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Heat Activated Liposomal Doxorubicin and Radiofrequency Ablation in Treating Patients With Primary or Metastatic Liver Tumors

Primary Purpose

Liver Cancer, Metastatic Cancer

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
lyso-thermosensitive liposomal doxorubicin
radiofrequency ablation
Sponsored by
National Institutes of Health Clinical Center (CC)
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Liver Cancer focused on measuring advanced adult primary liver cancer, liver metastases, localized unresectable adult primary liver cancer, recurrent adult primary liver cancer

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed tumor of the liver Primary or metastatic disease No more than 4 lesions No single lesion > 7 cm in maximum diameter Not a candidate for curative surgical resection due to tumor histology or prior surgery PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy At least 3 months Hematopoietic Platelet count ≥ 75,000/mm^3 WBC ≥ 1,500/mm^3 Hemoglobin ≥ 10 g/dL (transfusions to attain levels ≥ 10g/dL allowed) Hepatic Bilirubin ≤ 2.0 mg/dL PT or PTT ≤ 1.5 times control (except for patients receiving anticoagulation therapy for an unrelated medical condition [e.g., atrial fibrillation]) Renal Creatinine ≤ 2.5 mg/dL Cardiovascular See Hepatic Ejection fraction ≥ 50% by MUGA No congestive heart failure No myocardial infarction within the past 6 months No cerebral vascular accident within the past 6 months No life-threatening cardiac arrhythmia Other Weight < 136 kg Glucose ≤ 300 mg/dL No uncontrolled diabetes No known serious uncontrolled reaction (e.g., anaphylaxis) to contrast agents used in this study No known allergy to egg or egg products No other serious medical illness Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent interferon No live vaccines (for immunosuppressed patients only) during and for 30 days after study treatment Chemotherapy Not specified Endocrine therapy Not specified Radiotherapy Not specified Surgery See Disease Characteristics Other More than 3 weeks since prior therapy for liver tumor(s) More than 3 weeks since prior systemic therapy for non-life-threatening extrahepatic disease and recovered No other concurrent systemic therapy No administration of any of the following medications during and for 30 days after study treatment: Cyclosporine Phenobarbital Phenytoin Streptozocin No concurrent administration of any of the following medications: Amphotericin B by injection Antithyroid agents for overactive thyroid Azathioprine Chloramphenicol Colchicine Flucytosine Ganciclovir Plicamycin Zidovudine Probenecid Sulfinpyrazone

Sites / Locations

  • Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office
  • Queen Mary Hospital - Hong Kong

Outcomes

Primary Outcome Measures

Maximum tolerated dose of heat-activated doxorubicin HCL liposome
Pharmacokinetics and pharmacodynamics of heat-activated doxorubicin HCL liposome at 15, 30, 45, 60, 75, and 90 minutes; 2, 3, 4, 6, 24, and 46 hours; and 4 and 8 days following infusion

Secondary Outcome Measures

Effects of ablative therapy on tumor blood flow and tumor vascular density as measured by MRI at 28 days following study completion

Full Information

First Posted
October 6, 2004
Last Updated
March 14, 2012
Sponsor
National Institutes of Health Clinical Center (CC)
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00093444
Brief Title
Heat Activated Liposomal Doxorubicin and Radiofrequency Ablation in Treating Patients With Primary or Metastatic Liver Tumors
Official Title
A Phase I Dose Escalation Study Of Heat Activated Liposome Delivery Of Doxorubicin And Radiofrequency Ablation Of Primary And Metastatic Tumors Of The Liver
Study Type
Interventional

