Phase II Study Evaluating the Safety and Efficacy of Neoadjuvant Leuvectin Immunotherapy for the Treatment of Prostate Cancer
Leuvectin
Maladies génito-urinaires+7
+ Maladies Génitales
+ Maladies génitales masculines
Étude thérapeutique
Résumé
Date de début de l'étude : 1 juin 1999
Date à laquelle le premier participant a commencé l'étude.OBJECTIVES: Assess the toxicity and tolerability of neoadjuvant Leuvectin in patients with stage II or III prostate cancer. Evaluate the efficacy of this regimen in preventing or delaying manifestations of disease progression as demonstrated by biochemical failure or clinical recurrence in this patient population. OUTLINE: This is a multicenter study. Patients receive Leuvectin intraprostatically over 10-30 seconds under ultrasound guidance on day 0 followed by a second injection between days 4 and 7. Between days 8 and 14, patients undergo retropubic prostatectomy. All patients are followed at 2 months. Patients with a PSA no greater than 0.2 ng/mL are followed at 4 months and 6 months, every 3 months for 12 months, and then every 6 months for 3.5 years in the absence of disease progression or biochemical failure. ACTUAL ACCRUAL: 13 patients were accrued for this study.
Protocole
Cette section fournit des détails sur le plan de l'étude, y compris la manière dont l'étude est conçue et ce qu'elle évalue.13 participants à inclure
Nombre total de participants que l'essai clinique vise à recruter.Traitement
Éligibilité
Les chercheurs recherchent des patients correspondant à une certaine description appelée critères d'éligibilité : état de santé général ou traitements antérieurs du patient.Homme
Le sexe biologique des participants éligibles à s'inscrire.À partir de 18 ans
Tranche d'âge des participants éligibles à participer.Volontaires sains non autorisés
Indique si les individus en bonne santé et ne présentant pas la condition étudiée peuvent participer.Conditions
Pathologie
Critères
DISEASE CHARACTERISTICS: Histologically confirmed stage II or III organ confined prostate cancer Resectable disease (candidate for retropubic prostatectomy) Gleason score at least 6 Prostate specific antigen value (PSA) at least 5 ng/mL No significant central nervous system (CNS) disease PATIENT CHARACTERISTICS: Age 18 and over Performance status Karnofsky 80-100% Eastern Cooperative Oncology Group (ECOG) 0-1 Life expectancy Not specified Hematopoietic White blood cell count (WBC) greater than 3,000/mm^3 Platelet count greater than 100,000/mm^3 Hemoglobin greater than 9.0 g/dL Hepatic Bilirubin normal; serum glutamic oxaloacetic transaminase (SGOT), serum glutamic-pyruvic transaminase (SGPT) less than 3 times upper limit of normal Prothrombin time (PT)/partial thromboplastin time (PTT) normal Albumin greater than 3.0 g/dL Hepatitis B surface antigen negative Renal Creatinine normal Cardiovascular No uncontrolled hypertension No significant cardiovascular disease No history of ventricular dysfunction or arrhythmia No congestive heart failure No symptoms of coronary artery disease No prior myocardial infarction Other No active autoimmune disease No active infection requiring parenteral antibiotics HIV negative No significant psychiatric disorder that would preclude compliance No other malignancy within the past 5 years except curatively treated basal or squamous cell skin cancer No diabetes mellitus Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy No prior chemotherapy for prostate cancer At least 5 years since other prior chemotherapy Endocrine therapy No prior glucocorticoids for prostate cancer At least 5 years since other prior glucocorticoids Radiotherapy No prior radiotherapy for prostate cancer At least 5 years since other prior radiotherapy Surgery See Disease Characteristics At least 4 weeks since prior intrathoracic or intrabdominal surgery At least 2 weeks since other major surgery Other At least 10 days since prior anticoagulants or nonsteroidal antiinflammatory agents No other neoadjuvant or concurrent anticancer drugs No concurrent immunosuppressive drugs No other concurrent experimental therapy No concurrent parenteral antibiotics
Plan de l'étude
Découvrez tous les traitements administrés dans cette étude, leur description détaillée et ce qu'ils impliquent.Un seul groupe d'intervention est désigné dans cette étude
Cette étude ne comporte pas de groupe placebo.
Groupes de traitement
Groupe I
ExpérimentalObjectifs de l'étude
Objectifs principaux
Objectifs secondaires
Centres d'étude
Ce sont les hôpitaux, cliniques ou centres de recherche où l'essai est conduit. Vous pouvez trouver le site le plus proche de vous ainsi que son statut.Cette étude comporte 2 sites
Jonsson Comprehensive Cancer Center, UCLA
Los Angeles, United StatesOuvrir Jonsson Comprehensive Cancer Center, UCLA dans Google MapsCleveland Clinic Taussig Cancer Center
Cleveland, United States