Her-2/Neu in Patients With Metastatic Breast Cancer (AdHERe)
AdHERe
A Phase I Study Investigating Multiple Injections of Autologous CD34+ Derived Dendritic Cells Transduced With an Adenovirus Expressing Rat Her-2/Neu in Patients With Metastatic or Locally Recurrent Breast Cancer
1 other identifier
interventional
5
0 countries
N/A
Brief Summary
The purpose of this study is to determine the maximum tolerated dose and/or maximum attainable dose of a vaccine consisting of human autologous dendritic cells transduced by an adenovector expressing rat Her-2/neu (AdHer-2/neu) in patients with metastatic breast cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Jan 2005
Longer than P75 for phase_1
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2005
CompletedFirst Submitted
Initial submission to the registry
September 10, 2005
CompletedFirst Posted
Study publicly available on registry
September 13, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2012
CompletedJune 4, 2012
May 1, 2012
4.5 years
September 10, 2005
May 31, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
toxicity
weeks 4, 6, 7, 10, 14, 18, 22, 26
Secondary Outcomes (1)
tumour response
Weeks 6, 18
Interventions
Group 1 1 ×10'7 expanded cells (2.5 ×106 DCs per injection site) Group 2 5 ×10'7 expanded cells (1.25 ×107 DCs per injection site) Group 3 1 ×10'8 expanded cells (2.5 ×107 DCs per injection site)
Eligibility Criteria
You may qualify if:
- Metastatic or locally recurrent breast cancer
- years of age or older
- Her-2/neu positive (3+ by immunohistochemistry or fluorescence in-situ hybridization \[FISH\] +)
- One of the following:
- currently receiving hormonal therapy or are candidates for such, or
- being considered for trastuzumab, or
- cancer has progressed on trastuzumab.
You may not qualify if:
- Pregnant or lactating women.
- Prior or concurrent malignancies except for treated basal cell or squamous cell carcinoma of the skin or in situ cancer of the cervix or any other cancer treated and presumed cured for more than five years prior to study entry.
- Currently receiving chemotherapy, immunotherapy, adenoviral gene therapy or biological cancer therapy. \[Note: concurrent hormonal therapy (tamoxifen, aromatase inhibitors, or megace) is permitted.\]
- Treatment with trastuzumab within 4 weeks prior to first dose of vaccine therapy.
- Hemoglobin \< 80 g/L or granulocytes \< 1.5 × 10\^9/L or lymphocytes \< 1.0 × 10\^9/L or platelets \< 100 × 10\^9/L.
- Baseline liver enzymes (AST or ALT) greater than 3 times the upper limit of normal or greater than 5 times the upper limit of normal if liver metastases are present and/or bilirubin is greater than 50 mmol.
- CD4 cells \< 0.5 ×10\^9/L
- Patients with documented brain metastases.
- Patients with any acute illness that would interfere with the collection of CD34+ cells or administration of vaccination cellular therapy (i.e. unstable angina, renal or liver failure, or severe chronic obstructive airway disease).
- Any patients requiring concurrent immunosuppressive therapy (e.g. corticosteroids).
- Eastern Cooperative Oncology Group (ECOG) performance status of \> 2.
- Patients with a life expectancy of less than 6 months.
- Geographic inaccessibility which would preclude follow-up. Patients registered on the trial must be treated and followed at the Juravinski Cancer Center and the Henderson site of the Hamilton Health Sciences.
- Failure to give written informed consent.
- Baseline left ventricular ejection fraction (LVEF) \< 55% by echocardiography or multigated acquisition (MUGA) scan.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ontario Clinical Oncology Group (OCOG)lead
- Ontario Cancer Research Networkcollaborator
- Canadian Breast Cancer Research Alliancecollaborator
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Sukhbinder Dhesy-Thind, M.D.
Ontario Clinical Oncology Group; Juravinski Cancer Centre - Hamilton Health Sciences; McMaster University
- PRINCIPAL INVESTIGATOR
Ronan Foley, M.D.
McMaster University
- PRINCIPAL INVESTIGATOR
Richard Tozer, M.D.
Juravinski Cancer Centre - Hamilton Health Sciences
- PRINCIPAL INVESTIGATOR
Peter Ellis, M.D.
Juravinski Cancer Centre - Hamilton Health Sciences
- PRINCIPAL INVESTIGATOR
Jack Gauldie, M.D.
McMaster University
- PRINCIPAL INVESTIGATOR
Mark Levine, M.D.
Ontario Clinical Oncology Group (OCOG)
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 10, 2005
First Posted
September 13, 2005
Study Start
January 1, 2005
Primary Completion
July 1, 2009
Study Completion
May 1, 2012
Last Updated
June 4, 2012
Record last verified: 2012-05