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Iodine I 131 Monoclonal Antibody 3F8 in Treating Patients With Central Nervous System Cancer or Leptomeningeal Cancer
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), December 2008
Sponsored by: Memorial Sloan-Kettering Cancer Center
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00445965
  Purpose

RATIONALE: Radiolabeled monoclonal antibodies, such as iodine I 131 monoclonal antibody 3F8, can find tumor cells and carry tumor-killing substances to them without harming normal cells. This may be an effective treatment for central nervous system cancer or leptomeningeal cancer.

PURPOSE: This phase II trial is studying the side effects and how well iodine I 131 monoclonal antibody 3F8 works in treating patients with central nervous system cancer or leptomeningeal cancer.


Condition Intervention Phase
Brain and Central Nervous System Tumors
Intraocular Melanoma
Lung Cancer
Melanoma (Skin)
Metastatic Cancer
Neuroblastoma
Ovarian Cancer
Retinoblastoma
Sarcoma
Small Intestine Cancer
Drug: iodine I 131 monoclonal antibody 3F8
Procedure: immunologic technique
Procedure: pharmacological study
Phase II

Genetics Home Reference related topics: retinoblastoma
MedlinePlus related topics: Cancer Intestinal Cancer Lung Cancer Melanoma Neuroblastoma Ovarian Cancer Soft Tissue Sarcoma
Drug Information available for: Iodine Cadexomer iodine Sodium iodide I 131 Immunoglobulins Globulin, Immune
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: Phase II Study of Intrathecal I-3F8 in Patients With GD2-Expressing Central Nervous System and Leptomeningeal Neoplasms

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

Primary Outcome Measures:
  • Six-month overall survival [ Designated as safety issue: No ]

Estimated Enrollment: 34
Study Start Date: January 2006
Estimated Primary Completion Date: January 2010 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Determine if intrathecal iodine I 131 monoclonal antibody 3F8 activity in patients with GD2-expressing central nervous system or leptomeningeal neoplasms is sufficiently promising (i.e., 6-month overall survival rate ≥ 25%) to warrant further study.
  • Determine the response rate in patients treated with this drug.
  • Determine the cumulative toxicities of this drug in these patients.
  • Describe the effects of human-antimouse antibody on cerebrospinal fluid and serum pharmacokinetics in patients treated with this drug.

OUTLINE: This is an open-label study.

Patients receive intrathecal iodine I 131 monoclonal antibody 3F8 on day 1. Treatment repeats every 2 weeks for up to 4 courses in the absence of disease progression or unacceptable toxicity.

Blood and cerebrospinal fluid samples are collected prior to and after administration of study drug. Samples are analyzed to assess the intrathecal and blood pharmacokinetics of iodine I 131 monoclonal antibody 3F8 and serum human antimouse antibodies.

After completion of study treatment, patients are followed periodically for 3 months.

PROJECTED ACCRUAL: A total of 34 patients will be accrued for this study.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed GD2-expressing malignancy, including the following:

    • Medulloblastoma or primitive neuroectodermal tumor of the CNS
    • High-grade astrocytoma
    • Malignant glioma
    • Neuroblastoma
    • Retinoblastoma
    • Ependymoma
    • Rhabdoid tumors
    • Sarcomas
    • Melanoma
    • Small cell lung carcinoma
    • Desmoplastic small round cell tumor
    • Other tumor types with GD2 expression confirmed by immunohistochemical staining and assessed by the Memorial Sloan-Kettering Department of Pathology using prior frozen tissue, bone marrow, or cerebrospinal fluid cytology
  • Must meet 1 of the following criteria:

    • Refractory to conventional therapies
    • Disease for which no conventional therapy exists
    • Recurrent brain tumors with a predilection for leptomeningeal dissemination (e.g., medulloblastoma, supratentorial primitive neuroectodermal tumor, rhabdoid tumor)
  • Patients with active malignancy outside the central nervous system are eligible

    • No obstructive or symptomatic communicating hydrocephalus

PATIENT CHARACTERISTICS:

