ONTAK® in Treating Patients With Advanced Breast Cancer That Did Not Respond to Previous Treatment

NCT ID: NCT00425672

Last Updated: 2018-12-05

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Brief Summary

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RATIONALE: ONTAK may be able to help reduce the type of cells that prevent other types of immune cells from attacking the breast cancer cells.

PURPOSE: This phase I/II trial is studying the safety of ONTAK and its possible side effects to see how well it works in treating patients with advanced breast cancer that did not respond to previous treatment.

Detailed Description

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PRIMARY OBJECTIVES:

I. To evaluate the safety of ONTAK infusion in patients with advanced refractory breast cancer.

II. To evaluate the effect of ONTAK administration on peripheral blood T-regulatory cells.

SECONDARY OBJECTIVES:

I. To evaluate the incidence of IL-2R expression in tumor samples and investigate the correlation of tumor IL-2R expression and tumor response to ONTAK therapy.

II. To evaluate levels of circulating sIL-2R before and after ONTAK therapy. III. To evaluate the effect of ONTAK on endogenous tumor specific immunity. IV. To evaluate the potential anti-tumor effects of ONTAK in patients with advanced refractory breast cancer.

OUTLINE:

Patients receive ONTAK IV over 1 hour on days 1-5. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up every 3 months for 1 year.

Conditions

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Male Breast Cancer Recurrent Breast Cancer Stage IIIA Breast Cancer Stage IIIB Breast Cancer Stage IIIC Breast Cancer Stage IV Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm I

Patients receive ONTAK IV over 1 hour on days 1-5. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

ONTAK

Intervention Type BIOLOGICAL

Given IV

flow cytometry

Intervention Type OTHER

Correlative studies

immunohistochemistry staining method

Intervention Type OTHER

Correlative studies

enzyme-linked immunosorbent assay

Intervention Type OTHER

Correlative studies

laboratory biomarker analysis

Intervention Type OTHER

Correlative studies

protein expression analysis

Intervention Type GENETIC

Correlative studies

Interventions

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ONTAK

Given IV

Intervention Type BIOLOGICAL

flow cytometry

Correlative studies

Intervention Type OTHER

immunohistochemistry staining method

Correlative studies

Intervention Type OTHER

enzyme-linked immunosorbent assay

Correlative studies

Intervention Type OTHER

laboratory biomarker analysis

Correlative studies

Intervention Type OTHER

protein expression analysis

Correlative studies

Intervention Type GENETIC

Other Intervention Names

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DAB389 interleukin-2 DAB389 interleukin-2 immunotoxin DAB389-IL2 DAB389IL-2 denileukin diftitox DAB389IL2 DABIL2 immunohistochemistry ELISA

Eligibility Criteria

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Inclusion Criteria

* Patients with advanced stage refractory breast cancer
* Progressive or relapsed disease following standard therapy
* Patients must have measurable disease that can include, but is not limited to bone; specifically, patients must have measurable extraskeletal disease that can be accurately measured in at least one dimension as \>= 20 mm with conventional CT techniques or \>= 10 mm with spiral CT scan; measurable (bi-dimensional) chest wall disease will also be allowed
* Patients must be at least 14 days out from last cytotoxic chemotherapy; patients on bisphosphonates are eligible
* White blood cell count (WBC) \> 3.0 THOU/ul
* ANC \> 1.0 THOU/ul
* Platelets \>= 100 THOU/ul
* Serum creatinine =\< 2.0 mg/dL or creatinine clearance (calculated) \>= 60 ml/min
* ALT/AST =\< 2.0 x upper limit of normal
* Total bilirubin =\< 1.5 x upper limit of normal
* Albumin \>= 3.0 g/dL
* Subjects must have a Performance Status Score (ECOG Scale) =\< 2
* Subjects must have recovered from major infections and/or surgical procedures and, in the opinion of the investigator, not have a significant active concurrent medical illness precluding protocol treatment
* Men and women of reproductive ability must agree to contraceptive use during the study and for 1month after ONTAK treatment is discontinued

Exclusion Criteria

* Prior treatment with ONTAK (DAB389 IL-2) or DAB486 IL-2
* Known history of hypersensitivity to diphtheria toxin or IL-2
* Active autoimmune disease
* Known history of pulmonary disease except controlled asthma
* History of or pre-existing, cardiovascular disease as defined by New York Heart Association (NYHA) Class III-IV categorization
* Pregnant or breast-feeding women
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

University of Washington

OTHER

Sponsor Role lead

Responsible Party

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Mary (Nora) Disis

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lupe Salazar

Role: PRINCIPAL_INVESTIGATOR

Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium

Locations

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Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2010-00800

Identifier Type: REGISTRY

Identifier Source: secondary_id

127

Identifier Type: OTHER

Identifier Source: secondary_id

6308 (FH/UWCC ID)

Identifier Type: -

Identifier Source: org_study_id

NCT00364208

Identifier Type: -

Identifier Source: nct_alias

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