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Mouse Cancer Cell-containing Macrobeads in the Treatment of Human Cancer

Use of Mouse Renal Adenocarcinoma Cell-containing Agarose-agarose Macrobeads in the Treatment of Patients With End-stage, Treatment-resistant Epithelial-derived Cancer

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00283075
Enrollment
56
Registered
2006-01-27
Start date
2005-01-31
Completion date
2015-02-28
Last updated
2019-01-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Intraabdominal Cancers (Various Types)

Keywords

intraabdominal cancer (carcinomas), agarose macrobeads, mouse kidney cancer cells, cancer cell growth inhibition

Brief summary

This is a phase 1 trial to evaluate the safety and toxicity of mouse kidney cancer cell-containing agarose-agarose macrobeads that are implanted in the abdominal cavity as a proposed biological treatment of patients with end-stage, treatment-resistant cancer. The macrobeads have been extensively tested in tumor models in mice and rats, as well as in forty-five veterinary patients (cats and dogs) with naturally occurring tumors of various types including breast cancer, prostate cancer, liver cancer, and lymphoma with clear tumor responses and no significant detectable toxicity.

Detailed description

Cancer in its various forms continues to be a major U.S. health problem, accounting for 550,000 deaths a year, as well as much disability and suffering. Treatment for cancer has traditionally consisted of three modalities: surgery, radiation therapy, and chemotherapy. Advances with all three modalities over the years have produced long-term remissions and/or cures in certain types of cancer such as the leukemias, and prolonged survival for many other patients. Much remains to be accomplished, however, especially with respect to the treatment of solid tumors, including some of the most common cancers such as those of the lung, colon, breast, ovary, prostate and kidney. New types of less toxic and debilitating therapy are needed. Among the therapeutic possibilities currently being explored, those that involve biological control mechanisms seem both promising and attractive. Although it has long been thought that cancer cells are not subject to the same regulatory growth control mechanisms that function in normal cells, there is a substantial body of evidence that they can respond to feedback signals telling them to slow or stop their growth. In addition, it has been determined that a relatively small population of cells within a tumor (cancer stem or progenitor cells) are responsible for continued tumor growth and that it is these cells that must be controlled if biological anti-tumor therapy is to be effective. The proposed cancer treatment being tested in this Phase 1 clinical trial is based on the concept that tumor growth can be controlled by tumor mass or signals that indicate that such mass is present. In this case, however, the induction of the growth-slowing signals is brought about not by tumor mass, but by placing mouse kidney cancer cells in an agarose matrix, which both selects for cancer progenitor cells and also causes them to produce and release signals that inhibit the growth of freely growing cancer cells of the same or different type in a laboratory dish or in a tumor-bearing animal or human (i.e. is also not species-specific). This approach has proven both safe and effective in animal models and veterinary patients, and it is now in the first stage of human testing. With Phase 1 completed, we are now implementing Phase 2 efficacy trials that for the present are focused on colorectal cancer, pancreatic cancer, and prostate cancer. The Phase 1 trial remains open to a range of epithelial-derived cancer.

Interventions

Sponsors

The Rogosin Institute
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* End-stage, treatment resistant epithelial-derived cancer (carcinoma) arising originally within the abdominal cavity with expected minimum six-month survival

Exclusion criteria

* Multiple intraabdominal metastases or carcinomatosis or other medical conditions indicating that the procedure would be of too high a risk for the individual

Design outcomes

Primary

MeasureTime frameDescription
Maximum Tolerated Dose (MTD) of RENCA Macrobeads6 monthsDose limiting toxicity (DLT) was defined as: * any Grade 2 allergic reaction of generalized urticaria or any other Grade ≥ 3 allergic reaction; * any Grade ≥ 3 infection and * any Grade ≥ 3 local (intraperitoneal) reaction and any Grade ≥ 3 hematologic or non- hematologic reaction. This definition of DLT is in accord with the NCI CTCAE v3.0. Maximum tolerated dose (MTD) was to be identified if, within a cohort, \> 1 subject out of the first 3, or 2 subjects out of 5 experienced DLT. In such a case, the MTD will have been exceeded, and the administration of the study agent was to cease. MTD would not be considered to have been reached if no DLTs were observed.
Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)6 monthsDose limiting toxicity (DLT) was defined as: * any Grade 2 allergic reaction of generalized urticaria or any other Grade ≥ 3 allergic reaction; * any Grade ≥ 3 infection and * any Grade ≥ 3 local (intraperitoneal) reaction and any Grade ≥ 3 hematologic or non- hematologic reaction. This definition of DLT is in accord with the NCI CTCAE v3.0.

Secondary

MeasureTime frameDescription
Overall SurvivalFrom date of RENCA macrobeads implantation until date of death from any causeOverall Survival (OS) was measured as date of first implantation to date of death of any cause, and was analyzed using the Kaplan-Meier method.

