Immunotherapy in Treating Patients With Resected Liver Metastases From Colon Cancer

NCT ID: NCT00003433

Last Updated: 2013-06-21

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

1998-06-30

Study Completion Date

2003-08-31

Brief Summary

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RATIONALE: Immunotherapy using CEA-treated white blood cells may help a person's body build an immune response to kill their tumor cells.

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.

Detailed Description

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OBJECTIVES:

* 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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Colorectal Cancer Metastatic Cancer

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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carcinoembryonic antigen RNA-pulsed DC cancer vaccine

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Duke Cancer Institute

OTHER

Sponsor Role lead

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

Site Status

Countries

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United States

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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