Interleukin-12 Gene in Treating Patients With Liver Metastases Secondary to Colorectal Cancer



Status:Terminated
Conditions:Colorectal Cancer, Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:1/12/2017
Start Date:September 2003
End Date:January 2012

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Phase I Trial Of Adenoviral Vector Delivery Of The Human Interleukin-12 cDNA By Intratumoral Injection In Patients With Metastatic Colorectal Cancer To The Liver

RATIONALE: Inserting the interleukin-12 gene into a person's cancer cells may make the body
build an immune response to kill tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of interleukin-12
gene when injected into the tumors of patients with liver metastases secondary to colorectal
cancer.

OBJECTIVES:

- Determine the toxicity and maximum tolerated dose of intratumoral adenoviral
vector-delivered interleukin-12 gene in patients with liver metastases secondary to
colorectal cancer .

- Determine the tumor response in patients treated with this regimen.

- Determine the immune response in patients treated with this regimen.

DISEASE CHARACTERISTICS:

- Histologically or cytologically confirmed* colorectal adenocarcinoma metastatic to
the liver

- Solitary or multiple metastatic tumors in the liver

- Metastatic involvement of the liver no greater than 40% of estimated liver
volume NOTE: *Must be from the hepatic tumor designated for study injection

- Metastatic liver tumors must be bidimensionally measurable by CT scan or MRI

- At least 1 metastatic liver tumor measuring at least 2.0 cm must be visualized by
ultrasound (US) and accessible for US-guided percutaneous injection

- Extrahepatic metastases allowed

- No prior or current ascites

- Ineligible for hepatic resection

PATIENT CHARACTERISTICS:

Age

- Adult

Performance status

- Karnofsky 70-100%

Life expectancy

- At least 16 weeks

Hematopoietic

- Granulocyte count at least 1,500/mm^3

- Hemoglobin at least 9.0 g/dL

- Platelet count at least 100,000/mm^3

Hepatic

- No clinical evidence of other severe liver disease (e.g., portosystemic
encephalopathy)

- PT no greater than 14 seconds

- Bilirubin no greater than 2.0 times upper limit of normal (ULN)

- Transaminases no greater than 2.5 times ULN

Renal

- Creatinine no greater than 1.5 mg/dL OR

- Creatinine clearance at least 45 mL/min

Other

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective nonhormonal contraception during and for at least
2 months after study participation

- HIV negative

- No active infection

- No other concurrent serious medical illness

- No other malignancy within the past 5 years except inactive nonmelanoma skin cancer,
carcinoma in situ of the cervix, or grade 1 papillary bladder cancer

- Oriented and rational

- Weight at least 30 kg

PRIOR CONCURRENT THERAPY:

Biologic therapy

- Not specified

Chemotherapy

- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas)

Endocrine therapy

- At least 2 months since prior corticosteroids

Radiotherapy

- Not specified

Surgery

- Not specified

Other

- At least 2 months since prior systemic immunosuppressive drugs

- No concurrent immunosuppressive drugs

- No concurrent anticoagulant therapy with heparin or warfarin
We found this trial at
1
site
1428 Madison Ave
New York, New York 10029
(212) 241-6500
Icahn School of Medicine at Mount Sinai Icahn School of Medicine at Mount Sinai is...
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mi
from
New York, NY
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