Other

MeasureTime frameDescription
Tumor Marker ResponsePrior to Implantation and Day 7, Day 14, Day 21 and Day 28 after each implantationTumor marker response after the first implantation with RENCA macrobeads. Responders showed at least a 20% decrease from baseline in Cancer Antigen 19-9 (CA19-9) or Carcinoembryonic Antigen (CEA); Non-responders do not show at least a 20% decrease from baseline in CA19-9 or CEA.

Countries

United States

Participant flow

Recruitment details

Fifty-six subjects provided informed consent to participate in this study; of these 31 subjects underwent the implantation of macrobeads that contain mouse renal adenocarcinoma cells (RENCA macrobeads). The first subject was implanted on 6 April 2005 and the last subject was implanted on 1 November 2011.

Participants by arm

ArmCount
All Participants
All participants who had at least one implantation of RENCA macrobeads, either at 8 RENCA macrobeads/kg body weight or 16 RENCA macrobeads/kg body weight.
31
Total31

Baseline characteristics

CharacteristicAll Participants
Age, Continuous59.1 years
STANDARD_DEVIATION 8.53
Race/Ethnicity, Customized
Asian
1 participants
Race/Ethnicity, Customized
Hispanic
2 participants
Race/Ethnicity, Customized
Not Available
16 participants
Race/Ethnicity, Customized
White
12 participants
Sex: Female, Male
Female
16 Participants
Sex: Female, Male
Male
15 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
27 / 31
serious
Total, serious adverse events
20 / 31

Outcome results

Primary

Maximum Tolerated Dose (MTD) of RENCA Macrobeads

Dose limiting toxicity (DLT) was defined as: * any Grade 2 allergic reaction of generalized urticaria or any other Grade ≥ 3 allergic reaction; * any Grade ≥ 3 infection and * any Grade ≥ 3 local (intraperitoneal) reaction and any Grade ≥ 3 hematologic or non- hematologic reaction. This definition of DLT is in accord with the NCI CTCAE v3.0. Maximum tolerated dose (MTD) was to be identified if, within a cohort, \> 1 subject out of the first 3, or 2 subjects out of 5 experienced DLT. In such a case, the MTD will have been exceeded, and the administration of the study agent was to cease. MTD would not be considered to have been reached if no DLTs were observed.

Time frame: 6 months

ArmMeasureValue (NUMBER)
All ParticipantsMaximum Tolerated Dose (MTD) of RENCA MacrobeadsNA RENCA Macrobeads/kg
Primary

Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)

Dose limiting toxicity (DLT) was defined as: * any Grade 2 allergic reaction of generalized urticaria or any other Grade ≥ 3 allergic reaction; * any Grade ≥ 3 infection and * any Grade ≥ 3 local (intraperitoneal) reaction and any Grade ≥ 3 hematologic or non- hematologic reaction. This definition of DLT is in accord with the NCI CTCAE v3.0.

Time frame: 6 months

ArmMeasureValue (NUMBER)
All ParticipantsNumber of Participants Who Experienced Dose-Limiting Toxicities (DLTs)0 Participants who observed DLT
Day 14Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)0 Participants who observed DLT
Secondary

Overall Survival

Overall Survival (OS) was measured as date of first implantation to date of death of any cause, and was analyzed using the Kaplan-Meier method.

Time frame: From date of RENCA macrobeads implantation until date of death from any cause

ArmMeasureGroupValue (MEDIAN)
All ParticipantsOverall SurvivalAll Cancer Type5.4 months
All ParticipantsOverall SurvivalColorectal Cancer7.0 months
All ParticipantsOverall SurvivalPancreatic Cancer1.1 months
All ParticipantsOverall SurvivalOther Cancer5.7 months
Other Pre-specified

Tumor Marker Response

Tumor marker response after the first implantation with RENCA macrobeads. Responders showed at least a 20% decrease from baseline in Cancer Antigen 19-9 (CA19-9) or Carcinoembryonic Antigen (CEA); Non-responders do not show at least a 20% decrease from baseline in CA19-9 or CEA.

Time frame: Prior to Implantation and Day 7, Day 14, Day 21 and Day 28 after each implantation

Population: All participants who had at least one implantation of RENCA macrobeads, either at 8 macrobeads/kg body weight or 16 macrobeads/kg body weight.

ArmMeasureGroupValue (NUMBER)
All ParticipantsTumor Marker ResponseResponder5 participants
All ParticipantsTumor Marker ResponseNon-Responder15 participants
Day 14Tumor Marker ResponseNon-Responder8 participants
Day 14Tumor Marker ResponseResponder13 participants
Day 21Tumor Marker ResponseResponder9 participants
Day 21Tumor Marker ResponseNon-Responder4 participants
Day 28Tumor Marker ResponseResponder10 participants
Day 28Tumor Marker ResponseNon-Responder7 participants

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026