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NCT00562640

Autologous T Cells With or Without Cyclophosphamide and Fludarabine in Treating Patients With Recurrent or Persistent Advanced Ovarian Epithelial Cancer, Primary Peritoneal Cavity Cancer, or Fallopian Tube Cancer (Fludarabine Treatment Closed as of 12/01/2009)

Completed Phase 1 Results posted Last updated 15 September 2023
What this trial tests

Phase 1 trial testing filgrastim in Fallopian Tube Cancer in 12 participants. Completed in 3 August 2021.

Timeline
16 October 2007
Primary endpoint
3 August 2021
3 August 2021

Quick facts

Lead sponsorMemorial Sloan Kettering Cancer Center
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsequential
Maskingnone
Primary purposetreatment
Enrollment12
Start date16 October 2007
Primary completion3 August 2021
Estimated completion3 August 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Memorial Sloan Kettering Cancer Center — full company profile →

Who can join

Adults 18 to 120, female only, with Fallopian Tube Cancer or Ovarian Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants Assessed for Safety and Tolerability as Assessed by NCI CTCAE v3.0 Primary · 2 years

Participant toxicity will be evaluated by using NCI CTCAE v3.0

GroupValue95% CI
WT1 Specific T Cells 5 x 10^6/m23
WT1 Specific T Cells 2 x 10^7/m23
WT1 Specific T Cells 5 x 10^7/m24
WT1 Specific T Cells 1 x 10^8/m22
Total Number of Dose Limiting Toxicities/DLT's Primary · 2 years
GroupValue95% CI
WT1 Specific T Cells 5 x 10^6/m20
WT1 Specific T Cells 2 x 10^7/m20
WT1 Specific T Cells 5 x 10^7/m20
WT1 Specific T Cells 1 x 10^8/m20
Mean Overall Survival Primary · Up to 3 years
GroupValue95% CI
WT1 Specific T Cells 5 x 10^6/m211.71.5 – 21.9
WT1 Specific T Cells 2 x 10^7/m25.71 – 12
WT1 Specific T Cells 5 x 10^7/m222.51 – 32
WT1 Specific T Cells 1 x 10^8/m221.420 – 22.8
Best Response Primary · 1 year
Stable Disease
GroupValue95% CI
WT1 Specific T Cells 5 x 10^6/m20
WT1 Specific T Cells 2 x 10^7/m20
WT1 Specific T Cells 5 x 10^7/m21
WT1 Specific T Cells 1 x 10^8/m20
Progressive Disease
GroupValue95% CI
WT1 Specific T Cells 5 x 10^6/m23
WT1 Specific T Cells 2 x 10^7/m23
WT1 Specific T Cells 5 x 10^7/m23
WT1 Specific T Cells 1 x 10^8/m22
Not Evaluable
GroupValue95% CI
WT1 Specific T Cells 5 x 10^6/m20
WT1 Specific T Cells 2 x 10^7/m20
WT1 Specific T Cells 5 x 10^7/m20
WT1 Specific T Cells 1 x 10^8/m20

Adverse events — posted to ClinicalTrials.gov

Time frame: 3 years. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

WT1 Specific T Cells 5 x 10^6/m2
Serious: 3/3 (100%)
Deaths: 3/3
WT1 Specific T Cells 2 x 10^7/m2
Serious: 3/3 (100%)
Deaths: 3/3
WT1 Specific T Cells 5 x 10^7/m2
Serious: 4/4 (100%)
Deaths: 4/4
WT1 Specific T Cells 1 x 10^8/m2
Serious: 2/2 (100%)
Deaths: 2/2

Serious adverse events (12 terms)

ReactionSystemWT1 Specific T Cells 5 x 1…WT1 Specific T Cells 2 x 1…WT1 Specific T Cells 5 x 1…WT1 Specific T Cells 1 x 1…
Death not assoc with CTCAE term - Death NOSGeneral disorders
Pelvic painReproductive system and breast disorders
FatigueGeneral disorders
Inf norm ANC/gr1/2 neut-Cellulitis(skin)Infections and infestations
HypomagnesemiaMetabolism and nutrition disorders
Small bowel obstruction - NOSGastrointestinal disorders
Chest wall painMusculoskeletal and connective tissue disorders
Inf norm ANC/gr1/2 neut-Pneumonia(lung)Infections and infestations
Pulmonary/upper respiratory - OtherRespiratory, thoracic and mediastinal disorders
Sinus tachycardiaCardiac disorders
Small intestinal obstructionGastrointestinal disorders
SyncopeNervous system disorders
Other adverse events (14 terms — click to expand)

