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A Study to Evaluate Safety, Efficacy of Intralesional Injection of STP705 in Patients With isSCC

Primary Purpose

Squamous Cell Carcinoma in Situ

Status
Active
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
STP705
Placebo Saline
Sponsored by
Sirnaomics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Squamous Cell Carcinoma in Situ

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female adult ≥ 18 years of age.
  2. Primary, histologically confirmed trunk or extremity (non- anogenital/-facial/-scalp) isSCC lesion suitable for excision with a minimum diameter of 0.5 cm and with a maximum diameter of 2.0 cm.
  3. Histological diagnosis made no more than 6 months prior to the screening visit.
  4. No other dermatological disease in the isSCC target site or surrounding area, which in the opinion of the investigator, could interfere with the study.
  5. Willing to refrain from using non-approved lotions or creams on the target site and surrounding area during the treatment period.
  6. Willing to refrain from exposure to excessive direct sunlight or ultraviolet light and to avoid the use of tanning parlors for the duration of the study.
  7. Laboratory values for the tests (listed in the Study Schedule) within the reference ranges as defined by the central laboratory, or "out of range" test results that are clinically acceptable to the investigator.
  8. Ability to follow study instructions and likely to complete all study requirements.
  9. Written informed consent obtained, including consent for tissue to be examined and stored by the Central Histology Lab.
  10. Written consent to allow photographs of the target isSCC lesion to be used as part of the study data and documentation.
  11. For females of childbearing potential, a negative pregnancy test at screening and using an acceptable form of birth control (oral / implant/ injectable/ transdermal contraceptives, intrauterine device, condom, diaphragm, abstinence, or a monogamous relationship with a partner who has had a vasectomy).

Exclusion Criteria:

  1. Pregnant, lactating, or planning to become pregnant.
  2. Presence of known or suspected systemic cancer.
  3. Histological evidence of severe squamous metaplasia, infiltrative, desmoplastic or micronodular growth patterns in the biopsy specimen.
  4. History of recurrence of the target isSCC lesion.
  5. Concurrent disease or treatment that suppresses the immune system.
  6. Patients with baseline QTC > 480 msec using Frederica's formula.
  7. Chronic medical condition that in the judgment of the investigator(s) would interfere with the performance of the study or would place the patient at undue risk.
  8. Known sensitivity to any of the ingredients in the study medication including an allergy to trehalose.
  9. Use of a tanning bed or other excessive or prolonged exposure to ultraviolet light or direct sunlight during the study.
  10. Treatment with systemic chemotherapeutic agents within the 6 months prior to the screening visit.
  11. Use of systemic retinoids within the 6 months prior to the screening period.
  12. Treatment with systemic immunomodulators or immunosuppressants within the 6 months prior to the screening period.
  13. Use of topical immunomodulators within 2 cm of the target isSCC lesion within the 4 weeks prior to the screening period.
  14. Treatment with the following topical agents within 2 cm of the target isSCC lesion within the 4 weeks prior to the screening visit: aminolevulinic acid, 5-fluorouracil, corticosteroids, retinoids, diclofenac, ingenol mebutate, or imiquimod.
  15. Treatment with liquid nitrogen, surgical excision or curettage within 2 cm of the target isSCC lesion during the 4 weeks prior to the screening visit.
  16. Evidence of current chronic alcohol or drug abuse.
  17. Current enrollment in an investigational drug or device study or participation in such a study within 4 weeks of the screening visit.
  18. In the investigator's opinion, evidence of unwillingness, or inability to follow the restrictions and requirements of the protocol and complete the study.

Sites / Locations

  • MD Investigate
  • Center for Clinical and Cosmetic Research
  • Research Institute of the Southeast LLC
  • Dermatology Associates of Knoxville
  • Tennessee Clinical Research
  • Austin Institute for Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Other

Experimental

Experimental

Other

Arm Label

Part 1: Arm A

Part 1: Arm B

Part 1: Arm C

Part 1: Arm D

Part 2: Arm A, B or C

Part 2: Arm A or B or C

Part 2: Arm D

Arm Description

STP705 30 μg dose, intralesional injection, given once a week for 6 weeks.

STP705 60 μg dose, intralesional injection, given once a week for 6 weeks.