2. Study Status

Record Verification Date
March 2012
Overall Recruitment Status
Completed
Study Start Date
September 2004 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
January 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
National Institutes of Health Clinical Center (CC)
Collaborators
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy, such as liposomal doxorubicin, work in different ways to stop tumor cells from dividing so they stop growing or die. Radiofrequency ablation uses high-frequency electric current to kill tumor cells. Combining radiofrequency ablation with liposomal doxorubicin may increase the effectiveness of the drug and kill more tumor cells. PURPOSE: This phase I trial is studying the best dose of liposomal doxorubicin when given with radiofrequency ablation in treating patients with primary or metastatic liver tumors.
Detailed Description
OBJECTIVES: Determine the maximum tolerated dose of heat activated doxorubicin HCl liposome when combined with radiofrequency ablation in patients with primary or metastatic tumors of the liver. Determine the pharmacokinetics and pharmacodynamics of this drug in these patients. OUTLINE: This is a dose-escalation study of heat activated doxorubicin HCl liposome. Patients receive doxorubicin HCl liposome IV over 30 minutes. Approximately 15 minutes after the beginning of the doxorubicin HCl liposome infusion, patients undergo radiofrequency ablation with needles inserted into the tumor(s) and heated to the target temperature for approximately 12-60 minutes. Cohorts of 3-6 patients receive escalating doses of heat activated doxorubicin HCl liposome 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. At least 6 patients are treated at the MTD. Patients are followed at 28 days, every 3 months for 1 year, and then every 6 months for 2 years. PROJECTED ACCRUAL: Approximately 30 patients will be accrued for this study within 2 years.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Liver Cancer, Metastatic Cancer
Keywords
advanced adult primary liver cancer, liver metastases, localized unresectable adult primary liver cancer, recurrent adult primary liver cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
lyso-thermosensitive liposomal doxorubicin
Intervention Type
Procedure
Intervention Name(s)
radiofrequency ablation
Primary Outcome Measure Information:
Title
Maximum tolerated dose of heat-activated doxorubicin HCL liposome
Title
Pharmacokinetics and pharmacodynamics of heat-activated doxorubicin HCL liposome at 15, 30, 45, 60, 75, and 90 minutes; 2, 3, 4, 6, 24, and 46 hours; and 4 and 8 days following infusion
Secondary Outcome Measure Information:
Title
Effects of ablative therapy on tumor blood flow and tumor vascular density as measured by MRI at 28 days following study completion

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed tumor of the liver Primary or metastatic disease No more than 4 lesions No single lesion > 7 cm in maximum diameter Not a candidate for curative surgical resection due to tumor histology or prior surgery PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy At least 3 months Hematopoietic Platelet count ≥ 75,000/mm^3 WBC ≥ 1,500/mm^3 Hemoglobin ≥ 10 g/dL (transfusions to attain levels ≥ 10g/dL allowed) Hepatic Bilirubin ≤ 2.0 mg/dL PT or PTT ≤ 1.5 times control (except for patients receiving anticoagulation therapy for an unrelated medical condition [e.g., atrial fibrillation]) Renal Creatinine ≤ 2.5 mg/dL Cardiovascular See Hepatic Ejection fraction ≥ 50% by MUGA No congestive heart failure No myocardial infarction within the past 6 months No cerebral vascular accident within the past 6 months No life-threatening cardiac arrhythmia Other Weight < 136 kg Glucose ≤ 300 mg/dL No uncontrolled diabetes No known serious uncontrolled reaction (e.g., anaphylaxis) to contrast agents used in this study No known allergy to egg or egg products No other serious medical illness Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent interferon No live vaccines (for immunosuppressed patients only) during and for 30 days after study treatment Chemotherapy Not specified Endocrine therapy Not specified Radiotherapy Not specified Surgery See Disease Characteristics Other More than 3 weeks since prior therapy for liver tumor(s) More than 3 weeks since prior systemic therapy for non-life-threatening extrahepatic disease and recovered No other concurrent systemic therapy No administration of any of the following medications during and for 30 days after study treatment: Cyclosporine Phenobarbital Phenytoin Streptozocin No concurrent administration of any of the following medications: Amphotericin B by injection Antithyroid agents for overactive thyroid Azathioprine Chloramphenicol Colchicine Flucytosine Ganciclovir Plicamycin Zidovudine Probenecid Sulfinpyrazone
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bradford Wood, MD
Organizational Affiliation
National Cancer Institute (NCI)
Official's Role
Study Chair
Facility Information:
Facility Name
Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office
City
Bethesda
State/Province
Maryland
ZIP/Postal Code
20892-1182
Country
United States
Facility Name
Queen Mary Hospital - Hong Kong
City
Hong Kong
Country
China

12. IPD Sharing Statement

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Heat Activated Liposomal Doxorubicin and Radiofrequency Ablation in Treating Patients With Primary or Metastatic Liver Tumors

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