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Gene Therapy in Treating Patients With Colon Cancer That Has Spread to the Liver

Primary Purpose

Colorectal Cancer, Metastatic Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
NV1020
Sponsored by
Memorial Sloan Kettering Cancer Center
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Cancer focused on measuring stage IV colon cancer, recurrent colon cancer, adenocarcinoma of the colon, liver metastases

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma of the colon At least 3 metastatic hepatic lesions involving both lobes No extrahepatic disease Failed first-line combination chemotherapy of fluorouracil plus either leucovorin calcium or irinotecan Herpes simplex virus type-1 seropositive Candidate for intrahepatic arterial infusion pump placement PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 70-100% Life expectancy: Not specified Hematopoietic: WBC greater than 3,000/mm^3 Absolute neutrophil count greater than 1,500/mm^3 Platelet count greater than 100,000/mm^3 Hemoglobin greater than 9.0 g/dL No history of any blood clotting disorder (e.g., hemophilia) Hepatic: Transaminases no greater than 3 times upper limit of normal Bilirubin no greater than 2.0 mg/dL No active hepatitis No history of hepatic fibrosis, cirrhosis, or hemochromatosis Renal: Creatinine no greater than 2.0 mg/dL Other: Not pregnant or nursing Negative pregnancy test All patients must use effective barrier contraception during and for at least 6 months after study HIV negative No active herpes infection No other active uncontrolled infection No prior weight loss of more than 10 lbs within the past month No history of alcohol or other substance abuse No concurrent unstable and/or severe medical or psychological condition No history of any other medical or psychological condition that would preclude study PRIOR CONCURRENT THERAPY: Biologic therapy: At least 4 weeks since prior immunotherapy (e.g., interleukin-2, interleukin -12, or interferon) No prior gene transfer therapy No prior therapy with cytolytic virus of any type No concurrent immunotherapy during and for 28 days after study therapy No concurrent vaccines during and for 28 days after study therapy Chemotherapy: See Disease Characteristics At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) No concurrent chemotherapy during and for 28 days after study therapy Endocrine therapy: No concurrent systemic steroids during and for 28 days after study therapy Radiotherapy: No prior radiotherapy to the liver No concurrent radiotherapy during and for 28 days after study therapy Surgery: At least 2 weeks since prior surgery Other: At least 30 days since prior participation in investigational study No concurrent antiviral agent active against herpes simplex virus (e.g., acyclovir, valacyclovir, penciclovir, famciclovir, ganciclovir, foscarnet, or cidofovir) during and for 28 days after study therapy No concurrent immunosuppressive agents (e.g., cyclosporine) during and for 28 days after study therapy No other concurrent investigational or anti-cancer agents during and for 28 days after study therapy

Sites / Locations

  • Memorial Sloan-Kettering Cancer Center

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
March 3, 2001
Last Updated
June 25, 2013
Sponsor
Memorial Sloan Kettering Cancer Center
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00012155
Brief Title
Gene Therapy in Treating Patients With Colon Cancer That Has Spread to the Liver
Official Title
A Phase I, Open-Label, Dose-Escalating Study Of The Safety, Tolerability, And Anti-Tumor Activity Of A Single Intrahepatic Arterial Injection Of Genetically Engineered Herpes Simplex Virus, NV1020, In Subjects With Adenocarcinoma Of The Colon With Metastasis To The Liver
Study Type
Interventional

