Colon Cancer Clinical Trial
Gene Therapy in Treating Patients With Colon Cancer That Has Spread to the Liver
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.
Full 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.
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
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There is 1 Location for this study
New York New York, 10021, United States
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