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| ID | Type | Description | Link |
|---|---|---|---|
| MT2009-30 | Other Identifier | Blood and Marrow Transplantation Program | |
| 1003M78876 | Other Identifier | IRB, University of Minnesota |
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This is a single center phase II trial designed to optimize a clinical platform of lymphodepleting chemotherapy and T-cell suppression to promote the persistence, function, and expansion of allogeneic natural killer (NK) cells in patients with recurrent ovarian, fallopian tube, primary peritoneal cancer and advanced metastatic breast cancer.
The donor NK cells are infused on day 0, after a non-myeloablative preparative regimen of cyclophosphamide and fludarabine plus a cyclosporine A (CsA) based immunosuppressive therapy. Subcutaneous interleukin-2 (IL-2) is started the evening of the NK infusion and continued three times a week for 6 doses total.
Up to 4 sequential immunosuppressive platforms will be tested (Arms 1 and 2 are currently closed) to identify a platform where patients have the potential for successful NK cell expansion (defined as an absolute circulating donor derived NK cell count of > 100 cells/μl 14 days after NK cell infusion). Once a clinical platform is determined, the platform will be expanded to a total of 18 patients. The primary goal of this extended phase is to obtain preliminary efficacy information.
Follow-up for disease response is for 1 year from the NK cell infusion, with the possibility of re-treatment for patients who experience at least a clinical benefit who progress after 6 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1: CsA | Experimental | Patients receiving Cyclosporine (CsA) and Natural Killer (NK) cells infusion (created from donor lymphapheresis) after preparative regimen of Fludarabine and Cyclophosphamide. Interleukin-2 (IL-2) 6 million units 3 times a week x 6 doses given post NK cell infusion. |
|
| Arm 2: CsA plus Methylprednisolone (10mg) | Experimental | Patients receiving Cyclosporine (CsA), methylprednisolone and natural killer cells (NK) infusion (created from donor lymphapheresis) after preparative regimen of Fludarabine and Cyclophosphamide. Interleukin-2 (IL-2) 6 million units 3 times a week x 6 doses given post NK cell infusion. |
|
| Arm 3: CsA plus Methylprednisolone (1 mg) | Experimental | Patients receiving Cyclosporine (CsA), methylprednisolone and natural killer (NK) cells infusion (created from donor lymphapheresis) after preparative regimen of Fludarabine and Cyclophosphamide. Interleukin-2 (IL-2) 6 million units 3 times a week x 6 doses given post NK cell infusion. |
|
| Arm 4: CsA minus Methylprednisolone |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fludarabine | Drug | Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Response Rate | Response includes Complete Response (CR), Partial Response (PR), and Stable Disease (SD) as defined by Response Evaluation Criteria In Solid Tumors Criteria (RECIST v.1.1) for target lesions and assessed by CT or MRI. Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease. | Month 3 |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Disease Progression | Time from study entry until progressive disease or data collection cutoff. | 1 Year |
| Number of Participants With Progressive Disease at One Year | 1 Year |
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Inclusion Criteria:
OR
Diagnosis of metastatic breast cancer (female or male) that has progressed on or failed at least one salvage chemotherapy regimen for metastatic disease and that meets the following disease specific related criteria:
Women with a history of both cancers are eligible for this study provided that they currently meet eligibility for one of the diseases. Women who have had another malignancy and have been disease free for at least 3 year, or with a history of completely resected non-melanomatous skin carcinoma or successfully treated in situ carcinoma are eligible.
Measurable disease per disease specific Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 - patients with bone as their only site of disease will not be eligible.
If history of brain metastases must be stable for at least 3 months after treatment - A brain computed tomography (CT) scan will only be required in subjects with known brain metastases at the time of enrollment or in subjects with clinical signs or symptoms suggestive of brain metastases.
Available related HLA-haploidentical natural killer (NK) cell donor (by at least class I serologic typing at the A&B locus)
Age 18 years or older
Karnofsky performance status > or = 50%
Adequate organ function as determined by the following criteria within 14 days of study enrollment
Renal function: creatinine (Cr) < or = 2.0 mg/dL
Liver function: Aspartate aminotransferase (AST), Alanine transaminase (ALT), total bilirubin, alkaline phosphatase < 5 times upper limit of institutional normal (ULN)
Cardiac: Left ventricular ejection fraction >40% (within 28 days of treatment start)
Pulmonary function: >50% corrected Carbon Monoxide Diffusing Capacity (DLCO) and Forced Expiratory Volume in One Second (FEV1), if presence of pleural effusion due to metastatic disease >40% corrected DLCO and FEV1 is acceptable (within 28 days of treatment start)
Able to be off prednisone or other immunosuppressive medications for at least 3 days prior to Day 0
At least 14 days must lapse between last prior anti-cancer treatment and 1st day of preparative regimen
Voluntary written informed consent
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Melissa Geller, MD | Masonic Cancer Center, University of Minnesota | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Masonic Cancer Center, University of Minnesota | Minneapolis | Minnesota | 55455 | United States |
Up to 4 sequential immunosuppressive platforms (study arms) were tested to identify a platform where patients have the potential for successful Natural Killer (NK) cell expansion (defined as an absolute circulating donor derived NK cell count of > 100 cells/μl 14 days after NK cell infusion).