STP705 90 μg dose, intralesional injection, given once a week for 6 weeks.

Placebo (normal saline), intralesional injection, given once a week for 6 weeks.

STP705 selected dose 1, intralesional injection, given once a week for 6 weeks.

STP705 selected dose 2, intralesional injection, given once a week for 6 weeks.

Placebo (normal saline), intralesional injection, given once a week for 6 weeks.

Outcomes

Primary Outcome Measures

Proportion of participants with histological clearance of treated isSCC lesion
Proportion of participants with histological clearance of treated isSCC lesion at the End of Treatment (EOT).

Secondary Outcome Measures

Change in size of the treated isSCC lesion
Change in size of the treated isSCC lesion over the 6-week treatment period.

Full Information

First Posted
April 9, 2021
Last Updated
February 28, 2023
Sponsor
Sirnaomics
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1. Study Identification

Unique Protocol Identification Number
NCT04844983
Brief Title
A Study to Evaluate Safety, Efficacy of Intralesional Injection of STP705 in Patients With isSCC
Official Title
A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Intralesional Injection of STP705 in Adult Patients With Cutaneous Squamous Cell Carcinoma in Situ (isSCC)
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
May 18, 2021 (Actual)
Primary Completion Date
July 2023 (Anticipated)
Study Completion Date
July 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sirnaomics

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this trial is to evaluate safety, tolerability and efficacy of various doses of STP705 administered as intralesional injection in subjects with cutaneous squamous cell carcinoma (in situ) skin cancer (isSCC).
Detailed Description
This is a two-part, double-blind, randomized, placebo-controlled study designed to evaluate safety and efficacy of various doses of STP705 administered as an intralesional injection in subjects with isSCC. A total of up to 100 eligible subjects will be enrolled. Enrolled subjects will be randomly allocated to receive STP705 or placebo injection once weekly for 6 weeks. After 6 weeks, the lesion will be excised. In part 1 (dose ranging study): 40 subjects will be randomized to receive 1 of the 3 STP705 doses or placebo. An interim analysis will be done after all subjects have completed end of treatment (EOT) visits to determine 2 selected dose levels of STP705 to be used in part of the study. In part 2: 60 additional subjects will be randomized to receive 1 of the 2 selected doses (from part 1) or placebo. In both parts at the End of Treatment (EOT), the lesion will be excised.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Squamous Cell Carcinoma in Situ

