Gene Therapy in Treating Patients With Unresectable, Recurrent, or Refractory Head and Neck Cancer
Head and Neck Cancer
About this trial
This is an interventional treatment trial for Head and Neck Cancer focused on measuring recurrent metastatic squamous neck cancer with occult primary, metastatic squamous neck cancer with occult primary squamous cell carcinoma, stage III squamous cell carcinoma of the lip and oral cavity, stage IV squamous cell carcinoma of the lip and oral cavity, recurrent squamous cell carcinoma of the lip and oral cavity, 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 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 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 IV squamous cell carcinoma of the larynx, recurrent squamous cell carcinoma of the larynx, stage III squamous cell carcinoma 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
Eligibility Criteria
Inclusion Criteria: Females must be non-pregnant and non-lactating and either surgically sterile (via hysterectomy or bilateral tubal ligation), at least one year post-menopausal, or using acceptable methods of contraception for the duration of the study. Male subjects must be surgically sterile or using an acceptable method of contraception for the duration of the study. Disease: biopsy-proven unresectable or recurrent/refractory squamoussell_eareinoma_of_the:head-and-neck-(usualLy -Stage-Di-or-IV) - Tumor accessible to direct injection Karnofsky performance of at least 70% Life expectancy of at least three months Able to give written informed consent Exclusion Criteria: Infection (concurrent or within previous 2 weeks) Active or clinically-relevant viral illnesses. Use of corticosteroids, high-dose non-steroidal antiinflammatory, or immunosuppressive drugs Chemotherapy, radiotherapy or immunotherapy within 28 days of study entry or during the course of study Respiratory disease sufficient to influence oxygenation of arterial blood Active liver disease with transaminases >3 times the upper limit of normal Previous history of liver disease NYHA Class EU or greater heart failure Serum creatinine of greater than 1.5 times the upper limit of normal Polymorphonuclear neutrophilic leukocyte count <3,000/mm3 Platelet count <50,000/mm 3 Tumor involving major blood vessels or obstructing the airway Previous treatment with viral-based gene therapy, recombinant DNA products, or bacterial plasmids Use of an investigational drug within 30 days of screening Other malignancies requiring treatment during the study Scheduled surgical resection History of autoimmune disease, including rheumatic disease, Crohn's disease, etc. , Known allergy to polyvinylpyrrofidone (PVP) or related products History of psychiatric disabilities or seizures.
Sites / Locations
- Dana-Farber Cancer Institute
- Beth Israel Deaconess Medical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
IL-12 Injection 3mg/ml [Phase I]
IL-12 Injection 6mg/ml [Phase I]
IL-12 Injection MTD [Phase II]
The dosing schedule will consist of eight injections 3 mg/ml of formulated plasmid over a seven week period.
The dosing schedule will consist of eight injections 6mg/ml of formulated plasmid over a seven week period.
The dosing schedule will consist of eight injections over a seven week period of formulated plasmid at the MTD established in the phase I portion.