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Sponsors and Collaborators: |
H. Lee Moffitt Cancer Center and Research Institute National Cancer Institute (NCI) |
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Information provided by: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00618891 |
RATIONALE: Vaccines may help the body build an effective immune response to kill tumor cells. Drugs used in chemotherapy, such as carboplatin, etoposide, and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Tretinoin may help lung cancer cells become more like normal cells and grow and spread more slowly. Giving vaccine therapy together with combination chemotherapy, with or without tretinoin, may kill more tumor cells.
PURPOSE: This randomized phase II trial is studying how well giving vaccine therapy and combination chemotherapy together with or without tretinoin works in treating patients with extensive-stage small cell lung cancer.
Condition | Intervention | Phase |
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Lung Cancer |
Biological: autologous dendritic cell-adenovirus p53 vaccine Drug: tretinoin Procedure: observation |
Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Randomized |
Official Title: | A Randomized Phase II Trial Using Dendritic Cells Transduced With an Adenoviral Vector Containing the p53 Gene to Immunize Patients With Extensive Stage Small Cell Lung Cancer in Combination With Chemotherapy With or Without All Trans Retinoic Acid |
Estimated Enrollment: | 81 |
Study Start Date: | July 2007 |
Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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Arm I (Observation only [standard care]): No Intervention
Patients undergo observation with serial CT scans.
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Procedure: observation
Standard care given
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Arm II (Vaccine): Experimental
Patients receive autologous dendritic cell-adenovirus p53 vaccine intradermally every 2 weeks for 3 doses. Patients with no sign of disease progression will undergo another leukapheresis and receive autologous dendritic cell-adenovirus p53 vaccine intradermally every 4 weeks for 3 doses. |
Biological: autologous dendritic cell-adenovirus p53 vaccine
Given intradermally
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Arm III (Vaccine and tretinoin): Experimental
Patients receive autologous dendritic cell-adenovirus p53 vaccine for up to 6 doses as in arm II. They also receive oral tretinoin for 3 days before receiving each dose of the vaccine.
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Biological: autologous dendritic cell-adenovirus p53 vaccine
Given intradermally
Drug: tretinoin
Given orally
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OBJECTIVES:
Primary
Secondary
OUTLINE:
Patients with progressive disease do not receive any protocol treatment and are changed to second-line therapy.
Adjuvant therapy: Patients with stable disease or better are then randomized to 1 of 3 arms of adjuvant therapy approximately 3 weeks after completion of first-line chemotherapy.
All patients undergo blood collection periodically for immunogenic analysis. After completion of study treatment, patients are followed for at least 30 days.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
PATIENT CHARACTERISTICS:
Inclusion criteria:
Exclusion criteria:
PRIOR CONCURRENT THERAPY:
Inclusion criteria:
At least 4 weeks since prior and no concurrent steroid therapy
United States, Florida | |
H. Lee Moffitt Cancer Center and Research Institute at University of South Florida | Recruiting |
Tampa, Florida, United States, 33612-9497 | |
Contact: Clinical Trials Office - H. Lee Moffitt Cancer Center and Rese 800-456-7121 canceranswers@moffitt.org |
Study Chair: | Alberto Chiappori, MD | H. Lee Moffitt Cancer Center and Research Institute |
Study ID Numbers: | CDR0000581160, MCC-15206, MCC-IRB-9792, INTROGEN-RAC-0705-857 |
Study First Received: | February 19, 2008 |
Last Updated: | February 6, 2009 |
ClinicalTrials.gov Identifier: | NCT00618891 History of Changes |
Health Authority: | Unspecified |
extensive stage small cell lung cancer |
Thoracic Neoplasms Carcinoma, Neuroendocrine Carcinoma Neuroendocrine Tumors Keratolytic Agents Carcinoma, Small Cell Neuroectodermal Tumors Respiratory Tract Diseases |
Lung Neoplasms Lung Diseases Neoplasms, Germ Cell and Embryonal Tretinoin Neuroepithelioma Adenocarcinoma Neoplasms, Glandular and Epithelial |
Thoracic Neoplasms Respiratory Tract Neoplasms Neoplasms by Histologic Type Carcinoma, Neuroendocrine Antineoplastic Agents Neoplasms, Nerve Tissue Pharmacologic Actions Carcinoma Neuroendocrine Tumors Keratolytic Agents Carcinoma, Small Cell Neuroectodermal Tumors |
Neoplasms Neoplasms by Site Respiratory Tract Diseases Lung Neoplasms Therapeutic Uses Lung Diseases Neoplasms, Germ Cell and Embryonal Tretinoin Adenocarcinoma Dermatologic Agents Neoplasms, Glandular and Epithelial |