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Safety Study of Photodynamic Therapy Using Photocyanine Injection in Treating Patients With Malignant Tumors

Primary Purpose

Skin Cancer, Esophageal Cancer

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Photodynamic therapy
Sponsored by
Fujian Longhua Pharmaceutical Co. Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Skin Cancer focused on measuring skin cancer, esophageal cancer, photodynamic therapy

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Aged 18 to 70 years old (patient over 60 years old must not have three kinds of complications of heart, lung, liver and kidney function at the same time), no gender limited;
  2. Advanced malignant solid tumors confirmed by histology or cytology ( skin cancer and esophageal cancer), malignant tumor can be illuminated directly (or via endoscopy) by the laser fiber;
  3. Recurrence after surgery, radiotherapy,chemoradiotherapy; or have financial difficulties, give up any other treatment;
  4. Patients received chemotherapy, biological therapy or other research drugs must exceed at least 4 weeks or more than five half-life;
  5. Life expectancy: > 3 months;
  6. Can collaboratively observe the adverse events and efficacy;
  7. No other anti-tumor treatment (including steroids);
  8. Patients or their legal representative can sign the informed consent;
  9. Performance status: ECOG ≤ 2,

Exclusion Criteria:

  1. No pathological evidence;
  2. Have allergic effect to this drug;
  3. HIV antibody positive, or suffering from other acquired and congenital immune deficiency diseases, or have organ transplant history;
  4. Neutrophil count < 1.5 × 109 / L, platelet < 100 × 109 / L, or hemoglobin < 90 g /L;
  5. Serum Cr above 1.5 times of normal reference range or Cr clearance rate < 50 ml/min;
  6. ALT, or AST > 2.5 times of the normal range when no hepatic metastasis occur; or ALT, or AST > 5 times of the normal range when hepatic metastasis exist;
  7. Serum bilirubin > 1.5 times of the normal range;
  8. Fever above 38 ℃, or have active infection which can affect the clinical trials obviously;
  9. Hypertension failed to be controlled (systolic blood pressure > 160 mmHg or diastolic pressure > 100 mmHg);
  10. Obvious cardiovascular disorders (eg, myocardial infarction, superior vena cava syndrome, more than two grades heart disease, or heart disease which can increase the risk of ventricular arrhythm);
  11. Not recover from any anticancer therapy or surgery;
  12. Any clinical problems beyond control (such as severe mental, neurological, cardiovascular, respiratory system diseases, etc.);
  13. Evidence of central nerve system metastasis;
  14. Have some gastrointestinal disease which can affect the distribution, metabolism or removal of this drug;
  15. Pregnant or breast-feeding women;
  16. Poor compliance.

Sites / Locations

  • Department of Endoscopy and Laser,Sun Yat-Sen University,Cancer CenterRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Photocyanine injection

Arm Description

Patients receive intravenous injection of Photocyanine injection from dosage of 0.1 mg/kg,0.2 mg/kg,0.33 mg/kg,0.5 mg/kg to 0.6 6mg/kg till the dose-limiting effect occur.

Outcomes

Primary Outcome Measures

Maximum tolerated dose

Secondary Outcome Measures

Treatment efficacy as measured by computed tomography (CT) or magnetic resonance imaging (MRI) and endoscopy exam 3 weeks after the start of study treatment according to the Response Evaluation Criteria In Solid Tumors (RECIST) standard

Full Information

First Posted
January 4, 2010
Last Updated
January 5, 2010
Sponsor
Fujian Longhua Pharmaceutical Co. Ltd
Collaborators
Fuzhou University, Sun Yat-sen University
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1. Study Identification

