search
Back to results

Study Using the Medpulser Electroporation System With Bleomycin to Treat Head and Neck Cancer

Primary Purpose

Head and Neck Cancer

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Medpulser Electroporation with Bleomycin
Sponsored by
Inovio Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Head and Neck Cancer focused on measuring head and neck cancer, cancer, bleomycin, medpulser, electroporation, primary oral cavity, primary pharyngeal, primary laryngeal, salivary gland, limited recurrent and second primary tumors

Eligibility Criteria

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

Inclusion Criteria: The presence of primary oral cavity, primary pharyngeal, primary laryngeal, salivary gland, limited recurrent and second primary tumors must be confirmed by histological examination of a tissue sample (e.g., biopsy) obtained within 2 months of the subject receiving the study treatment. The length of the longest diameter of the study lesion must be < 5 cm and the calculated treatment volume (tumor volume plus a 0.5 cm margin around the tumor) for the study lesion [where treatment volume = 0.5 (a+1) (b+1)2 and where a = length of the longest diameter (cm), b = the next longest diameter perpendicular to "a" (cm)] must be < 60.0 cm3. Age: 18 years or older. Male or female. Men and women of childbearing potential must be using Investigator prescribed contraceptive methods while undergoing protocol related therapy. Baseline performance status: ECOG 0-2: Grade 0: Fully active, able to carry on all pre-disease performance without restriction. Grade 1: Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work. Grade 2: Ambulatory and capable of all self-care, but unable to carry out any work activities. Up and about more than 50% of waking hours. Life expectancy of at least 6 months. Subjects must sign a written Informed Consent prior to receiving any study procedures or treatments. Exclusion Criteria: Subjects with tumors suspected of involving a 50% or greater encasement of a blood vessel as measured by magnetic resonance imaging (MRI) or computed tomography (CT) scan. Subjects with tumors having bone invasion. Subjects with hypersensitivity to bleomycin. Subjects who have received or will exceed a total lifetime dose of bleomycin greater than 400 units. Subjects deemed unsuitable for general anesthesia. Subjects with a significant history of emphysema or pulmonary fibrosis. Subjects with indwelling cardiac pacemakers who cannot tolerate a period with pacemaker turned off. Subjects with a history of uncontrolled cardiac arrhythmia. Women who are pregnant, or are nursing. Women must have a negative pregnancy test (urine pregnancy tests are acceptable) within 7 days of study treatment.

Sites / Locations

  • Inovio Biomedical Corporation

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Bleomycin

Arm Description

Bleomycin 4 USP Units/mL; intratumorally at dose of 0.25mL/cm^3

Outcomes

Primary Outcome Measures

To characterize local tumor recurrence through 8 months post-EPT/bleomycin treatment

Secondary Outcome Measures

To measure pharmacoeconomic factors (hospital costs, extent of medical interventions, medication use) in subjects treated by EPT/bleomycin
To evaluate organ function and appearance using the Performance Status Scale (PSS) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Head and Neck (EORTC QLQ - H&N 35) at 4 and 8 months following treatment
To document the performance of the MedPulser® System during EPT/bleomycin treatment
To monitor local and systemic adverse events through the Month 4 follow-up study visit

Full Information

First Posted
September 12, 2005
Last Updated
September 27, 2017
Sponsor
Inovio Pharmaceuticals
search

1. Study Identification

Unique Protocol Identification Number
NCT00198263
Brief Title
Study Using the Medpulser Electroporation System With Bleomycin to Treat Head and Neck Cancer
Official Title
An Open-Label Study Using the Medpulser® Electroporation System to Treat Head and Neck Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
September 2017
Overall Recruitment Status
Completed
Study Start Date
January 2004 (undefined)
Primary Completion Date
September 2008 (Actual)
Study Completion Date
September 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Inovio Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the trial is to study the safety and efficacy of the Medpulser Electroporation System with bleomycin in the treatment of head and neck cancer.
Detailed Description
Electroporation therapy is a tumor-specific ablative treatment modality with the potential to manage local tumors without the potentially undesirable side effects of systemic chemotherapy agents or radiotherapy. Surgical resection of solid tumors often leaves subjects with significant organ dysfunction and/or permanent disfigurement requiring reconstructive surgery. In contrast, electroporation therapy may offer equivalent disease control to conventional surgery with lessened need for reconstructive surgery. Electroporation therapy may also provide economic benefits over conventional surgical and or radiation procedures through reduced operating theatre costs, hospital stays and post treatment interventions. The ability to shrink or eliminate local tumors with the MedPulser® System when used in conjunction with intralesional Bleomycin is an important new possible treatment for the conservative local management of SCCHN and provides a possible alternative treatment option to surgical excision in the management of cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Head and Neck Cancer
Keywords
head and neck cancer, cancer, bleomycin, medpulser, electroporation, primary oral cavity, primary pharyngeal, primary laryngeal, salivary gland, limited recurrent and second primary tumors

