Carcinoma, Non-Small-Cell-LungPhase 1NCT01637376
Photodynamic Therapy (PDT) With Temoporfin for Non-Resectable Non-Small-Cell Lung Cancer
A Phase 1 study testing Temoporfin in people with Carcinoma, Non-Small-Cell-Lung, run by University of Arkansas at 1 site in United States.
Trial summary
The purpose of this study is to evaluate the safety of I-PDT with Temoporfin for patients with Non-Resectable Non-Small-Cell Lung Cancer (NR-NSCLC). Several clinical studies suggested that photodynamic therapy (PDT) may be an effective treatment for patients with NR-NSCLC. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Non-Small-Cell-Lung
- What is being tested?
- Temoporfin
- Type of treatment
- Injection or infusion
- How many people
- 0 participants
- Where
- 1 siteUnited States
- Study dates
- Jul 2012to Jan 2014
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Eighteen years of age and older, male or female, of all races and ethnicities.
- Histologically confirmed non-small-cell lung cancer (NSCLC).
- Not a candidate for curative surgery.
- Not a candidate for curative concurrent chemoradiation therapy.
- Not a candidate or does not wish to receive curative radiation therapy.
- Not a candidate or does not wish to receive radiofrequency or microwave thermal ablation.
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- Have an Eastern Cooperative Oncology Group (ECOG) performance status < 2.
- The tumor is observable in CT with contrast.
- The tumor is accessible for unrestricted illumination of interstitial photodynamic therapy (I-PDT).
- Deemed likely to survive for at least 3 months.
- Patient is able and willing to provide written informed consent to participate in the study.
- If the subject is a female of childbearing potential, the subject is willing to take a pregnancy test and practice strict birth control (estrogen-containing oral contraceptives or an intrauterine device) throughout the study and for 3 months after Temoporfin administration. Women who have had a hysterectomy are exempt from these requirements.
- Subject is willing to remain in a controlled light exposure environment for a time period of at least 15 days.
- History of laboratory tests that meet the following criteria
- Hematocrit >= 33%, hemoglobin >= 11 g/dl
- Platelet count > 70,000 per microliter
- White blood count > 3,000 per microliter or ANC > 1500 per microliter
- Creatinine: 0.8 to 1.4 mg/dL
- Serum chloride: 101 to 111 mmol/L
- Serum potassium: 3.7 to 5.2 mEq/L
- Serum sodium: 136 to 144 mEq/L
- Liver function test: albumin, bilirubin (direct/conjugated), ALT (alanine transaminase), AST (aspartate transaminade), GGT (gamma glutamyl transferase), ALP (alkaline phosphatase) within normal limits
- BUN: 7 to 20 mg/dL
Who cannot join
- The tumor invades a major blood vessel.
- The tumor is not clearly shown on the CT image.
- The tumor size is larger than 5 cm when measured in a contrasted CT image according to RECIST v1.1.
- The location and extension of the tumor precludes an effective I-PDT.
- Patient with porphyria or other diseases exacerbated by light.
- Patient with hypersensitivity to Temoporfin or to any of its excipients.
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- Patient with known allergies/hypersensitivity to porphyrins.
- Patient with a planned surgical procedure within the next 30 days.
- Patient with a coexisting ophthalmic disease likely to require slit-lamp examination within the next 30 days.
- Patient with existing therapy with a photosensitizing agent (Temoporfin, porphyrin or derivatives of porphyrin).
- Patient has received prior PDT to the proposed treatment site within the prior 3 months.
- Patient with known sensitivity to the CT contrast agent (Omnipaque), which would preclude the use of the CT contrast agent.
- History of poor renal function as demonstrated by serum creatinine and estimated glomerular filtration rate (eGFR) < 40 mL/min/1.73m2, which would preclude the using of the CT contrast agent.
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
About this study
The purpose of this study is to evaluate the safety of I-PDT with Temoporfin for patients with Non-Resectable Non-Small-Cell Lung Cancer (NR-NSCLC). Several clinical studies suggested that photodynamic therapy (PDT) may be an effective treatment for patients with NR-NSCLC. PDT is a therapy where an external light source, such as laser, is used to activate a light-sensitive medicine to produce byproducts that can destroy cancer cells. In this study the investigators will use an experimental light sensitive medicine, Temoporfin, to perform interstitial PDT (I-PDT). In I-PDT, laser fibers are inserted into the tumor to activate the light-sensitive medicine.
