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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
First Received: March 7, 2007   Last Updated: April 8, 2009   History of Changes
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
Other: immunologic technique
Other: pharmacological study
Radiation: iodine I 131 monoclonal antibody 3F8
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: Cadexomer iodine Immunoglobulins Iodine Sodium iodide I 131 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.
  • To assess the pharmokinetics and dosimetry of intrathecal iodine I 124 monoclonal antibody 3F8/PET imaging.

OUTLINE: This is an open-label study.

Patients receive intrathecal iodine I 124 monoclonal antibody 3F8 for dosimetry. Beginning approximately 1 week later, patients receive intrathecal iodine I 131 monoclonal antibody 3F8 on day 1. Treatment intrathecal iodine I 131 monoclonal antibody 3F8 repeats weekly 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 each course 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, 10065
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

Additional Information:
No publications provided

Responsible Party: Memorial Sloan-Kettering Cancer Center ( Kim Kramer )
Study ID Numbers: CDR0000534394, MSKCC-05122
Study First Received: March 7, 2007
Last Updated: April 8, 2009
ClinicalTrials.gov Identifier: NCT00445965     History of Changes
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
Urogenital Neoplasms
Central Nervous System Neoplasms
Retinoblastoma
Ileal Diseases
Duodenal Neoplasms
Neoplasms, Connective and Soft Tissue
Lung Neoplasms
Neoplasm Metastasis
Iodine
Osteogenic Sarcoma
Neuroepithelioma
Ovarian Cancer
Glioma
Nervous System Neoplasms
Immunoglobulins
Rhabdomyosarcoma
Endocrine Gland Neoplasms
Digestive System Neoplasms
Astrocytoma
Eye Neoplasms
Genital Neoplasms, Female
Endocrine System Diseases
Ewing's Sarcoma
Carcinoma, Small Cell
Anti-Infective Agents, Local

Additional relevant MeSH terms:
Thoracic Neoplasms
Retinal Neoplasms
Anti-Infective Agents
Meningeal Neoplasms
Neuroectodermal Tumors, Primitive
Physiological Effects of Drugs
Urogenital Neoplasms
Central Nervous System Neoplasms
Retinoblastoma
Ileal Diseases
Duodenal Neoplasms
Neoplasms, Connective and Soft Tissue
Neoplasms by Site
Pathologic Processes
Lung Neoplasms
Therapeutic Uses
Neoplasm Metastasis
Iodine
Glioma
Nervous System Neoplasms
Endocrine Gland Neoplasms
Digestive System Neoplasms
Astrocytoma
Eye Neoplasms
Nervous System Diseases
Genital Neoplasms, Female
Endocrine System Diseases
Anti-Infective Agents, Local
Neuroectodermal Tumors
Neoplasms

ClinicalTrials.gov processed this record on May 06, 2009