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LMB-7 Immunotoxin in Treating Patients With Leptomeningeal Metastases



LMB-7 Immunotoxin in Treating Patients With Leptomeningeal Metastases

For Condition: unspecified adult solid tumor, protocol specific
Status: No longer recruiting
Sponsor(s): National Cancer Institute (NCI) , Duke University
Synopsis: RATIONALE: LMB-7 immunotoxin can locate tumor cells and kill them without harming normal cells. PURPOSE: Phase I trial to study the effectiveness of LMB-7 immunotoxin in treating patients who have leptomeningeal metastases metastases.
Details: OBJECTIVES: I. Determine the toxicity of intrathecal LMB-7 immunotoxin in patients with leptomeningeal metastases. II. Identify objective therapeutic responses in this group of patients. PROTOCOL OUTLINE: This is a dose escalation study. Patients receive LMB-7 intrathecally on days 1, 3, and 5. Treatment may be repeated every 4 weeks if the patient does not demonstrate HAMA neutralizing antibodies to PE-38 in CSF, has stable or responding disease, and has not experienced greater than grade II toxicity. Three to six patients are entered at each dose level. Dose escalation continues until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience grade 3 or worse toxicity or a neuroradiology toxicity score of 10 or greater. PROJECTED ACCRUAL: Approximately 15 to 24 patients will be accrued over one year.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically proven primary intracranial or extraneural neoplasm with leptomeningeal metastases - At least 30% of malignant cells in the cerebrospinal fluid, primary tumor, or metastatic tumor must react with the B3 mouse monoclonal antibody --Prior/Concurrent Therapy-- - Biologic therapy: Not specified - Chemotherapy: No chemotherapy within past 4 weeks (6 weeks for nitrosoureas) unless there is evidence of disease progression in CNS; No concurrent chemotherapy - Endocrine therapy: Patients receiving corticosteroids must be on stable dose for 10 days prior to entry - Radiotherapy: No radiotherapy to disease site within past 3 months unless there is evidence of disease progression in CNS; No concurrent radiotherapy - Surgery: Not specified --Patient Characteristics-- - Age: 18 and over - Performance status: Karnofsky 50-100% - Life expectancy: Not specified - Hematopoietic: ANC greater than 1000/mm3; Platelet count greater than 100,000/mm3 - Hepatic: Bilirubin less than 1.5 mg/dL - Renal: Creatinine less than 1.2 mg/dL - Pulmonary: DLCO at least 60 - Other: No neutralizing antibodies to Pseudomonas exotoxin; Not pregnant or nursing; Not allergic to penicillin
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
DarellBigner,  Study Chair,  Duke University

Duke Comprehensive Cancer Center
Durham,  North Carolina,  27710
United States
 

Kimmel Cancer Center of Thomas Jefferson University - Philadelphia
Philadelphia,  Pennsylvania,  19107
United States
 


Additional Information:
Study ID Numbers:
  CDR0000065605;  DUMC-000428-00-3R3,DUMC-0511-99-3R2,DUMC-424-98-3R1,DUMC-460-97-3,NCI-T96-0012
Study Start Date: September 1997
Record last reviewed: May 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00003020

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