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Yttrium Y 90 DOTA Monoclonal Antibody HuPAM4 in Treating Patients With Stage III or Stage IV Pancreatic Cancer
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), May 2007
Sponsored by: Immunomedics, Inc.
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00303680
  Purpose

RATIONALE: Radiolabeled monoclonal antibodies, such as yttrium Y 90 DOTA monoclonal antibody HuPAM4, can find tumor cells and carry tumor-killing substances to them without harming normal cells. This may be effective treatment for pancreatic cancer.

PURPOSE: This phase I trial is studying the side effects and best dose of yttrium Y 90 DOTA monoclonal antibody HuPAM4 in treating patients with stage III or stage IV pancreatic cancer.


Condition Intervention Phase
Pancreatic Cancer
Drug: monoclonal antibody HuPAM4
Drug: yttrium Y 90 DOTA monoclonal antibody HuPAM4
Phase I

MedlinePlus related topics: Cancer Pancreatic Cancer
Drug Information available for: Immunoglobulins Globulin, Immune Pancrelipase Ultrase
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: A Phase I, Dose-Escalating Study to Investigate the Safety, Tolerability, Pharmacokinetics and Dosimetry of a Single Dose of Y-Humanized PAM4 IgG in Patients With Locally Advanced/Metastatic Pancreatic Cancer

Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment: 40
Study Start Date: August 2004
Detailed Description:

OBJECTIVES:

Primary

  • Determine the dose-limiting toxicity and maximum tolerated dose of yttrium Y 90 DOTA monoclonal antibody HuPAM4 (Y90 DOTA MOAB HuPAM4) in patients with stage III or IV pancreatic adenocarcinoma.

Secondary

  • Determine tumor targeting, biodistribution, organ dosimetry, and pharmacokinetics of this drug by administering indium In 111 DOTA monoclonal antibody HuPAM4 to these patients.
  • Determine the pharmacokinetics of unconjugated monoclonal antibody HuPAM4, based on ELISA measurements of serum antibody levels, in these patients.
  • Determine the antigenicity of Y90 DOTA MOAB HuPAM4, in terms of development of human anti-humanized antibodies, in these patients.
  • Determine, preliminarily, the efficacy of this drug in these patients.

OUTLINE: This is a nonrandomized, open-label, dose-escalation study of yttrium Y 90 DOTA monoclonal antibody HuPAM4 (Y90 DOTA MOAB HuPAM4).

Patients receive unconjugated monoclonal antibody HuPAM4 IV over 30-60 minutes followed by indium In 111 DOTA monoclonal antibody HuPAM4 IV over 30-60 minutes. Patients then undergo imaging and blood sampling over 1 week to evaluate tumor targeting, biodistribution, and organ dosimetry. Approximately 1 week later, patients with adequate biodistribution, definitive tumor targeting, and acceptable organ dosimetry receive unconjugated monoclonal antibody HuPAM4 IV over 30-60 minutes followed by Y90 DOTA MOAB HuPAM4 IV over 30-60 minutes.

Cohorts of 3-6 patients receive escalating doses of Y90 DOTA MOAB HuPAM4 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. Up to 10 additional patients (total of 16) are treated at the MTD.

Patients who do not receive Y90 DOTA MOAB HuPAM4 are followed at weeks 1, 4, 8, and 12 and then monthly for at least 6 months. After completion of study treatment, all other patients are followed periodically for 5 years.

PROJECTED ACCRUAL: Approximately 28-40 patients will be accrued for this study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed pancreatic adenocarcinoma

    • Stage III disease

      • Documented disease progression after failing prior primary therapy
    • Stage IV disease
  • Not a candidate for potentially curative resection
  • Measurable disease

    • At least 1 unidimensionally measurable lesion > 1.5 cm by CT scan
  • No bulky disease, defined as any single mass > 10 cm in its greatest dimension
  • No known CNS metastases

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • Karnofsky 70-100%

Life expectancy

  • At least 3 months

Hematopoietic

  • Hemoglobin ≥ 10 g/dL*
  • Absolute neutrophil count ≥ 1,500/mm^3*
  • Platelet count ≥ 150,000/mm^3* NOTE: *No ongoing transfusion support

Hepatic

  • Bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • AST and ALT ≤ 2.0 times ULN
  • No known hepatitis B or C positivity

