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Home > "I" Clinical Trials Conditions > Interleukin-2 and Stem Cell Factor in Treating Patients With AIDS or AIDS-Related Cancer

Interleukin-2 and Stem Cell Factor in Treating Patients With AIDS or AIDS-Related Cancer



Interleukin-2 and Stem Cell Factor in Treating Patients With AIDS or AIDS-Related Cancer

For Condition: AIDS-related peripheral/systemic lymphoma
Status: No longer recruiting
Sponsor(s): Roswell Park Cancer Institute , National Cancer Institute (NCI)
Synopsis: RATIONALE: Interleukin-2 may stimulate a person's white blood cells to kill cancer cells. Stem cell factor may increase the number of immune cells found in bone marrow or peripheral blood and may help a person's immune system recover from the side effects of cancer therapy. PURPOSE: Phase I trial to study the effectiveness of combining interleukin-2 with stem cell factor in treating patients who have AIDS or AIDS-related cancer.
Details: OBJECTIVES: - Determine the safety and toxicity of low-dose interleukin-2 and stem cell factor in patients with AIDS or AIDS-related malignancies. - Determine the immune status of patients treated with this regimen. OUTLINE: This is a multicenter, dose-escalation study of stem cell factor. Patients receive interleukin-2 (IL-2) subcutaneously (SC) six days a week and stem cell factor SC three times a week for 8 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of stem cell factor 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. Once the MTD is determined, an additional cohort of 3 patients receives treatment at the MTD. Patients are followed every 2 weeks for 1 month. PROJECTED ACCRUAL: A total of 3-18 patients will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Diagnosis of HIV-1 by ELISA, Western blot, polymerase chain reaction, or other documentation - Must have had 1 of the following AIDS-defining illnesses: - Opportunistic infection - Opportunistic malignancy (excluding CNS involvement) - CD4 T-cell count less than 200/mm^3 (but currently greater than 20/mm^3) - Receiving antiretroviral therapy - No concurrent Kaposi's sarcoma - Prior Kaposi's sarcoma in complete response allowed PATIENT CHARACTERISTICS: Age - 18 and over Performance status - Karnofsky 80-100% Life expectancy - Not specified Hematopoietic - Absolute granulocyte count greater than 1,000/mm^3* - Hemoglobin at least 10 g/dL* - Platelet count greater than 50,000/mm^3* NOTE: *Transfusions and growth factors allowed in order to increase or maintain counts Hepatic - No major hepatic dysfunction evidenced by encephalopathy, ascites, or varices - Bilirubin no greater than 2 mg/dL - INR no greater than 1.5 Renal - Not specified Cardiovascular - No prior angioedema - No uncontrolled hypertension (i.e., diastolic blood pressure greater than 115 mmHg) - No unstable angina - No New York Heart Association class III or IV heart disease - No congestive heart failure - No coronary angioplasty within the past 6 months - No myocardial infarction within the past 6 months - No uncontrolled atrial or ventricular cardiac arrhythmia Pulmonary - No history of seasonal or recurrent asthma within the past 10 years - No concurrent asthmatic symptoms (e.g., wheezing) related to a current respiratory tract infection Immunologic - No prior positive allergy test (skin or radioallergosorbent test) for insect venoms - No known allergy to E. coli-derived products - No prior anaphylactic events manifested by disseminated urticaria, laryngeal edema, and/or bronchospasm - Drug allergies manifested solely by rash and/or urticaria allowed - No recurrent urticaria (isolated episode of urticaria allowed) - No other active uncontrolled infection (including one with current symptoms of bronchoconstriction) - No fever of 38.2° C or higher - Fevers due to B symptoms allowed Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - No prior or concurrent CNS malignancy - No poorly controlled diabetes - No other significant nonmalignant disease - No other malignancy except those in stable partial response or stable complete response (no evidence of progressive disease for at least 8 weeks after therapy for the malignancy) PRIOR CONCURRENT THERAPY: Biologic therapy - See Hematopoietic in Patient Characteristics - No prior stem cell factor - No concurrent interleukin-11 for thrombocytopenia Chemotherapy - No concurrent chemotherapy for malignancy Endocrine therapy - Not specified Radiotherapy - Not specified Surgery - Not specified Other - No concurrent enrollment on any other protocol utilizing an investigational drug - No concurrent beta adrenergic blocking agents
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
ZaleBernstein,  Study Chair,  Roswell Park Cancer Institute

Arthur G. James Cancer Hospital - Ohio State University
Columbus,  Ohio,  43210
United States
 

Roswell Park Cancer Institute
Buffalo,  New York,  14263-0001
United States
 


Additional Information:
Study ID Numbers:
  CDR0000285694;  RPCI-RP-9911
Study Start Date: 
Record last reviewed: December 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00058045

Other Aids-Related Peripheral/systemic Lymphoma Studies:
1. Rituximab Plus Combination Chemotherapy in Treating Patients With HIV-Related Non-Hodgkin's Lymphoma

2. Combination Chemotherapy and Rituximab in Treating Patients With HIV-Associated Stage II, Stage III, or Stage IV Non-Hodgkin's Lymphoma or High-Risk Stage I Non-Hodgkin's Lymphoma

3. Combination Chemotherapy, Radiation Therapy, and Antiviral Therapy in Treating Patients With AIDS-Related Lymphoma

4. Combination Chemotherapy With or Without Monoclonal Antibody Therapy in Treating Patients With Previously Untreated HIV-Associated Non-Hodgkin's Lymphoma

5. Combination Chemotherapy in Treating Patients With AIDS-Related Lymphoma

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Interleukin-2 and Stem Cell Factor in Treating Patients With AIDS or AIDS-Related Cancer

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