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Photodynamic Therapy System for Patients With Refractory/Unresponsive Solid Tumors

Primary Purpose

Liver Metastasis, Pelvic Cancer, Head and Neck Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
LS 11(Taporfin Sodium)
Lumaflex Light Delivery Catheter
Sponsored by
Light Sciences LLC
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Liver Metastasis focused on measuring Photodynamic Therapy, Bulky Tumor, Refractory Tumor, Head and Neck Cancer, Breast Cancer, Pelvic Tumors, Liver Metastasis, Colorectal Cancer, Sarcoma, Anal Cancer, Oral Cancer, Recurrent, Lymphadenopathy, Ovarian Cancer, Cervical Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Primary Inclusion Criteria: Target tumors accessible for percutaneous implantation under CT (and ultrasound if needed) guidance in any superficial location, sarcoma, tumors of oral/oro-pharyngeal cavity, tumors with extensive pelvic involvement, or liver metastasis. Patient has failed prior surgery or chemotherapy or radiation therapy and the tumor is refractory. Tumor mass is not immediately adjacent to, or directly invading a major vessel or hollow viscus such that tumor necrosis could result in hemorrhage or perforation. Patient has not received prior chemotherapy for at least 4 weeks and patient has recovered from toxicity. Patient has an ECOG performance status of 0-3 (Karnofsky 30 or higher). If patients have received radiotherapy to sites of disease other than the one planned for insertion of the light delivery catheter, then the patient must have no current local or systemic toxicity from the prior radiation. Patient has recovered from all previous surgery in the judgment of the Principal Investigator. Patient has not been treated with any biologics (excluding hormones) at least 4 weeks prior to the screening and patient has recovered from any toxicity. Age 18 or older. Minimum life expectancy of 12 weeks. Ability to provide informed consent. All tumors must: have a minimum dimension that exceeds 4 x 2.8 cm; have a shape and location such that the mid-point on the light delivery catheter will be greater than 2.0 cm from any structure which, if damaged by PDT treatment, would result in pain or injury to the patient. Exclusion Criteria: History of cardiovascular abnormalities, including, myocardial infarction in the last 6 months, arrhythmias, uncontrolled congestive heart failure; History of ongoing, significant active medical illness that might create a risk for the patient, in the opinion of the Investigator; History of known or suspected porphyria; Concomitant use of other drugs known to produce skin photosensitivity; Women who are pregnant or lactating; Hematopoietic abnormalities from the baseline examination, as evidenced by the following laboratory values (US Units):Hemoglobin <10 g/dL; White blood cell (WBC) count <2500/mm3;Neutrophil count < or = 1500/uL;Platelet count < or = 100,000/mm3; Renal or liver function abnormalities from the baseline examination, as evidenced by the following laboratory values(US Units):Serum Creatinine >2.0 mg/dL;Total bilirubin > 2.0 mg/dL; SGOT (AST) > 3x the ULN;SGPT (ALT) > 3x the ULN; GGT> 3x the ULN

Sites / Locations

  • University of Arizona, VA Medical Center
  • Detroit Medical Center, Wayne State University
  • East Carolina State University, Brody School of Medicine
  • University of Pennsylvania School of Medicine
  • Albert Einstein Medical Center
  • Virginia Mason Medical Center

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
January 4, 2002
Last Updated
June 23, 2005
Sponsor
Light Sciences LLC
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1. Study Identification

Unique Protocol Identification Number
NCT00028405
Brief Title
Photodynamic Therapy System for Patients With Refractory/Unresponsive Solid Tumors
Official Title
A Multicenter Phase I Safety and Tolerability Study of the Oncolux System for Intratumoral Delivery of Non-Coherent Light for the Photoactivation of LS 11 in Patients With Refractory Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
March 2003
Overall Recruitment Status
Completed
Study Start Date
November 2001 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
December 2002 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Light Sciences LLC