Renal

  • Creatinine ≤ 1.5 times ULN

Cardiovascular

  • No active coronary artery disease within the past 6 months
  • No unstable angina within the past 6 months
  • No myocardial infarction within the past 6 months
  • No congestive heart failure within the past 6 months
  • No cardiac arrhythmia requiring anti-arrhythmia therapy

Pulmonary

  • No active chronic obstructive pulmonary disease within the past 6 months
  • No other moderate-to-severe respiratory illness within the past 6 months

Gastrointestinal

  • No anorexia > grade 2
  • No nausea or vomiting
  • No signs of intestinal obstruction

Immunologic

  • No known HIV positivity
  • No autoimmune disease or autoimmune phenomena

    • Rheumatoid arthritis requiring only low-dose maintenance corticosteroids allowed
  • No infection requiring IV antibiotics within the past week

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 12 weeks after study treatment
  • No other malignancy within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix
  • No other medical or psychiatric condition that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • See Radiotherapy
  • More than 4 weeks since prior biologic therapy
  • No prior antibody-based therapies (i.e., murine, chimeric, humanized, or human antibodies)
  • No concurrent prophylactic sargramostim (GM-CSF) or filgrastim (G-CSF)
  • No other concurrent biologic therapy*

Chemotherapy

  • No more than 1 prior chemotherapy regimen for stage IV disease
  • More than 4 weeks since other prior chemotherapy
  • No prior nitrosoureas or dactinomycin
  • No concurrent chemotherapy*

Endocrine therapy

  • More than 2 weeks since prior corticosteroids, except low-dose steroids (i.e., 20 mg/day of prednisone or equivalent) to treat nausea or other illnesses, such as rheumatoid arthritis
  • No concurrent corticosteroids, except if medically necessary

    • Concurrent low-dose steroids (i.e., 20 mg/day of prednisone or equivalent) for nausea or as maintenance therapy for other illnesses, such as rheumatoid arthritis allowed

Radiotherapy

  • More than 4 weeks since prior radiotherapy
  • No prior radioimmunotherapy
  • No prior external-beam radiotherapy to > 30% of the red marrow
  • No prior radiotherapy dose > 3,000 cGy to the liver
  • No prior radiotherapy dose > 2,000 cGy to the lungs and kidneys
  • No prior radiotherapy at a maximal tolerable level to any organ
  • No concurrent radiotherapy*

Surgery

  • More than 4 weeks since prior major surgery
  • No concurrent major surgery*

Other

  • Recovered from all prior therapy (toxicity ≤ grade 1)
  • More than 4 weeks since prior experimental treatment (i.e., drugs or procedures)
  • No other concurrent experimental treatment* NOTE: *Except for patients who progress at the 4- or 8-week study assessment; further treatment may be administered at the discretion of the managing physician
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00303680

Locations
United States, Indiana
Center for Cancer Care at Goshen General Hospital Recruiting
Goshen, Indiana, United States, 46526
Contact: Clinical Trials Office - Center for Cancer Care at Goshen Gene     574-535-2858        
United States, New Jersey
UMDNJ University Hospital Recruiting
Newark, New Jersey, United States, 07103
Contact: Moumita Chakraborty     973-972-7889        
United States, Pennsylvania
Fox Chase Cancer Center - Philadelphia Recruiting
Philadelphia, Pennsylvania, United States, 19111-2497
Contact: Clinical Trials Office - Fox Chase Cancer Center - Philadelphi     215-728-4790        
Sponsors and Collaborators
Immunomedics, Inc.
Investigators
Study Chair: William A. Wegener, MD, PhD Immunomedics, Inc.
  More Information

Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site

Study ID Numbers: CDR0000419744, IM-T-HPAM4-01, UMDNJ-0120020277
Study First Received: March 15, 2006
Last Updated: July 23, 2008
ClinicalTrials.gov Identifier: NCT00303680  
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
adenocarcinoma of the pancreas
stage III pancreatic cancer
recurrent pancreatic cancer
stage IV pancreatic cancer

Study placed in the following topic categories:
Digestive System Neoplasms
Pancreatic Neoplasms
Endocrine System Diseases
Pancrelipase
Recurrence
Antibodies, Monoclonal
Antibodies
Digestive System Diseases
Gastrointestinal Neoplasms
Pancreatic Diseases
Endocrinopathy
Adenocarcinoma
Endocrine Gland Neoplasms
Immunoglobulins

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009