Study of Topical ABI-1968 in Subjects With Precancerous Anal Lesions Resulting From Human Papillomavirus (HPV) Infection
Primary Purpose
HSIL, High-Grade Squamous Intraepithelial Lesions, Human Papilloma Virus Infection, HIV Infection
Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Topical ABI-1968 cream
Sponsored by
About this trial
This is an interventional treatment trial for HSIL, High-Grade Squamous Intraepithelial Lesions
Eligibility Criteria
Inclusion Criteria
- Female or male subjects, at least 27 years old.
- Confirmed diagnosis of intra-anal HSIL at least 3 months prior to screening and confirmed by histopathology (with p16 positive staining)
- Intra-anal HSIL are visible and evaluable by HRA at the time of screening, and no lesion(s) is suspicious for invasive cancer.
- For HIV-positive subjects, CD4 count must be at least 200/mm3 with undetectable (<50 copies/mL) viral load within the 3 months prior to enrollment. Subjects must be on a stable regimen of antiretroviral drugs for the 3 months prior to enrollment.
Exclusion Criteria:
- Women who are pregnant, plan to become pregnant in the next 3 months, or lactating females.
- Received topical treatment or ablative procedures for aHSIL in the 6 months prior to enrolment.
- History of cancer involving the anogenital region, or history of other cancers that have not been fully resolved and free of symptoms in the past 5 years
- History of genital herpes with > 3 outbreaks per year.
- Plan to have excision or ablation of the lesion(s) within 3 months of enrolment.
Sites / Locations
- Research Center
- Research Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Experimental
Arm Label
Dose 1 - Multiple Ascending Dose(MAD)
Dose 2 - Multiple Ascending Dose(MAD)
Dose 3 - Multiple Ascending Dose(MAD)
Arm Description
Multiple Doses of Topical ABI-1968 cream applied by the Investigator in the clinic
Multiple Doses of Topical ABI-1968 cream applied by the Investigator in the clinic
Multiple Doses of Topical ABI-1968 cream applied by the Investigator in the clinic
Outcomes
Primary Outcome Measures
Maximum Tolerated Dose (MTD) of ABI-1968 for the treatment of aHSIL
Number of participants with Adverse Events related to treatment
Secondary Outcome Measures
Systemic exposure to ABI-1968 Topical Cream following topical application to the anal canal.
Plasma concentrations of ABI-1968 over time
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03677960
Brief Title
Study of Topical ABI-1968 in Subjects With Precancerous Anal Lesions Resulting From Human Papillomavirus (HPV) Infection
Official Title
Open-Label Study To Evaluate The Safety, Tolerability, And Pharmacokinetics Of Multiple Doses Of Topical Abi-1968 In Subjects With Anal High-Grade Squamous Intraepithelial Lesions (aHSIL)
Study Type
Interventional
2. Study Status
Record Verification Date
April 2019
Overall Recruitment Status
Terminated
Why Stopped
Pre-Clinical Toxicology Findings
Study Start Date
December 17, 2018 (Actual)
Primary Completion Date
June 30, 2019 (Actual)
Study Completion Date
June 30, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Antiva Biosciences
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This study evaluates the use of ABI-1968, a topical cream, in the treatment of anal precancerous lesions in adults with and without human immunodeficiency virus (HIV) infection
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HSIL, High-Grade Squamous Intraepithelial Lesions, Human Papilloma Virus Infection, HIV Infection, Anal Cancer, Anus Neoplasm
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
6 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Dose 1 - Multiple Ascending Dose(MAD)
Arm Type
Experimental
Arm Description
Multiple Doses of Topical ABI-1968 cream applied by the Investigator in the clinic
Arm Title
Dose 2 - Multiple Ascending Dose(MAD)
Arm Type
Experimental
Arm Description
Multiple Doses of Topical ABI-1968 cream applied by the Investigator in the clinic
Arm Title
Dose 3 - Multiple Ascending Dose(MAD)
Arm Type
Experimental
Arm Description
Multiple Doses of Topical ABI-1968 cream applied by the Investigator in the clinic
Intervention Type
Drug
Intervention Name(s)
Topical ABI-1968 cream
Intervention Description
Multiple doses of Topical ABI-1968 Cream administered by the Investigator in the clinic up to Day 29
Primary Outcome Measure Information:
Title
Maximum Tolerated Dose (MTD) of ABI-1968 for the treatment of aHSIL
Description
Number of participants with Adverse Events related to treatment
Time Frame
MAD portion is 84 days
Secondary Outcome Measure Information:
Title
Systemic exposure to ABI-1968 Topical Cream following topical application to the anal canal.
Description
Plasma concentrations of ABI-1968 over time
Time Frame
MAD portion is 84 days
Other Pre-specified Outcome Measures:
Title
Histopathology of areas with biopsy-proven disease following multiple doses of ABI-1968 Topical Cream.
Description
Number of subjects with complete and or partial regression of aHSIL by High Resolution Anoscopy (HRA) and histopathology
Time Frame
MAD portion is 84 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
27 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria
Female or male subjects, at least 27 years old.
Confirmed diagnosis of intra-anal HSIL at least 3 months prior to screening and confirmed by histopathology (with p16 positive staining)
Intra-anal HSIL are visible and evaluable by HRA at the time of screening, and no lesion(s) is suspicious for invasive cancer.
For HIV-positive subjects, CD4 count must be at least 200/mm3 with undetectable (<50 copies/mL) viral load within the 3 months prior to enrollment. Subjects must be on a stable regimen of antiretroviral drugs for the 3 months prior to enrollment.
Exclusion Criteria:
Women who are pregnant, plan to become pregnant in the next 3 months, or lactating females.
Received topical treatment or ablative procedures for aHSIL in the 6 months prior to enrolment.
History of cancer involving the anogenital region, or history of other cancers that have not been fully resolved and free of symptoms in the past 5 years
History of genital herpes with > 3 outbreaks per year.
Plan to have excision or ablation of the lesion(s) within 3 months of enrolment.
Facility Information:
Facility Name
Research Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60614
Country
United States
Facility Name
Research Center
City
Darlinghurst
State/Province
Sydney
ZIP/Postal Code
2010
Country
Australia
12. IPD Sharing Statement
Learn more about this trial
Study of Topical ABI-1968 in Subjects With Precancerous Anal Lesions Resulting From Human Papillomavirus (HPV) Infection
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