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Gene Therapy in Treating Patients With Cancer



Gene Therapy in Treating Patients With Cancer

For Condition: Head and Neck Cancer,adult primary liver cancer,Lung Cancer,Colon Cancer,Endometrial Cancer,kidney tumor,Vaginal Cancer,Rectal Cancer,Pancreatic Cancer,ovarian epithelial cancer,Prostate Cancer,Renal Cell Cancer,Esophageal Cancer,Cervical Cancer,Gastric Cancer,Salivary Gland Cancer,Colorectal Cancer,Bladder Cancer
Status: Suspended
Sponsor(s): Beth Israel Deaconess Medical Center ,
Synopsis: RATIONALE: Inserting a gene that has been created in the laboratory into a person's white blood cells may make the body build an immune response to kill cancer cells. PURPOSE: Phase I trial to study the effectiveness of gene therapy in treating patients who have cancer that has not responded to previous therapy.
Details: OBJECTIVES: I. Determine the safety and maximum tolerated dose of T cells activated in vitro and modified with chimeric anti-CEA immunoglobulin T cell receptors (Ig TCR) in patients with CEA expressing adenocarcinoma. II. Determine the pharmacokinetics of this regimen by the persistence of modified T cells in the blood of these patients. III. Evaluate the immunogenicity of murine sequences in chimeric anti-CEA Ig TCR. IV. Assess immunologic parameters which correlate with the efficacy of this regimen in these patients. V. Evaluate, in a preliminary manner, the efficacy of this regimen in patients with CEA bearing tumors. PROTOCOL OUTLINE: This is a dose escalation study. Peripheral blood lymphocytes (PBL) are harvested. PBL are activated in vitro and then modified with recombinant chimeric anti-CEA immunoglobulin T cell receptors (Ig TCR). Ig TCR modified T cells are reinfused over 30-60 minutes. The estimated maximum tolerated dose (MTD) is defined as the dose at which 2 of 6 patients experience unacceptable toxicity. If the MTD is not reached within the first cohort, a second cohort of 3 patients then receives 4 doses of modified T cells at a higher dose. Patients are followed every 2 weeks for 2 months. PROJECTED ACCRUAL: A total of 6-9 patients will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically proven CEA expressing adenocarcinoma; Serum CEA levels greater than 10 ng/mL; Failed standard therapy - Measurable disease --Prior/Concurrent Therapy-- - Biologic therapy: Not specified - Chemotherapy: At least 4 weeks since prior chemotherapy - Endocrine therapy: Not specified - Radiotherapy: At least 4 weeks since prior radiotherapy - Surgery: Not specified --Patient Characteristics-- - Age: 18 and over - Performance status: 0-2 - Life expectancy: Greater than 2 months - Hematopoietic: Not specified - Hepatic: No significant hepatic disease; Bilirubin no greater than 3 mg/dL; No active clinical disease caused by hepatitis B - Renal: No significant renal disease; Creatinine no greater than 3 mg/dL - Cardiovascular: No significant cardiovascular disease - Pulmonary: No significant pulmonary disease - Other: Not pregnant; Negative pregnancy test; Fertile patients must use effective contraception; No significant endocrine, rheumatologic, or allergic disease; No active clinical disease caused by cytomegalovirus or tuberculosis; HIV negative
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
RichardJunghans,  Study Chair,  Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center
Boston,  Massachusetts,  02215
United States
 


Additional Information:
Study ID Numbers:
  CDR0000067388;  NEDH-941101148,NCI-V99-1577
Study Start Date: April 1998
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004178

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