Breast Cancer
Conditions
Keywords
recurrent breast cancer, stage IV breast cancer
Brief summary
RATIONALE: Placing the gene for interleukin-12 into breast cancer cells may help the body build an immune response to kill tumor cells. PURPOSE: This phase I trial is studying the side effects and best dose of gene therapy in treating women with metastatic breast cancer.
Detailed description
OBJECTIVES: * Determine the toxicity and maximum tolerated dose of intratumoral injection of adenovirus-mediated human interleukin-12 gene in women with metastatic breast cancer. * Determine the tumor response in patients treated with this regimen. * Determine the immune response in patients treated with this regimen. OUTLINE: Patients receive a single dose of adenovirus-mediated human interleukin-12 intratumorally via percutaneous needle placement under ultrasound guidance. Blood and tumor tissue samples are collected periodically for immunological laboratory studies. Samples are analyzed for serum cytokine levels by ELISA; qualitative analysis of immune biomarkers by IHC staining; and immune cell biomarker analysis by FACS. After completion of study therapy, patients are followed periodically.
Interventions
The purified ADV-hIL12 is suspended in formulation buffer (10mM Tris, pH 7.5/ 1mM MgCl2/ 150mM NaCl/ 10% glycerol) and aliquoted into 1ml cryovials. The filled vials are stored at or below -60 degC.
Sponsors
Study design
Eligibility
Inclusion criteria
DISEASE CHARACTERISTICS: * Histologically or cytologically confirmed metastatic adenocarcinoma of the breast * Malignant disease in the skin, chest wall, or other sites (lymph nodes or primary tumor in the breast) accessible to percutaneous needle placement and injection * Solitary or multiple tumors * Measurable disease in ≥ 2 dimensions by physical examination or CT/MRI scan * Malignant tumors in the skin and chest wall must be ≥ 4 mm in diameter by physical examination * Malignant tumors in other accessible sites must be ≥ 1 cm in diameter on physical examination * Malignant disease in other organs (in addition to skin or chest wall metastases) allowed * Hormone receptor status not specified PATIENT CHARACTERISTICS: * Menopausal status not specified * Karnofsky performance status 70-100% * Life expectancy ≥ 16 weeks * Granulocyte count ≥ 1,500/mm\^3 * Platelet count ≥ 100,000/mm\^3 * Hemoglobin ≥ 9.0 mg/dL * PT normal * Serum creatinine ≤ 1.5 mg/dL OR creatinine clearance ≥ 45 mL/min * Serum total bilirubin ≤ 2.0 times upper limit of normal (ULN) * Serum transaminases ≤ 2.5 times ULN * Not pregnant or nursing * Negative pregnancy test * Weight ≥ 30 kg (for patients treated with the highest dose level of study drug) * No active infection or concurrent serious medical illness * No HIV positivity * No other malignancy within the past 5 years except for the following: * Inactive nonmelanoma skin cancer * In situ carcinoma of the cervix * Grade 1 papillary bladder cancer PRIOR CONCURRENT THERAPY: * More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas) * No anticoagulant therapy with heparin or warfarin for ≥ 2 months after completion of study treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximum tolerated dose | up to 1 month | Serum antibodies (titer) to adenovirus |
| Toxicity and safety | up to 2 months | adverse events as assessed by NCI CTCAE v3.0 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tumor response progression) | up to 2 months | Sequential assessment of tumor on CT or MRI (complete response, partial response, stable disease, or disease) |
| Immune response | up to 2 months | Serum IL12, and IFNγ levels. Serum antibodies (titer) to adenovirus. |
Countries
United States