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A Study of Amolimogene (ZYC101a) in Patients With High Grade Cervical Intraepithelial Lesions of the Uterine Cervix

Primary Purpose

Uterine Cervical Dysplasia

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Amolimogene
Amolimogene
Placebo
Sponsored by
Eisai Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Uterine Cervical Dysplasia focused on measuring cervical lesions, cervical dysplasia, Human papilloma virus, abnormal Pap, High-grade cervical intraepithelial lesions (CIN 2/3)

Eligibility Criteria

13 Years - 25 Years (Child, Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: To be considered for enrollment, patients must: Have an abnormal Pap smear (atypical squamous cells of undetermined significance [ASCUS], atypical squamous cells, cannot exclude high grade [ASC-H], low grade squamous intraepithelial lesion [LSIL], high grade squamous intraepithelial lesion [HSIL]) result within 6 months of screening visit. Have a colposcopically visible lesion suspected to be high-grade that does not involve more than 75% of the cervix. Have a CIN 2/3 consensus pathology diagnosis on tissue taken from a colposcopically-directed punch biopsy. Not have evidence of cervical carcinoma on Pap smear or biopsy and not have a positive endocervical curettage. Not have atypical endometrial cells or glandular-cell atypia on Pap smear or biopsy. Have colposcopic visualization of entire squamocolumnar junction and of the entire lesion (i.e. cannot extend into canal). Not have concomitant cancer, history of malignancies, including carcinoma of the cervix, except for non-melanoma skin cancer. Be willing to sign an Institutional Review Board (IRB) approved informed consent. Minors must have the consent of a parent or legal guardian as required by local laws and regulations. Agree to use 2 acceptable forms of contraception (e.g., double-method including at least one barrier and one hormonal method). Be capable of complying with the protocol. Not have other illnesses that would put the patient at undue risk for participation in the trial or would interfere with the required clinical observations. Not have abnormalities of hematological, renal, or hepatic function as determined by clinical laboratory testing. Not have immunologic disorder such as immunodeficiency, lupus, or other chronic auto-immune disease. Not have an active systemic infection requiring treatment. Not have ongoing systemic chronic steroid therapy or immunosuppressive medication (inhalers used for treating asthma and topical steroids are permitted). Not be positive for HIV antibody. Not be pregnant or lactating. Not plan to use a cervical cap or diaphragm during the study. Not have been treated with any investigational agent within 30 days prior to randomization in this trial. Not have had prior gene therapy. Not have had an excisional or ablative procedure performed on the cervix within one year of enrollment. Be willing to consent to an excisional procedure, such as LEEP or cold-knife cone procedure, if indicated. Please note: There may be additional inclusion/exclusion criteria. The study center will determine if patients meet all of the criteria. If patients do not qualify for the trial, study personnel will explain the reasons. If patients do qualify, study personnel will explain the trial in detail using an IRB-approved informed consent, and answer any questions. Patients can then decide if they wish to participate.

Sites / Locations

  • University of Alabama
  • Arizona Wellness Center for Women/Precision Trials, LLC
  • University of Arizona
  • Arrowhead Regional Medical Center
  • The Center for Advanced Research and Education, Inc.
  • Medical Center for Clinical Research
  • Physicians Research Options, LC
  • Visions Clinical Research
  • University of Florida, Miami
  • Physician Care Clinical Research
  • Insignia Clinical Research
  • Comprehensive Clinical Trials LLC
  • Medical College of Georgia, Department of Family Medicine
  • Rosemark Women's Care Specialists
  • University of Minnesota
  • Centennial Hills OB-GYN Associaties
  • Southwest Clinical Research
  • Lyndhurst Gynecologic Associates
  • The University of Oklahoma Health Sciences Center, Center for Research in Women's Health
  • Temple Center for Women's Health
  • Sarah Cannon Research
  • Michael Altenbern, MD
  • UT Southwestern Medical Center at Dallas
  • Physicians' Research Options
  • Physicians' Research Options, LLC
  • Tidewater Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

1

2

3

Arm Description

Outcomes

Primary Outcome Measures

Cervical intraepithelial neoplasia (CIN) 2/3 resolution, defined as the histological evaluation of cervical tissue (presence or absence of CIN 2/3 as determined by pathology consensus diagnosis) at the End of Observation (EOO) period.

Secondary Outcome Measures

Histology based on biopsy to determine the proportion of pts. w/resolution of CIN2/3. This is the same as primary efficacy variable in determination of presence or absence of CIN2/3, but excludes pts. with excisional procedure or cytology information.
Histological resolution to normal to examine the proportion of patients with a histology result of "normal" versus "abnormal."
Clearing or persistence of lesions based on colposcopic findings to examine the proportion of patients with "no lesion" versus "at least one lesion."
Pap smear cytology.
Clearing or persistence of original human papillomavirus (HPV) subtype as determined by HPV typing to present the number and percent of patients with absence of all HPV.

