Immunotherapy in Treating Patients With Resected Liver Metastases From Colon Cancer
NCT ID: NCT00003433
Last Updated: 2013-06-21
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
PHASE1/PHASE2
INTERVENTIONAL
1998-06-30
2003-08-31
Brief Summary
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PURPOSE: Phase I/II trial to study the effectiveness of immunotherapy with CEA-treated white blood cells in treating patients with resected liver metastases from colon cancer.
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Detailed Description
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* Determine the cellular immune response to carcinoembryonic antigen pulsed dendritic cells in patients with adenocarcinoma of the colon metastatic to the liver.
* Evaluate the overall and recurrence free survival in this patient population.
OUTLINE: Patients undergo leukapheresis for up to 4.5 hours to collect dendritic cells. The separated dendritic cells are pulsed with carcinoembryonic antigen (CEA) RNA. Patients receive CEA RNA pulsed dendritic cells intravenously every 2 weeks for a total of 4 doses. Patients undergo a second leukapheresis 2 weeks after the last dendritic cell infusion to obtain specimens for immunologic tests. Patients with extra doses of dendritic cells available may receive additional doses of CEA RNA pulsed dendritic cells every 2 months in the absence of unacceptable toxicity.
Patients are followed at weeks 12, 24, 36, and 48, and every 6 months thereafter.
PROJECTED ACCRUAL: A total of 22 patients will be accrued for this study over 2 years.
Conditions
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Study Design
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TREATMENT
Interventions
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carcinoembryonic antigen RNA-pulsed DC cancer vaccine
Eligibility Criteria
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Inclusion Criteria
* Histologically confirmed adenocarcinoma of the colon metastatic to the liver that expresses carcinoembryonic antigen (CEA) after resection with curative intent
* At least 50% of the tumor cells must stain positive for CEA with at least moderate intensity
* No gross residual disease after surgery
PATIENT CHARACTERISTICS:
Age:
* 18 and over
Performance status:
* Karnofsky 70-100%
Life expectancy:
* Greater than 6 months
Hematopoietic:
* Absolute neutrophil count at least 1000/mm 3
* Hemoglobin at least 9 g/dL
* Platelet count at least 100,000/mm\^3
Hepatic:
* Bilirubin less than 2.0 mg/dL
* No chronic or acute hepatic disease
Renal:
* Creatinine less than 2.5 mg/dL
Cardiovascular:
* No chronic or acute cardiac disease (New York Heart Association class III or IV)
Pulmonary:
* No chronic or acute pulmonary illness such as asthma or chronic obstructive pulmonary disease
Other:
* Not pregnant or nursing
* No other prior or concurrent malignancy except nonmelanoma skin cancer or controlled superficial bladder cancer within the past 5 years
* No history of autoimmune disease such as inflammatory bowel disease, systemic lupus erythematosus, ankylosing spondylitis, scleroderma, and multiple sclerosis
* No active acute or chronic infection such as urinary tract infection, HIV, or viral hepatitis
* No active infectious enteritis or eosinophilic enteritis
PRIOR CONCURRENT THERAPY:
Biologic therapy:
* No other concurrent immunotherapy
Chemotherapy:
* No concurrent chemotherapy
* At least 6 weeks since prior chemotherapy
Endocrine therapy:
* No concurrent steroid therapy (or any other immunosuppressives)
* At least 6 weeks since prior steroid therapy
Radiotherapy:
* No concurrent radiotherapy
* At least 6 weeks since prior radiotherapy
Surgery:
* Recovered from prior surgery
18 Years
ALL
No
Sponsors
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National Cancer Institute (NCI)
NIH
Duke Cancer Institute
OTHER
Principal Investigators
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Herbert K. Lyerly, MD
Role: STUDY_CHAIR
Duke Cancer Institute
Locations
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Duke Comprehensive Cancer Center
Durham, North Carolina, United States
Countries
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Other Identifiers
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DUMC-2031-00-11R3
Identifier Type: -
Identifier Source: secondary_id
DUMC-2176-99-12R2
Identifier Type: -
Identifier Source: secondary_id
DUMC-97146
Identifier Type: -
Identifier Source: secondary_id
NCI-G98-1456
Identifier Type: -
Identifier Source: secondary_id
CDR0000066459
Identifier Type: -
Identifier Source: org_study_id
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