Phase I Pilot Trial of Adenovirus p53 in Bronchioloalveolar Cell Lung Carcinoma (BAC) Administered by Bronchoalveolar Lavage
Ad5CMV-p53 gene
Adenocarcinoma de pulmón+13
+ Adenocarcinoma
+ Neoplasias bronquiales
Estudio de Tratamiento
Resumen
Fecha de inicio: 17 de noviembre de 1998
Fecha en la que se inscribió al primer participante.OBJECTIVES: Evaluate the safety of multiple endobronchial treatments with adenovirus p53 bronchoalveolar lavage of a single lobe of the lung in patients with bronchoalveolar cell lung carcinoma. Evaluate expression of the p53 gene and induction of apoptosis in tumor and normal tissues exposed to the virus in these patients. Evaluate whether transbronchial administration of adenovirus p53 results in improved local tumor control in these patients. OUTLINE: This is a dose escalation study. Patients undergo biopsy and receive adenovirus p53 by bronchoalveolar lavage on days 1 and 15. Patients repeat biopsy on days 3 and 28. If there is evidence of clinical benefit or response without significant toxicity, patients may receive a maximum of 3 courses. Treatment beyond 3 courses must be approved by protocol investigator. Cohorts of 3 patients are treated at escalating dose levels of adenovirus p53. Patients in each cohort are followed for dose limiting toxicity (DLT) for 2 weeks after completion of one course before dose escalation proceeds in subsequent cohorts. If 1 of 3 patients at a dose level experiences dose limiting toxicity (DLT), then 2 additional patients are entered at the same dose level. If more than 1 of 5 patients experience DLT, the previous dose is the maximum tolerated dose (MTD). An additional 10 patients are treated at the MTD. Patients are followed every 3 months for the first 2 years, every 6 months for the next 3 years, and annually thereafter. PROJECTED ACCRUAL: There will be 15 patients accrued into this study over 1 year.
Protocolo
Esta sección proporciona detalles del plan del estudio, incluyendo cómo está diseñado y qué se está evaluando.Estudio de Tratamiento
Elegibilidad
Los investigadores buscan pacientes que cumplan ciertos criterios, conocidos como criterios de elegibilidad: estado general de salud o tratamientos previos.Cualquier sexo
Sexo biológico de los participantes elegibles para inscribirse.De 18 a 120 años
Rango de edades de los participantes que pueden unirse al estudio.Voluntarios sanos no permitidos
Indica si personas sanas, sin la condición que se estudia, pueden participar.Condiciones
Patología
Criterios
DISEASE CHARACTERISTICS: Histologically confirmed unresectable non-small cell lung cancer with a growth pattern allowing access to the majority of tumor cells via the airway (e.g., bronchioloalveolar or papillary adenocarcinoma) PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-1 Life expectancy: At least 12 weeks Hematopoietic: Platelet count greater than 100,000/mm^3 Prothrombin time and partial thromboplastin time normal Hepatic: Bilirubin less than 1.5 mg/dL Renal: Creatinine less than 1.5 mg/dL Cardiovascular: No New York Heart Association class III or IV heart disease Pulmonary: Room air oxygen saturation greater than 90% FEV1 greater than 1.0 L pCO2 less than 50 Other: HIV negative No active systemic viral, bacterial, or fungal infections requiring treatment No concurrent illness requiring hospitalization or intravenous medication Not pregnant or nursing Effective contraception required of all fertile patients PRIOR CONCURRENT THERAPY: Biologic therapy: No prior adenovirus gene therapy At least 2 weeks since any systemic biologic therapy including prior biologic response modifiers and recovered Chemotherapy: At least 2 weeks since any prior systemic chemotherapy and recovered Endocrine therapy: Recovered from any prior endocrine therapy Radiotherapy: Recovered from any prior radiotherapy Surgery: At least 2 weeks since any surgical procedure requiring anesthesia At least 4 weeks since prior surgical resection of lung tissues Other: No other concurrent therapy
Centros del Estudio
Estos son los hospitales, clínicas o centros de investigación donde se lleva a cabo el estudio. Puedes encontrar la ubicación más cercana a ti y su estado de reclutamiento.Este estudio tiene 3 ubicaciones
Veterans Affairs Medical Center - Tennessee Valley Healthcare System - Nashville Campus
Nashville, United StatesAbrir Veterans Affairs Medical Center - Tennessee Valley Healthcare System - Nashville Campus en Google MapsVanderbilt-Ingram Cancer Center
Nashville, United StatesCCOP - Green Bay
Green Bay, United States