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CancerPhase 1NCT01441115

ECI301 and Radiation for Advanced or Metastatic Cancer

A Phase 1 study testing Radiation Therapy and ECI301 in people with Cancer and Neoplasm Metastasis, run by National Cancer Institute (NCI) at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Background: ECI301 is a drug that may help make cancer cells more visible to the immune system after radiation. The drug may also help the immune system destroy the cancer at sites that have not received radiation therapy. Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Cancer, Neoplasm Metastasis, Radiation Oncology
What is being tested?
Radiation Therapy and ECI301
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2 participants
Where
1 siteUnited States
Study dates
6 Sep 2011to 24 Apr 2013
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 2.1.1.1 Age greater than or equal to18 years.
  • 2.1.1.2 Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2.
  • 2.1.1.3 Life expectancy of greater than 3 months
  • 2.1.1.4 Histologically confirmed cancer
  • 2.1.1.5 Extracranial metastatic cancer or locally advanced cancer for which palliative radiotherapeutic management would be appropriate (no more than two sites will be treated on this trial)
  • 2.1.1.6 Patients must have measurable or evaluable disease at the site(s) requiring radiation
Show all 17Show fewer
  • 2.1.1.7 Adequate marrow and organ function defined as
  • absolute neutrophil count (ANC) > 1.5 times 10(9)/L,
  • platelet count > 100 times 10(9),
  • hemoglobin >9 g/L.
  • creatinine clearance greater than or equal to 60 mL/min/1.73 m(2) for patients with creatinine levels above institutional normal
  • serum bilirubin <1.5 times upper limit reference range (ULRR),
  • alanine aminotransferase (ALT), aspartate aminotransferase (AST), or
  • alkaline phosphatase (ALP) <2.5 times the ULRR (<5 times the ULRR in the presence
  • of liver metastases)
  • 2.1.1.8 Female patients of childbearing potential must either be surgically sterile to prevent pregnancy, be at least 1-year post-menopausal, or have had no menses for 12 months, or agree to use reliable methods of contraception (oral contraceptives, barrier methods, approved contraceptive implant, long-term injectable contraception, copper banded intrauterine device, tubal ligation or abstinence) from time of screening until 4 weeks after discontinuing study treatment. It is not known whether ECI301 has the capacity to induce hepatic enzymes so hormonal contraceptives should be combined with a barrier method of contraception.
  • 2.1.1.9 Male patients must agree to use barrier contraception (i.e. condoms) and refrain from donating sperm from the start of dosing until 16 weeks after discontinuing study treatment. If male patients wish to father children, they should be advised to arrange for freezing of sperm prior to the start of study treatment.

Who cannot join

  • 2.1.2.1 Pregnant or lactating females
  • 2.1.2.2 Contraindications to radiotherapy (i.e. prior radiotherapy to the intended treatment site)
  • 2.1.2.3 Untreated or previously treated but progressive intracranial metastases (Patients with previously treated intracranial metastases should have no clinical evidence of progression and be at least 4 weeks from therapy for intracranial metastases)
  • 2.1.2.4 Need for emergent radiotherapy (defined as need for radiotherapy within 24 hours of consultation at the judgment of the treating radiation oncologist)
  • 2.1.2.5 Active treatment with immunosuppressive therapy and subjects taking systemic corticosteroid therapy for any reason including replacement therapy for hypoadrenalism
  • 2.1.2.6 Chemotherapy, radiation therapy, Tamoxifen or investigational therapy during the 4 weeks prior to initiation of protocol therapy
Show all 11Show fewer
  • 2.1.2.7 History of rheumatoid arthritis, systemic lupus erythematosus, Sjogren's disease, sarcoidosis, vasculitis, polymyositis, temporal arteritis or any other autoimmune disease
  • 2.1.2.8 History of organ transplant
  • 2.1.2.9 Human immunodeficiency virus (HIV), Hepatitis B, or Hepatitis C positivity
  • 2.1.2.10 Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
  • 2.1.2.11 Use of excluded immune modulating medications within 4 weeks prior to protocol therapy, or requirement for concurrent use.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • National Institutes of Health Clinical Center, 9000 Rockville Pike

