p53 Gene Therapy for Head and Neck Malignant Tumors in Advanced Stage
Recruitment status was Recruiting
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Purpose
This is multicenter, open-label, randomized, active-controled, phase IV study of local direct intra-tumor injection of rAd-p53 monotherapy, with concurrent chemotherapy , with concurrent radiotherapy, or combination with surgery for treatment of head and neck malignant tumors in advanced stage .
| Condition | Intervention | Phase |
|---|---|---|
|
Neoplasms |
Drug: chemotherapy plus p53 Drug: chemotherapy Radiation: radiotherapy |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Open-Label, Multi-Center, Randomized, Active-Controlled, Phase 4 Study of rAd-p53 Gene Therapy Combined With Chemotherapy and Radiotherapy in Treament of Head and Neck Cancer in Advanced Stage |
- Efficacy [ Time Frame: 3 years ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 1200 |
| Study Start Date: | May 2009 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: chemo plus p53
chemotherapy plus p53
|
Drug: chemotherapy plus p53
chemotherapy plus p53
|
|
Active Comparator: chemo only
chemotherapy group
|
Drug: chemotherapy
chemotherapy
|
|
Active Comparator: radio
radiotherapy
|
Radiation: radiotherapy
radiotherapy
|
Detailed Description:
Primary objectives of this study is to determine the efficacy profiles of rAd-p53 intra-tumor injection alone, with concurrent chemotherapy, with concurrent radiotherapy, or combination with surgery for treatment of head and neck malignant tumors in advanced stage (stage III or IV) including target lesion complete response rate (LCR) and overall target lesion response rate (OLR), response duration (RD), and progress-free survival (PFS).
The secondary objectives of this study is to investigate overall response rate (OPCR) and overall complete response rate (OCR), overall survival (OS), ECOG, and safety of rAd-p53 monotherapy and combined with chemotherapy, radiotherapy or surgery.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Advanced stages of head and neck malignant tumors (stage III and VI)
- At least one target tumor can be injected with study drug, the largest diameter greater than 2 cm
- Histologically confirmed head and neck malignant tumors
- No prior chemotherapy, radiotherapy or biological tumor therapy in 2 weeks
- Age: 18-85 years old
- Expected to survive more 12 weeks
- ECOG:0-2
- Neutrophils≥1.5×109/L,Platelet≥ 80×109/L, Hb≥80g/L, bilitubin≤2mg/dl,ALT and AST ≤2×institutional upper limit of normal, Cr ≤1.5×institutional upper limit of normal,coagulation tests (PTT and INR) within normal range
- Subject provided signed informed consent
Exclusion Criteria:
- Hypersensitive to study drug
- Tumor(s) locate very close to important blood vessels and nerves, which affect injection
- With a coagulation and bleeding disorder
- With uncontrolled, intercurrent illness including but limited to symptomatic neurological illness, symptomatic congestive heart failure, unstable angina pectoris, significant pulmonary disease or hypoxia, or psychiatric illness
- Local infection close to injection site or systemic infection
- Pregnant or lactating
- Principle investigator consider not suitable
Contacts and Locations| Contact: Longjiang Li, PhD | 86-28-85503389 | muzili63@163.com |
| China, Shichuan | |
| Department of oral and maxillofacial surgery, Huaxi university of medical science | Recruiting |
| Chendu, Shichuan, China, 610041 | |
| Contact: Longjiang Li, Ph.D. , M.D 028-85503389 | |
| Principal Investigator: longjiang Li, M.D., Ph. D. | |
More Information
No publications provided
| Responsible Party: | Shenzhen SiBiono GeneTech Co.,Ltd |
| ClinicalTrials.gov Identifier: | NCT00894153 History of Changes |
| Other Study ID Numbers: | rAd-p53-001 |
| Study First Received: | May 4, 2009 |
| Last Updated: | April 6, 2012 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Shenzhen SiBiono GeneTech Co.,Ltd:
|
p53 gene head and neck malignent tumors gene therapy |
Additional relevant MeSH terms:
|
Neoplasms Li-Fraumeni Syndrome Neoplastic Syndromes, Hereditary |
Genetic Diseases, Inborn DNA Repair-Deficiency Disorders Metabolic Diseases |
ClinicalTrials.gov processed this record on June 18, 2013