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Safety and Efficacy Study of PRV211 in Subjects With Oral Squamous Cell Carcinoma

Primary Purpose

Oral Squamous Cell Carcinoma

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
PRV211 (Intraoperative Cisplatin System)
Sponsored by
Privo Technologies
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Oral Squamous Cell Carcinoma

Eligibility Criteria

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

Inclusion Criteria: Adult subjects, men and women, defined by age ≥18 years at the time of screening. Pathologically proven and clinically confirmed T2-T3, Nx-N2b, M0 SCC of the lip or oral cavity (anterior 2/3 of the tongue, floor of mouth, lower and upper gingiva, hard palate, and buccal mucosa). Tumor must be amenable to surgical resection. Clinically and/or radiologically measurable tumor. Eastern Collaborative Oncology Group (ECOG) Performance Status of ≤2. Candidates for standard of care treatment consisting of surgery. Male and female subjects of childbearing potential must agree to use 2 methods of effective contraception from screening and for at least 30 days after the final dose of investigational product. Appropriate birth control is defined as barrier methods with spermicides, oral or parenteral contraceptives and/or intrauterine devices, or naturally or surgically sterile (with documentation in the subject's medical records). Postmenopausal women are defined as presenting at least 12 months' natural spontaneous amenorrhea, or at least 6 weeks following surgical menopause (bilateral oophorectomy). Females of childbearing potential must be non-lactating and have a negative serum hCG within 14 days of treatment initiation. Absence of any serious underlying medical conditions which could impair the ability of the subject to participate in the study. Have a life expectancy of ≥6 months. Willing and able to provide written informed consent. Able to return to study site for treatment and follow-up visits as defined in the Protocol. Exclusion Criteria: Concurrent documented malignancy, except for localized SCCs of the skin Exposure to any investigational agent within 3 months prior to Screening Known allergy or hypersensitivity to platinum-containing agents, or known intolerance to a prior platinum-containing agent, or to any of the excipients, which, in the judgement of the physician will preclude re-exposure to platinum-containing agent Active, uncontrolled infection requiring systemic therapy, such as but not limited to HIV, Hepatitis B or C Uncontrolled intercurrent illness that would risk subject safety, interfere with the objectives of the Protocol, or limit subject compliance with study requirements, as determined by the Investigator Known or suspected pregnancy, planned pregnancy, or lactation Any medical or psychiatric condition that may compromise the ability to give written informed consent Test Product, Dose and Mode of Administration: PRV211 (Cisplatin Intraoperative Treatment) consists of:

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Open-Label, Single Arm Study of PRV211

    Arm Description

    PRV211 treatment application during standard of care tumor resection surgery. PRV211 system is comprised of two parts, a liquid permeation enhancer (PE) and cisplatin patch. The permeation is brushed onto the resected tumor bed and after 5 minutes the patch can be applied directly over the same area. Apply up to 2 layers of the PRV211 system to the tumor bed post-resection. The duration of the PRV211 treatment takes approximately 10-20 minutes and then the surgeon can continue as planned with the rest of the standard of care procedure. The proposed starting dose is 0.5 mg/cm2 of cisplatin on the tumor bed. This approach can be safe and effective in preventing locoregional recurrence after surgery and eliminating high-risk factors for local recurrence, such as dysplasia at the margins.

    Outcomes

    Primary Outcome Measures

    Primary Endpoint
    Locoregional Recurrence

    Secondary Outcome Measures

    Full Information

    First Posted
    May 30, 2023
    Last Updated
    May 30, 2023
    Sponsor
    Privo Technologies
    Collaborators
    National Cancer Institute (NCI)
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05893888
    Brief Title
    Safety and Efficacy Study of PRV211 in Subjects With Oral Squamous Cell Carcinoma
    Official Title
    Phase 1/2, Open-Label, Safety and Efficacy, Tolerability, Anti-Tumor Effects, Systemic Exposure, and Device Technical Effects of PRV211 in Subjects With T2-T3 Oral Squamous Cell Carcinoma Amenable to Surgery
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    October 2023 (Anticipated)
    Primary Completion Date
    January 2025 (Anticipated)
    Study Completion Date
    October 2026 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Privo Technologies
    Collaborators
    National Cancer Institute (NCI)

