Safety Study to Determine the Appropriate Dose of Antibody Against Tumor Cells to Best Target Patients With Pancreatic Cancer.

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Primary Purpose

Status

Terminated

Phase

Early Phase 1

Locations

United States

Study Type

Interventional

Intervention

Radiolabeled humanized PAM4 IgG

About this trial

This is an interventional treatment trial for Pancreatic Cancer

Eligibility Criteria

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

Inclusion Criteria:- All patients must either have a histologic or cytological diagnosis of pancreatic cancer or a high clinical suspicion of pancreatic cancer. Patients must be 21 years of age. Patients must have measurable disease by CT scan. Patients must be at least 4 weeks beyond any major surgery. Patients must be at least 4 weeks beyond any chemotherapy or radiation therapy and must have recovered from treatment-induced toxicity. Patients must have a performance status of 70% or greater on the Karnofsky Scale and a minimal life expectancy of 3 months. Patients must not have severe anorexia, nausea or vomiting, and no signs of intestinal obstruction. Patients must have a serum creatinine that is < 1.5 x the Institutional Upper Limit of Normal (IULN). AST/ALT < 2 times the IULN; serum bilirubin < 3 x IULN. WBC 3000/mm3, a granulocyte count 1500/mm3, and a platelet count 100,000/mm3. Patients must sign an informed consent, and be mentally responsible. There will be no discrimination based on race, creed, or ethnic background. Patients must be able to return to an approved study site for the scheduled follow-up procedures. Exclusion Criteria: A.Subjects with a significant concurrent medical complication that in the judgment of the Principal Investigator could affect the patient's ability to tolerate or complete this study. These include, but are not restricted to Known history of active coronary artery disease, unstable angina, myocardial infarction, or congestive heart failure present within 6 months or cardiac arrhythmia requiring anti-arrhythmia therapy. Known history of active COPD, or other moderate-to-severe respiratory illness present within 6 months. B. Subjects who have signs of intestinal obstruction. C. Subjects who are pregnant are excluded. D. Subjects who have a measurable antibody response to hPAM4 in their pre-study sample or who are proven allergic upon testing with the agent. E. Patients who are known to have HIV. F. Patients who have a known history of Hepatitis B or C or any other serious liver abnormality will be excluded from enrollment. G. Prisoners or other institutionalized persons. -

Sites / Locations

Johns Hopkins Institution, Dept of Radiology and Radiological Science

Outcomes

Primary Outcome Measures

Examine the pharmacokinetics and tumor targeting of 111In-DOTA-hPAM4 anti-MUC-1 IgG given intravenously to patients with known or a suspicion of primary or recurrent pancreatic cancer.

An examination of how the pharmacokinetics and tumor targeting are affected by the amount of hPAM4 IgG administered.

Targeting with 111In-hPAM4 will be compared to other radiological (e.g., CT) and nuclear (FDG-PET; optional)findings.

For patients who undergo surgery after the 111In-hPAM4 study, targeting will be correlated against surgical findings.

Secondary Outcome Measures

Correlate tumor targeting, when feasible, with the following:Immunohistology using the hPAM4 antibody

Histology,Serum antigen content

Determine normal organ and, whenever possible, tumor dosimetry for 90Y-hPAM4 IgG based on the distribution and tumor targeting of 111In-hPAM4-IgG.

Monitor the development of antibody formation to the hPAM4, when feasible.

Targeting with 111In-hPAM4 will be compared to other radiological (e.g., CT) and nuclear (FDG-PET; optional)findings.

Full Information

NCT ID

NCT00364364

First Posted

August 14, 2006

Last Updated

January 16, 2019

Sponsor

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Collaborators

National Cancer Institute (NCI)

1. Study Identification

Unique Protocol Identification Number

NCT00364364

Brief Title

Safety Study to Determine the Appropriate Dose of Antibody Against Tumor Cells to Best Target Patients With Pancreatic Cancer.

Official Title

Pharmacokinetics, Biodistribution and Targeting of 111 In- Labeled Humanized PAM4IgG in Pre-Surgical Pancreatic Cancer Patients.An Examination of Protein Dose

Study Type

Interventional

2. Study Status

Record Verification Date

December 2008

Overall Recruitment Status

Terminated

Why Stopped

Loss of funding

Study Start Date

May 2007 (Actual)

Primary Completion Date

August 2008 (Actual)

Study Completion Date

August 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Sponsor

Name of the Sponsor

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Collaborators

National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary

This no treatment research study is being done to find a safe and an appropriate dose of antibody (protein) against tumor cells to best target the cancer in people with pancreatic cancer. To do this, this no-treatment research study will compare two doses of an antibody called hPAM4 IgG when combined with a radioactive element, Indium-111.