2. Study Status

Record Verification Date
November 2002
Overall Recruitment Status
Completed
Study Start Date
October 2000 (undefined)
Primary Completion Date
November 2002 (Actual)
Study Completion Date
December 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Memorial Sloan Kettering Cancer Center
Collaborators
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Gene therapy may make the body build an immune response to kill tumor cells. PURPOSE: Phase I trial to study the safety of NV1020 in patients who have colon cancer that has spread to the liver and has not responded to previous chemotherapy.
Detailed Description
OBJECTIVES: Determine the safety and maximum tolerated dose of a single intrahepatic NV1020 injection in patients with hepatic metastases from colon cancer that has failed first-line chemotherapy. Determine the tolerability of this drug in these patients. Determine preliminarily the anti-tumor activity of this drug in these patients. Assess the immunogenicity of NV1020 in these patients. OUTLINE: This is a dose escalation study. Patients receive a single intrahepatic arterial injection of NV1020 over 10 minutes with the aid of hepatic arteriography. Cohorts of 3 patients receive escalating doses of NV1020 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 patients experience dose-limiting toxicity. Patients are followed at 1, 2, and 3 months post injection. Patients may participate in a separate long term (up to 1 year) follow-up study for continued assessment and monitoring. PROJECTED ACCRUAL: A total of 27 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
Colorectal Cancer, Metastatic Cancer
Keywords
stage IV colon cancer, recurrent colon cancer, adenocarcinoma of the colon, liver metastases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
NV1020

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma of the colon At least 3 metastatic hepatic lesions involving both lobes No extrahepatic disease Failed first-line combination chemotherapy of fluorouracil plus either leucovorin calcium or irinotecan Herpes simplex virus type-1 seropositive Candidate for intrahepatic arterial infusion pump placement PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Karnofsky 70-100% Life expectancy: Not specified Hematopoietic: WBC greater than 3,000/mm^3 Absolute neutrophil count greater than 1,500/mm^3 Platelet count greater than 100,000/mm^3 Hemoglobin greater than 9.0 g/dL No history of any blood clotting disorder (e.g., hemophilia) Hepatic: Transaminases no greater than 3 times upper limit of normal Bilirubin no greater than 2.0 mg/dL No active hepatitis No history of hepatic fibrosis, cirrhosis, or hemochromatosis Renal: Creatinine no greater than 2.0 mg/dL Other: Not pregnant or nursing Negative pregnancy test All patients must use effective barrier contraception during and for at least 6 months after study HIV negative No active herpes infection No other active uncontrolled infection No prior weight loss of more than 10 lbs within the past month No history of alcohol or other substance abuse No concurrent unstable and/or severe medical or psychological condition No history of any other medical or psychological condition that would preclude study PRIOR CONCURRENT THERAPY: Biologic therapy: At least 4 weeks since prior immunotherapy (e.g., interleukin-2, interleukin -12, or interferon) No prior gene transfer therapy No prior therapy with cytolytic virus of any type No concurrent immunotherapy during and for 28 days after study therapy No concurrent vaccines during and for 28 days after study therapy Chemotherapy: See Disease Characteristics At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) No concurrent chemotherapy during and for 28 days after study therapy Endocrine therapy: No concurrent systemic steroids during and for 28 days after study therapy Radiotherapy: No prior radiotherapy to the liver No concurrent radiotherapy during and for 28 days after study therapy Surgery: At least 2 weeks since prior surgery Other: At least 30 days since prior participation in investigational study No concurrent antiviral agent active against herpes simplex virus (e.g., acyclovir, valacyclovir, penciclovir, famciclovir, ganciclovir, foscarnet, or cidofovir) during and for 28 days after study therapy No concurrent immunosuppressive agents (e.g., cyclosporine) during and for 28 days after study therapy No other concurrent investigational or anti-cancer agents during and for 28 days after study therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yuman Fong, MD
Organizational Affiliation
Memorial Sloan Kettering Cancer Center
Official's Role
Study Chair
Facility Information:
Facility Name
Memorial Sloan-Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States

12. IPD Sharing Statement

Citations:
Citation
Kemeny N, Jarnagin W, Guilfoyle B, et al.: Results of a phase I, dose-escalating study of the safety, tolerability and anti-tumor activity of a single injection of a genetically engineered herpes simplex virus, nv1020, in subjects with hepatic colorectal metastases. [Abstract] Ann Oncol 16 (Suppl 2): A-480, ii283, 2005.
Results Reference
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Gene Therapy in Treating Patients With Colon Cancer That Has Spread to the Liver

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