  • Absolute neutrophil count > 1,000/mm³
  • Platelet count > 50,000/mm³
  • No uncontrolled life-threatening infection
  • No rapidly progressing or deteriorating neurologic examination
  • No severe major organ toxicity (i.e., renal, cardiac, hepatic, pulmonary, and gastrointestinal system toxicity ≤ grade 2)
  • Stable neurological deficits (due to brain tumor) allowed
  • No hearing loss > 3
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

  • No cranial or spinal irradiation within the past 3 weeks
  • No prior craniospinal radiation > 45 Gy or focal brain radiation > 72 Gy
  • No systemic chemotherapy within the past 3 weeks (corticosteroids allowed)
  • Programmable shunt allowed
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00445965

Locations
United States, New York
Memorial Sloan-Kettering Cancer Center Recruiting
New York, New York, United States, 10021
Contact: Kim Kramer, MD     212-639-6410     kramerk@mskcc.org    
Sponsors and Collaborators
Memorial Sloan-Kettering Cancer Center
Investigators
Study Chair: Kim Kramer, MD Memorial Sloan-Kettering Cancer Center
  More Information

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

Responsible Party: Memorial Sloan-Kettering Cancer Center ( Kim Kramer )
Study ID Numbers: CDR0000534394, MSKCC-05122
Study First Received: March 7, 2007
Last Updated: December 16, 2008
ClinicalTrials.gov Identifier: NCT00445965  
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
leptomeningeal metastases
recurrent childhood medulloblastoma
untreated childhood medulloblastoma
adult supratentorial primitive neuroectodermal tumor (PNET)
recurrent childhood supratentorial primitive neuroectodermal tumor
untreated childhood supratentorial primitive neuroectodermal tumor
adult anaplastic astrocytoma
adult diffuse astrocytoma
adult pilocytic astrocytoma
adult subependymal giant cell astrocytoma
recurrent childhood subependymal giant cell astrocytoma
untreated childhood subependymal giant cell astrocytoma
recurrent childhood cerebellar astrocytoma
recurrent childhood cerebral astrocytoma
untreated childhood cerebellar astrocytoma
adult brain stem glioma
adult mixed glioma
childhood mixed glioma
recurrent childhood brain stem glioma
recurrent childhood visual pathway and hypothalamic glioma
recurrent childhood visual pathway glioma
untreated childhood brain stem glioma
untreated childhood visual pathway and hypothalamic glioma
untreated childhood visual pathway glioma
regional neuroblastoma
disseminated neuroblastoma
recurrent neuroblastoma
extraocular retinoblastoma
recurrent retinoblastoma
adult anaplastic ependymoma

Study placed in the following topic categories:
Retinal Neoplasms
Thoracic Neoplasms
Glioblastoma
Meningeal Neoplasms
Neuroectodermal Tumors, Primitive
Malignant mesenchymal tumor
Urogenital Neoplasms
Central Nervous System Neoplasms
Retinoblastoma
Osteogenic sarcoma
Ileal Diseases
Duodenal Neoplasms
Neoplasms, Connective and Soft Tissue
Ewing's sarcoma
Lung Neoplasms
Intraocular melanoma
Neoplasm Metastasis
Iodine
Neuroepithelioma
Glioma
Nervous System Neoplasms
Immunoglobulins
Rhabdomyosarcoma
Endocrine Gland Neoplasms
Digestive System Neoplasms
Astrocytoma
Eye Neoplasms
Genital Neoplasms, Female
Endocrine System Diseases
Melanoma of the choroid

Additional relevant MeSH terms:
Anti-Infective Agents
Respiratory Tract Neoplasms
Neoplasms by Histologic Type
Immunologic Factors
Growth Substances
Physiological Effects of Drugs
Neoplasms, Nerve Tissue
Nervous System Diseases
Trace Elements
Pharmacologic Actions
Adnexal Diseases
Anti-Infective Agents, Local
Neoplasms
Neoplastic Processes
Neoplasms by Site
Pathologic Processes
Jejunal Diseases
Therapeutic Uses
Nevi and Melanomas
Micronutrients
Neoplasms, Neuroepithelial

ClinicalTrials.gov processed this record on January 16, 2009