Completed

Phase I Pilot Trial of Adenovirus p53 in Bronchioloalveolar Cell Lung Carcinoma (BAC) Administered by Bronchoalveolar Lavage

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What is being tested

Ad5CMV-p53 gene

Biological
Who is being recruted

Adenocarcinoma of Lung+13

+ Adenocarcinoma

+ Bronchial Neoplasms

From 18 to 120 Years
See all eligibility criteria
How is the trial designed

Treatment Study

Phase 1
Interventional
Study Start: November 1998
See protocol details

Summary

Principal SponsorEastern Cooperative Oncology Group
Last updated: June 22, 2023
Sourced from a government-validated database.Claim as a partner

Study start date: November 17, 1998

Actual date on which the first participant was enrolled.

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.

Principal SponsorEastern Cooperative Oncology Group
Last updated: June 22, 2023
Sourced from a government-validated database.Claim as a partner

Protocol

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Treatment Study

These studies test new ways to treat a disease, condition, or health issue. The goal is to see if a new drug, therapy, or approach works better or has fewer side effects than existing options.

Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Conditions
Criteria

Any sex

Biological sex of participants that are eligible to enroll.

From 18 to 120 Years

Range of ages for which participants are eligible to join.

Healthy volunteers not allowed

If individuals who are healthy and do not have the condition being studied can participate.

Conditions

Pathology

Adenocarcinoma of LungAdenocarcinomaBronchial NeoplasmsCarcinomaCarcinoma, BronchogenicLung DiseasesNeoplasmsNeoplasms by Histologic TypeNeoplasms by SiteNeoplasms, Glandular and EpithelialRespiratory Tract DiseasesRespiratory Tract NeoplasmsThoracic NeoplasmsAdenocarcinoma, Bronchiolo-AlveolarCarcinoma, Non-Small-Cell LungLung Neoplasms

Criteria

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

Study Centers

These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.

This study has 3 locations

Veterans Affairs Medical Center - Tennessee Valley Healthcare System - Nashville Campus

Nashville, United StatesOpen Veterans Affairs Medical Center - Tennessee Valley Healthcare System - Nashville Campus in Google Maps

Vanderbilt-Ingram Cancer Center

Nashville, United States

CCOP - Green Bay

Green Bay, United States
Completed3 Study Centers