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Biological Therapy in Treating Women With Breast Cancer That Has Spread to the Liver

Primary Purpose

Breast Cancer, Metastatic Cancer

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
adenovirus-mediated human interleukin-12
Sponsored by
Max Sung
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer focused on measuring stage IV breast cancer, liver metastases

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Histologically or cytologically confirmed* breast adenocarcinoma metastatic to the liver Solitary or multiple hepatic metastases No malignant involvement of > 40% of the estimated liver volume NOTE: *Must be from the hepatic tumor designated for study injection Metastatic liver tumors must be measurable in ≥ 2 dimensions on CT scan or MRI At least 1 metastatic hepatic tumor ≥ 2 cm in diameter must be visualized by ultrasound and accessible for percutaneous injection under ultrasound guidance Extrahepatic metastasis allowed No solitary hepatic metastasis eligible for liver resection No clinical evidence for severe liver disease (e.g., prior or current ascites or portosystemic encephalopathy) Hormone-receptor status not specified PATIENT CHARACTERISTICS: Female Menopausal status not specified Granulocyte count ≥ 1,500/mm^3 Hemoglobin ≥ 9.0 g/dL Platelet count ≥ 100,000/mm^3 PT ≤ 14.5 sec Creatinine ≤ 1.5 mg/dL OR creatinine clearance ≥ 45 mL/min Bilirubin ≤ 2 times upper limit of normal (ULN) Transaminases ≤ 2.5 times ULN Karnofsky performance status ≥ 70% Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for at least 2 months after completion of study treatment No active infection or serious intercurrent medical illness No HIV infection Life expectancy ≥ 16 weeks No other malignancy within the past 5 years except inactive nonmelanoma skin cancer, in situ carcinoma of the cervix, or grade 1 papillary bladder cancer At highest dose level, patient must weigh ≥ 30 kg PRIOR CONCURRENT THERAPY: No systemic immunosuppressive drugs, including corticosteroids, within 2 months prior to study entry Not require immunosuppressive drugs or anticoagulant therapy with heparin or warfarin for at least 2 months after study treatment No chemotherapy within 4 weeks of study entry (6 weeks for nitrosoureas)

Sites / Locations

  • Mount Sinai Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

adenovirus-mediated human interleukin-12

Arm Description

starting dose of ADV-hIL12 - 1 x 10 to the 10th power vp (virus particles) per patient, escalating in half-log increments up to 1 x 10 to the 13th power vp per patient, after which dose escalation will be at lower increments of 2 x 10 to the 13th power vp, to a maximum of 3.0 x 10 to the 13th power vp per patient.

Outcomes

Primary Outcome Measures

Toxicity
Serial monitoring of tumor necrosis factor alpha (TNFα) levels

Secondary Outcome Measures

Tumor Response
Sequential assessment of tumor on CT or MRI
IL12 level Immune response
Serum IL12 level
IFNγ levels Immune response
IFNγ levels
Immune response
Serum antibodies (titer) to adenovirus.

Full Information

First Posted
March 8, 2006
Last Updated
January 31, 2017
Sponsor
Max Sung
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1. Study Identification

Unique Protocol Identification Number
NCT00301106
Brief Title
Biological Therapy in Treating Women With Breast Cancer That Has Spread to the Liver
Official Title
Phase I Trial of Adenoviral Vector Delivery of the Human Interleukin-12 cDNA by Intratumoral Injection in Patients With Metastatic Breast Cancer to the Liver
Study Type
Interventional

2. Study Status

Record Verification Date
January 2017
Overall Recruitment Status
Terminated
Why Stopped
protocol underwent significant revisions, decision made to terminate study and open as new study listed NCT00849459
Study Start Date
October 2005 (undefined)
Primary Completion Date
August 2008 (Actual)
Study Completion Date
August 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Max Sung

