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This is a single center, Phase I dose finding study of a single direct tumor injection of an RGD modified conditionally replicative adenovirus (RGDCRAdcox2F) in persons with adenocarcinoma of the pancreas. The study is designed to determine the MTD of RGDCRAdCOX2F that corresponds to the maximum desired toxicity of ≤ 20%.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Level: -1 RGDCRAdcox2F (RGD) | Experimental | Patients given 3x10^10 vp/d of RGD. Safety arm. Enrollment begins at DL 1 in cohorts of 2 patients. A minimum of 28 days (DLT period) must separate the last patient treated in the current cohort and the 1st patient in the next cohort of 2 patients. A minimum of 21 days must separate the 1st and 2nd patient within a cohort. |
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| Level: 1 RGDCRAdcox2F (RGD) | Experimental | Patients given 3x10^11 vp/d of RGD Enrollment begins at DL 1 in cohorts of 2 patients. A minimum of 28 days (DLT period) must separate the last patient treated in the current cohort and the 1st patient in the next cohort of 2 patients. A minimum of 21 days must separate the 1st and 2nd patient within a cohort. |
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| Level: 2 RGDCRAdcox2F (RGD) | Experimental | Patients given 9x10^11 vp/d of RGD. Enrollment begins at DL 1 in cohorts of 2 patients. A minimum of 28 days (DLT period) must separate the last patient treated in the current cohort and the 1st patient in the next cohort of 2 patients. A minimum of 21 days must separate the 1st and 2nd patient within a cohort. |
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| Level: 3 RGDCRAdcox2F (RGD) | Experimental | Patients given 3x10^12 vp/d of RGD. Enrollment begins at DL 1 in cohorts of 2 patients. A minimum of 28 days (DLT period) must separate the last patient treated in the current cohort and the 1st patient in the next cohort of 2 patients. A minimum of 21 days must separate the 1st and 2nd patient within a cohort. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Replicative Adenovirus Vector (RGDCRAdCOX2F) | Biological | RGDCRAdcox2F (RGD) is a "local" product and is provided through this study. |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Experiencing Dose Limiting Toxicity (DLT) Events | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
Pregnant or breastfeeding. Persons of child-bearing potential must have a negative pregnancy test (serum or urine) with 14 days of study enrollment.
Other pancreatic malignancies (e.g., neuroendocrine tumors and mucinous cystic) and adenocarcinomas of the ampulla, bile ducts, and duodenum.
Tumors in mucosal regions or close to an airway, major blood vessel, or spinal cord that in the opinion of the enrolling investigator could cause occlusion or compression in the case of tumor swelling or erosion into a major vessel in the case of necrosis.
Known history of human immunodeficiency virus (HIV) infection
Known history of or active acute or chronic active hepatitis B or C infection
Serious concurrent infection or medical illness, which in the enrolling investigator's opinion would jeopardize the ability of the participant to receive the treatment outlined in this protocol with reasonable safety.
Requires immunosuppression ≥10mg/day of prednisone for more than
1 week.
History of or active known or suspected autoimmune disease, or a syndrome that requires systemic or immunosuppressive agents.
Disease beyond the regional lymph nodes
Active diffuse pancreatitis
Active inflammatory conditions
Prior gastrojejunostomy
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Edward Greeno, MD | Contact | 612-626-6418 | green048@umn.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Masonic Cancer Center | Recruiting | Minneapolis | Minnesota | 55455 | United States |
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