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Phase II Study to Evaluate G17DT in Combination With Irinotecan in Patients With Colorectal Carcinoma (CC6)

Primary Purpose

Colorectal Cancer

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
G17DT-Irinotecan
Sponsored by
Cancer Advances Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer focused on measuring G17DT, irinotecan, Colorectal Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Have histologically confirmed cancer of the colon or rectum or both and objective evidence of distant metastases
  • Have measurable disease
  • Have previously been treated with an irinotecan based chemotherapy
  • Have progressive metastatic disease after an irinotecan containing chemotherapy regimen (alone or in combination) for metastatic colorectal cancer
  • Be at least 18 years of age
  • Have laboratory data as specified below:

    • Aspartate aminotransferase (AST) and ALT less than 2.5 times upper limit of normal
    • Bilirubin less than 1.5 mg/dL (SI units, 25.65 mol/L)
    • Creatinine less than 1.5 mg/dL (SI units, 132 mol/L)
    • White blood cell (WBC) count greater than 3,000/mm3
    • Platelets greater than 100,000/mm3
    • Hemoglobin more than 9.5 g/dL (SI units, 5.9 mol/L)
    • International normalized ratio of prothrombin time less than 1.2, and activated partial thromboplastin time no more than 5 seconds above normal limits
  • Have a life expectancy of at least 3 months
  • Have a KPS score of 70 or greater
  • Use contraceptive methods, if sexually active
  • Have the ability to understand the requirements of the study, to provide written informed consent, agree to abide by the study restrictions, and agree to return for the required assessments

Exclusion Criteria:

  • Be pregnant or nursing
  • Have only symptomatic locally recurrent colorectal cancer
  • Have had any active cancer in addition to metastatic colorectal cancer within the last 5 years except curatively treated nonmelanomatous skin cancer
  • Have received any prior anticancer immunotherapy
  • Have central nervous system metastasis, whether treated or not
  • Have bone metastases as sole manifestation of metastatic colorectal cancer
  • Have received chemotherapy within the previous 21 days
  • Have had major surgery within 21 days
  • Have immunodeficiency (primary or acquired)
  • Have undergone bone marrow transplantation within the last year
  • Require chronic administration of corticosteroids; inhaled corticosteroids for asthma and chronic obstructive pulmonary disease are allowed
  • Use in the past 30 days or concomitant use of immunosuppressants, including systemic (i.e., oral or injected) corticosteroids
  • Have participated in any clinical trial involving conventional or investigational drugs or devices within 21 days before G17DT irinotecan administration
  • Have contraindication to irinotecan based therapy
  • Have hypersensitivity to diphtheria toxoid
  • Use in the past 14 days or chronic concomitant use of proton pump inhibitors
  • Have uncontrolled serious cardiovascular or metabolic disease or any other uncontrolled serious medical or psychiatric illness
  • Have any condition that is likely to detrimentally affect regular follow up

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    G17DT-Irinotecan

    Arm Description

    500µg dose of G17DT intramuscular injection in combination with 125 mg/m^2 intravenous infusion of Irinotecan over 90 minutes.

    Outcomes

    Primary Outcome Measures

    Tumor response
    Evaluate the effect of G17DT-Irinotecan combination therapy on tumor response assessed by magnetic resonance imaging or computed tomography.
    Survival time
    The vital status of patients was monitored until death or end of the study.
    Number of Patients with Serious and Non-Serious Adverse Events
    Adverse events, defined as any event involving adverse reactions, illnesses with onset during the study, or exacerbations of pre-existing illnesses, were assessed at each visit.

    Secondary Outcome Measures

    Full Information

    First Posted
    April 16, 2014
    Last Updated
    April 17, 2014
    Sponsor
    Cancer Advances Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02118064
    Brief Title
    Phase II Study to Evaluate G17DT in Combination With Irinotecan in Patients With Colorectal Carcinoma
    Acronym
    CC6
    Official Title
    A Multinational, Multicenter, Open-label, Single-arm, Phase II Study of G17DT Immunogen in Combination With Irinotecan in Metastatic Colorectal Carcinoma Refractory to Previous Irinotecan-based Chemotherapy.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2001 (undefined)
    Primary Completion Date
    December 2002 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Cancer Advances Inc.

