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Cyclophosphamide Plus Vaccine Therapy in Treating Patients With Advanced Cancer


1991-04


2007-12


2009-06


40

Study Overview

Cyclophosphamide Plus Vaccine Therapy in Treating Patients With Advanced Cancer

RATIONALE: Drugs used in chemotherapy work in different ways to stop tumor cells from dividing so they stop growing or die. Vaccines made from a patient's tumor tissue may make the body build an immune response to kill tumor cells. Chemotherapy combined with vaccine therapy may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of combining cyclophosphamide with tumor cell vaccine in treating patients who have metastatic cancer or cancer at high risk of recurrence.

OBJECTIVES: * Determine the safety and clinical effects of autologous or allogeneic active-specific intralymphatic immunotherapy with a vaccine containing interferon alfa or interferon gamma-treated tumor cells followed by sargramostim (GM-CSF) in patients with advanced cancer. OUTLINE: This is a pilot study. Patients are stratified by tumor type. Tumor tissue is removed from the patient and incubated with interferon alfa or interferon gamma for 72-96 hours. (If autologous tumor cells are not available, an allogeneic vaccine is prepared.) Harvested activated cells are irradiated immediately prior to use. Patients receive cyclophosphamide IV. 48-72 hours after cyclophosphamide administration, patients receive tumor cell vaccine intradermally. Patients also receive sargramostim (GM-CSF) subcutaneously prior to vaccine administration and once daily for the next 8 days. Treatment repeats every 2 weeks for 3 courses in the absence of unacceptable toxicity. Patients with responding or stable disease after completion of course 3 may receive additional courses. Patients are followed for survival. PROJECTED ACCRUAL: A total of 20-40 patients will be accrued for this study within 18-24 months.

  • Breast Cancer
  • Colorectal Cancer
  • Kidney Cancer
  • Lung Cancer
  • Malignant Mesothelioma
  • Pancreatic Cancer
  • BIOLOGICAL: allogeneic tumor cell vaccine
  • BIOLOGICAL: autologous tumor cell vaccine
  • BIOLOGICAL: recombinant interferon alfa
  • BIOLOGICAL: recombinant interferon gamma
  • BIOLOGICAL: sargramostim
  • DRUG: cyclophosphamide
  • SVMC-ONC-222
  • CDR0000076913 (REGISTRY Identifier) (REGISTRY: PDQ (Physician Data Query))
  • NCI-V91-0075

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

1999-11-01  

N/A  

2013-07-09  

2003-01-26  

N/A  

2013-07-10  

2003-01-27  

N/A  

2008-11  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
Primary Outcome MeasuresMeasure DescriptionTime Frame
Clinical response (patients with evaluable disease)
Duration of response (patients with evaluable disease)
Survival (patients with evaluable disease)
Time to recurrence (patients without evaluable disease)
Survival (patients without evaluable disease)
Secondary Outcome MeasuresMeasure DescriptionTime Frame

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    DISEASE CHARACTERISTICS:

  • Histologically confirmed cancer not amenable to cure or long-term control by surgery, radiotherapy, chemotherapy, or hormonal manipulations, including the following tumor types:


  • Colon cancer
  • Lung cancer
  • Renal cancer
  • Breast cancer
  • Pancreatic cancer
  • Metastatic disease or subclinical disease at high risk of recurrence
  • No brain metastases unresponsive to irradiation or surgery
  • Hormone receptor status:


  • Not specified

  • PATIENT CHARACTERISTICS:
    Age:

  • 18 and over

  • Sex:

  • Not specified

  • Menopausal status:

  • Not specified

  • Performance status:

  • ECOG 0-2 OR
  • Karnofsky 70-100%

  • Life expectancy:

  • At least 3 months

  • Hematopoietic:

  • Not specified

  • Hepatic:

  • Not specified

  • Renal:

  • Not specified

  • Cardiovascular:

  • No prior or concurrent significant cardiovascular disease

  • Pulmonary:

  • No prior or concurrent pulmonary disease

  • Other:

  • No prior or concurrent autoimmune disease
  • No other prior or concurrent major medical illness
  • HIV negative
  • No clinical evidence of AIDS
  • Not pregnant

  • PRIOR CONCURRENT THERAPY:
    Biologic therapy:

  • Not specified

  • Chemotherapy:

  • See Disease Characteristics
  • At least 4 weeks since prior chemotherapy

  • Endocrine therapy:

  • See Disease Characteristics
  • At least 4 weeks since prior hormonal therapy
  • No concurrent chronic steroid therapy

  • Radiotherapy:

  • See Disease Characteristics
  • At least 4 weeks since prior radiotherapy

  • Surgery:

  • See Disease Characteristics

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • STUDY_CHAIR: Charles L. Wiseman, MD, FACP,

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    • Wiseman C, Presant C, Rao R, Smith J. Clinical responses to intralymphatic whole-cell melanoma vaccine augmented by in vitro incubation with alpha-interferon. Ann N Y Acad Sci. 1993 Aug 12;690:388-91. doi: 10.1111/j.1749-6632.1993.tb44040.x. No abstract available.