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临床试验/NCT00058435
NCT00058435已完成1 期

Phase I Trial of the Monoclonal Anti-Idiotype Antibody ACA125 in Patients With Epithelial Ovarian, Fallopian Tube, or Peritoneal Cancer

Memorial Sloan Kettering Cancer Center1 个研究点 分布在 1 个国家开始时间: 2002年12月1日最近更新:
适应症

试验速览

阶段
1 期
状态
已完成
试验地点
1

研究概览

简要总结

RATIONALE: Vaccines made from monoclonal antibodies combined with tumor cells may make the body build an immune response to kill tumor cells.

PURPOSE: Randomized phase I trial to study the effectiveness of vaccine therapy in treating patients who have ovarian epithelial, fallopian tube, or peritoneal cancer.

详细描述

OBJECTIVES:

  • Determine the safety of varying routes and doses of monoclonal antibody ACA125 anti-idiotype vaccine in patients with ovarian epithelial, fallopian tube, or peritoneal cancer.
  • Determine an optimal dose and route of this vaccine for a phase II study.
  • Determine the immune response induced by this vaccination in these patients.
  • Determine the time to development of objective tumor response in patients treated with this regimen.

OUTLINE: This is a multicenter study. Patients are randomized to 1 of 4 treatment arms.

  • Arm I: Patients receive lower-dose monoclonal antibody ACA125 anti-idiotype vaccine (MOAB ACA125) intramuscularly (IM) on weeks 0, 2, 4, 6, 10, and 14 in the absence of disease progression or unacceptable toxicity.
  • Arm II: Patients receive higher-dose MOAB ACA125 IM as in arm I.
  • Arm III: Patients receive lower-dose MOAB ACA125 subcutaneously (SC) on weeks 0, 2, 4, 6, 10, and 14 in the absence of disease progression or unacceptable toxicity.
  • Arm IV: Patients receive higher-dose MOAB ACA125 SC as in arm III. Patients are followed every 6-12 weeks for 2 years.

PROJECTED ACCRUAL: A total of 40 patients (10 patients per cohort) will be accrued for this study.

研究设计

研究类型
Interventional
分配方式
Randomized
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Female
接受健康志愿者
否

入选标准

  • •DISEASE CHARACTERISTICS:
  • •Histologically confirmed ovarian epithelial, fallopian tube, or peritoneal cancer
  • •Stage II-IV
  • •Initially treated with surgery and at least 1 platinum-based chemotherapy regimen
  • •Must have relapsed after initial treatment and completed chemotherapy for recurrent disease
  • •Asymptomatic residual measurable disease on CT scan and/or an elevated CA 125 allowed
  • •Complete clinical remission allowed, defined by the following criteria:
  • •CA 125 no greater than 35 IU/mL
  • •No objective evidence of disease by CT scan
  • •Normal physical examination
  • •PATIENT CHARACTERISTICS:
  • •18 and over
  • •Performance status
  • •Karnofsky 70-100%
  • •Life expectancy
  • •At least 3 months
  • •Hematopoietic
  • •WBC at least 1,500/mm^3
  • •Platelet count at least 100,000/mm^3
  • •Hemoglobin at least 10 g/dL
  • •Bilirubin no greater than 2 times normal
  • •ALT no greater than 2 times normal
  • •Alkaline phosphatase no greater than 2 times normal
  • •Creatinine no greater than 1.5 times normal
  • •Not pregnant or nursing
  • •No potential for child bearing
  • •Human antimurine antibody negative
  • •HIV negative
  • •No other malignancy within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix
  • •No active infection
  • •No known autoimmune disease (e.g., rheumatoid arthritis or ulcerative colitis)
  • •No known immune deficiency (e.g., hypogammaglobulinemia)
  • •No known allergy to murine proteins
  • •PRIOR CONCURRENT THERAPY:
  • •Biologic therapy
  • •At least 6 weeks since prior interferon
  • •At least 6 weeks since prior immunotherapy or biological response modifiers
  • •No prior anticancer vaccine
  • •Chemotherapy
  • •See Disease Characteristics
  • •At least 3 weeks since prior cytotoxic or investigational chemotherapy
  • •Endocrine therapy
  • •No concurrent steroids
  • •Radiotherapy
  • •At least 4 weeks since prior radiotherapy
  • •See Disease Characteristics
  • •At least 1 week since prior antibiotics
  • •No concurrent cyclosporine
  • •No other concurrent immunosuppressive therapy

排除标准

  • 未提供

研究者

申办方类型
Other

研究点 (1)

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