ReactionSystemWT1 Specific T Cells 5 x 1…WT1 Specific T Cells 2 x 1…WT1 Specific T Cells 5 x 1…WT1 Specific T Cells 1 x 1…
HypokalemiaMetabolism and nutrition disorders
Neutrophil count decreasedInvestigations
White blood cell decreasedInvestigations
HypermagnesemiaMetabolism and nutrition disorders
HypomagnesemiaMetabolism and nutrition disorders
Pain - PelvisReproductive system and breast disorders
Activated partial thromboplastin time prolongedInvestigations
Chronic kidney diseaseRenal and urinary disorders
HyperglycemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
Inf norm ANC/gr1/2 neut-Cellulitis(skin)Infections and infestations
Pain - Abdomen NOSGastrointestinal disorders
Small Bowel ObstructionGastrointestinal disorders
VomitingGastrointestinal disorders

Most-reported serious reactions: Death not assoc with CTCAE term - Death NOS, Pelvic pain, Fatigue, Inf norm ANC/gr1/2 neut-Cellulitis(skin), Hypomagnesemia, Small bowel obstruction - NOS, Chest wall pain, Inf norm ANC/gr1/2 neut-Pneumonia(lung).

Data from ClinicalTrials.gov NCT00562640 adverse events section.

Sponsor's own description

RATIONALE: Giving colony-stimulating factors, such as G-CSF, helps stem cells move from the bone marrow to the blood so they can be collected. Treating stem cells collected from the patient's blood in the laboratory may increase the number of immune cells that can mount an immune response against the tumor. The treated stem cells may help destroy any remaining tumor cells (graft-versus-tumor effect). Chemotherapy may also be given to the patient to prepare the bone marrow for the stem cell transplant. PURPOSE: This phase I trial is studying the side effects and best dose of autologous T cells when given with or without cyclophosphamide and fludarabine in treating patients with recurrent or persistent advanced ovarian epithelial cancer, primary peritoneal cavity cancer, or fallopian tube cancer. (fludarabine treatment closed as of 12/012009)

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The Tumor Microenvironment of Epithelial Ovarian Cancer and Its Influence on Response to Immunotherapy.
    Rodriguez GM, Galpin KJC, McCloskey CW, Vanderhyden BC. · · 2018 · cited 116× · PMID 30042343 · DOI 10.3390/cancers10080242
  2. Adoptive immunotherapy against ovarian cancer.
    Mittica G, Capellero S, Genta S, Cagnazzo C, et al · · 2016 · cited 30× · PMID 27188274 · DOI 10.1186/s13048-016-0236-9
  3. Adoptive cell transfer using autologous tumor infiltrating lymphocytes in gynecologic malignancies.
    Mayor P, Starbuck K, Zsiros E. · · 2018 · cited 24× · PMID 29803316 · DOI 10.1016/j.ygyno.2018.05.024
  4. CAR therapy for hematological cancers: can success seen in the treatment of B-cell acute lymphoblastic leukemia be applied to other hematological malignancies?
    Pegram HJ, Smith EL, Rafiq S, Brentjens RJ. · · 2015 · cited 24× · PMID 26065479 · DOI 10.2217/imt.15.6
  5. CAR-T cell immunotherapy for ovarian cancer: hushing the silent killer.
    Nasiri F, Farrokhi K, Safarzadeh Kozani P, Mahboubi Kancha M, et al · · 2023 · cited 22× · PMID 38146364 · DOI 10.3389/fimmu.2023.1302307
  6. Preclinical and Clinical Immunotherapeutic Strategies in Epithelial Ovarian Cancer.
    Martinez A, Delord JP, Ayyoub M, Devaud C. · · 2020 · cited 10× · PMID 32630708 · DOI 10.3390/cancers12071761
  7. Tumor immunity: A brief overview of tumor‑infiltrating immune cells and research advances into tumor‑infiltrating lymphocytes in gynecological malignancies (Review).
    Wang ZT, Deng ZM, Dai FF, Yuan MQ, et al · · 2024 · cited 6× · PMID 38476909 · DOI 10.3892/etm.2024.12453
  8. Phase I dose escalation safety and feasibility study of autologous WT1-sensitized T cells for the treatment of patients with recurrent ovarian cancer.
    Kyi C, Doubrovina E, Zhou Q, Kravetz S, et al · · 2021 · cited 4× · PMID 34433633 · DOI 10.1136/jitc-2021-002752

Verify or expand the search:

Other trials of filgrastim

Trials testing the same drug.

Other recruiting trials for Fallopian Tube Cancer

Currently open trials in the same condition.

Other Memorial Sloan Kettering Cancer Center trials

Trials by the same sponsor.

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