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TerminatedNCT00499733Updated Jan 18, 2019

Cyclophosphamide and Cryoablation in Treating Patients With Advanced or Metastatic Epithelial Cancer

An Early Phase 1 interventional study of cyclophosphamide and Cryoablation in Cancer, sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins. Terminated at 1 site in United States. Open to participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2019-01-18.

Sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins · Early Phase 1, Interventional, and Treatment

Why this study was terminated
The study was terminated per PI decision.

From the registry’s dates

  • Primary completion was Jul 2010, 16 years 3 months ago, and no results have been posted to the registry.
Phase
Early Phase 1
Study type
Interventional
Enrollment
19
Allocation
Not applicable
Ages
18 Years to 120 Years
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy, such as cyclophosphamide, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Cryoablation kills cancer cells by freezing them. Giving chemotherapy together with cryoablation may kill more cancer cells.

PURPOSE: This clinical trial is studying how well giving cyclophosphamide together with cryoablation works in treating patients with advanced or metastatic epithelial cancer.

Read the detailed description

OBJECTIVES:

  • Document radiologic and/or tumor marker response to cryotherapy of tumor lesions followed by cyclophosphamide.

OUTLINE: This is a pilot study.

Patients undergo percutaneous biopsy of the targeted lesion prior to cryoablation. Patients then undergo percutaneous or open cryotherapy of the largest or most accessible lesion on day 0. On day 3, patients receive cyclophosphamide IV over 1 hour.

Tumor markers (if applicable) are assessed at baseline and monthly during study until marker progression.

After completion of study therapy, patients are followed periodically for up to 3 years.

02

Conditions studied

  • Cancer

Keywords

  • carcinoma of unknown primary
  • recurrent carcinoma of unknown primary
  • stage IIIA non-small cell lung cancer
  • stage IIIB non-small cell lung cancer
  • stage IV non-small cell lung cancer
  • recurrent non-small cell lung cancer
  • extensive stage small cell lung cancer
  • recurrent small cell lung cancer
  • stage III renal cell cancer
  • stage IV renal cell cancer
  • recurrent renal cell cancer
  • stage III prostate cancer
  • stage IV prostate cancer
  • recurrent prostate cancer
  • male breast cancer
  • recurrent breast cancer
  • stage IIIA breast cancer
  • stage IIIB breast cancer
  • stage IIIC breast cancer
  • stage IV breast cancer
  • chondrosarcoma
  • metastatic osteosarcoma
  • recurrent osteosarcoma
  • stage III adult soft tissue sarcoma
  • stage IV adult soft tissue sarcoma
  • recurrent adult soft tissue sarcoma
  • previously treated childhood rhabdomyosarcoma
  • recurrent childhood rhabdomyosarcoma
  • metastatic childhood soft tissue sarcoma
  • recurrent childhood soft tissue sarcoma
  • ovarian sarcoma
  • stage IIIB uterine sarcoma
  • stage IIIC uterine sarcoma
  • stage IIIA uterine sarcoma
  • stage IVA uterine sarcoma
  • stage IVB uterine sarcoma
  • metastatic Ewing sarcoma/peripheral primitive neuroectodermal tumor
  • recurrent Ewing sarcoma/peripheral primitive neuroectodermal tumor
  • stage III colon cancer
  • stage IV colon cancer
  • recurrent colon cancer
  • localized unresectable adult primary liver cancer
  • recurrent adult primary liver cancer
  • recurrent childhood liver cancer
  • stage III childhood liver cancer
  • stage IV childhood liver cancer
  • stage III pancreatic cancer
  • localized osteosarcoma
  • malignant giant cell tumor of bone
  • stage IV melanoma
  • recurrent melanoma
  • stage III squamous cell carcinoma of the hypopharynx
  • stage IV squamous cell carcinoma of the hypopharynx
  • recurrent squamous cell carcinoma of the hypopharynx
  • stage III squamous cell carcinoma of the larynx
  • stage III verrucous carcinoma of the larynx
  • stage IV squamous cell carcinoma of the larynx
  • stage IV verrucous carcinoma of the larynx
  • recurrent squamous cell carcinoma of the larynx
  • recurrent verrucous carcinoma of the larynx
  • stage III basal cell carcinoma of the lip
  • stage III squamous cell carcinoma of the lip and oral cavity
  • stage III verrucous carcinoma of the oral cavity
  • stage IV adenoid cystic carcinoma of the oral cavity
  • stage IV squamous cell carcinoma of the lip and oral cavity
  • recurrent adenoid cystic carcinoma of the oral cavity
  • recurrent mucoepidermoid carcinoma of the oral cavity
  • recurrent squamous cell carcinoma of the lip and oral cavity
  • recurrent verrucous carcinoma of the oral cavity
  • metastatic squamous neck cancer with occult primary squamous cell carcinoma
  • recurrent metastatic squamous neck cancer with occult primary
  • untreated metastatic squamous neck cancer with occult primary
  • stage III squamous cell carcinoma of the nasopharynx
  • stage IV squamous cell carcinoma of the nasopharynx
  • recurrent squamous cell carcinoma of the nasopharynx
  • stage III squamous cell carcinoma of the oropharynx
  • stage IV squamous cell carcinoma of the oropharynx
  • recurrent squamous cell carcinoma of the oropharynx
  • stage III esthesioneuroblastoma of the paranasal sinus and nasal cavity
  • stage III inverted papilloma of the paranasal sinus and nasal cavity
  • stage III squamous cell carcinoma of the paranasal sinus and nasal cavity
  • stage IV esthesioneuroblastoma of the paranasal sinus and nasal cavity
  • stage IV squamous cell carcinoma of the paranasal sinus and nasal cavity
  • recurrent squamous cell carcinoma of the paranasal sinus and nasal cavity
  • high-grade salivary gland mucoepidermoid carcinoma
  • salivary gland adenocarcinoma
  • salivary gland adenoid cystic carcinoma
  • salivary gland anaplastic carcinoma
  • salivary gland malignant mixed cell type tumor
  • salivary gland poorly differentiated carcinoma
  • salivary gland squamous cell carcinoma
  • low-grade salivary gland mucoepidermoid carcinoma
  • salivary gland acinic cell tumor
  • stage III salivary gland cancer
  • stage IV salivary gland cancer
  • recurrent salivary gland cancer
  • intraocular lymphoma
  • recurrent childhood lymphoblastic lymphoma
  • recurrent pancreatic cancer
  • recurrent uterine sarcoma
  • newly diagnosed carcinoma of unknown primary
  • advanced adult primary liver cancer
  • ciliary body and choroid melanoma, medium/large size
  • conjunctival melanoma
  • stage IV pancreatic cancer
  • stage IIIA melanoma
  • stage IIIB melanoma
  • stage IIIC melanoma
  • tongue cancer
  • stage IIIA intraocular melanoma
  • stage IIIB intraocular melanoma
  • stage IIIC intraocular melanoma
  • stage IV intraocular melanoma
03

