Metastatic Sarcoma Clinical Trial
Official title:
Phase I Study of Alpha-tocopheryloxyacetic Acid (α-TEA) in Patients With Advanced Cancer
The goal of this study is to find the highest dose of α-TEA that can be given to patients
safely, to identify potential side effects of α-TEA, and to measure the amount of α-TEA in
patients' blood.
Additional goals of this study are to monitor the effect on tumors, to check for specific
immune cells circulating in the blood, and to see if there are certain features of tumors
that make it possible to predict the response to α-TEA.
This is a dose-escalation study in which doses ranging from 2.4 mg/kg to 26.8 mg/kg of α-TEA
will be tested.
The main clinical objectives of this phase I two-stage dose-escalation trial will be to
characterize α-TEA related toxicity, determine the maximum tolerated dose, and
pharmacokinetics of α-TEA in humans. Tumor response and exploratory immunological monitoring
will also be performed. Specifically, we will determine the frequency of circulating
peripheral T cell subset populations including CD4+, CD8+ T cells and their activation status
(central memory, effector cells) and regulatory T cells (CD4/CD25/Foxp3). Exploratory
monitoring to assess tumor apoptosis and serum cytokine levels will also be performed to gain
additional insight on the influence of α-TEA on the immune response and tumor. An assessment
of the immunoscore in patients with tumor amenable to biopsy will also provide
hypothesis-generating data on the influence of α-TEA on the tumor microenvironment.
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