Trial Outcomes & Findings for A Pilot Study Assessing Intra-Metastasis Administration of Autologous KLH-pulsed Dendritic Cells With Tumoral Radiation Therapy in Patients With Metastatic Pancreatic Carcinoma (NCT NCT00843830)

NCT ID: NCT00843830

Last Updated: 2015-12-08

Results Overview

The primary objective of this study was to evaluate the safety and feasibility of this combined modality protocol in patients with metastatic pancreatic carcinoma. The treatment will be deemed feasible if 80% or more patients complete radiation therapy, all three vaccinations, and evaluation for tumor response four weeks after the third vaccination.

Recruitment status

TERMINATED

Study phase

PHASE1

Target enrollment

4 participants

Primary outcome timeframe

10 weeks

Results posted on

2015-12-08

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment Arm
tumoral irradiation: On day 1 of the study treatment, patients will begin tumoral irradiation, which will be given daily for 4 days in 6Gy fractions (days 1 through 4) Dendritic cell vaccination: Three intra-tumoral injections of 1 ml cell suspensions of KLH- pulsed DC will be delivered percutaneously under ultrasound into a selected hepatic metastasis in the outpatient setting. Additional cycles: Patients who meet criteria for response or stable disease (see section 9) will be eligible to receive additional cycles of treatment provided that they experienced no severe toxicity with the first series of administrations.Additional cycles will consist of a series of 3 injections of DCs into same target hepatic lesion beginning within 2 weeks of the CT scan.
Overall Study
STARTED
4
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Pilot Study Assessing Intra-Metastasis Administration of Autologous KLH-pulsed Dendritic Cells With Tumoral Radiation Therapy in Patients With Metastatic Pancreatic Carcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment Arm
n=4 Participants
tumoral irradiation: On day 1 of the study treatment, patients will begin tumoral irradiation, which will be given daily for 4 days in 6Gy fractions (days 1 through 4) Dendritic cell vaccination: Three intra-tumoral injections of 1 ml cell suspensions of KLH- pulsed DC will be delivered percutaneously under ultrasound into a selected hepatic metastasis in the outpatient setting. Additional cycles: Patients who meet criteria for response or stable disease (see section 9) will be eligible to receive additional cycles of treatment provided that they experienced no severe toxicity with the first series of administrations.Additional cycles will consist of a series of 3 injections of DCs into same target hepatic lesion beginning within 2 weeks of the CT scan.
Age, Continuous
61 years
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 10 weeks

Population: The primary objective could not be evaluated. The study was closed early secondary to inability to obtain grant funding to conduct.

The primary objective of this study was to evaluate the safety and feasibility of this combined modality protocol in patients with metastatic pancreatic carcinoma. The treatment will be deemed feasible if 80% or more patients complete radiation therapy, all three vaccinations, and evaluation for tumor response four weeks after the third vaccination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 10 weeks

Population: The primary objective could not be evaluated. The study was closed early secondary to inability to obtain grant funding to conduct.

To evaluate the anti-tumor response as determined by RECIST criteria

Outcome measures

Outcome data not reported

Adverse Events

Treatment Arm

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment Arm
n=4 participants at risk
tumoral irradiation: On day 1 of the study treatment, patients will begin tumoral irradiation, which will be given daily for 4 days in 6Gy fractions (days 1 through 4) Dendritic cell vaccination: Three intra-tumoral injections of 1 ml cell suspensions of KLH- pulsed DC will be delivered percutaneously under ultrasound into a selected hepatic metastasis in the outpatient setting. Additional cycles: Patients who meet criteria for response or stable disease (see section 9) will be eligible to receive additional cycles of treatment provided that they experienced no severe toxicity with the first series of administrations.Additional cycles will consist of a series of 3 injections of DCs into same target hepatic lesion beginning within 2 weeks of the CT scan.
General disorders
Declining Performance Status
25.0%
1/4 • Number of events 1

Other adverse events

Other adverse events
Measure
Treatment Arm
n=4 participants at risk
tumoral irradiation: On day 1 of the study treatment, patients will begin tumoral irradiation, which will be given daily for 4 days in 6Gy fractions (days 1 through 4) Dendritic cell vaccination: Three intra-tumoral injections of 1 ml cell suspensions of KLH- pulsed DC will be delivered percutaneously under ultrasound into a selected hepatic metastasis in the outpatient setting. Additional cycles: Patients who meet criteria for response or stable disease (see section 9) will be eligible to receive additional cycles of treatment provided that they experienced no severe toxicity with the first series of administrations.Additional cycles will consist of a series of 3 injections of DCs into same target hepatic lesion beginning within 2 weeks of the CT scan.
Investigations
Alanine transaminase (ALT)
50.0%
2/4 • Number of events 2
Investigations
Aspartate aminotransferase (AST)
50.0%
2/4 • Number of events 2
Gastrointestinal disorders
Abdominal Pain
25.0%
1/4 • Number of events 1
Gastrointestinal disorders
Abdominal Discomfort
25.0%
1/4 • Number of events 1
Investigations
Alkaline Phosphatase
50.0%
2/4 • Number of events 2
Blood and lymphatic system disorders
Anemia, Recurrent
25.0%
1/4 • Number of events 1
Metabolism and nutrition disorders
Anorexia
25.0%
1/4 • Number of events 1
Gastrointestinal disorders
Diarrhea
25.0%
1/4 • Number of events 1
Renal and urinary disorders
Difficulty Urinating
25.0%
1/4 • Number of events 1
General disorders
Fatigue
25.0%
1/4 • Number of events 2
General disorders
Fatigue, Recurrent
25.0%
1/4 • Number of events 1
Renal and urinary disorders
High colored urine
25.0%
1/4 • Number of events 1
Metabolism and nutrition disorders
Hyperglycemia
25.0%
1/4 • Number of events 3
Metabolism and nutrition disorders
Hypoglycemia
25.0%
1/4 • Number of events 1
Gastrointestinal disorders
Nausea
50.0%
2/4 • Number of events 3
General disorders
Pain
50.0%
2/4 • Number of events 2
Gastrointestinal disorders
Vomiting
25.0%
1/4 • Number of events 1

Additional Information

Mark Zalupski, M.D.

University of Michigan Comprehensive Cancer Center

Phone: 734-615-3969

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place