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Ovarian CancerPhase 1NCT02530047

Mesenchymal Stem Cells (MSC) for Ovarian Cancer

A Phase 1 study testing MSC-INFβ and Questionnaires in people with Ovarian Cancer, run by M.D. Anderson Cancer Center at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this clinical research study is to find the highest tolerable dose of human mesenchymal stem cells with interferon beta (MSC-INFb) that can be given to patients with ovarian cancer and to test the safety of the MSC-INFb. This is an investigational study. Read more about this study

Who is it for?
Ages 18 to 90 years, women only
Conditions the study is for
Ovarian Cancer
What is being tested?
MSC-INFβ and Questionnaires
Could I receive a placebo?
No, everyone receives an active treatment
How many people
5 participants
Where
1 siteUnited States
Study dates
16 May 2016to 13 Jun 2019
Phase
Phase 1
Are there results?
None posted in the registry

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 90 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients must be 18 to 90 years in age with histologically documented diagnosis of epithelial ovarian cancer including serous papillary, endometrioid, mucinous, clear cell, poorly differentiated or mixed adenocarcinomas.
  • Patient must have recurrent epithelial ovarian cancer and may have received unlimited prior chemotherapeutic regimens for management of recurrent cancer.
  • Patients should have measurable disease as defined by RECIST 1.1 on computed tomography (CT) or magnetic resonance imaging (MRI) that is accessible to biopsy.
  • Zubrod performance status of 0-1.
  • Absolute neutrophil count (ANC) > 1,000/mm3 and a platelet count > and a platelet count > 30,000/mm3.
  • Creatinine clearance > 50 mL/min (assessed by Cockcroft Gault estimation).
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  • Bilirubin < 1.5 x upper limit of normal (unless Gilbert's syndrome), ALT or AST < 3 x upper limit of normal.
  • No evidence of significant cardiac or pulmonary dysfunction.
  • Patient must have a hemoglobin >/= 9 gm/dl (this may be achieved by transfusion if needed) obtained within 14 days before registration. If a patient receives packed red blood cell transfusion to achieve a hemoglobin level of >/= 9 gm/dl, the hemoglobin level needs to be stable (no drop by more than 1 gm/dl from the post-transfusion hemoglobin level) for at least 1 week.
  • Negative pregnancy test in a woman with child bearing potential defined as not post-menopausal for 12 months or no previous surgical sterilization.
  • Women of childbearing potential must be willing to consent to using effective contraception while on treatment and for at least 3 months following last treatment.
  • Patient or patient's legal representative able to provide written informed consent.

Who cannot join

  • Patients receiving anti-cancer therapy within 21 days before MSC treatment.
  • Target lesion previously embolized, perfused, or irradiated without objective evidence of progression before start of therapy to be considered for response assessment.
  • Patients with uncontrolled symptomatic brain metastases. A scan to confirm absence of brain metastasis is not required.
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, chronic obstructive pulmonary disease, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Symptomatic effusions due to pleural, pericardial, or peritoneal metastasis of epithelial ovarian cancer.
  • No other prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in-situ cervical cancer, surgically treated Stage I or II cancer from which the patient is currently in complete remission (at least to 5 years), or any other cancer from which the patient has been disease-free for 5 years. Patients may have dual primaries of endometrial and ovarian cancer.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

Other trials in United States

About this study

Official title: Phase 1 Study to Determine the Effects of Mesenchymal Stem Cells Secreting Interferon Beta in Patients With Advanced Ovarian Cancer

The goal of this clinical research study is to find the highest tolerable dose of human mesenchymal stem cells with interferon beta (MSC-INFb) that can be given to patients with ovarian cancer and to test the safety of the MSC-INFb.

This is an investigational study. MSC-INFb infusions for ovarian cancer is investigational.

Up to 21 patients will take part in this study. All will be enrolled at MD Anderson.

Read the detailed description

MSCs are a type of stem cell that can be removed from bone marrow samples and grown into many different cell types that can be used to treat cancer. The MSCs used in this study were collected from healthy male donors and are stored in a laboratory at MD Anderson. The use of male cells will help us to detect the cells that are infused versus your own female cells.

The MSCs have been genetically changed in a laboratory at MD Anderson to add proteins called interferons. The MSCs will have genetic material introduced to them by a molecule called a plasmid that will help produce interferon beta. Interferons (IFNs) are proteins that may interfere with the growth of tumors. The MSCs will be grown in the laboratory and tested before they are given to you.