Detailed Description

This is an open-label, single-center, non-randomized, single-arm, pilot imaging study to determine the pharmacokinetics, biodistribution, and tumor targeting of an indium-111 (111In)-labeled, humanized anti-MUC1 antibody, designated hPAM4 IgG1 in patients with known pancreatic cancer. The primary objective of this trial is to examine how changing the protein dose will affect these parameters with the intent to determine if a single protein dose can be selected to optimize tumor targeting. It is expected that these data will aid in the selection of an appropriate protein dose to be used in a Phase I therapy trial with yttrium-90 (90Y)-labeled hPAM4 IgG. The secondary objective is to monitor safety. Pharmacokinetics, biodistribution, tumor targeting, and dosimetry (modeling for 90Y) will be assessed against clinical parameters, such as pre-study PAM4-reactive MUC-1 antigen in the serum, tumor size, location, histopathology, immunohistology, and if possible, antigen content by extraction of tumor sample.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Pancreatic Cancer

7. Study Design

Primary Purpose

Treatment

Study Phase

Early Phase 1

Interventional Study Model

Single Group Assignment

Masking

None (Open Label)

Allocation

N/A

Enrollment

2 (Actual)

8. Arms, Groups, and Interventions

Intervention Type

Drug

Intervention Name(s)

Radiolabeled humanized PAM4 IgG

Primary Outcome Measure Information:

Title

Examine the pharmacokinetics and tumor targeting of 111In-DOTA-hPAM4 anti-MUC-1 IgG given intravenously to patients with known or a suspicion of primary or recurrent pancreatic cancer.

Title

An examination of how the pharmacokinetics and tumor targeting are affected by the amount of hPAM4 IgG administered.

Title

Targeting with 111In-hPAM4 will be compared to other radiological (e.g., CT) and nuclear (FDG-PET; optional)findings.

Title

For patients who undergo surgery after the 111In-hPAM4 study, targeting will be correlated against surgical findings.

Secondary Outcome Measure Information:

Title

Correlate tumor targeting, when feasible, with the following:Immunohistology using the hPAM4 antibody

Title

Histology,Serum antigen content

Title

Determine normal organ and, whenever possible, tumor dosimetry for 90Y-hPAM4 IgG based on the distribution and tumor targeting of 111In-hPAM4-IgG.

Title

Monitor the development of antibody formation to the hPAM4, when feasible.

Title

Targeting with 111In-hPAM4 will be compared to other radiological (e.g., CT) and nuclear (FDG-PET; optional)findings.

10. Eligibility

Sex

All

Minimum Age & Unit of Time

21 Years

Accepts Healthy Volunteers

No

Eligibility Criteria

Inclusion Criteria:- All patients must either have a histologic or cytological diagnosis of pancreatic cancer or a high clinical suspicion of pancreatic cancer. Patients must be 21 years of age. Patients must have measurable disease by CT scan. Patients must be at least 4 weeks beyond any major surgery. Patients must be at least 4 weeks beyond any chemotherapy or radiation therapy and must have recovered from treatment-induced toxicity. Patients must have a performance status of 70% or greater on the Karnofsky Scale and a minimal life expectancy of 3 months. Patients must not have severe anorexia, nausea or vomiting, and no signs of intestinal obstruction. Patients must have a serum creatinine that is < 1.5 x the Institutional Upper Limit of Normal (IULN). AST/ALT < 2 times the IULN; serum bilirubin < 3 x IULN. WBC 3000/mm3, a granulocyte count 1500/mm3, and a platelet count 100,000/mm3. Patients must sign an informed consent, and be mentally responsible. There will be no discrimination based on race, creed, or ethnic background. Patients must be able to return to an approved study site for the scheduled follow-up procedures. Exclusion Criteria: A.Subjects with a significant concurrent medical complication that in the judgment of the Principal Investigator could affect the patient's ability to tolerate or complete this study. These include, but are not restricted to Known history of active coronary artery disease, unstable angina, myocardial infarction, or congestive heart failure present within 6 months or cardiac arrhythmia requiring anti-arrhythmia therapy. Known history of active COPD, or other moderate-to-severe respiratory illness present within 6 months. B. Subjects who have signs of intestinal obstruction. C. Subjects who are pregnant are excluded. D. Subjects who have a measurable antibody response to hPAM4 in their pre-study sample or who are proven allergic upon testing with the agent. E. Patients who are known to have HIV. F. Patients who have a known history of Hepatitis B or C or any other serious liver abnormality will be excluded from enrollment. G. Prisoners or other institutionalized persons. -

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Richard Wahl, MD

Organizational Affiliation

Johns Hopkins Institution

Official's Role

Principal Investigator

Facility Information:

Facility Name

Johns Hopkins Institution, Dept of Radiology and Radiological Science

City

Baltimore

State/Province

Maryland

ZIP/Postal Code

21287

Country

United States

Pancreatic Cancer

About this trial

Eligibility Criteria

Sites / Locations

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

1. Study Identification

2. Study Status

3. Sponsor/Collaborators

4. Oversight

5. Study Description

6. Conditions and Keywords

7. Study Design

8. Arms, Groups, and Interventions

10. Eligibility

12. IPD Sharing Statement

Learn more about this trial