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| ID | Title | Description |
|---|---|---|
| FG000 | Arm 1: CsA | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin- 2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 5 million units/m^2 3 times per week for 6 doses). |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Experimental |
Patients receiving Cyclosporine (CsA), no methylprednisolone, eliminating IL-2 doses 4-6 and receiving Natural Killer (NK) cells infusion (created from donor lymphapheresis) after preparative regimen of Fludarabine and Cyclophosphamide. Interleukin-2 (IL-2) 6 million units 3 times a week x 3 doses given post NK cell infusion. |
|
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| Cyclophosphamide | Drug | Administered intravenously, 60 mg/kg, days -5 and -4. |
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| Cyclosporine | Drug | Administered intravenously, CsA 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 |
|
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| Natural killer cells | Biological | Administered by infusion over less than 1 hour, no more than 8.0 x 10^7 cells/kg will be given. |
|
| IL-2 | Drug | Will be given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, will be given at 5 million units/m^2 3 times per week for 6 doses). |
|
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| Methylprednisolone | Drug | Administered intravenously (IV) 10 mg/kg Days -2 to +4 and 1 mg/kg Days +5 to +9 |
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| Methylprednisolone | Drug | Administered intravenously (IV) 1 mg/kg Days -2 to +9 |
|
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| Interleukin-2 | Drug | Will be given subcutaneously at million units 3 times a week for a total of 3 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, will be given at 3 million units/m^2 3 times per week for 6 doses). |
|
|
| Overall Survival | Number of participants alive at 1 year. | 1 Year |
| FG001 | Arm 2: CsA/Methylprednisolone (10mg)/6 Doses of Interleukin-2 | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin- 2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 5 million units/m^2 3 times per week for 6 doses). Methylprednisolone: Administered intravenously,10 mg/kg Days -2 to +4 and 1 mg/kg Days +5 to +9. |
| FG002 | Arm 3: CsA/Methylprednisolone (1mg)/6 Doses of Interleukin-2 | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA ): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin- 2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 5 million units/m^2 3 times per week for 6 doses). Methylprednisolone: Administered intravenously, 1 mg/kg Days -2 to +9 |
| FG003 | Arm 4: CsA/no Methylprednisolone/3 Doses of Interleukin-2 | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA ): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin-2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 3 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 3 million units/m^2 3 times per week for 3 doses). |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Arm 1: CsA | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin- 2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 5 million units/m^2 3 times per week for 6 doses). |
| BG001 | Arm 2: CsA/Methylprednisolone (10mg)/6 Doses of Interleukin-2 | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin- 2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 5 million units/m^2 3 times per week for 6 doses). Methylprednisolone: Administered intravenously,10 mg/kg Days -2 to +4 and 1 mg/kg Days +5 to +9. |
| BG002 | Arm 3: CsA/Methylprednisolone (1mg)/6 Doses of Interleukin-2 | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA ): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin- 2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 5 million units/m^2 3 times per week for 6 doses). Methylprednisolone: Administered intravenously, 1 mg/kg Days -2 to +9 |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Response Rate | Response includes Complete Response (CR), Partial Response (PR), and Stable Disease (SD) as defined by Response Evaluation Criteria In Solid Tumors Criteria (RECIST v.1.1) for target lesions and assessed by CT or MRI. Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease. | Posted | Number | participants | Month 3 |
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| Secondary | Time to Disease Progression | Time from study entry until progressive disease or data collection cutoff. | Number of participants with progressive disease at one year: Arm 1: 2 out of 3; Arm 2: 1 out of 3; Arm 3: 5 out of 7 | Posted | Median | Full Range | days | 1 Year |
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| Secondary | Number of Participants With Progressive Disease at One Year | Posted | Count of Participants | Participants | 1 Year |
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| Secondary | Overall Survival | Number of participants alive at 1 year. | Posted | Number | participants | 1 Year |
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Arm 1: CsA | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin- 2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 5 million units/m^2 3 times per week for 6 doses). | 3 | 3 | 3 | 3 | ||
| EG001 | Arm 2: CsA/Methylprednisolone (10mg)/6 Doses of Interleukin-2 | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin- 2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 5 million units/m^2 3 times per week for 6 doses). Methylprednisolone: Administered intravenously,10 mg/kg Days -2 to +4 and 1 mg/kg Days +5 to +9. | 3 | 3 | 3 | 3 | ||
| EG002 | Arm 3: CsA/Methylprednisolone (1mg)/6 Doses of Interleukin-2 | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA ): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin- 2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 5 million units/m^2 3 times per week for 6 doses). Methylprednisolone: Administered intravenously, 1 mg/kg Days -2 to +9 | 5 | 7 | 7 | 7 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders |
| |||
| Death NOS | General disorders |
| |||
| Dyspnea | Respiratory, thoracic and mediastinal disorders |
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| Hearing impairmed | Ear and labyrinth disorders |
| |||
| Vestibular disorder | Ear and labyrinth disorders |
