Gene Therapy for Prostate Cancer That Returns After Radiation Therapy

The purpose of this research study is to test a new treatment for prostate cancer. We have been exploring the use of cytokine (immune stimulating) gene therapy by directly injecting a virus which produces a cytokine called interleukin-12 (IL-12) into the prostate gland to control tumor growth. We propose to explore the use of adenovirus-mediated human interleukin-12 (Ad.hIL-12) in patients with recurrent non-metastatic prostate cancer following radiation therapy in a Phase I trial. Participants will be placed in rising dose groups with the primary endpoint of learning the maximum dose that can safely be given by injection directly into the prostate gland. Toxicity will be determined through physical examination, laboratory values, and blood levels of cytokines. Evidence of an immune response against prostate proteins will also be monitored. If the treatment works, the cancer will shrink or not grow. This will be monitored by prostate specific antigen (PSA) levels in the blood. However, we do not know if this treatment will be effective. If the PSA continues to rise after treatment, participants will be taken off study and offered other treatment. There is no compensation for participation in this research study. There will be no charge for the treatment with gene therapy or the monitoring associated with this research study. Monitoring will occur in a specially designated clinical research center.

Sex

Male

Minimum age

40 Years

Maximum age

75 Years

Inclusion Criteria:

* A local recurrence of prostate cancer (in or next to gland) following treatment by radiation therapy (either external beam or seed implantation)
* Rising PSA (Prostate Specific Antigen) on at least three occasions separated by two weeks
* Ultrasound guided biopsy to diagnose recurrent disease within the prostate
* No evidence of prostate cancer that has spread on bone scan or Computed Tomography (CT) scan
* No hormone therapy at time of enrollment to the research study

Exclusion Criteria:

* Radical prostatectomy for treatment of prostate cancer
* Detectable spread of prostate cancer on bone or CT scan
* Immunosuppressive medication within two months of the study
* Acute infection (any bacterial, viral, fungal infection requiring specific therapy)
* HIV disease
* Other significant medical or psychiatric conditions which pose high risk for an investigational study