    Bethesda, Maryland, 20892

Other trials in United States

About this study

Official title: Phase I Trial of ECI301 in Combination With Radiation in Patients With Advanced or Metastatic Cancer

Background:

  • ECI301 is a drug that may help make cancer cells more visible to the immune system after radiation. The drug may also help the immune system destroy the cancer at sites that have not received radiation therapy. Researchers want to study ECI301 in people with advanced cancer or cancer that has spread in the body (metastatic).
Read more

Objectives:

  • To test ECI301 with radiation therapy for advanced or metastatic cancer.

Eligibility:

  • People at least 18 years of age with either metastatic or advanced cancer that may benefit from radiation therapy.

Design:

  • Participants will be screened with a medical history and physical exam. They will also have blood and urine tests, and imaging studies.
  • All participants will have radiation therapy 5 days a week for 2 weeks.
  • They will have different doses of ECI301 to test its safety and effectiveness. ECI301 will be given in a vein during the second week of radiation therapy. Frequent blood tests and imaging studies will monitor the treatment.
  • After participants have ECI301, tumor samples may be taken from the site that had radiation and another site that did not have radiation.
  • Follow-up visits will include blood tests and imaging studies.
Read the detailed description

Background:

  • Patients with metastatic or locally advanced cancer frequently require palliative radiotherapy to relieve symptoms; however, progression of disease is frequent in patients with extended survival
  • Radiation results in tumor cell death which can result in increased dendritic cell activation and trafficking
  • ECI301 is a derivative of Macrophage Inflammatory Protein-1 alpha, a 70 amino acid chemokine that is a ligand for C-C chemokine receptor type 1 (CCR1) and C-C chemokine receptor type 5 (CCR5), the chemokine receptors of immature dendritic cells.
  • ECI301 has been shown to enhance the effect of radiotherapy in animal models.

Objectives:

  • The primary objective is to determine the maximum tolerated dose (MTD) of ECI301 delivered in combination with 30 Gray (Gy) of external beam radiation to patients with metastatic or locally advanced cancer.
  • The secondary objectives are:
  • To describe the safety and tolerability of ECI301 delivered in combination with 30 Gy of external beam radiation to patients with metastatic or locally advanced cancer
  • To evaluate the humoral and cellular immune responses by:
  • Measurement of circulating precursor dendritic cells before and after the completion of ECI301
  • Measurement of circulating MIP-alpha before and after the completion of ECI301
  • Assessment of T-lymphocyte quantitative and qualitative changes by flow cytometry and assays for interferon (IFN-gamma) production
  • To define pharmacologic parameters following the intravenous dose of ECI301
  • To determine if neutralizing anti-EC301 antibodies occur after treatment
  • To describe the response at the radiated site and distant sites after radiation in combination with ECI301

Eligibility:

  • Age >18 years.
  • Eastern Cooperative Oncology Group (ECOG) performance status <2.
  • Life expectancy of greater than 3 months
  • Histologically confirmed metastatic or locally advanced cancer for which radiotherapeutic management would be appropriate
  • No recent history of myocardial infarction or unstable angina

Design:

  • This is a Phase I trial to determine the maximum tolerated dose of ECI301 in combination with external beam radiation therapy in patients with locally advanced or metastatic solid tumors.
  • Patients will be treated with radiation therapy in a standard manner with ECI301 given daily during radiation. The dose of ECI301 will be escalated over the course of the trial to determine the maximum tolerated dose (MTD of daily ECI301 in combination with radiotherapy.
  • We anticipate that accrual to this trial of 30 patients will take approximately 2 years.
Being tested
Radiation Therapy, ECI301
Keywords
Metastasis, Cancer, Radiation Therapy, Locally Advanced, Palliation, Metastatic Cancer
Medical subject headings
Neoplasms, Neoplasm Metastasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Radiation TherapyProcedure or surgery