- Conditions
- Carcinoma, Non-Small-Cell-Lung
- Being tested
- Temoporfin
- Keywords
- Lung neoplasms, Non Small cell lung carcinoma, Non small cell lung cancer, Large cell carcinoma, squamous cell carcinoma, adenocarcinoma
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung, Lung Neoplasms, Carcinoma, Large Cell, Carcinoma, Squamous Cell, Adenocarcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TemoporfinDrug
Also called Foscan
A single dose of 0.04 mg per kilogram of body weight of Temoporfin will be administered by slow intravenous injection into a deep vein (such as the antecubital vein) in not less than 6 minutes and will not be flushed with sodium chloride or any other aqueous solution.
What is being measured
The primary outcome is the main question the study is designed to answer.
Occurrence of serious adverse events
The specific aim of this pilot study is to evaluate the safety of CT-guided I-PDT with Temoporfin on patients with NR-NSCLC. Patient safety will be the primary endpoint. The safety of the intervention will be assessed at 14 and 30 days post-therapy. The primary outcome will be occurrence of Serious Adverse Events (SAE).
Measured: 14 and 30 days post-therapy
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jul 2012 (estimated)
- Study startJul 2012
- Primary completionJan 2014
- Study completionJan 2014
Why it stopped: No participants were enrolled
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Carcinoma, Non-Small-Cell-LungStudies of the same condition, open and under way.
- More trials run by University of ArkansasThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Arkansas
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Mary E Meek, MD, Principal investigator, University of Arkansas
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01637376
- Sponsor's protocol ID
- 134367
- Status last verified
- Jan 2014
- First submitted
- 6 Jul 2012
- Last updated
- 15 Jan 2014
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Jan 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Photodynamic Therapy (PDT) With Temoporfin for Non-Resectable Non-Small-Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT01637376
- Acronym / sponsor ID
- 134367
- Conditions
- Carcinoma, Non-Small-Cell-Lung
- Keywords
- Lung neoplasms, Non Small cell lung carcinoma, Non small cell lung cancer, Large cell carcinoma, squamous cell carcinoma, adenocarcinoma
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: No participants were enrolled
- Enrolment
- 0 participants (actual)
- Lead sponsor
- University of ArkansasUniversity, hospital or other
- Study start
- Jul 2012
- Primary completion
- Jan 2014 (actual)
- Study completion
- Jan 2014 (actual)
- First posted
- 11 Jul 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the safety of I-PDT with Temoporfin for patients with Non-Resectable Non-Small-Cell Lung Cancer (NR-NSCLC). Several clinical studies suggested that photodynamic therapy (PDT) may be an effective treatment for patients with NR-NSCLC. PDT is a therapy where an external light source, such as laser, is used to activate a light-sensitive medicine to produce byproducts that can destroy cancer cells. In this study the investigators will use an experimental light sensitive medicine, Temoporfin, to perform interstitial PDT (I-PDT). In I-PDT, laser fibers are inserted into the tumor to activate the light-sensitive medicine.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (23 listed)
- Eighteen years of age and older, male or female, of all races and ethnicities.
- Histologically confirmed non-small-cell lung cancer (NSCLC).
- Not a candidate for curative surgery.
- Not a candidate for curative concurrent chemoradiation therapy.
- Not a candidate or does not wish to receive curative radiation therapy.
Key exclusion criteria (13 listed)
- The tumor invades a major blood vessel.
- The tumor is not clearly shown on the CT image.
- The tumor size is larger than 5 cm when measured in a contrasted CT image according to RECIST v1.1.
- The location and extension of the tumor precludes an effective I-PDT.
- Patient with porphyria or other diseases exacerbated by light.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TemoporfinAlso: FoscanA single dose of 0.04 mg per kilogram of body weight of Temoporfin will be administered by slow intravenous injection into a deep vein (such as the antecubital vein) in not less than 6 minutes and will not be flushed with sodium chloride or any other aqueous solution. | Drug | – |
Primary outcome
Occurrence of serious adverse events
Time frame: 14 and 30 days post-therapy
The specific aim of this pilot study is to evaluate the safety of CT-guided I-PDT with Temoporfin on patients with NR-NSCLC. Patient safety will be the primary endpoint. The safety of the intervention will be assessed at 14 and 30 days post-therapy. The primary outcome will be occurrence of Serious Adverse Events (SAE).
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jan 2014.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Mary E Meek, MD principal investigator
University of Arkansas
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Temoporfin in people with Carcinoma, Non-Small-Cell-Lung, run by University of Arkansas at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 23 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 15 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Occurrence of serious adverse events (time frame: 14 and 30 days post-therapy). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jan 2014.