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EBV-Specific CTLs Following CD45 Antibody to Patients with Epstein-Barr Virus (EBV) + Nasopharyngeal Carcinoma (NPC)



EBV-Specific CTLs Following CD45 Antibody to Patients with Epstein-Barr Virus (EBV) + Nasopharyngeal Carcinoma (NPC)

For Condition: Nasopharyngeal Cancer,EBV Infections
Status: Recruiting
Sponsor(s): Baylor College of Medicine , The Methodist Hospital,Texas Children's Hospital
Synopsis: The purpose of this study is to find the largest safe dose of EBV specific cytotoxic T cells given after antibody injections, to learn what the side effects are and to see whether this therapy might help patients with nasopharyngeal cancer.
Details: Three different doses of CTL will be evaluated: dose level I: 2 doses of 2 x 10E7/m2 dose level II: 2 doses of 6 x 10E7/m2 dose level III: 2 doses of 1.5 x 10E8/m2 Three to six patients will be evaluated on each dosing schedule. Each patient will receive two CTL infusions eight weeks apart. The first CTL dose will be given without antibody. After monitoring for 8 weeks patients will receive CD45 monoclonal antibody. A fixed Dose of CD45 MAb will be used determined from our previous and ongoing studies in stem cell transplant recipients: 400ug/kg over 4 hrs daily x 4. CD45 levels will be monitored and two days later patients will receive a second CTL infusion at the same dose as the first infusion. (provided CD45 antibody level <100). If the CD45 level is greater than 100 it will be monitored daily and the cells given when it is less than 100. Day - 5 CD45 Mab infusion 400 ug/kg Day - 4 CD45 Mab infusion 400mg/kg Day - 3 CD45 Mab infusion 400 mg/kg Day - 2 CD45 Mab infusion 400 mg/kg Day - 1 Day 0 CTL infusion II (provided CD45 MAb <100)
Eligibility:
Study Type:
  Interventional, Treatment, Non-Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: /
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - Any patient with EBV positive NPC, in relapse or with primary resistant disease - Life expectancy of more than 6 weeks. - No severe intercurrent infection - Patient, parent/guardian able to give informed consent - Bilirubin less than 2x normal - SGOT less than 3x normal, - Hgb higher than 8.0 g/L - Creatinine less than 2x normal for age - Patients should have been off other investigational therapy for one month prior to entry in this study. - Karnofsky score of over or equal to 50. Exclusion Criteria: - Patient, parent/guardian unable or unwilling to give informed consent - Patients with a Karnofsky score of < 50 - Patients with a severe intercurrent infection - Patients with a life expectancy of <6 weeks - Patients with a bilirubin of more than 2x normal. SGOT of more than 3x normal - Patients with a creatinine of more than 2x normal for age - Due to unknown effects of this therapy on a fetus, pregnant women are excluded from this research. The male partner should use a condom. Note: Patients who would be excluded from the protocol strictly for laboratory abnormalities can be included at the investigator's discretion after approval by the CCGT Protocol Review Committee and the FDA reviewer.
Total Enrollment: 18

Location and Contact Information:

Overall Study Official:
MalcolmBrenner,  Study Chair,  Baylor College of Medicine

The Methodist Hospital *Recruiting*
Houston,  Texas,  77030
United States
Recruiting Helen  Heslop 832-824-4662

Texas Children's Hospital *Recruiting*
Houston,  Texas,  77030
United States
Recruiting HELEN  HESLOP 832-824-4662


Additional Information:
Study ID Numbers:
  H14214;  CLANC
Study Start Date: September 2003
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00078546

Other Nasopharyngeal Cancer Studies:
1. RK-0202 in Preventing Oral Mucositis in Patients Who are Undergoing Radiation Therapy for Cancer of the Mouth, Throat, or Salivary Glands

2. Cevimeline in Treating Patients With Dry Mouth Caused by Radiation Therapy for Head and Neck Cancer

3. Administration of EBV-Specific Cytotoxic T-Lymphocytes to Patients with EBV-Positive Cancer of the Nose and Throat

4. EBV-Specific CTLs Following CD45 Antibody to Patients with Epstein-Barr Virus (EBV) + Nasopharyngeal Carcinoma (NPC)

5. Mucositis in Patients Receiving Radiation Therapy for Cancer of the Mouth, Pharynx, or Larynx

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