Unique Protocol Identification Number
NCT01043016
Brief Title
Safety Study of Photodynamic Therapy Using Photocyanine Injection in Treating Patients With Malignant Tumors
Official Title
Safety Study of Photodynamic Therapy Using Photocyanine Injection in Treating Patients With Malignant Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
January 2010
Overall Recruitment Status
Unknown status
Study Start Date
March 2009 (undefined)
Primary Completion Date
March 2010 (Anticipated)
Study Completion Date
April 2010 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Fujian Longhua Pharmaceutical Co. Ltd
Collaborators
Fuzhou University, Sun Yat-sen University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine the safety and maximum tolerated dose of Photocyanine injection in photodynamic therapy of malignant tumor (especially skin cancer and esophageal cancer). Projected accrual: A total of 18-24 patients will be accrued for this study.
Detailed Description
Photocyanine injection is a type of cyanine compound, which was invented in Fuzhou university by Professor Chen; it's maximum absorption wave is 670 nm. Patients receive intravenous injection of Photocyanine injection, and 24 hours later, patients undergo photodynamic therapy. Cohorts of 3-6 patients receive escalating doses of Photocyanine Injection and photodynamic therapy until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 1 of 3 patients experiences dose-limiting toxicity. Three additional patients are treated at the MTD. After completion of study therapy, patients are followed for up to 2 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Skin Cancer, Esophageal Cancer
Keywords
skin cancer, esophageal cancer, photodynamic therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
18 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Photocyanine injection
Arm Type
Experimental
Arm Description
Patients receive intravenous injection of Photocyanine injection from dosage of 0.1 mg/kg,0.2 mg/kg,0.33 mg/kg,0.5 mg/kg to 0.6 6mg/kg till the dose-limiting effect occur.
Intervention Type
Procedure
Intervention Name(s)
Photodynamic therapy
Intervention Description
patient undergo Photocyanine Injection via venous infusion followed by photodynamic therapy with 670nm diobe laser 24 hours later
Primary Outcome Measure Information:
Title
Maximum tolerated dose
Time Frame
one month
Secondary Outcome Measure Information:
Title
Treatment efficacy as measured by computed tomography (CT) or magnetic resonance imaging (MRI) and endoscopy exam 3 weeks after the start of study treatment according to the Response Evaluation Criteria In Solid Tumors (RECIST) standard
Time Frame
six weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Aged 18 to 70 years old (patient over 60 years old must not have three kinds of complications of heart, lung, liver and kidney function at the same time), no gender limited; Advanced malignant solid tumors confirmed by histology or cytology ( skin cancer and esophageal cancer), malignant tumor can be illuminated directly (or via endoscopy) by the laser fiber; Recurrence after surgery, radiotherapy,chemoradiotherapy; or have financial difficulties, give up any other treatment; Patients received chemotherapy, biological therapy or other research drugs must exceed at least 4 weeks or more than five half-life; Life expectancy: > 3 months; Can collaboratively observe the adverse events and efficacy; No other anti-tumor treatment (including steroids); Patients or their legal representative can sign the informed consent; Performance status: ECOG ≤ 2, Exclusion Criteria: No pathological evidence; Have allergic effect to this drug; HIV antibody positive, or suffering from other acquired and congenital immune deficiency diseases, or have organ transplant history; Neutrophil count < 1.5 × 109 / L, platelet < 100 × 109 / L, or hemoglobin < 90 g /L; Serum Cr above 1.5 times of normal reference range or Cr clearance rate < 50 ml/min; ALT, or AST > 2.5 times of the normal range when no hepatic metastasis occur; or ALT, or AST > 5 times of the normal range when hepatic metastasis exist; Serum bilirubin > 1.5 times of the normal range; Fever above 38 ℃, or have active infection which can affect the clinical trials obviously; Hypertension failed to be controlled (systolic blood pressure > 160 mmHg or diastolic pressure > 100 mmHg); Obvious cardiovascular disorders (eg, myocardial infarction, superior vena cava syndrome, more than two grades heart disease, or heart disease which can increase the risk of ventricular arrhythm); Not recover from any anticancer therapy or surgery; Any clinical problems beyond control (such as severe mental, neurological, cardiovascular, respiratory system diseases, etc.); Evidence of central nerve system metastasis; Have some gastrointestinal disease which can affect the distribution, metabolism or removal of this drug; Pregnant or breast-feeding women; Poor compliance.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
guo l xu
Organizational Affiliation
Sun Yat-sen University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Endoscopy and Laser,Sun Yat-Sen University,Cancer Center
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510060
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hui Lin
Phone
0591-28059198
Email
linhui99@sohu.com
First Name & Middle Initial & Last Name & Degree
guo l xu

12. IPD Sharing Statement

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Safety Study of Photodynamic Therapy Using Photocyanine Injection in Treating Patients With Malignant Tumors

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