4. Oversight

5. Study Description

Brief Summary
This multi-center photodynamic therapy study plans to treat patients with large tumors in any superficial location, sarcoma, tumors of oral/oro-pharyngeal cavity, tumors with extensive pelvic involvement, or liver metastasis. The treatment is limited to patients that have failed to respond to currently approved methods of treatment. The study involves a single, intravenous administration of an investigational drug, LS11 (previously studied in approximately 80 cancer patients) and the placement of a novel, flexible light delivery catheter inside the tumor by a minor surgical procedure. The activation of LS11 by the light delivery catheter over a period of 1-24 hrs may result in destruction of tumor tissue.
Detailed Description
In this Phase I photodynamic therapy study, patients will undergo a standard CT scan to determine the suitability of the treatment. In those patients that qualify the entry criteria, a light delivery catheter will be directly inserted in the tumor through a minor surgical procedure. The patients will then be injected with the photosensitive drug, LS11. One hour following the drug injection, light energy will be delivered from the light delivery catheter for a period of 1-24 hours. The duration of the light treatment for a given patient may be based on various factors including when a given patient enters the study. Following the delivery of light energy, the light delivery catheter will be removed from the tumor. The insertion and removal of the catheter will be carried out under the guidance of CT scan. The patients will be asked to take precautions from external light exposure for a period of time. The patients will undergo CT scan and other tests on days 7, 14 and 42 to evaluate safety of the treatment, tumor cell death and treatment response. Blood samples will be taken at different time points to examine the clearance of the drug from the body.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Liver Metastasis, Pelvic Cancer, Head and Neck Cancer, Sarcoma, Rectal Cancer, Breast Cancer, Colorectal Cancer, Mouth Cancer
Keywords
Photodynamic Therapy, Bulky Tumor, Refractory Tumor, Head and Neck Cancer, Breast Cancer, Pelvic Tumors, Liver Metastasis, Colorectal Cancer, Sarcoma, Anal Cancer, Oral Cancer, Recurrent, Lymphadenopathy, Ovarian Cancer, Cervical Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
48 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
LS 11(Taporfin Sodium)
Intervention Type
Device
Intervention Name(s)
Lumaflex Light Delivery Catheter

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Primary Inclusion Criteria: Target tumors accessible for percutaneous implantation under CT (and ultrasound if needed) guidance in any superficial location, sarcoma, tumors of oral/oro-pharyngeal cavity, tumors with extensive pelvic involvement, or liver metastasis. Patient has failed prior surgery or chemotherapy or radiation therapy and the tumor is refractory. Tumor mass is not immediately adjacent to, or directly invading a major vessel or hollow viscus such that tumor necrosis could result in hemorrhage or perforation. Patient has not received prior chemotherapy for at least 4 weeks and patient has recovered from toxicity. Patient has an ECOG performance status of 0-3 (Karnofsky 30 or higher). If patients have received radiotherapy to sites of disease other than the one planned for insertion of the light delivery catheter, then the patient must have no current local or systemic toxicity from the prior radiation. Patient has recovered from all previous surgery in the judgment of the Principal Investigator. Patient has not been treated with any biologics (excluding hormones) at least 4 weeks prior to the screening and patient has recovered from any toxicity. Age 18 or older. Minimum life expectancy of 12 weeks. Ability to provide informed consent. All tumors must: have a minimum dimension that exceeds 4 x 2.8 cm; have a shape and location such that the mid-point on the light delivery catheter will be greater than 2.0 cm from any structure which, if damaged by PDT treatment, would result in pain or injury to the patient. Exclusion Criteria: History of cardiovascular abnormalities, including, myocardial infarction in the last 6 months, arrhythmias, uncontrolled congestive heart failure; History of ongoing, significant active medical illness that might create a risk for the patient, in the opinion of the Investigator; History of known or suspected porphyria; Concomitant use of other drugs known to produce skin photosensitivity; Women who are pregnant or lactating; Hematopoietic abnormalities from the baseline examination, as evidenced by the following laboratory values (US Units):Hemoglobin <10 g/dL; White blood cell (WBC) count <2500/mm3;Neutrophil count < or = 1500/uL;Platelet count < or = 100,000/mm3; Renal or liver function abnormalities from the baseline examination, as evidenced by the following laboratory values(US Units):Serum Creatinine >2.0 mg/dL;Total bilirubin > 2.0 mg/dL; SGOT (AST) > 3x the ULN;SGPT (ALT) > 3x the ULN; GGT> 3x the ULN
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jay Winship, MD
Organizational Affiliation
Sr. Vice President of R & D and Chief Medical Officer
Official's Role
Study Director
Facility Information:
Facility Name
University of Arizona, VA Medical Center
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85723
Country
United States
Facility Name
Detroit Medical Center, Wayne State University
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
East Carolina State University, Brody School of Medicine
City
Greenville
State/Province
North Carolina
ZIP/Postal Code
27858
Country
United States
Facility Name
University of Pennsylvania School of Medicine
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Albert Einstein Medical Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19141
Country
United States
Facility Name
Virginia Mason Medical Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98101
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
9829737
Citation
Taber SW, Fingar VH, Coots CT, Wieman TJ. Photodynamic therapy using mono-L-aspartyl chlorin e6 (Npe6) for the treatment of cutaneous disease: a Phase I clinical study. Clin Cancer Res. 1998 Nov;4(11):2741-6.
Results Reference
background
Links:
URL
http://www.Lightsciences.com
Description
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Photodynamic Therapy System for Patients With Refractory/Unresponsive Solid Tumors

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