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Part 1: 40 subjects randomized in a 1:1:1:1 ratio to receive 6 weeks of treatment of placebo, 30 ug, 60 ug, or 90 ug of STP705. Enrollment will be temporarily stopped after the 40th subject. Interim Analysis will be done for dose response assessment and selection of the 2 doses for Part 2 of the study. Part 2: 60 additional subjects will be randomized in a 1:1:1 ratio to receive placebo or one of the 2 selected STP705 doses.
Masking
ParticipantInvestigator
Masking Description
This is a double-blind study. All subjects, investigators, and site staff (except unblinded pharmacist or designated site staff) in the study will be blinded to the treatment assignment.
Allocation
Randomized
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part 1: Arm A
Arm Type
Experimental
Arm Description
STP705 30 μg dose, intralesional injection, given once a week for 6 weeks.
Arm Title
Part 1: Arm B
Arm Type
Experimental
Arm Description
STP705 60 μg dose, intralesional injection, given once a week for 6 weeks.
Arm Title
Part 1: Arm C
Arm Type
Experimental
Arm Description
STP705 90 μg dose, intralesional injection, given once a week for 6 weeks.
Arm Title
Part 1: Arm D
Arm Type
Other
Arm Description
Placebo (normal saline), intralesional injection, given once a week for 6 weeks.
Arm Title
Part 2: Arm A, B or C
Arm Type
Experimental
Arm Description
STP705 selected dose 1, intralesional injection, given once a week for 6 weeks.
Arm Title
Part 2: Arm A or B or C
Arm Type
Experimental
Arm Description
STP705 selected dose 2, intralesional injection, given once a week for 6 weeks.
Arm Title
Part 2: Arm D
Arm Type
Other
Arm Description
Placebo (normal saline), intralesional injection, given once a week for 6 weeks.
Intervention Type
Drug
Intervention Name(s)
STP705
Intervention Description
The STP705 drug substance is composed of two siRNA oligonucleotides, targeting TGF-β1 and COX-2 mRNA respectively.
Intervention Type
Other
Intervention Name(s)
Placebo Saline
Intervention Description
Normal Saline
Primary Outcome Measure Information:
Title
Proportion of participants with histological clearance of treated isSCC lesion
Description
Proportion of participants with histological clearance of treated isSCC lesion at the End of Treatment (EOT).
Time Frame
6 weeks
Secondary Outcome Measure Information:
Title
Change in size of the treated isSCC lesion
Description
Change in size of the treated isSCC lesion over the 6-week treatment period.
Time Frame
6 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female adult ≥ 18 years of age. Primary, histologically confirmed trunk or extremity (non- anogenital/-facial/-scalp) isSCC lesion suitable for excision with a minimum diameter of 0.5 cm and with a maximum diameter of 2.0 cm. Histological diagnosis made no more than 6 months prior to the screening visit. No other dermatological disease in the isSCC target site or surrounding area, which in the opinion of the investigator, could interfere with the study. Willing to refrain from using non-approved lotions or creams on the target site and surrounding area during the treatment period. Willing to refrain from exposure to excessive direct sunlight or ultraviolet light and to avoid the use of tanning parlors for the duration of the study. Laboratory values for the tests (listed in the Study Schedule) within the reference ranges as defined by the central laboratory, or "out of range" test results that are clinically acceptable to the investigator. Ability to follow study instructions and likely to complete all study requirements. Written informed consent obtained, including consent for tissue to be examined and stored by the Central Histology Lab. Written consent to allow photographs of the target isSCC lesion to be used as part of the study data and documentation. For females of childbearing potential, a negative pregnancy test at screening and using an acceptable form of birth control (oral / implant/ injectable/ transdermal contraceptives, intrauterine device, condom, diaphragm, abstinence, or a monogamous relationship with a partner who has had a vasectomy). Exclusion Criteria: Pregnant, lactating, or planning to become pregnant. Presence of known or suspected systemic cancer. Histological evidence of severe squamous metaplasia, infiltrative, desmoplastic or micronodular growth patterns in the biopsy specimen. History of recurrence of the target isSCC lesion. Concurrent disease or treatment that suppresses the immune system. Patients with baseline QTC > 480 msec using Frederica's formula. Chronic medical condition that in the judgment of the investigator(s) would interfere with the performance of the study or would place the patient at undue risk. Known sensitivity to any of the ingredients in the study medication including an allergy to trehalose. Use of a tanning bed or other excessive or prolonged exposure to ultraviolet light or direct sunlight during the study. Treatment with systemic chemotherapeutic agents within the 6 months prior to the screening visit. Use of systemic retinoids within the 6 months prior to the screening period. Treatment with systemic immunomodulators or immunosuppressants within the 6 months prior to the screening period. Use of topical immunomodulators within 2 cm of the target isSCC lesion within the 4 weeks prior to the screening period. Treatment with the following topical agents within 2 cm of the target isSCC lesion within the 4 weeks prior to the screening visit: aminolevulinic acid, 5-fluorouracil, corticosteroids, retinoids, diclofenac, ingenol mebutate, or imiquimod. Treatment with liquid nitrogen, surgical excision or curettage within 2 cm of the target isSCC lesion during the 4 weeks prior to the screening visit. Evidence of current chronic alcohol or drug abuse. Current enrollment in an investigational drug or device study or participation in such a study within 4 weeks of the screening visit. In the investigator's opinion, evidence of unwillingness, or inability to follow the restrictions and requirements of the protocol and complete the study.
Facility Information:
Facility Name
MD Investigate
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85255
Country
United States
Facility Name
Center for Clinical and Cosmetic Research
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
Research Institute of the Southeast LLC
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33401
Country
United States
Facility Name
Dermatology Associates of Knoxville
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37909
Country
United States
Facility Name
Tennessee Clinical Research
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37215
Country
United States
Facility Name
Austin Institute for Clinical Research
City
Pflugerville
State/Province
Texas
ZIP/Postal Code
78660
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study to Evaluate Safety, Efficacy of Intralesional Injection of STP705 in Patients With isSCC

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