MSC-INFb Dose Levels:

If you are found eligible to take part in this study, you will be assigned to a dose level of MSC-INFb based on when you join this study. Up to 4 dose levels of MSC-INFb will be tested. Up to 3 participants will be enrolled at each dose level. The first group of participants will receive the lowest dose level. Each new group will receive a higher dose than the group before it, if no intolerable side effects were seen. This will continue until the highest tolerable dose of MSC-INFb is found.

Your dose level may be lowered if you are not tolerating the MSC-INFb infusions. Your study doctor will discuss this with you.

MSC-INFb Administration:

About 1-2 weeks before your first MSC-INFb infusion, you will have an intraperitoneal (IP) catheter placed in your abdomen. A catheter is a sterile flexible tube that will be placed into your abdomen while you are under local anesthesia. Your doctor will explain this procedure to you in more detail, and you will receive a Patient Information Sheet that includes the definition of intraperitoneal therapy and information about the placement of the catheter and care of the catheter during the study. You will also be provided with a specific separate informed consent for the IP catheter placement by Interventional Radiology staff at MD Anderson.

One time a week for up to 4 weeks (up to 4 times total), you will receive the MSC-INFb infusions through the IP catheter. The length of time for the infusion will depend on the size of the tumor.

You will remain in the clinic for about 30 minutes for observation after each MSC-INFb infusion.

Study Tests:

About 1 week before your first MSC-INFb infusion:

  • You will have a physical exam, including measurement of your weight and vital signs (blood pressure, heart rate, temperature, and breathing rate).
  • Your medical history will be recorded.
  • Blood (about 4 tablespoons each time) will be drawn for routine tests, to check your kidney and liver function, to check the status of the disease, and for INFb testing for comparison purposes. Blood tests may be repeated more frequently during the study if your doctor thinks it is needed.
  • You will complete a symptom questionnaire. It should take about 10-15 minutes to complete.

About 1-2 weeks before your first MSC-INFb infusion, during the same procedure as the IP catheter placement, you will have a tumor biopsy to check the status of the disease. To collect a tumor biopsy, the affected area is numbed with anesthetic and a small amount of tissue is withdrawn with a large needle. A day or two before your tumor biopsy, blood (about 1 teaspoon) will be drawn to test clotting factors in your blood.

Once a week for 4 weeks, before each MSC-INFb infusion:

  • You will have a physical exam, including measurement of your weight and vital signs.
  • Blood (about 4 tablespoons each time) will be drawn for routine tests, to check your kidney and liver function, to check the status of the disease and response to the infusion. °Blood tests may be repeated more frequently during the study if your doctor thinks it is needed.
  • If you can become pregnant, you will have a blood or urine pregnancy test. If blood, it will be included in the routine blood draw listed above.
  • Before the 1st, 2nd, and 3rd MSC-INFb infusion, you will complete a symptom questionnaire. It should take about 10-15 minutes each time to complete.
  • Before each MSC-INFb infusion, up to 2 teaspoons of peritoneal fluid (if present) will be drawn through the catheter and stored in a laboratory at MD Anderson for future research related to this study.

Before your peritoneal fluid can be used for research, the researchers must get approval from the Institutional Review Board (IRB) of MD Anderson. The IRB is a committee of doctors, researchers, and community members. The IRB is responsible for protecting study participants and making sure all research is safe and ethical.

Your samples will be given a code number. No identifying information will be directly linked to your samples. Only the researcher in charge of the bank will have access to the code numbers and be able to link the samples to you. This is to allow medical data related to the samples to be updated as needed.

About 22-26 days after your last MSC-INFb infusion:

  • Blood (about 1 teaspoon) will be drawn to test clotting factors in your blood.
  • You will have a tumor biopsy and the IP catheter will be removed. The tumor biopsy will be tested to determine if the MSC-INFb infusions had any effect on the tumor.
  • You will have CT scans of the chest, abdomen, and pelvis to check the status of the disease. This may be repeated every 2 months for up to 12 months starting about 22-26 days after the last MSC-INFb infusion, if you doctor thinks it is needed.