    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
    PRV211 is a sterilized nano engineered delivery system intended for intraoperative chemotherapy treatment for all solid tumor surgeries immediately following surgical excision. The goal is to treat the tumor bed locally, eliminating any remaining micro metastases or close margins that are unable to be fully resected while avoiding system circulation. This study will enroll up to 40 subjects. In this study both safety and efficacy will be evaluated. All subjects will be monitored for possible DLTs.
    Detailed Description
    Methodology: This is a Phase 1/2, open-label, Safety and Efficacy, Tolerability, Anti-Tumor Effects, Systemic Exposure, and Device Technical Effects of PRV211 (Intraoperative Cisplatin System) in subjects with T2-T3 oral squamous cell carcinoma (SCC) amenable to surgery. Study Design: This study will enroll up to 40 subjects. An interim analysis will take place to evaluate safety and efficacy results and the addition of a second arm (see interim analysis section for further detail). In this study both safety and efficacy will be evaluated. All subjects will be monitored for possible DLTs. For the purpose of dose selection, tolerable dose is defined as a dose where fewer than 33% of subjects being evaluated within the safety population present with dose-limiting toxicities (DLTs). Effective dose is determined based on the evaluable population as described in the Statistical Methods section. The study is described below: Up to 15 subjects will be enrolled for stage 1 and undergo 1 PRV211 treatment application during standard of care tumor resection surgery. Each treatment will include permeation enhancer. If 5 or less respond, the dose can be escalated given safety requirements are met. A total of ten (10) PRV211 patches can be applied in this single application during tumor resection surgery. Definition of Response: A subject will be considered to have responded to the treatment if there is no incidence of locoregional recurrence at 3 months post-surgery and/or adjuvant therapy as indicated on positron emission tomography (PET) scan.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Single Group Assignment
    Model Description
    Phase 1/2, Open-Label, Single-Arm
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    40 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Open-Label, Single Arm Study of PRV211
    Arm Type
    Experimental
    Arm Description
    PRV211 treatment application during standard of care tumor resection surgery. PRV211 system is comprised of two parts, a liquid permeation enhancer (PE) and cisplatin patch. The permeation is brushed onto the resected tumor bed and after 5 minutes the patch can be applied directly over the same area. Apply up to 2 layers of the PRV211 system to the tumor bed post-resection. The duration of the PRV211 treatment takes approximately 10-20 minutes and then the surgeon can continue as planned with the rest of the standard of care procedure. The proposed starting dose is 0.5 mg/cm2 of cisplatin on the tumor bed. This approach can be safe and effective in preventing locoregional recurrence after surgery and eliminating high-risk factors for local recurrence, such as dysplasia at the margins.
    Intervention Type
    Drug
    Intervention Name(s)
    PRV211 (Intraoperative Cisplatin System)
    Other Intervention Name(s)
    Cisplatin
    Intervention Description
    PRV211 system is comprised of two parts, a liquid permeation enhancer (PE) and cisplatin patch. The permeation is brushed onto the resected tumor bed and after 5 minutes the patch can be applied directly over the same area. Apply up to 2 layers of the PRV211 system to the tumor bed post-resection. The duration of the PRV211 treatment takes approximately 10-20 minutes and then the surgeon can continue as planned with the rest of the standard of care procedure. The proposed starting dose is 0.5 mg/cm2 of cisplatin on the tumor bed. This approach can be safe and effective in preventing locoregional recurrence after surgery and eliminating high-risk factors for local recurrence, such as dysplasia at the margins.
    Primary Outcome Measure Information:
    Title
    Primary Endpoint
    Description
    Locoregional Recurrence
    Time Frame
    3 months post-surgery or completion of adjuvant therapy

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Adult subjects, men and women, defined by age ≥18 years at the time of screening. Pathologically proven and clinically confirmed T2-T3, Nx-N2b, M0 SCC of the lip or oral cavity (anterior 2/3 of the tongue, floor of mouth, lower and upper gingiva, hard palate, and buccal mucosa). Tumor must be amenable to surgical resection. Clinically and/or radiologically measurable tumor. Eastern Collaborative Oncology Group (ECOG) Performance Status of ≤2. Candidates for standard of care treatment consisting of surgery. Male and female subjects of childbearing potential must agree to use 2 methods of effective contraception from screening and for at least 30 days after the final dose of investigational product. Appropriate birth control is defined as barrier methods with spermicides, oral or parenteral contraceptives and/or intrauterine devices, or naturally or surgically sterile (with documentation in the subject's medical records). Postmenopausal women are defined as presenting at least 12 months' natural spontaneous amenorrhea, or at least 6 weeks following surgical menopause (bilateral oophorectomy). Females of childbearing potential must be non-lactating and have a negative serum hCG within 14 days of treatment initiation. Absence of any serious underlying medical conditions which could impair the ability of the subject to participate in the study. Have a life expectancy of ≥6 months. Willing and able to provide written informed consent. Able to return to study site for treatment and follow-up visits as defined in the Protocol. Exclusion Criteria: Concurrent documented malignancy, except for localized SCCs of the skin Exposure to any investigational agent within 3 months prior to Screening Known allergy or hypersensitivity to platinum-containing agents, or known intolerance to a prior platinum-containing agent, or to any of the excipients, which, in the judgement of the physician will preclude re-exposure to platinum-containing agent Active, uncontrolled infection requiring systemic therapy, such as but not limited to HIV, Hepatitis B or C Uncontrolled intercurrent illness that would risk subject safety, interfere with the objectives of the Protocol, or limit subject compliance with study requirements, as determined by the Investigator Known or suspected pregnancy, planned pregnancy, or lactation Any medical or psychiatric condition that may compromise the ability to give written informed consent Test Product, Dose and Mode of Administration: PRV211 (Cisplatin Intraoperative Treatment) consists of:

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Safety and Efficacy Study of PRV211 in Subjects With Oral Squamous Cell Carcinoma

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