Photodynamic Therapy With LUZ11 in Advanced Head and Neck Cancer
Primary Purpose
Head and Neck Cancer
Status
Unknown status
Phase
Phase 1
Locations
Portugal
Study Type
Interventional
Intervention
LUZ11
Sponsored by
About this trial
This is an interventional treatment trial for Head and Neck Cancer focused on measuring LUZ11, head and neck cancer, photodynamic therapy, Redaporfin
Eligibility Criteria
Inclusion Criteria:
- Written informed consent
- Men or non-pregnant, non-breast feeding women
- Karnofsky performance status of 60% or greater
- Histologically confirmed recurrent/refractory squamous cell carcinoma of the head and neck
- Clearly visible tumor on the oral cavity or cutaneous surface
Exclusion Criteria:
- Known hypersensitivity to any of the formulation ingredients
- Known hypersensitivity to porphyrins
- Porphyria or other diseases exacerbated by light
- Tumors known to be eroding into a major blood vessel in or adjacent to the irradiation site
- Planned skin phototherapy session(s) within the study timeframe
- Planned surgical procedure within the study timeframe
- Coexisting ophthalmic disease likely to require slit-lamp examination within the study timeframe
- Existing therapy with a photosensitizing agent
- Unstable angina and/or congestive heart failure requiring hospitalization within 6 months prior to screening
- Myocardial infarction within 6 months prior to screening
- Contraindication to MRI with gadolinium
- Unacceptable laboratory abnormalities
- Clinically relevant 12-lead ECG abnormalities
Sites / Locations
- Hospital CUF PortoRecruiting
- Instituto Português de Oncologia do Porto Francisco Gentil, EPE (IPO-Porto)Recruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
LUZ11 PDT
Arm Description
Study consists of two phases, in each participant: Dose-finding phase with sequential periods in which single-ascending doses of LUZ11 will be titrated up to a dose that shows to be effective following photoirradiation of small spots of tumor surface. Final PDT session with the previously identified individual effective dose.
Outcomes
Primary Outcome Measures
Number of Participants With Adverse Events as a Measure of Safety and Tolerability
Secondary Outcome Measures
Depth of Tumor Necrosis Assessed by Diffusion-Weighted Magnetic Resonance Imaging (MRI) with Gadolinium as a Measure of Anti-Tumor Efficacy
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02070432
Brief Title
Photodynamic Therapy With LUZ11 in Advanced Head and Neck Cancer
Official Title
An Open-label Study to Investigate the Tolerability, Pharmacokinetics and Anti-tumour Effect Following Photodynamic Therapy (PDT) With Single-ascending Doses of LUZ11 in Patients With Advanced Head and Neck Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
March 2016
Overall Recruitment Status
Unknown status
Study Start Date
February 2014 (undefined)
Primary Completion Date
July 2016 (Anticipated)
Study Completion Date
July 2016 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Luzitin SA
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study will investigate the tolerability, recommended dose and pharmacokinetics of LUZ11 following photodynamic therapy (PDT) of patients with advanced head and neck cancer.
Detailed Description
LUZ11 is a new photosensitizer for use in photodynamic therapy (PDT) of solid tumors, such as head and neck cancer. PDT with LUZ11 involves the intravenous administration of LUZ11 followed by irradiation of the target tumor with laser light of an appropriate wavelength. The light causes the drug to react with oxygen, which forms reactive oxygen species (ROS) locally and induces tumor cells death and damages the blood vessels of the tumor thus preventing it from receiving nutrients.
The primary objective of this study is to assess the tolerability of LUZ11 following single ascending doses of LUZ11. The secondary objectives of this study are to explore the LUZ11 dose that has anti-tumor effect following photoactivation and to determine LUZ11 pharmacokinetics.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Head and Neck Cancer
Keywords
LUZ11, head and neck cancer, photodynamic therapy, Redaporfin
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
LUZ11 PDT
Arm Type
Experimental
Arm Description
Study consists of two phases, in each participant:
Dose-finding phase with sequential periods in which single-ascending doses of LUZ11 will be titrated up to a dose that shows to be effective following photoirradiation of small spots of tumor surface.
Final PDT session with the previously identified individual effective dose.
Intervention Type
Drug
Intervention Name(s)
LUZ11
Intervention Description
LUZ11 i.v. administration followed by laser light irradiation
Primary Outcome Measure Information:
Title
Number of Participants With Adverse Events as a Measure of Safety and Tolerability
Time Frame
Up to 21 days following each dose-finding PDT session, and up to 13 weeks following final PDT session
Secondary Outcome Measure Information:
Title
Depth of Tumor Necrosis Assessed by Diffusion-Weighted Magnetic Resonance Imaging (MRI) with Gadolinium as a Measure of Anti-Tumor Efficacy
Time Frame
Up to 21 days after each dose-finding PDT session, and up to 13 weeks after final PDT session
Other Pre-specified Outcome Measures:
Title
LUZ11 Maximum Plasma Concentration (Cmax), Area Under the Concentration-Time Curve (AUC), Elimination Half-Life (T½), Volume of Distribution (Vd) and Clearance (CL)
Time Frame
Prior to dose, immediately after dose, and at 0.08, 0.5, 0.75, 1, 3, 6, 12, 24, 48 and 72 hours post-dose
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Written informed consent
Men or non-pregnant, non-breast feeding women
Karnofsky performance status of 60% or greater
Histologically confirmed recurrent/refractory squamous cell carcinoma of the head and neck
Clearly visible tumor on the oral cavity or cutaneous surface
Exclusion Criteria:
Known hypersensitivity to any of the formulation ingredients
Known hypersensitivity to porphyrins
Porphyria or other diseases exacerbated by light
Tumors known to be eroding into a major blood vessel in or adjacent to the irradiation site
Planned skin phototherapy session(s) within the study timeframe
Planned surgical procedure within the study timeframe
Coexisting ophthalmic disease likely to require slit-lamp examination within the study timeframe
Existing therapy with a photosensitizing agent
Unstable angina and/or congestive heart failure requiring hospitalization within 6 months prior to screening
Myocardial infarction within 6 months prior to screening
Contraindication to MRI with gadolinium
Unacceptable laboratory abnormalities
Clinically relevant 12-lead ECG abnormalities
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Luis Almeida, MD, PhD
Organizational Affiliation
Luzitin SA
Official's Role
Study Director
Facility Information:
Facility Name
Hospital CUF Porto
City
Porto
ZIP/Postal Code
4100-180
Country
Portugal
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lucio Lara-Santos, MD, PhD
Email
llarasantos@gmail.com
First Name & Middle Initial & Last Name & Degree
Lucio Lara Santos, MD, PhD
Facility Name
Instituto Português de Oncologia do Porto Francisco Gentil, EPE (IPO-Porto)
City
Porto
ZIP/Postal Code
4200-072
Country
Portugal
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lucio Lara-Santos, MD, PhD
Phone
+351225084000
Email
llarasantos@gmail.com
12. IPD Sharing Statement
Learn more about this trial
Photodynamic Therapy With LUZ11 in Advanced Head and Neck Cancer
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