Monoclonal Antibody ABX-EGF in Treating Patients With Renal (Kidney), Prostate, Pancreatic, Non-Small Cell Lung, Colon or Rectal, Esophageal, or Gastroesophageal Junction Cancer
An Open Label, Multiple Dose, Dose-Rising Clinical Trial of the Safety of ABX-EGF in Patients With Renal, Prostate, Pancreatic, Non-Small-Cell Lung, Colorectal, or Esophageal Cancer
RATIONALE: Monoclonal antibodies such as ABX-EGF can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells.
PURPOSE: Phase I trial to study the effectiveness of monoclonal antibody ABX-EGF in treating patients who have either renal (kidney), prostate, pancreatic, non-small cell lung, colon, rectal, esophageal, or gastroesophageal junction cancer.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
OBJECTIVES:
- Determine the safety of monoclonal antibody ABX-EGF in patients with renal, prostate, pancreatic, non-small cell lung, colorectal, esophageal, or gastroesophageal junction cancer.
- Determine the pharmacokinetics and the dose-response relationship of this drug in this patient population.
- Evaluate the clinical effect of this drug in this patient population.
OUTLINE: This is an open-label, dose-escalation, multicenter study.
Patients receive monoclonal antibody ABX-EGF IV over 1 hour once weekly on weeks 0-3* (enrollment for the weekly dosing schedule completed as of 4/21/03 [with the exception of patients undergoing full pharmacokinetic analyses, described below]) OR once every 2 weeks on weeks 0, 2, 4, and 6* OR once every 3 weeks on weeks 0, 3, 6, and 9*. Patients undergoing full pharmacokinetic analyses receive a loading dose on week 0 and the subsequent 3 doses on weeks 3-5.
NOTE: *All patients receive a total of 4 doses.
Cohorts of 2-8 patients receive escalating doses of monoclonal antibody ABX-EGF until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 or 3 patients experience dose-limiting toxicity.
Patients are followed every 2 weeks for 5 weeks.
PROJECTED ACCRUAL: A total of 76 patients will be accrued for this study within approximately 14 months.
Studientyp
Studientyp
Phase
Phase
- Phase 1
Kontakte und Standorte
Studienorte
-
-
California
-
Los Angeles, California, Vereinigte Staaten, 90095-1738
- Jonsson Comprehensive Cancer Center, UCLA
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, Vereinigte Staaten, 19111
- Fox Chase Cancer Center
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
DISEASE CHARACTERISTICS:
Histologically confirmed diagnosis of 1 of the following:
Renal cell cancer (RCC)
- Prior nephrectomy required
Prostate cancer
- Failed prior primary therapy (e.g., surgery, radiotherapy, or chemotherapy)
- Failed prior hormonal therapy (e.g., antiandrogen, luteinizing hormone-releasing hormone inhibitor, or orchiectomy)
Pancreatic cancer
- Failed at least 1 prior standard therapy regimen for unresectable metastatic disease
Non-small cell lung cancer
- Failed at least 1 prior standard therapy regimen for unresectable metastatic disease
Colorectal cancer
- Received 1 or more prior chemotherapy regimen(s) for advanced metastatic disease
Esophageal cancer
- Failed prior primary therapy (e.g., surgery, radiotherapy, or chemotherapy)
- Gastroesophageal junction cancer
- Evaluable disease
Epidermal growth factor receptor overexpression
- Tumor tissue must yield the sum of 1+, 2+, or 3+ staining in at least 10% of evaluated tumor cells
- No uncontrolled brain metastases
- No evidence of disease progression or regression after a 30-day washout period
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- Karnofsky 70-100% OR
- ECOG 0-1
Life expectancy:
- Not specified
Hematopoietic:
- Absolute neutrophil count greater than 1,000/mm^3
- Platelet count greater than 100,000/mm^3
Hepatic:
- AST/ALT no greater than 2 times upper limit of normal (ULN) (3 times ULN for liver metastases)
- Alkaline phosphatase no greater than 2 times ULN (3 times ULN for liver metastases)
Renal:
- Creatinine less than 2.2 mg/dL
- NCI renal toxicity no greater than grade 2
- No hypercalcemia (antihypercalcemic therapy allowed)
Cardiovascular:
- Ejection fraction at least 45% by MUGA
- No abnormal ECG or MUGA
- No myocardial infarction within the past year
Pulmonary:
- No abnormal chest x-ray
- FEV_1 greater than 50% of predicted
Other:
- No known allergy to ingredients of study drug
- No known allergy to Staphylococcus aureus Protein A
- HIV negative
- No chronic medical or psychiatric condition that would preclude study compliance
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 2 months after study participation
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- At least 30 days since prior biologic therapy (e.g., antibodies, cytokines, or co-stimulatory pathway inhibitors)
- No other concurrent biologic therapy
Chemotherapy:
- See Disease Characteristics
- At least 6 weeks since prior chemotherapy and recovered
- No prior chemotherapy for RCC
- No prior anthracyclines
- No concurrent chemotherapy
Endocrine therapy:
- See Disease Characteristics
- Concurrent steroids allowed
- Concurrent hormonal therapy allowed
Radiotherapy:
- See Disease Characteristics
- No prior mediastinal radiotherapy
- No concurrent radiotherapy
Surgery:
- See Disease Characteristics
- Recovered from any recent prior surgery
Other:
- At least 30 days since prior investigational drug or device
- At least 30 days since prior systemic therapy
- No other concurrent investigational drugs
- No other concurrent systemic agents or cancer therapy
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Maskierung: Keine (Offenes Etikett)
Mitarbeiter und Ermittler
Sponsor
Sponsor
Mitarbeiter
Mitarbeiter
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Erkrankungen des Verdauungssystems
- Neubildungen
- Urologische Neubildungen
- Urogenitale Neoplasmen
- Neubildungen nach Standort
- Nierenerkrankungen
- Urologische Erkrankungen
- Erkrankungen des endokrinen Systems
- Gastrointestinale Neubildungen
- Neoplasmen des Verdauungssystems
- Magen-Darm-Erkrankungen
- Neoplasmen der endokrinen Drüse
- Genitale Neubildungen, männlich
- Prostataerkrankungen
- Kopf-Hals-Neubildungen
- Erkrankungen der Speiseröhre
- Erkrankungen der Bauchspeicheldrüse
- Nierentumoren
- Prostataneoplasmen
- Neoplasmen der Bauchspeicheldrüse
- Ösophagusneoplasmen
- Antineoplastische Mittel
- Antineoplastische Mittel, immunologische
- Panitumab
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- CDR0000067539
- UCLA-9906078
- ABX-EG-9901
- UCLA-9906078-04B
- NCI-G00-1673
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Produkt, das in den USA hergestellt und aus den USA exportiert wird
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