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RATIONALE: Biological therapy using a gene-modified virus that can make interleukin-12 may help the body build an effective immune response to kill tumor cells. PURPOSE: This phase I trial is studying the side effects and best dose of a gene-modified virus that can make interleukin-12 in treating women with breast cancer that has spread to the liver.
Detailed Description
Direct intratumoral injection of metastatic hepatic tumors using an adenoviral vector expressing the human recombinant interleukin-12 gene (Adv.RSV-hIL12, also termed ADV-hIL-12). OBJECTIVES: Study the toxicity of escalating doses of adenoviral vector expressing the human recombinant interleukin-12 gene, administered by percutaneous intratumoral injection, in women with liver metastasis secondary to breast cancer. Determine tumor responses produced by this regimen. Determine immune responses induced by this regimen.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer, Metastatic Cancer
Keywords
stage IV breast cancer, liver metastases

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
adenovirus-mediated human interleukin-12
Arm Type
Experimental
Arm Description
starting dose of ADV-hIL12 - 1 x 10 to the 10th power vp (virus particles) per patient, escalating in half-log increments up to 1 x 10 to the 13th power vp per patient, after which dose escalation will be at lower increments of 2 x 10 to the 13th power vp, to a maximum of 3.0 x 10 to the 13th power vp per patient.
Intervention Type
Biological
Intervention Name(s)
adenovirus-mediated human interleukin-12
Intervention Description
The purified ADV-hIL12 is suspended in formulation buffer (10mM Tris, pH 7.5/ 1mM MgCl2/ 150mM NaCl/ 10% glycerol) and aliquoted into 1ml cryovials. The filled vials are stored at or below -60 degC.
Primary Outcome Measure Information:
Title
Toxicity
Description
Serial monitoring of tumor necrosis factor alpha (TNFα) levels
Time Frame
up to 15 days
Secondary Outcome Measure Information:
Title
Tumor Response
Description
Sequential assessment of tumor on CT or MRI
Time Frame
up to 2 months
Title
IL12 level Immune response
Description
Serum IL12 level
Time Frame
up to 2 months
Title
IFNγ levels Immune response
Description
IFNγ levels
Time Frame
up to 2 months
Title
Immune response
Description
Serum antibodies (titer) to adenovirus.
Time Frame
up to 2 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed* breast adenocarcinoma metastatic to the liver Solitary or multiple hepatic metastases No malignant involvement of > 40% of the estimated liver volume NOTE: *Must be from the hepatic tumor designated for study injection Metastatic liver tumors must be measurable in ≥ 2 dimensions on CT scan or MRI At least 1 metastatic hepatic tumor ≥ 2 cm in diameter must be visualized by ultrasound and accessible for percutaneous injection under ultrasound guidance Extrahepatic metastasis allowed No solitary hepatic metastasis eligible for liver resection No clinical evidence for severe liver disease (e.g., prior or current ascites or portosystemic encephalopathy) Hormone-receptor status not specified PATIENT CHARACTERISTICS: Female Menopausal status not specified Granulocyte count ≥ 1,500/mm^3 Hemoglobin ≥ 9.0 g/dL Platelet count ≥ 100,000/mm^3 PT ≤ 14.5 sec Creatinine ≤ 1.5 mg/dL OR creatinine clearance ≥ 45 mL/min Bilirubin ≤ 2 times upper limit of normal (ULN) Transaminases ≤ 2.5 times ULN Karnofsky performance status ≥ 70% Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for at least 2 months after completion of study treatment No active infection or serious intercurrent medical illness No HIV infection Life expectancy ≥ 16 weeks No other malignancy within the past 5 years except inactive nonmelanoma skin cancer, in situ carcinoma of the cervix, or grade 1 papillary bladder cancer At highest dose level, patient must weigh ≥ 30 kg PRIOR CONCURRENT THERAPY: No systemic immunosuppressive drugs, including corticosteroids, within 2 months prior to study entry Not require immunosuppressive drugs or anticoagulant therapy with heparin or warfarin for at least 2 months after study treatment No chemotherapy within 4 weeks of study entry (6 weeks for nitrosoureas)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Max W. Sung, MD
Organizational Affiliation
Icahn School of Medicine at Mount Sinai
Official's Role
Study Chair
Facility Information:
Facility Name
Mount Sinai Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States

12. IPD Sharing Statement

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Biological Therapy in Treating Women With Breast Cancer That Has Spread to the Liver

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