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Home > "L" Clinical Trials Conditions > LMB-9 Immunotoxin in Treating Patients With Advanced Colon, Breast, Non-small Cell Lung, Bladder, Pancreatic, or Ovarian Cancer

LMB-9 Immunotoxin in Treating Patients With Advanced Colon, Breast, Non-small Cell Lung, Bladder, Pancreatic, or Ovarian Cancer



LMB-9 Immunotoxin in Treating Patients With Advanced Colon, Breast, Non-small Cell Lung, Bladder, Pancreatic, or Ovarian Cancer

For Condition: ovarian sarcoma,Pancreatic Cancer,Colon Cancer,ovarian epithelial cancer,Breast Cancer,Lung Cancer,Bladder Cancer
Status: Completed
Sponsor(s): University of Maryland Greenebaum Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: The LMB-9 immunotoxin can locate tumor cells and kill them without harming normal cells. PURPOSE: Phase I trial to study the effectiveness of LMB-9 immunotoxin in treating patients who have advanced colon, breast, non-small cell lung, bladder, pancreatic, or ovarian cancer.
Details: OBJECTIVES: - Determine the maximum tolerated dose of LMB-9 immunotoxin in patients with advanced colon, breast, non-small cell lung, bladder, pancreas, or ovarian cancer. - Assess the toxicity and pharmacokinetics of this treatment regimen in these patients. - Determine the clinical responses in patients treated with this regimen. OUTLINE: This is a dose-escalation study. Patients receive LMB-9 immunotoxin IV continuously for 10 days. Treatment continues every 30 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of LMB-9 immunotoxin until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Patients are followed at 3 weeks and then every 2 months thereafter. PROJECTED ACCRUAL: A total of 3-25 patients will be accrued for this study within 12-24 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed advanced colon, breast, non-small cell lung, bladder, pancreas, or ovarian cancer refractory to standard treatment or for which no effective standard therapy exists - Expresses Lewis Y antigen - Evidence of disease progression - B3 antigen on the surface of more than 30% of the tumor cells determined by immunohistochemistry - No neutralizing antibodies to LMB-9 immunotoxin - No untreated CNS metastases - Hormone receptor status: - Not specified PATIENT CHARACTERISTICS: Age: - 18 and over Sex: - Male or female Menopausal status: - Not specified Performance status: - ECOG 0-1 Life expectancy: - At least 3 months Hematopoietic: - Absolute granulocyte count greater than 1,200/mm^3 - Platelet count greater than 100,000/mm^3 Hepatic: - Bilirubin no greater than 1.5 times normal - SGOT and SGPT no greater than 2.5 times upper limit of normal (liver metastases allowed) - Albumin at least 3.0 g/dL - No prior liver disease (e.g., alcohol liver disease) - Hepatitis B and C negative Renal: - Creatinine no greater than 1.4 mg/dL - Creatinine clearance greater than 60 mL/min - Proteinuria less than 1 g/24 hours Cardiovascular: - No history of coronary artery disease - No cardiac arrhythmia requiring therapy - No New York Heart Association class II-IV congestive heart failure Pulmonary: - Pulmonary function test required if significant smoking history, possible pulmonary disease, or lung cancer - FEV1 and FVC at least 65% predicted Other: - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - No known seizure disorders - No urinary tract infection - No other concurrent malignancy - No active peptic ulcer disease - No known allergy to omeprazole - No contraindication to pressor therapy - No other concurrent medical or psychological condition that would preclude study PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - At least 3 weeks since prior chemotherapy (6 weeks for mitomycin or nitrosoureas) and recovered Endocrine therapy: - At least 3 weeks since prior hormonal therapy Radiotherapy: - At least 3 weeks since prior radiotherapy and recovered Surgery: - Not specified
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
JudithKarp,  Study Chair,  University of Maryland Greenebaum Cancer Center

Marlene and Stewart Greenebaum Cancer Center, University of Maryland
Baltimore,  Maryland,  21201
United States
 

Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support
Bethesda,  Maryland,  20892-1182
United States
 


Additional Information:
Study ID Numbers:
  CDR0000067885;  NCI-511,MSGCC-IRB-0200123,MSGCC-9981
Study Start Date: 
Record last reviewed: May 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00005858

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