greater than 180 mm Hg or diastolic blood pressure greater than 110 mm Hg) No congestive heart failure requiring therapy No chronic hypotension (e.g., systolic blood pressure less than 100 mm Hg) Other Not pregnant or nursing Fertile patients must use effective contraception HIV negative Potassium no greater than 5.2 mmol/L No active internal bleeding No history of seizures No psychiatric disorder that would preclude the giving of informed consent or study follow-up No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix No uncontrolled or active bacterial, viral, or invasive fungal infection No recent trauma No medical indication for anticoagulation No contraindication to captopril PRIOR CONCURRENT THERAPY: Biologic therapy At least 4 weeks since prior biologic therapy No concurrent immunomodulator therapy Chemotherapy At least 4 weeks since prior chemotherapy No concurrent chemotherapy Endocrine therapy See Disease Characteristics At least 4 weeks since prior endocrine therapy Radiotherapy See Disease Characteristics At least 4 weeks since prior radiotherapy Surgery See Disease Characteristics No recent intracranial or intraspinal surgery No concurrent surgery Other More than 48 hours since prior anticoagulation agents (e.g., warfarin or heparin) More than 3 weeks since prior investigational agents No concurrent anticoagulation agents, aspirin, or nonsteroidal anti-inflammatory drugs No other concurrent investigational agent No concurrent phenytoin, phenobarbital, or other antiepileptic prophylaxis Concurrent bisphosphonates allowed for metastatic bone disease

Sites / Locations

  • Robert H. Lurie Comprehensive Cancer Center at Northwestern University

Outcomes

Primary Outcome Measures

Angiostatin production

Secondary Outcome Measures

Full Information

First Posted
July 8, 2004
Last Updated
June 7, 2012
Sponsor
Northwestern University
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00086723
Brief Title
In Vivo Angiostatin Generation Using Tissue Plasminogen Activator and Captopril in Treating Patients With Progressive Metastatic Cancer
Official Title
Phase I/II Trial of In Vivo Angiostatin Generation With Tissue Plasminogen Activator (tPA) and Captopril in Patients With Progressive, Metastatic Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
June 2012
Overall Recruitment Status
Completed
Study Start Date
July 2003 (undefined)
Primary Completion Date
January 2006 (Actual)
Study Completion Date
January 2006 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RATIONALE: Tissue plasminogen activator and captopril may help the body generate angiostatin. Angiostatin may stop the growth of cancer by stopping blood flow to the tumor. PURPOSE: This phase I/II trial is studying the side effects and best dose of tissue plasminogen activator and captopril and to see how well they work in treating patients with progressive metastatic cancer.
Detailed Description
OBJECTIVES: Primary Determine the maximum tolerated dose and toxicity of captopril and tissue plasminogen activator (tPA) in patients with progressive metastatic cancer. Determine the in vivo generation of angiostatin by western analysis in patients treated with this regimen. Secondary Determine the antitumor effect of this regimen in these patients. OUTLINE: This is a dose-escalation study. Patients receive tissue plasminogen activator (tPA) IV over 6 hours and oral captopril twice daily on days 1-5. Courses repeat every 14 days for up to 1 year in the absence of disease progression or unacceptable toxicity. Patients who achieve a complete response (CR) receive 2 additional courses beyond CR. Cohorts of 3-6 patients receive escalating doses of tPA and captopril 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. PROJECTED ACCRUAL: Not specified.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Unspecified Adult Solid Tumor, Protocol Specific
Keywords
unspecified adult solid tumor, protocol specific

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
recombinant tissue plasminogen activator
Intervention Type
Drug
Intervention Name(s)
captopril
Primary Outcome Measure Information:
Title
Angiostatin production

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Diagnosis of progressive metastatic cancer, excluding hematologic malignancies (i.e., leukemia or lymphoma) Measurable disease not required Must have received at least 1 prior systemic treatment for metastatic disease No known CNS involvement CNS involvement allowed provided it is successfully controlled by prior surgery or radiotherapy and there is no current requirement for corticosteroids PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy At least 3 months Hematopoietic Granulocyte count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 No bleeding diathesis Hepatic Bilirubin no greater than 1.5 mg/dL SGOT no greater than 3 times upper limit of normal Albumin normal PT and aPTT normal Fibrinogen > lower limit of normal Renal Creatinine no greater than 1.8 mg/dL Cardiovascular No myocardial infarction within the past 6 months No history of stroke, transient ischemic attack, or symptoms of cerebral ischemia No history of angioedema with captopril No severe or uncontrolled hypertension (i.e., systolic blood pressure greater than 180 mm Hg or diastolic blood pressure greater than 110 mm Hg) No congestive heart failure requiring therapy No chronic hypotension (e.g., systolic blood pressure less than 100 mm Hg) Other Not pregnant or nursing Fertile patients must use effective contraception HIV negative Potassium no greater than 5.2 mmol/L No active internal bleeding No history of seizures No psychiatric disorder that would preclude the giving of informed consent or study follow-up No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix No uncontrolled or active bacterial, viral, or invasive fungal infection No recent trauma No medical indication for anticoagulation No contraindication to captopril PRIOR CONCURRENT THERAPY: Biologic therapy At least 4 weeks since prior biologic therapy No concurrent immunomodulator therapy Chemotherapy At least 4 weeks since prior chemotherapy No concurrent chemotherapy Endocrine therapy See Disease Characteristics At least 4 weeks since prior endocrine therapy Radiotherapy See Disease Characteristics At least 4 weeks since prior radiotherapy Surgery See Disease Characteristics No recent intracranial or intraspinal surgery No concurrent surgery Other More than 48 hours since prior anticoagulation agents (e.g., warfarin or heparin) More than 3 weeks since prior investigational agents No concurrent anticoagulation agents, aspirin, or nonsteroidal anti-inflammatory drugs No other concurrent investigational agent No concurrent phenytoin, phenobarbital, or other antiepileptic prophylaxis Concurrent bisphosphonates allowed for metastatic bone disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
William J. Gradishar, MD
Organizational Affiliation
Robert H. Lurie Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Robert H. Lurie Comprehensive Cancer Center at Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611-3013
Country
United States

12. IPD Sharing Statement

Learn more about this trial

In Vivo Angiostatin Generation Using Tissue Plasminogen Activator and Captopril in Treating Patients With Progressive Metastatic Cancer

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