In context

Neoplasms

9,610 studies on the registry are indexed under Neoplasms; 2,508 are open to participants now.

This study's enrollment of 19 is below the median of 50 across 7,429 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins is the lead sponsor of 582 studies on the registry; 72 are open to participants now.

Of its 113 completed or terminated interventional studies of FDA-regulated products, 67 (59%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of epithelial solid tumors of any of the following sites or types:

    • Lung (closed to accrual as of 4/2/2009)
    • Renal
    • Prostate
    • Breast (closed to accrual as of 4/2/2009)
    • Sarcoma (closed to accrual as of 4/2/2009)
    • Colon (closed to accrual as of 4/2/2009)
    • Liver(closed to accrual as of 4/2/2009)
    • Pancreatic (closed to accrual as of 4/2/2009)
    • Bone (closed to accrual as of 4/2/2009)
    • Head and neck (closed to accrual as of 4/2/2009)
    • Melanoma (closed to accrual as of 4/2/2009)
    • Carcinoma of unknown primary (closed to accrual as of 4/2/2009)
  • Advanced or metastatic disease
  • Ineligible for or unwilling to undergo surgical resection
  • Eligible for cryotherapy but not expected to be cured by cryotherapy alone

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-2
  • Life expectancy > 3 months
  • Creatinine \< 2.5 mg/dL
  • Platelet count >75,000/mm³
  • INR\< 1.5
  • No known HIV positivity
  • No active, uncontrolled infection
  • Not pregnant
  • Negative pregnancy test
  • Women of childbearing potential must practice adequate contraception
  • No debilitating medical or psychiatric illness that would preclude giving informed consent or receiving optimal treatment and follow-up

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    Intervention

    Participant will receive one time intravenous infusion of cyclophosphamide three days after scheduled cryoablation surgery.

    Drug: cyclophosphamide · Device: Cryoablation

Interventions

  • 500 mg/m\^2 of cyclophosphamide is infused via intravenous route three days post cryoablation surgery.

    Also known as: cytoxan

  • DeviceCryoablation

    Per treating physician's discretion, largest and most accessible lesion will be treated with cryoablation surgery on day 0 of the study.

06

What researchers measure

Primary outcomes

  1. Safety, in terms of absences of severe adverse events (SAE) and unacceptable toxicity

    Time frame: Two years

Secondary outcomes

  1. Tumor response, according to RECIST criteria

    tumor response will be measured according to RECIST (Response Evaluation Criteria In Solid Tumors) criteria.

    Time frame: Two years

07

Study locations

1 site
  • Brady Urological Institute at Johns Hopkins Hospital
    Baltimore, Maryland 21205, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 18, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00499733
Responsible party
Sponsor
First posted
Jul 11, 2007
Start date
Jun 2007
Primary completion
Jul 2010
Completion
Jan 9, 2013
Last update
Jan 18, 2019

Study contacts

Ronald Rodriguez, MD, PhD
principal investigator · Brady Urological Institute at Johns Hopkins Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Cyclophosphamide

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