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| Blurred vision | Eye disorders |
| |||
| Acute kidney injury | Renal and urinary disorders |
| |||
| Hypertension | Vascular disorders |
| |||
| Atrial flutter | Cardiac disorders |
| |||
| Fever | General disorders |
| |||
| Respiratory failure | Respiratory, thoracic and mediastinal disorders |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acute kidney injury | Renal and urinary disorders |
| |||
| Ascites | Gastrointestinal disorders |
| |||
| Capillary leak syndrome | Vascular disorders |
| |||
| Chills | General disorders |
| |||
| Dyspnea | Respiratory, thoracic and mediastinal disorders |
| |||
| Edema | General disorders |
| |||
| Fever | General disorders |
| |||
| Headache | Nervous system disorders |
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| Hypertension | Vascular disorders |
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| Hypoxia | Respiratory, thoracic and mediastinal disorders |
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| Pleural effusion | Respiratory, thoracic and mediastinal disorders |
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| Rash/Desquamation | Skin and subcutaneous tissue disorders |
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| Infusion related reaction | General disorders |
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| Injection Site Reaction | General disorders |
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| Neutropenic fever | Blood and lymphatic system disorders |
| |||
| Pneumonitis/Pulmonary Infiltrates | Respiratory, thoracic and mediastinal disorders |
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| Depressed level of consciousness | Nervous system disorders |
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| Hallucinations | Nervous system disorders |
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| Hypotension | Vascular disorders |
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| Dizziness | Nervous system disorders |
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| Hearing loss | Ear and labyrinth disorders |
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| Atrial fibrillation | Cardiac disorders |
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| Confusion/Disoriented | Nervous system disorders |
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| Double vision | Eye disorders |
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| Foot pain | Musculoskeletal and connective tissue disorders |
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| Strange dreams | Nervous system disorders |
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| Creatinine Increased | Investigations |
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| Hypokalemia | Metabolism and nutrition disorders |
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| Body aches | General disorders |
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| Night sweats | General disorders |
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| Weight gain | Investigations |
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| Fall | Injury, poisoning and procedural complications |
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| Nausea | Gastrointestinal disorders |
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| Pain with stools | Gastrointestinal disorders |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Melissa Geller | Masonic Cancer Center, University of Minnesota | 612-626-3111 | gelle005@umn.edu |
| ID | Term |
|---|---|
| D010051 | Ovarian Neoplasms |
| D005185 | Fallopian Tube Neoplasms |
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D004701 | Endocrine Gland Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D000091662 | Genital Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |
| D005184 | Fallopian Tube Diseases |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C024352 | fludarabine |
| C042382 | fludarabine phosphate |
| D003520 | Cyclophosphamide |
| D016572 | Cyclosporine |
| C496971 | IL32 protein, human |
| D007376 | Interleukin-2 |
| D008775 | Methylprednisolone |
| ID | Term |
|---|---|
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
| D003524 | Cyclosporins |
| D010456 | Peptides, Cyclic |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D007378 | Interleukins |
| D016207 | Cytokines |
| D036341 | Intercellular Signaling Peptides and Proteins |
| D008222 | Lymphokines |
| D011506 | Proteins |
| D001685 | Biological Factors |
| D011239 | Prednisolone |
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
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| Between 18 and 65 years |
|
| >=65 years |
|
| Male |
|
| OG002 | Arm 3: CsA/Methylprednisolone (1mg)/6 Doses of Interleukin-2 | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA ): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin- 2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 5 million units/m^2 3 times per week for 6 doses). Methylprednisolone: Administered intravenously, 1 mg/kg Days -2 to +9 |
|
|
| OG002 | Arm 3: CsA/Methylprednisolone (1mg)/6 Doses of Interleukin-2 | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA ): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin- 2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 5 million units/m^2 3 times per week for 6 doses). Methylprednisolone: Administered intravenously, 1 mg/kg Days -2 to +9 |
|
|
| OG002 | Arm 3: CsA/Methylprednisolone (1mg)/6 Doses of Interleukin-2 | Fludarabine: Administered intravenously, 25 mg/m^2, days -6 through -2 (5 days). Cyclophosphamide: Administered intravenously, 60 mg/kg, days -5 and -4. Cyclosporine (CsA ): Administered intravenously, 1.5 mg/kg for target dose range of 150-250 ng/mL day -3 through day +14 Natural Killer cells: Administered by infusion over less than 1 hour; no more than 8.0 x 10^7 cells/kg will be given. Interleukin- 2 (IL-2): Given subcutaneously at 9 million units 3 times a week for a total of 6 doses, beginning 4 hours after NK cell infusion. (For patients weighing less than 45 kilograms, IL-2 will be given at 5 million units/m^2 3 times per week for 6 doses). Methylprednisolone: Administered intravenously, 1 mg/kg Days -2 to +9 |
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