Metastatic Cancer
Conditions
Brief summary
This study will access the safety and efficacy of the Viatar™ Oncopheresis System to remove a meaningful quantity of circulating tumor cells from the blood of subjects' with breast, colon or prostate solid tumor cancers in a single treatment. CTC reduction will be measured as the change in circulating tumor cells as determined before and after treatment.
Interventions
Oncopheresis is a type of apheresis incorporating an extracorporeal blood circuit and a filter to separate circulating tumor cells from normal blood components.
Sponsors
Study design
Intervention model description
Subjects will be their own controls
Eligibility
Inclusion criteria
* Confirmed diagnosis of breast, colon or prostate cancer * No prior cancer therapy or failed first line therapy * \>= 25 CTC per 7.5 mL of blood within 1 week prior to oncopheresis treatment * \> 1 month life expectancy * Adequate baseline hematological function as assessed by the following laboratory values: * Hemoglobin \> 9 g/dl * Platelets \> 100,000/mm3 * WBC \> 3,000/mm3 * Absolute Neutrophil Count \> 1,500/mm3
Exclusion criteria
* Coagulation disorders and/or a history of thromboembolic complications, including known hypersensitivity to citrate: e.g., abnormal platelet count, prothrombin time and partial activated thromboplastin time and with a history of deep vein thrombus or pulmonary embolism * Patients with known immunodeficiency virus (HIV)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Circulating Tumor Cells | % change will be determined on the day of treatment | % change in enumerated circulating tumor cells after treatment with Viatar Oncopheresis System |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Immune system activation | Immune system activation biomarkers will be followed for 7 days post treatment | To assess the effect of oncopheresis on immune system activation |