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| ID | Type | Description | Link |
|---|---|---|---|
| MTS-GCO-02-0797 | |||
| NIH-0707-869 | |||
| CDR0000629819 |
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RATIONALE: Placing the gene for interleukin-12 into breast cancer cells may help the body build an immune response to kill tumor cells.
PURPOSE: This phase I trial is studying the side effects and best dose of gene therapy in treating women with metastatic breast cancer.
OBJECTIVES:
OUTLINE: Patients receive a single dose of adenovirus-mediated human interleukin-12 intratumorally via percutaneous needle placement under ultrasound guidance.
Blood and tumor tissue samples are collected periodically for immunological laboratory studies. Samples are analyzed for serum cytokine levels by ELISA; qualitative analysis of immune biomarkers by IHC staining; and immune cell biomarker analysis by FACS.
After completion of study therapy, patients are followed periodically.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| adenovirus-mediated human interleukin-12 | Experimental | starting dose of ADV-hIL12 - 1 x 10 to the 10th power vp (virus particles) per patient, escalating in half-log increments up to 1 x 10 to the 13th power vp per patient, after which dose escalation will be at lower increments of 2 x 10 to the 13th power vp, to a maximum of 3.0 x 10 to the 13th power vp per patient. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| adenovirus-mediated human interleukin-12 | Biological | The purified ADV-hIL12 is suspended in formulation buffer (10mM Tris, pH 7.5/ 1mM MgCl2/ 150mM NaCl/ 10% glycerol) and aliquoted into 1ml cryovials. The filled vials are stored at or below -60 degC. |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum tolerated dose | Serum antibodies (titer) to adenovirus | up to 1 month |
| Toxicity and safety | adverse events as assessed by NCI CTCAE v3.0 | up to 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| Tumor response progression) | Sequential assessment of tumor on CT or MRI (complete response, partial response, stable disease, or disease) | up to 2 months |
| Immune response | Serum IL12, and IFNγ levels. Serum antibodies (titer) to adenovirus. |
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DISEASE CHARACTERISTICS:
Histologically or cytologically confirmed metastatic adenocarcinoma of the breast
Malignant disease in the skin, chest wall, or other sites (lymph nodes or primary tumor in the breast) accessible to percutaneous needle placement and injection
Malignant disease in other organs (in addition to skin or chest wall metastases) allowed
Hormone receptor status not specified
PATIENT CHARACTERISTICS:
Menopausal status not specified
Karnofsky performance status 70-100%
Life expectancy ≥ 16 weeks
Granulocyte count ≥ 1,500/mm^3
Platelet count ≥ 100,000/mm^3
Hemoglobin ≥ 9.0 mg/dL
PT normal
Serum creatinine ≤ 1.5 mg/dL OR creatinine clearance ≥ 45 mL/min
Serum total bilirubin ≤ 2.0 times upper limit of normal (ULN)
Serum transaminases ≤ 2.5 times ULN
Not pregnant or nursing
Negative pregnancy test
Weight ≥ 30 kg (for patients treated with the highest dose level of study drug)
No active infection or concurrent serious medical illness
No HIV positivity
No other malignancy within the past 5 years except for the following:
PRIOR CONCURRENT THERAPY:
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| Name | Affiliation | Role |
|---|---|---|
| Max W. Sung, MD | Icahn Medical Center at Mount Sinai | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Icahn Medical Center at Mount Sinai | New York | New York | 10029 | United States |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| up to 2 months |
| D017437 |
| Skin and Connective Tissue Diseases |