Radiolabeled Monoclonal Antibody Therapy in Treating Patients With Recurrent or Persistent Metastatic Colorectal Cancer
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Purpose
Phase I trial to study the effectiveness of radiolabeled monoclonal antibody therapy in treating patients who have recurrent or persistent metastatic colorectal cancer. Radiolabeled monoclonal antibodies can locate tumor cells and deliver tumor-killing substances to them without harming normal cells. Radiolabeled monoclonal antibody therapy may be effective treatment for colorectal cancer
| Condition | Intervention | Phase |
|---|---|---|
|
Adenocarcinoma of the Colon Adenocarcinoma of the Rectum Recurrent Colon Cancer Recurrent Rectal Cancer Stage IV Colon Cancer Stage IV Rectal Cancer |
Drug: iodine I 131 monoclonal antibody CC49-deltaCH2 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase I Trial of 131I-HuCC49^CH2 for Colon Cancer |
- Maximum tolerated dose of 131I-HuCC49^CH2 based on dose-limiting toxicities [ Time Frame: 6 weeks ] [ Designated as safety issue: Yes ]
- Immune response [ Time Frame: Up to 54 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 15 |
| Study Start Date: | October 2001 |
| Primary Completion Date: | July 2005 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Treatment (monoclonal antibody)
Patients receive a tracer dose of iodine I 131 monoclonal antibody CC49-deltaCH2 IV on day 1 and a therapy dose over 30 minutes on day 8. Cohorts of 3-5 patients receive escalating doses of iodine I 131 monoclonal antibody CC49-deltaCH2 until the MTD is determined. The MTD is defined as the dose at which 3 of 5 patients experience grade 3 or greater toxicity while 0-2 of 5 patients experience reversible grade 4 hematologic toxicity. |
Drug: iodine I 131 monoclonal antibody CC49-deltaCH2
Given IV
Other Names:
|
Detailed Description:
PRIMARY OBJECTIVES:
I. Determine the maximum tolerated dose of iodine I 131 monoclonal antibody CC49-deltaCH2 (deleted CH2 region) in patients with colorectal cancer.
II. Determine the toxic effects, plasma pharmacokinetics, whole body biodistribution, and conjugate stability of this drug in these patients.
III. Determine the ability of this drug to localize to tumor sites in these patients.
IV. Determine the immune response in patients treated with this drug.
OUTLINE: This is a dose-escalation study.
Patients receive a tracer dose of iodine I 131 monoclonal antibody CC49-deltaCH2 IV on day 1 and a therapy dose over 30 minutes on day 8.
Cohorts of 3-5 patients receive escalating doses of iodine I 131 monoclonal antibody CC49-deltaCH2 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which 3 of 5 patients experience grade 3 or greater toxicity while 0-2 of 5 patients experience reversible grade 4 hematologic toxicity.
Patients are followed weekly for a minimum of 7 weeks and then every 6 weeks until disease progression.
Eligibility| Ages Eligible for Study: | 19 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Histologically confirmed metastatic adenocarcinoma of the colon or rectum
- Not amenable to surgical resection
- Recurrent or persistent disease after standard surgery, radiotherapy, and chemotherapy, including fluorouracil and irinotecan
- TAG-72 positive
- Performance status - ECOG 0-2
- WBC greater than 3,500/mm^3
- Platelet count greater than 125,000/mm^3
- Hemoglobin greater than 10 g/dL
- No nucleated RBC or significant teardrop RBC morphology
- Bilirubin less than 1.5 mg/dL
- SGOT/SGPT less than 4 times normal
- Hepatitis B surface antigen negative
- Creatinine less than 2.0 mg/dL
- HIV negative
- No other malignancy within the past 5 years except basal cell skin cancer
- No allergy to iodine
- No detectable antibody to monoclonal antibody CC49
- Not pregnant or nursing
- Fertile patients must use effective contraception
- At least 3 weeks since prior immunotherapy and recovered
- No prior bone marrow or stem cell transplantation
- No other concurrent immunotherapy
- See Disease Characteristics
- At least 3 weeks since prior chemotherapy and recovered
- No concurrent chemotherapy
- See Disease Characteristics
- At least 3 weeks since prior radiotherapy and recovered
- No prior radiotherapy to more than 25% of red marrow
- No concurrent radiotherapy
- See Disease Characteristics
- At least 3 weeks since prior surgery and recovered
Contacts and Locations| United States, Alabama | |
| University of Alabama at Birmingham | |
| Birmingham, Alabama, United States, 35294 | |
| Principal Investigator: | Ruby Meredith | University of Alabama at Birmingham |
More Information
No publications provided
| Responsible Party: | National Cancer Institute (NCI) |
| ClinicalTrials.gov Identifier: | NCT00023933 History of Changes |
| Other Study ID Numbers: | NCI-2012-02406, UAB 9846, CDR0000068877 |
| Study First Received: | September 13, 2001 |
| Last Updated: | January 24, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Adenocarcinoma Adenocarcinoma, Mucinous Colonic Neoplasms Rectal Neoplasms Carcinoma Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Neoplasms, Cystic, Mucinous, and Serous Colorectal Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Digestive System Diseases |
Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases Antibodies Immunoglobulins Antibodies, Monoclonal Iodine Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions Anti-Infective Agents, Local Anti-Infective Agents Therapeutic Uses Trace Elements |
ClinicalTrials.gov processed this record on May 19, 2013