Rhenium-Skin Cancer Therapy (SCT) for the Treatment of Non-Melanoma Skin Cancer. (EPIC-Skin)
Primary Purpose
Non-melanoma Skin Cancer
Status
Recruiting
Phase
Not Applicable
Locations
Australia
Study Type
Interventional
Intervention
Rhenium-SCT
Sponsored by
About this trial
This is an interventional treatment trial for Non-melanoma Skin Cancer
Eligibility Criteria
Inclusion Criteria:
- Stage I or II BCC or SCC (SCC Well to Moderately Differentiated), and clinically node negative disease
- Confirmed Histology, and with depth of lesion noted
- Subjects with up to 3 lesions suitable to enter the study (subjects with more than 3 lesions are not excluded from the study, however 3 target lesions are determined for study evaluation only.)
- Subjects able and willing to comply with the requirements of the study
- Age >=18 years
- Informed Consent signed by the subject consenting to undergo the study
- Lesions up to 8cm2
- Lesions with a depth up to 3mm confirmed on biopsy report AND deemed appropriate clinically by treating clinician
- Subjects who are not deemed suitable for surgery, for example due to tumour location, performance status or other comorbidities as deemed relevant by the treating clinician
- Patients who may have declined Surgery and/or fractionated Radiation Therapy
Exclusion Criteria:
- Inability to personally provide written informed consent or to understand and collaborate throughout the study
- Inability or unwillingness to comply with study requirements
- Prior treatment with surgery or radiation therapy for their target lesion(s)
- Depth of lesion greater than 3mm as defined by Biopsy and/or clinical assessment
- Lupus and Scleroderma
- Basal cell naevus syndrome, xeroderma, vitiligo and albinism
- Prior laser at the tumour site
- Malignant melanoma systemic therapy ongoing
- Any ongoing treatment for malignancy, or in the last 4 weeks prior to study entry
- A tumour affecting nerves or bony structures
- Clinical concern of metastatic disease
- Pregnancy and/or Lactation
- Pathological exclusions: Perineural Invasion, Lymphovascular invasion
- Anatomical exclusions: NMSC's of the Medial canthus, eyelid margin (upper and lower), Vermillion lip
Sites / Locations
- Genesis Care Health Hub at RNSRecruiting
- John Flynn HospitalRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Treatment arm
Arm Description
Treatment with Rhenium-SCT, Single treatment.
Outcomes
Primary Outcome Measures
Complete Response (CR) with Modified Visual RECIST tool
To assess the proportion of lesions achieving complete response (CR) as per MODIFIED VISUAL RECIST criteria
Secondary Outcome Measures
SKINDEX-16 QoL Questionnaire
The QoL questionnaire will be scored according to the author's instructions. Change from baseline in score will be calculated. Descriptive statistics will be presented for actual score and change from baseline by timepoint, overall and by tumour type (BCC/SCC).
Comfort of Treatment short questionnaire
Comfort of treatment assessed using a short questionnaire completed by subjects post treatment with Rhenium-SCT. The frequency (and percentage) of subjects reporting each option for each question will be presented.
cosmetic outcomes by Visual Analogue Scale
Cosmetic outcome assessed by subject and Clinician, using Visual Analogue Scale. Descriptive statistics will be presented overall and by tumour type (BCC or SCC). A mixed model will be fitted with Visual Analogue Scale as the outcome variable. Tumour type and tumour stage will be included as factors. Other relevant prognostic factors assessed at Baseline will be included. From the model the adjusted mean score will be obtained and presented with 95% confidence limits. Adjusted mean score will be estimated overall and by tumour type.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05135052
Brief Title
Rhenium-Skin Cancer Therapy (SCT) for the Treatment of Non-Melanoma Skin Cancer.
Acronym
EPIC-Skin
Official Title
Efficacy of Personalised Irradiation With Rhenium-Skin Cancer Therapy (SCT) for the Treatment of Non-Melanoma Skin Cancer: A Phase IV, Multi-Centre, International, Open-Label, Single Arm Study.
Study Type
Interventional
2. Study Status
Record Verification Date
March 2022
Overall Recruitment Status
Recruiting
Study Start Date
January 17, 2022 (Actual)
Primary Completion Date
July 15, 2023 (Anticipated)
Study Completion Date
May 15, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
OncoBeta Therapeutics
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Efficacy of Personalised Irradiation with Rhenium-Skin Cancer Therapy (SCT) for the treatment of non-melanoma skin cancer; a phase IV multi-centre, international, open label, single arm study.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-melanoma Skin Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
210 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Treatment arm
Arm Type
Experimental
Arm Description
Treatment with Rhenium-SCT, Single treatment.
