Complementary medicine |
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Clinical Trial: Mistletoe Lectin in Treating Patients With Advanced Solid Tumors That Have Not Responded to Previous Therapy
This study is currently recruiting patients.
Purpose
RATIONALE: Mistletoe lectin may slow the growth of cancer cells and be an effective treatment for solid tumors.
PURPOSE: Phase I trial to study the effectiveness of mistletoe lectin in treating patients who have advanced solid tumors that have not responded to previous therapy.
| Condition | Treatment or Intervention | Phase |
|---|---|---|
| unspecified adult solid tumor, protocol specific | Drug: mistletoe Procedure: cancer prevention intervention Procedure: complementary and alternative therapy | Phase I |
MedlinePlus related topics: Cancer; Cancer Alternative Therapy
Study Type: Interventional
Study Design: Treatment
Official Title: Phase I Study of Mistletoe Lectin (Recombinant Viscumin) in Patients With Refractory Advanced Solid Tumors
OBJECTIVES:
- Determine the maximum tolerated dose and dose-limiting toxicity of mistletoe lectin (recombinant viscumin) in patients with advanced solid tumors who have failed standard therapy.
- Determine the pharmacokinetics of this regimen in these patients.
- Determine whether induction of antibodies against recombinant viscumin occurs in these patients.
- Determine whether immunological stimulation at the RNA level of immune cells occurs in patients treated with this regimen.
- Determine whether modification of endothelial parameters occurs in patients treated with this regimen.
- Determine the objective response rates in patients treated with this regimen.
OUTLINE: This is a dose-escalation study.
Patients receive mistletoe lectin (recombinant viscumin) IV over 1 hour twice weekly. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity.
Cohorts of 1-3 patients receive escalating doses of recombinant viscumin until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which 20% of patients experience dose-limiting toxicity during the first course. Additional patients are treated at the MTD.
Patients are followed every 3 months until disease progression or initiation of another therapy.
PROJECTED ACCRUAL: A maximum of 25 patients will be accrued for this study.
Eligibility
Ages Eligible for Study: 18 Years and above, Genders Eligible for Study: Both
Criteria
DISEASE CHARACTERISTICS:
- Histologically or cytologically proven progressive advanced solid tumor that is not amenable to standard therapy (i.e., resistant to standard therapy or for which no standard therapy exists)
- No clinically symptomatic CNS involvement
PATIENT CHARACTERISTICS: Age:
- 18 and over
Performance status:
- ECOG 0-2
Life expectancy:
- At least 3 months
Hematopoietic:
- WBC at least 3,000/mm^3
- Neutrophil count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
Hepatic:
- Bilirubin no greater than 1.5 times upper limit of normal (ULN)
- AST and ALT less than 2.5 times ULN (5 times ULN if liver metastases present)
- Alkaline phosphatase less than 2.5 times ULN (5 times ULN if liver metastases present)
Renal:
- Creatinine less than 1.4 mg/dL
Cardiovascular:
- No ECG abnormalities of clinical relevance
Other:
- No severe or unstable systemic disease or infection
- No circumstances (e.g., alcoholism or substance abuse) that would preclude study participation
- HIV negative
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY: Biologic therapy:
- At least 4 weeks since prior immunostimulating substances, biologic response modifiers, or colony-stimulating factors
- No concurrent immunostimulating substances, colony-stimulating factors (except in life-threatening situations), biologic response modifiers, or monoclonal antibodies
Chemotherapy:
- At least 4 weeks since prior chemotherapy
Endocrine therapy:
- At least 4 weeks since prior hormonal therapy
- At least 4 weeks since prior systemic steroids
- No concurrent systemic steroids
Radiotherapy:
- At least 4 weeks since prior radiotherapy
- No concurrent radiotherapy
Surgery:
- Not specified
Other:
- No prior mistletoe preparations
- At least 4 weeks since prior investigational treatment
- No other concurrent anticancer agents
Location and Contact Information
France
Centre Regional Rene Gauducheau, Nantes-Saint Herblain, 44805, France; Recruiting
Germany
Medizinische Hochschule Hannover, Hannover, D-30625, Germany; Recruiting
Patrick Schoffski, MD, MPH, Study Chair, Medizinische Hochschule Hannover
More Information
Record last reviewed: May 2003
Last Updated: October 13, 2004
Record first received: October 4, 2000
ClinicalTrials.gov Identifier: NCT00006354
Health Authority: Unspecified
ClinicalTrials.gov processed this record on 2005-04-08
Source: ClinicalTrials.gov
Cache Date: April 9, 2005

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