  • ECI301Drug

Study groups in NCT01441115
Study groupRoleWhat they receive
ECI301 Dose level 1 - 25 ug/kg and Radiation for Advanced or Metastatic CancerExperimentalECI301 Dose level 1 - 25 ug/kg and Radiation for Advanced or Metastatic Cancer
Receives: Procedure: Radiation Therapy; Drug: ECI301

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum Tolerated Dose (MTD) of ECI301 Delivered in Combination With 30 Gray (Gy) External Beam Radiation to Participants With Metastatic or Locally Advanced Cancer

    MTD is defined as the highest dose level at which no more than 1 of 6 participants experience dose-limiting toxicity (DLT) during treatment or the first three weeks after treatment, and the dose below that at which at least 2 (of ≤6) participants have DLT as a result of the drug. Examples of DLT is any grade 3 or greater non-hematologic toxicity, ang grade 3 neutropenia or thrombocytopenia, any grade 4 anemia, and toxicity requiring a cumulative radiation treatment delay of 4 or more days.

    Measured: During treatment or the first three weeks after treatment

Secondary outcomes (4)
  1. Number of Adverse Events Unrelated, Unlikely, and Possibly Related to ECI301 Delivered in Combination With 30 Gray (Gy) of External Beam Radiation to Participants With Metastatic or Locally Advanced Cancer

    Adverse events were assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0) and the Radiation Therapy Oncology Group (RTOG) criteria.

    Measured: Date treatment consent signed to date off study, and up to 30 days following the last dose of study drug, approximately 5 months and 25 days.

  2. Humoral and Cellular Immune Responses

    Measurement of circulating precursor dendritic cells, circulating macrophage inflammatory protein-1 alpha (MIP-α), and assessment of T-lymphocytes will be measured by flow cytometry and assays for type II interferon (IFNγ) production.

    Measured: Before and after completion of ECI301

  3. Pharmacologic Parameters Following the Intravenous Dose of ECI301

    Pharmacologic parameters will be derived using non-compartmental analysis.

    Measured: Following the intravenous dose of ECI301

  4. Number of Participants With Response at the Radiated Site and Distant Site After Radiation in Combination With ECI301

    Response will be measured by the Response Evaluation Criteria in Solid Tumors (RECIST). Complete response is disappearance of all target lesions. Partial response is at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive disease is at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. The appearance of one or more new lesions is also considered progression. Stable disease is neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease.

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Sep 2011 (estimated)
  2. Study start6 Sep 2011
  3. Primary completion24 Apr 2013
  4. Study completion24 Apr 2013

Why it stopped: A trial using ECI301 \& radiation was initiated in Japan in 2012. This tested the primary endpoint in a duplicate trial, thus the study was closed.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
2 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01441115
Sponsor's protocol ID
110248
Other IDs
11-C-0248
Status last verified
Nov 2021
First submitted
24 Sep 2011
Last updated
28 Dec 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Friedman EJ. Immune modulation by ionizing radiation and its implications for cancer immunotherapy. Curr Pharm Des. 2002;8(19):1765-80. doi: 10.2174/1381612023394089.

    PubMed 12171547
  • Sharp HJ, Wansley EK, Garnett CT, Chakraborty M, Camphausen K, Schlom J, Hodge JW. Synergistic antitumor activity of immune strategies combined with radiation. Front Biosci. 2007 Sep 1;12:4900-10. doi: 10.2741/2436.

    PubMed 17569618
  • Maurer M, von Stebut E. Macrophage inflammatory protein-1. Int J Biochem Cell Biol. 2004 Oct;36(10):1882-6. doi: 10.1016/j.biocel.2003.10.019.

    PubMed 15203102

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Radiation Therapy and ECI301 in people with Cancer and Neoplasm Metastasis, run by National Cancer Institute (NCI) at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 17 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 28 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Dec 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum Tolerated Dose (MTD) of ECI301 Delivered in Combination With 30 Gray (Gy) External Beam Radiation to Participants With Metastatic or Locally Advanced Cancer (time frame: During treatment or the first three weeks after treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01441115, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Dec 2021.

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