Prostate Cancer Clinical Trial
Biological Therapy in Treating Patients With Prostate Cancer
Summary
RATIONALE: Biological therapies use different ways to stimulate the immune system and stop tumor cells from growing. Treating a person's T cells in the laboratory and then reinfusing them may cause a stronger immune response and kill more tumor cells.
PURPOSE: Phase I trial to study the effectiveness of T-cell therapy in treating patients who have prostate cancer that has not responded to hormone therapy.
Full Description
OBJECTIVES:
Determine the safety of activated autologous T cells (Xcellerate) therapy in patients with hormone-refractory prostate cancer.
Determine the change in prostate-specific antigen (PSA) levels in patients treated with this therapy.
Determine the effects on bone in patients treated with this therapy.
OUTLINE: This is a multicenter study.
Patients undergo leukapheresis to collect peripheral blood mononuclear cells (PBMC). PBMC are activated and expanded ex vivo by costimulation with antihuman CD3 and antihuman CD28 monoclonal antibodies covalently attached to superparamagnetic microbeads (Xcellerate). Xcellerate-activated T cells are reinfused on day 0.
Patients are followed weekly for 4 weeks and then monthly for 3 months.
PROJECTED ACCRUAL: A total of 15 patients will be accrued for this study.
Eligibility Criteria
DISEASE CHARACTERISTICS:
Histologically confirmed adenocarcinoma of the prostate
Evidence of androgen-independent disease
Patient must have received prior primary hormonal therapy (e.g., orchiectomy or gonadotropin-releasing hormone analog with or without antiandrogen)
Demonstrated disease progression by any 1 of the following:
Elevated PSA level (at least 5 ng/mL) that has serially risen from baseline on 2 occasions at least 1 week apart
At least 1 new osseous lesion on bone scan
More than 25% increase in the sum of the products of the perpendicular diameters of all bidimensionally measurable sites of disease
No CNS metastases
PATIENT CHARACTERISTICS:
Age:
Not specified
Performance status:
ECOG 0-1
Life expectancy:
At least 3 months
Hematopoietic:
Not specified
Hepatic:
Bilirubin no greater than 1.5 times upper limit of normal (ULN)
SGPT no greater than 1.5 times ULN
Hepatitis B surface antigen negative
No active or chronic hepatitis B or C
No other hepatic dysfunction that would preclude study
Renal:
Creatinine less than 2.0 mg/dL
Calcium less than 11 mg/dL
No renal dysfunction that would preclude study
No symptomatic hypercalcemia
Cardiovascular:
No New York Heart Association class III or IV heart disease
Pulmonary:
No pulmonary disease requiring inhaled steroids or bronchodilators
Other:
No history of HIV 1 or 2 or human T-cell lymphotrophic virus (HTLV) 1 or 2
No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer
No history of autoimmune disease (e.g., rheumatoid arthritis or multiple sclerosis)
No other major organ system dysfunction
No gastrointestinal, neurologic, or psychiatric dysfunction that would preclude study
Human anti-mouse antibody negative
PRIOR CONCURRENT THERAPY:
Biologic therapy:
No concurrent growth factors, interleukin, interferons, or cytokines
Chemotherapy:
No prior chemotherapy or other systemic chemotherapy agent for prostate or any other cancer
Endocrine therapy:
Prior aminoglutethimide allowed
At least 4 weeks since prior flutamide
At least 6 weeks since prior bicalutamide or nilutamide
Concurrent luteinizing hormone-releasing hormone agonists should be continued
No concurrent corticosteroids or dexamethasone
No concurrent anti-androgens (e.g., flutamide, bicalutamide, or nilutamide)
Radiotherapy:
At least 4 weeks since prior local radiotherapy
No prior radiopharmaceutical therapy (e.g., strontium chloride Sr 89 or samarium Sm 153 lexidronam pentasodium)
No concurrent radiotherapy
Surgery:
Not specified
Other:
Prior ketoconazole or PC-SPES allowed
At least 1 week since prior antibiotic, antifungal, or antiviral agents
At least 4 weeks since other prior systemic therapy for prostate cancer (except bisphosphonates or hormonal therapy)
At least 6 weeks since prior investigational drugs or devices
No other concurrent therapy for this disease
No concurrent participation in another clinical trial
No concurrent bisphosphonates unless initiated prior to study
No concurrent immunosuppressive drugs
No other concurrent experimental therapies
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There is 1 Location for this study
Los Angeles California, 90095, United States
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