Safety Study of Attenuated Vaccinia Virus (GL-ONC1)With Combination Therapy in Head & Neck Cancer
Primary Purpose
Cancer of Head and Neck
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
GL-ONC1
Sponsored by
About this trial
This is an interventional treatment trial for Cancer of Head and Neck focused on measuring Genelux, Genelux Corporation, GL-ONC1, Vaccinia, Vaccinia Virus, Oncolytic virus, Oncolytic Virotherapy, Head and Neck Cancer, Squamous Cell Carcinoma
Eligibility Criteria
Inclusion Criteria:
- Confirmed diagnosis of histologically or cytologically documented Stage III to IVB primary, non-metastatic head and neck cancer for newly diagnosed patients with no prior disease-related treatment (e.g., chemotherapy, radiation treatment, surgery, etc.).
- American Joint Committee on Cancer (AJCC) Stage III-IVB disease (2010 manual, 7th edition), based on standard diagnostic workup.
- 18 years or older.
- ECOG performance status of ≤ 2.
Laboratory data obtained within 14 days prior to Treatment Day 1, with adequate hepatic and renal function defined as follows:
- Absolute neutrophil count (ANC) ≥ 1,800 cells/mm3;
- Platelets ≥ 100,000 cells/mm3;
- Hemoglobin ≥ 8.0 g/dL;
- Bilirubin ≤ 1.5 mg/dL;
- AST or ALT ≤ 2× upper limit of normal (ULN);
- Serum creatinine ≤ 1.5 mg/dL;
- Creatinine clearance (CC) ≥ 50 mL/min.
- Pulse oximetry reading of 92% or higher at rest on room air.
- Signed informed consent
- Women of childbearing potential must have a negative serum pregnancy test and agree to practice effective birth control during treatment phase and up to 60 days after the last virus application.
- Male patients must agree to practice effective birth control during the study and for 60 days following administration of last treatment of virus.
Exclusion Criteria:
- Clinical, radiographic, or pathologic evidence of distant metastatic disease.
- Patients with fever, active immunosuppressive systemic infection or a suppressed immune system, including AIDS or HIV positivity and known hepatitis infections (HCV or HBC. Eligible patients must have an HIV test conducted within 4 weeks prior to study enrollment with a negative test result.
- Any form of prior anti-cancer treatment.
- Disease-related surgery, excluding biopsy.
- Patients with CNS (Central Nervous System) tumors.
- Any other open wounds.
- Concurrent small pox vaccination for 4 weeks before study therapy and during study treatment.
- Patients on immunosuppressive therapy or with immune system disorders, including autoimmune diseases.
- Prior splenectomy.
- Previous organ transplantation.
- Patients with clinically significant dermatological disorders, as judged by the clinical investigator (e.g., eczema or psoriasis), any skin lesions or ulcers, any history of atopic dermatitis, or any history of Darier's disease (Keratosis Follicularis).
- Clinically significant cardiac disease (New York Heart Association: Class III or IV).
- Dementia or altered mental status that would prohibit informed consent.
- Known allergy to ovalbumin or egg products.
- Prior gene therapy treatments or prior therapy with cytolytic virus of any type.
Sites / Locations
- Moores UC San Diego Cancer Center
Outcomes
Primary Outcome Measures
Safety and Tolerability as measured by the number of patients with Adverse Events, as well as type of AE and frequency
Evaluation of changes in laboratory tests (hematological, chemistry), immunogenicity and physical examination
Secondary Outcome Measures
Presence of Virus in Tumor
Analysis of tumor tissue (obtained through surgical or core biopsy if accessible from consenting patients) following viral treatment.
Determine Initial Susceptibility of tumor to viral infection
Evaluate susceptibility of initial biopsied tumor to viral infection in cell cultures (for patients consenting to biopsy and where tumor is accessible).
Anti-Tumor Activity (Early Efficacy)
Assessing changes in tumor measurement through physical examination, CT or CT/PET scan
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01584284
Brief Title
Safety Study of Attenuated Vaccinia Virus (GL-ONC1)With Combination Therapy in Head & Neck Cancer
Official Title
Phase I Trial Of Attenuated Vaccinia Virus (GL-ONC1) Delivered Intravenously With Concurrent Cisplatin and Radiotherapy in Patients With Locoregionally Advanced Head and Neck Carcinoma
Study Type
Interventional
2. Study Status
Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
April 2012 (undefined)
Primary Completion Date
June 2015 (Actual)
Study Completion Date
July 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genelux Corporation
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to determine the safety and tolerability of GL-ONC1 administered intravenously in combination with radiation therapy and cisplatin (CDDP)in patients with locoregionally advanced head and neck cancer.