Full Information

First Posted
December 12, 2005
Last Updated
May 21, 2013
Sponsor
Eisai Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00264732
Brief Title
A Study of Amolimogene (ZYC101a) in Patients With High Grade Cervical Intraepithelial Lesions of the Uterine Cervix
Official Title
A Multi-Center, Double-Blind, Randomized, Placebo-Controlled Study of Amolimogene (ZYC101a) in the Treatment of High-Grade Cervical Intraepithelial Lesions (CIN 2/3) of the Uterine Cervix
Study Type
Interventional

2. Study Status

Record Verification Date
May 2012
Overall Recruitment Status
Completed
Study Start Date
July 2005 (undefined)
Primary Completion Date
May 2009 (Actual)
Study Completion Date
May 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eisai Inc.

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy and safety of amolimogene, in the treatment of patients with high-grade cervical intraepithelial lesions of the uterine cervix.
Detailed Description
This is a double-blind study, so neither the patient not the doctor will know which treatment has been assigned.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Uterine Cervical Dysplasia
Keywords
cervical lesions, cervical dysplasia, Human papilloma virus, abnormal Pap, High-grade cervical intraepithelial lesions (CIN 2/3)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
251 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Title
2
Arm Type
Experimental
Arm Title
3
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Amolimogene
Other Intervention Name(s)
ZYC101a
Intervention Description
1-dose amolimogene Group: Two intramuscular (IM) injections (100 micrograms ZYC101a per injection), one in each quadriceps, at Treatment Initiation. Single IM placebo injections (approximately 1 mL 0.9% sterile saline) at Weeks 3 and 6 in alternating quadriceps.
Intervention Type
Drug
Intervention Name(s)
Amolimogene
Other Intervention Name(s)
ZYC101a
Intervention Description
3-dose amolimogene Group: Two IM injections (100 micrograms ZYC101a per injection), one in each quadriceps, at Treatment Initiation. Single IM injections of 100 micrograms ZYC101a at Weeks 3 and 6 in alternating quadriceps.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo Group: Two IM placebo injections at Treatment Initiation (1 injection in each quadriceps). Single placebo injections at Weeks 3 and 6 in alternating quadriceps. Each placebo injection consists of approximately 1 mL 0.9% sterile saline.
Primary Outcome Measure Information:
Title
Cervical intraepithelial neoplasia (CIN) 2/3 resolution, defined as the histological evaluation of cervical tissue (presence or absence of CIN 2/3 as determined by pathology consensus diagnosis) at the End of Observation (EOO) period.
Time Frame
24 weeks after enrollment.
Secondary Outcome Measure Information:
Title
Histology based on biopsy to determine the proportion of pts. w/resolution of CIN2/3. This is the same as primary efficacy variable in determination of presence or absence of CIN2/3, but excludes pts. with excisional procedure or cytology information.
Time Frame
24 weeks after enrollment.
Title
Histological resolution to normal to examine the proportion of patients with a histology result of "normal" versus "abnormal."
Time Frame
24 weeks after enrollment.
Title
Clearing or persistence of lesions based on colposcopic findings to examine the proportion of patients with "no lesion" versus "at least one lesion."
Time Frame
24 weeks after enrollment.
Title
Pap smear cytology.
Time Frame
24 weeks after enrollment.
Title
Clearing or persistence of original human papillomavirus (HPV) subtype as determined by HPV typing to present the number and percent of patients with absence of all HPV.
Time Frame
24 weeks after enrollment.

