Completed

Phase I/II Trial of In Vivo Angiostatin Generation With Tissue Plasminogen Activator (tPA) and Captopril in Patients With Progressive, Metastatic Cancer

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What is being tested

Data Collection

Who is being recruted

Neoplasm Metastasis
+1

+ Neoplasms
+ Neoplastic Processes
Over 18 Years
See all eligibility criteria
How is the trial designed

Treatment Study

Phase 1 & 2
Interventional
Study Start: July 2003
See protocol details

Summary

Principal SponsorNorthwestern University
Last updated: January 14, 2026
Sourced from a government-validated database.Claim as a partner
Study start date: July 1, 2003Actual date on which the first participant was enrolled.

OBJECTIVES: Primary * Determine the maximum tolerated dose and toxicity of captopril and tissue plasminogen activator (tPA) in patients with progressive metastatic cancer. * Determine the in vivo generation of angiostatin by western analysis in patients treated with this regimen. Secondary * Determine the antitumor effect of this regimen in these patients. OUTLINE: This is a dose-escalation study. Patients receive tissue plasminogen activator (tPA) IV over 6 hours and oral captopril twice daily on days 1-5. Courses repeat every 14 days for up to 1 year in the absence of disease progression or unacceptable toxicity. Patients who achieve a complete response (CR) receive 2 additional courses beyond CR. Cohorts of 3-6 patients receive escalating doses of tPA and captopril until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. PROJECTED ACCRUAL: Not specified.

Official TitlePhase I/II Trial of In Vivo Angiostatin Generation With Tissue Plasminogen Activator (tPA) and Captopril in Patients With Progressive, Metastatic Cancer 
NCT00086723
Principal SponsorNorthwestern University
Last updated: January 14, 2026
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 sexBiological sex of participants that are eligible to enroll.
Over 18 YearsRange of ages for which participants are eligible to join.
Healthy volunteers not allowedIf individuals who are healthy and do not have the condition being studied can participate.
Conditions
Pathology
Neoplasm Metastasis
Neoplasms
Neoplastic Processes
Pathologic Processes
Criteria

DISEASE CHARACTERISTICS: * Diagnosis of progressive metastatic cancer, excluding hematologic malignancies (i.e., leukemia or lymphoma) * Measurable disease not required * Must have received at least 1 prior systemic treatment for metastatic disease * No known CNS involvement * CNS involvement allowed provided it is successfully controlled by prior surgery or radiotherapy and there is no current requirement for corticosteroids PATIENT CHARACTERISTICS: Age * 18 and over Performance status * ECOG 0-2 Life expectancy * At least 3 months Hematopoietic * Granulocyte count at least 1,500/mm\^3 * Platelet count at least 100,000/mm\^3 * No bleeding diathesis Hepatic * Bilirubin no greater than 1.5 mg/dL * SGOT no greater than 3 times upper limit of normal * Albumin normal * PT and aPTT normal * Fibrinogen \> lower limit of normal Renal * Creatinine no greater than 1.8 mg/dL Cardiovascular * No myocardial infarction within the past 6 months * No history of stroke, transient ischemic attack, or symptoms of cerebral ischemia * No history of angioedema with captopril * No severe or uncontrolled hypertension (i.e., systolic blood pressure greater than 180 mm Hg or diastolic blood pressure greater than 110 mm Hg) * No congestive heart failure requiring therapy * No chronic hypotension (e.g., systolic blood pressure less than 100 mm Hg) Other * Not pregnant or nursing * Fertile patients must use effective contraception * HIV negative * Potassium no greater than 5.2 mmol/L * No active internal bleeding * No history of seizures * No psychiatric disorder that would preclude the giving of informed consent or study follow-up * No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix * No uncontrolled or active bacterial, viral, or invasive fungal infection * No recent trauma * No medical indication for anticoagulation * No contraindication to captopril PRIOR CONCURRENT THERAPY: Biologic therapy * At least 4 weeks since prior biologic therapy * No concurrent immunomodulator therapy Chemotherapy * At least 4 weeks since prior chemotherapy * No concurrent chemotherapy Endocrine therapy * See Disease Characteristics * At least 4 weeks since prior endocrine therapy Radiotherapy * See Disease Characteristics * At least 4 weeks since prior radiotherapy Surgery * See Disease Characteristics * No recent intracranial or intraspinal surgery * No concurrent surgery Other * More than 48 hours since prior anticoagulation agents (e.g., warfarin or heparin) * More than 3 weeks since prior investigational agents * No concurrent anticoagulation agents, aspirin, or nonsteroidal anti-inflammatory drugs * No other concurrent investigational agent * No concurrent phenytoin, phenobarbital, or other antiepileptic prophylaxis * Concurrent bisphosphonates allowed for metastatic bone disease

Study Plan

Find out more about all the medication administered in this study, their detailed description and what they involve.
Study Objectives
Study Objectives
Primary Objectives

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 1 location
Suspended
Robert H. Lurie Comprehensive Cancer Center at Northwestern UniversityChicago, United StatesSee the location
CompletedOne Study Center