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Model Description
Medpulser electroporation with Bleomycin
Masking
None (Open Label)
Allocation
N/A
Enrollment
95 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Bleomycin
Arm Type
Experimental
Arm Description
Bleomycin 4 USP Units/mL; intratumorally at dose of 0.25mL/cm^3
Intervention Type
Combination Product
Intervention Name(s)
Medpulser Electroporation with Bleomycin
Intervention Description
The MedPulser device will be used in conjunction with injection of Bleomycin Sulfate at a concentration of 1 U/ml per cm3 of tumor treatment area.
Primary Outcome Measure Information:
Title
To characterize local tumor recurrence through 8 months post-EPT/bleomycin treatment
Time Frame
8 Months
Secondary Outcome Measure Information:
Title
To measure pharmacoeconomic factors (hospital costs, extent of medical interventions, medication use) in subjects treated by EPT/bleomycin
Time Frame
24 Months
Title
To evaluate organ function and appearance using the Performance Status Scale (PSS) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Head and Neck (EORTC QLQ - H&N 35) at 4 and 8 months following treatment
Time Frame
4 and 8 Months
Title
To document the performance of the MedPulser® System during EPT/bleomycin treatment
Time Frame
8 Nonths
Title
To monitor local and systemic adverse events through the Month 4 follow-up study visit
Time Frame
4 Months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The presence of primary oral cavity, primary pharyngeal, primary laryngeal, salivary gland, limited recurrent and second primary tumors must be confirmed by histological examination of a tissue sample (e.g., biopsy) obtained within 2 months of the subject receiving the study treatment. The length of the longest diameter of the study lesion must be < 5 cm and the calculated treatment volume (tumor volume plus a 0.5 cm margin around the tumor) for the study lesion [where treatment volume = 0.5 (a+1) (b+1)2 and where a = length of the longest diameter (cm), b = the next longest diameter perpendicular to "a" (cm)] must be < 60.0 cm3. Age: 18 years or older. Male or female. Men and women of childbearing potential must be using Investigator prescribed contraceptive methods while undergoing protocol related therapy. Baseline performance status: ECOG 0-2: Grade 0: Fully active, able to carry on all pre-disease performance without restriction. Grade 1: Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work. Grade 2: Ambulatory and capable of all self-care, but unable to carry out any work activities. Up and about more than 50% of waking hours. Life expectancy of at least 6 months. Subjects must sign a written Informed Consent prior to receiving any study procedures or treatments. Exclusion Criteria: Subjects with tumors suspected of involving a 50% or greater encasement of a blood vessel as measured by magnetic resonance imaging (MRI) or computed tomography (CT) scan. Subjects with tumors having bone invasion. Subjects with hypersensitivity to bleomycin. Subjects who have received or will exceed a total lifetime dose of bleomycin greater than 400 units. Subjects deemed unsuitable for general anesthesia. Subjects with a significant history of emphysema or pulmonary fibrosis. Subjects with indwelling cardiac pacemakers who cannot tolerate a period with pacemaker turned off. Subjects with a history of uncontrolled cardiac arrhythmia. Women who are pregnant, or are nursing. Women must have a negative pregnancy test (urine pregnancy tests are acceptable) within 7 days of study treatment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paul Goldfarb, MD
Organizational Affiliation
Inovio Pharmaceuticals
Official's Role
Study Chair
Facility Information:
Facility Name
Inovio Biomedical Corporation
City
San Diego
State/Province
California
ZIP/Postal Code
92121
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study Using the Medpulser Electroporation System With Bleomycin to Treat Head and Neck Cancer

We'll reach out to this number within 24 hrs