Detailed Description
GL-ONC1, an oncolytic vaccinia virus, has shown the ability to preferentially locate, colonize and destroy tumor cells in more than 40 different human tumors. A First-in-Man, Phase I clinical study focusing on the safety and tolerability of GL-ONC1 intravenously administered to patients with a variety of advanced solid tumor entities has shown that GL-ONC1 is well-tolerated at therapeutic dose levels, with documented evidence of antitumor activity. Preclinical studies have further shown synergistic effects with the use of chemotherapy (Cisplatin) and viral therapy with GL-ONC, as well as favorable results when cancer cells are irradiated and then treated with GL-ONC1 in animal models. This Phase I study seeks to evaluate the safety, tolerability and early signs of efficacy of GL-ONC1 administered intravenously in combination with standard of care (SOC) radiation therapy (RT) and cisplatin (CDDP)in patients with locoregionally advanced head and neck cancer. Patients will be individually assessed for safety and dose limiting toxicity. Viral colonization in tumors, replication and anti-tumoral activity will also be evaluated.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cancer of Head and Neck
Keywords
Genelux, Genelux Corporation, GL-ONC1, Vaccinia, Vaccinia Virus, Oncolytic virus, Oncolytic Virotherapy, Head and Neck Cancer, Squamous Cell Carcinoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
19 (Actual)
8. Arms, Groups, and Interventions
Intervention Type
Biological
Intervention Name(s)
GL-ONC1
Intervention Description
A genetically-engineered vaccinia virus administered via intravenous infusion . Cohorts 1, 2, 3: Frequency: 1x in Week 1; Cohort 4: 1x again 1x in Week 2; Cohort 5: 1x Week 1, 1x Week 2, 1x Week 3, 1x Week 4.
Primary Outcome Measure Information:
Title
Safety and Tolerability as measured by the number of patients with Adverse Events, as well as type of AE and frequency
Description
Evaluation of changes in laboratory tests (hematological, chemistry), immunogenicity and physical examination
Time Frame
Baseline up to week 23 Post-treatment
Secondary Outcome Measure Information:
Title
Presence of Virus in Tumor
Description
Analysis of tumor tissue (obtained through surgical or core biopsy if accessible from consenting patients) following viral treatment.
Time Frame
At baseline (Within 4 weeks of Treatment Day 1); 9-13 days post viral injection
Title
Determine Initial Susceptibility of tumor to viral infection
Description
Evaluate susceptibility of initial biopsied tumor to viral infection in cell cultures (for patients consenting to biopsy and where tumor is accessible).
Time Frame
At baseline (Within 4 weeks of Treatment Day 1)
Title
Anti-Tumor Activity (Early Efficacy)
Description
Assessing changes in tumor measurement through physical examination, CT or CT/PET scan
Time Frame
Change from baseline up to week 23 Post-treatment (week 23)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Confirmed diagnosis of histologically or cytologically documented Stage III to IVB primary, non-metastatic head and neck cancer for newly diagnosed patients with no prior disease-related treatment (e.g., chemotherapy, radiation treatment, surgery, etc.).
American Joint Committee on Cancer (AJCC) Stage III-IVB disease (2010 manual, 7th edition), based on standard diagnostic workup.
18 years or older.
ECOG performance status of ≤ 2.
Laboratory data obtained within 14 days prior to Treatment Day 1, with adequate hepatic and renal function defined as follows:
Absolute neutrophil count (ANC) ≥ 1,800 cells/mm3;
Platelets ≥ 100,000 cells/mm3;
Hemoglobin ≥ 8.0 g/dL;
Bilirubin ≤ 1.5 mg/dL;
AST or ALT ≤ 2× upper limit of normal (ULN);
Serum creatinine ≤ 1.5 mg/dL;
Creatinine clearance (CC) ≥ 50 mL/min.
Pulse oximetry reading of 92% or higher at rest on room air.
Signed informed consent
Women of childbearing potential must have a negative serum pregnancy test and agree to practice effective birth control during treatment phase and up to 60 days after the last virus application.
Male patients must agree to practice effective birth control during the study and for 60 days following administration of last treatment of virus.
Exclusion Criteria:
Clinical, radiographic, or pathologic evidence of distant metastatic disease.
Patients with fever, active immunosuppressive systemic infection or a suppressed immune system, including AIDS or HIV positivity and known hepatitis infections (HCV or HBC. Eligible patients must have an HIV test conducted within 4 weeks prior to study enrollment with a negative test result.
Any form of prior anti-cancer treatment.
Disease-related surgery, excluding biopsy.
Patients with CNS (Central Nervous System) tumors.
Any other open wounds.
Concurrent small pox vaccination for 4 weeks before study therapy and during study treatment.
Patients on immunosuppressive therapy or with immune system disorders, including autoimmune diseases.
Prior splenectomy.
Previous organ transplantation.
Patients with clinically significant dermatological disorders, as judged by the clinical investigator (e.g., eczema or psoriasis), any skin lesions or ulcers, any history of atopic dermatitis, or any history of Darier's disease (Keratosis Follicularis).
Clinically significant cardiac disease (New York Heart Association: Class III or IV).
Dementia or altered mental status that would prohibit informed consent.
Known allergy to ovalbumin or egg products.
Prior gene therapy treatments or prior therapy with cytolytic virus of any type.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Loren K Mell, MD
Organizational Affiliation
Moores UC San Diego Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Moores UC San Diego Cancer Center
City
La Jolla
State/Province
California
ZIP/Postal Code
92037
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Safety Study of Attenuated Vaccinia Virus (GL-ONC1)With Combination Therapy in Head & Neck Cancer
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