Follow-Up Visits:

About 1 week after the last MSC-INFb infusion:

  • You will have a physical exam, including measurement of your weight and vital signs.
  • Blood (about 4 tablespoons) will be drawn about 1 week after the last MSC-INFb infusion for routine tests, to check your kidney and liver function, and to check the status of the disease and the response to the infusion. If your doctor thinks it is needed, blood (about 2 tablespoons each time) will be drawn at 44 days after the last MSC-INFb infusion and then once a month for 2 months to check the response to the infusions.
  • You will complete a symptom questionnaire. It should take about 10-15 minutes to complete.

Length of Study:

You will be taken off study if the disease gets worse, if intolerable side effects occur, or your study doctor thinks it is in your best interest.

Long-Term Follow-Up:

For safety reasons, the U.S. Food and Drug Administration (FDA) requires that patients who receive infusions of stem cells treated with a gene transfer procedure must be followed have long-term follow-up for at least up to 15 years after receiving the gene transfer.

Once a year for Years 1-5 after the last MSC-INFb infusion:

  • Blood (about 2-4 tablespoons each time) will be drawn for routine tests.
  • You will have a physical exam, including measurement of your vital signs.
  • You will complete a questionnaire that asks about your medical history (your general health, the status of any medical conditions, and any illnesses or hospitalizations that may have occurred). It should take about 15-30 minutes to complete.
  • You will be asked if there have been any changes in your contact information.
  • If necessary to check the status of the disease, you will have computed tomography (CT) scans and/or additional routine blood tests (about 1-2 tablespoons).

Once a year during Years 6-15 after the last MSC-INFb infusion, the research staff will contact you. Either over the phone, by email, or mail, you will fill out a questionnaire that asks about your medical history (your general health, the status of any medical conditions, and any illnesses or hospitalizations that may have occurred). The phone calls and questionnaires should take about 15-30 minutes each time.

Conditions
Ovarian Cancer
Being tested
MSC-INFβ, Questionnaires
Keywords
Ovarian cancer, Epithelial ovarian cancer, Mesenchymal Stem Cells Secreting Interferon Beta, MSC-INFb, Questionnaires, Surveys
Medical subject headings
Ovarian Neoplasms, Carcinoma, Ovarian Epithelial

What participants receive

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

  • MSC-INFβGenetic

    Also called Mesenchymal stem cells with interferon beta

    MSC-INFβ administered on an outpatient basis via intraperitoneal (IP) infusion.

    Starting dose: 10^5 MSC/kg once a week for 4 treatments.

  • QuestionnairesBehavioural

    Also called Surveys

    Symptom questionnaire completed once a week for 4 weeks.

Study groups in NCT02530047
Study groupRoleWhat they receive
Mesenchymal Stem Cells + Interferon Beta (MSC-INFβ)ExperimentalMSC-INFβ administered on an outpatient basis via intraperitoneal (IP) infusion. Starting dose: 10^5 MSC/kg once a week for 4 treatments. Up to 4 dose levels of MSC-INFβ tested. Symptom questionnaire completed once a week for 4 weeks.
Receives: Genetic: MSC-INFβ; Behavioral: Questionnaires

What is being measured

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

  1. Maximum Tolerated Dose (MTD) of Mesenchymal Stem Cells-Interferon-β (MSC-IFNβ)

    Maximum Tolerated Dose (MTD) is dose with posterior probability of dose limiting toxicities (DLTs) nearest to 30%, provided the lower bound of the 90% credible interval for the posterior probability of DLT does not exceed 30%. Dose limiting toxicities (DLTs) are those adverse events of grade 3 or 4 that occur up to 1 week after the last dose.

    Measured: 5 weeks

  2. Correlation Between the Number of MSC-IFNβ Infused and the Production of Interferon-β and the Number of MSC-IFNβ Detected at the Tumor Sites Via Tumor Biopsy Pre- and Post-Treatment

    Measured: 5 weeks

Timeline

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

  1. First posted20 Aug 2015 (estimated)
  2. Study start16 May 2016
  3. Primary completion13 Jun 2019
  4. Study completion13 Jun 2019

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
5 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02530047
Sponsor's protocol ID
2013-0032
Other IDs
CA 136411, NCI-2015-01504
Status last verified
Jul 2019
First submitted
19 Aug 2015
Last updated
18 Jul 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MSC-INFβ and Questionnaires in people with Ovarian Cancer, run by M.D. Anderson Cancer Center 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 12 inclusion and 6 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: finished, as of the sponsor's last update on 18 Jul 2019. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 Mesenchymal Stem Cells-Interferon-β (MSC-IFNβ) (time frame: 5 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 18 Jul 2019.

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