Intervention Type
Device
Intervention Name(s)
Rhenium-SCT
Intervention Description
Rhenium-SCT irradiation device
Primary Outcome Measure Information:
Title
Complete Response (CR) with Modified Visual RECIST tool
Description
To assess the proportion of lesions achieving complete response (CR) as per MODIFIED VISUAL RECIST criteria
Time Frame
12 months
Secondary Outcome Measure Information:
Title
SKINDEX-16 QoL Questionnaire
Description
The QoL questionnaire will be scored according to the author's instructions. Change from baseline in score will be calculated. Descriptive statistics will be presented for actual score and change from baseline by timepoint, overall and by tumour type (BCC/SCC).
Time Frame
6 months and 12 months
Title
Comfort of Treatment short questionnaire
Description
Comfort of treatment assessed using a short questionnaire completed by subjects post treatment with Rhenium-SCT. The frequency (and percentage) of subjects reporting each option for each question will be presented.
Time Frame
14 days
Title
cosmetic outcomes by Visual Analogue Scale
Description
Cosmetic outcome assessed by subject and Clinician, using Visual Analogue Scale. Descriptive statistics will be presented overall and by tumour type (BCC or SCC). A mixed model will be fitted with Visual Analogue Scale as the outcome variable. Tumour type and tumour stage will be included as factors. Other relevant prognostic factors assessed at Baseline will be included. From the model the adjusted mean score will be obtained and presented with 95% confidence limits. Adjusted mean score will be estimated overall and by tumour type.
Time Frame
12 months and 24 months
Other Pre-specified Outcome Measures:
Title
Safety as assessed by CTCAE v4.0
Description
Adverse events by severity and by relationship to Rhenium-SCT, including radiation dermatitis, dry skin, skin ulceration, alopecia, skin induration, hypo/hyperpigmentation, and telangiectasia. Adverse events will be coded using MedDRA and comprehensively summarised by System Organ Class (SOC) and Preferred Term (PT) overall, by severity and by relationship to Rhenium-SCT.
Time Frame
24 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Stage I or II BCC or SCC (SCC Well to Moderately Differentiated), and clinically node negative disease
Confirmed Histology, and with depth of lesion noted
Subjects with up to 3 lesions suitable to enter the study (subjects with more than 3 lesions are not excluded from the study, however 3 target lesions are determined for study evaluation only.)
Subjects able and willing to comply with the requirements of the study
Age >=18 years
Informed Consent signed by the subject consenting to undergo the study
Lesions up to 8cm2
Lesions with a depth up to 3mm confirmed on biopsy report AND deemed appropriate clinically by treating clinician
Subjects who are not deemed suitable for surgery, for example due to tumour location, performance status or other comorbidities as deemed relevant by the treating clinician
Patients who may have declined Surgery and/or fractionated Radiation Therapy
Exclusion Criteria:
Inability to personally provide written informed consent or to understand and collaborate throughout the study
Inability or unwillingness to comply with study requirements
Prior treatment with surgery or radiation therapy for their target lesion(s)
Depth of lesion greater than 3mm as defined by Biopsy and/or clinical assessment
Lupus and Scleroderma
Basal cell naevus syndrome, xeroderma, vitiligo and albinism
Prior laser at the tumour site
Malignant melanoma systemic therapy ongoing
Any ongoing treatment for malignancy, or in the last 4 weeks prior to study entry
A tumour affecting nerves or bony structures
Clinical concern of metastatic disease
Pregnancy and/or Lactation
Pathological exclusions: Perineural Invasion, Lymphovascular invasion
Anatomical exclusions: NMSC's of the Medial canthus, eyelid margin (upper and lower), Vermillion lip
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Gerhard Dr Dahlhoff, MD
Phone
08136808989
Email
gerhard.dahlhoff@oncobeta.com
First Name & Middle Initial & Last Name or Official Title & Degree
Sam Dr Vohra, PhD
Phone
+61450556969
Email
sam@avionmedical.com.au
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gerhard Dr Dahlhoff, MD
Organizational Affiliation
Oncobeta GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Genesis Care Health Hub at RNS
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2065
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Angela Prof Hong
Facility Name
John Flynn Hospital
City
Tugun
State/Province
Queensland
ZIP/Postal Code
4224
Country
Australia
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sid Prof Baxi
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Rhenium-Skin Cancer Therapy (SCT) for the Treatment of Non-Melanoma Skin Cancer.
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