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
13 Years
Maximum Age & Unit of Time
25 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: To be considered for enrollment, patients must: Have an abnormal Pap smear (atypical squamous cells of undetermined significance [ASCUS], atypical squamous cells, cannot exclude high grade [ASC-H], low grade squamous intraepithelial lesion [LSIL], high grade squamous intraepithelial lesion [HSIL]) result within 6 months of screening visit. Have a colposcopically visible lesion suspected to be high-grade that does not involve more than 75% of the cervix. Have a CIN 2/3 consensus pathology diagnosis on tissue taken from a colposcopically-directed punch biopsy. Not have evidence of cervical carcinoma on Pap smear or biopsy and not have a positive endocervical curettage. Not have atypical endometrial cells or glandular-cell atypia on Pap smear or biopsy. Have colposcopic visualization of entire squamocolumnar junction and of the entire lesion (i.e. cannot extend into canal). Not have concomitant cancer, history of malignancies, including carcinoma of the cervix, except for non-melanoma skin cancer. Be willing to sign an Institutional Review Board (IRB) approved informed consent. Minors must have the consent of a parent or legal guardian as required by local laws and regulations. Agree to use 2 acceptable forms of contraception (e.g., double-method including at least one barrier and one hormonal method). Be capable of complying with the protocol. Not have other illnesses that would put the patient at undue risk for participation in the trial or would interfere with the required clinical observations. Not have abnormalities of hematological, renal, or hepatic function as determined by clinical laboratory testing. Not have immunologic disorder such as immunodeficiency, lupus, or other chronic auto-immune disease. Not have an active systemic infection requiring treatment. Not have ongoing systemic chronic steroid therapy or immunosuppressive medication (inhalers used for treating asthma and topical steroids are permitted). Not be positive for HIV antibody. Not be pregnant or lactating. Not plan to use a cervical cap or diaphragm during the study. Not have been treated with any investigational agent within 30 days prior to randomization in this trial. Not have had prior gene therapy. Not have had an excisional or ablative procedure performed on the cervix within one year of enrollment. Be willing to consent to an excisional procedure, such as LEEP or cold-knife cone procedure, if indicated. Please note: There may be additional inclusion/exclusion criteria. The study center will determine if patients meet all of the criteria. If patients do not qualify for the trial, study personnel will explain the reasons. If patients do qualify, study personnel will explain the trial in detail using an IRB-approved informed consent, and answer any questions. Patients can then decide if they wish to participate.
Facility Information:
Facility Name
University of Alabama
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35205
Country
United States
Facility Name
Arizona Wellness Center for Women/Precision Trials, LLC
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85032
Country
United States
Facility Name
University of Arizona
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85724
Country
United States
Facility Name
Arrowhead Regional Medical Center
City
Colton
State/Province
California
ZIP/Postal Code
92324
Country
United States
Facility Name
The Center for Advanced Research and Education, Inc.
City
Palm Springs
State/Province
California
ZIP/Postal Code
92262
Country
United States
Facility Name
Medical Center for Clinical Research
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
Physicians Research Options, LC
City
Lakewood
State/Province
Colorado
ZIP/Postal Code
80228
Country
United States
Facility Name
Visions Clinical Research
City
Boynton Beach
State/Province
Florida
ZIP/Postal Code
33472
Country
United States
Facility Name
University of Florida, Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Physician Care Clinical Research
City
Sarasota
State/Province
Florida
ZIP/Postal Code
34239
Country
United States
Facility Name
Insignia Clinical Research
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Comprehensive Clinical Trials LLC
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33409
Country
United States
Facility Name
Medical College of Georgia, Department of Family Medicine
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30912
Country
United States
Facility Name
Rosemark Women's Care Specialists
City
Idaho Falls
State/Province
Idaho
ZIP/Postal Code
83404
Country
United States
Facility Name
University of Minnesota
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455
Country
United States
Facility Name
Centennial Hills OB-GYN Associaties
City
North Las Vegas
State/Province
Nevada
ZIP/Postal Code
89030
Country
United States
Facility Name
Southwest Clinical Research
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87102
Country
United States
Facility Name
Lyndhurst Gynecologic Associates
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
The University of Oklahoma Health Sciences Center, Center for Research in Women's Health
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
Temple Center for Women's Health
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19140
Country
United States
Facility Name
Sarah Cannon Research
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38120
Country
United States
Facility Name
Michael Altenbern, MD
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
33437
Country
United States
Facility Name
UT Southwestern Medical Center at Dallas
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Facility Name
Physicians' Research Options
City
Pleasant Grove
State/Province
Utah
ZIP/Postal Code
84062
Country
United States
Facility Name
Physicians' Research Options, LLC
City
Sandy
State/Province
Utah
ZIP/Postal Code
84070
Country
United States
Facility Name
Tidewater Clinical Research
City
Virginia Beach
State/Province
Virginia
ZIP/Postal Code
23456
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
15073670
Citation
Crum CP, Beach KJ, Hedley ML, Yuan L, Lee KR, Wright TC, Urban RG. Dynamics of human papillomavirus infection between biopsy and excision of cervical intraepithelial neoplasia: results from the ZYC101a protocol. J Infect Dis. 2004 Apr 15;189(8):1348-54. doi: 10.1086/382956. Epub 2004 Mar 30.
Results Reference
background
PubMed Identifier
14754702
Citation
Garcia F, Petry KU, Muderspach L, Gold MA, Braly P, Crum CP, Magill M, Silverman M, Urban RG, Hedley ML, Beach KJ. ZYC101a for treatment of high-grade cervical intraepithelial neoplasia: a randomized controlled trial. Obstet Gynecol. 2004 Feb;103(2):317-26. doi: 10.1097/01.AOG.0000110246.93627.17.
Results Reference
background

Learn more about this trial

A Study of Amolimogene (ZYC101a) in Patients With High Grade Cervical Intraepithelial Lesions of the Uterine Cervix

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