    4. Oversight

    5. Study Description

    Brief Summary
    This study was designed to evaluate the ability for G17DT to slow or arrest tumor growth in patients with refractory colon cancer who had been previously treated with an Irinotecan-based chemotherapy.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Colorectal Cancer
    Keywords
    G17DT, irinotecan, Colorectal Cancer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    161 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    G17DT-Irinotecan
    Arm Type
    Experimental
    Arm Description
    500µg dose of G17DT intramuscular injection in combination with 125 mg/m^2 intravenous infusion of Irinotecan over 90 minutes.
    Intervention Type
    Biological
    Intervention Name(s)
    G17DT-Irinotecan
    Intervention Description
    500µg dose of G17DT intramuscular injection in combination with 125 mg/m^2 intravenous infusion of Irinotecan over 90 minutes.
    Primary Outcome Measure Information:
    Title
    Tumor response
    Description
    Evaluate the effect of G17DT-Irinotecan combination therapy on tumor response assessed by magnetic resonance imaging or computed tomography.
    Time Frame
    up to 12 months
    Title
    Survival time
    Description
    The vital status of patients was monitored until death or end of the study.
    Time Frame
    up to 12 months
    Title
    Number of Patients with Serious and Non-Serious Adverse Events
    Description
    Adverse events, defined as any event involving adverse reactions, illnesses with onset during the study, or exacerbations of pre-existing illnesses, were assessed at each visit.
    Time Frame
    Up to 12 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Have histologically confirmed cancer of the colon or rectum or both and objective evidence of distant metastases Have measurable disease Have previously been treated with an irinotecan based chemotherapy Have progressive metastatic disease after an irinotecan containing chemotherapy regimen (alone or in combination) for metastatic colorectal cancer Be at least 18 years of age Have laboratory data as specified below: Aspartate aminotransferase (AST) and ALT less than 2.5 times upper limit of normal Bilirubin less than 1.5 mg/dL (SI units, 25.65 mol/L) Creatinine less than 1.5 mg/dL (SI units, 132 mol/L) White blood cell (WBC) count greater than 3,000/mm3 Platelets greater than 100,000/mm3 Hemoglobin more than 9.5 g/dL (SI units, 5.9 mol/L) International normalized ratio of prothrombin time less than 1.2, and activated partial thromboplastin time no more than 5 seconds above normal limits Have a life expectancy of at least 3 months Have a KPS score of 70 or greater Use contraceptive methods, if sexually active Have the ability to understand the requirements of the study, to provide written informed consent, agree to abide by the study restrictions, and agree to return for the required assessments Exclusion Criteria: Be pregnant or nursing Have only symptomatic locally recurrent colorectal cancer Have had any active cancer in addition to metastatic colorectal cancer within the last 5 years except curatively treated nonmelanomatous skin cancer Have received any prior anticancer immunotherapy Have central nervous system metastasis, whether treated or not Have bone metastases as sole manifestation of metastatic colorectal cancer Have received chemotherapy within the previous 21 days Have had major surgery within 21 days Have immunodeficiency (primary or acquired) Have undergone bone marrow transplantation within the last year Require chronic administration of corticosteroids; inhaled corticosteroids for asthma and chronic obstructive pulmonary disease are allowed Use in the past 30 days or concomitant use of immunosuppressants, including systemic (i.e., oral or injected) corticosteroids Have participated in any clinical trial involving conventional or investigational drugs or devices within 21 days before G17DT irinotecan administration Have contraindication to irinotecan based therapy Have hypersensitivity to diphtheria toxoid Use in the past 14 days or chronic concomitant use of proton pump inhibitors Have uncontrolled serious cardiovascular or metabolic disease or any other uncontrolled serious medical or psychiatric illness Have any condition that is likely to detrimentally affect regular follow up

    12. IPD Sharing Statement

    Learn more about this trial

    Phase II Study to Evaluate G17DT in Combination With Irinotecan in Patients With Colorectal Carcinoma

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