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Sponsored by: |
University of Pittsburgh |
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Information provided by: | University of Pittsburgh |
ClinicalTrials.gov Identifier: | NCT00574977 |
The purpose of this study is to determine the safety and maximum tolerated dose tolerated from injecting this vaccinia virus into tumors.
Condition | Intervention | Phase |
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Melanoma Breast Cancer Head and Neck Squamous Cell Cancer Hepatocellular Cancer Colorectal Cancer Pancreatic Adenocarcinoma |
Biological: Vaccinia virus (vvDD-CDSR) |
Phase I |
Study Type: | Interventional |
Study Design: | Treatment, Non-Randomized, Open Label, Active Control, Parallel Assignment, Safety Study |
Official Title: | A Phase I Dose-Escalation Trial of vvDD-CDSR (Double-Deleted Vaccinia Virus Plus CD/ SMR) Administered by Intratumoral Injection |
Estimated Enrollment: | 36 |
Study Start Date: | February 2008 |
Estimated Study Completion Date: | March 2012 |
Estimated Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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A: Experimental
Subjects who have been vaccinated with vaccinia virus (small pox)
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Biological: Vaccinia virus (vvDD-CDSR)
Eligible subjects will receive 1 treatment of vvDD-CDSR. A dose can be divided between 1-3 lesions. The sum total of the maximal diameters of the lesion(s) to be injected must be < 10cm. Cohort 1: 3 x 107 p.f.u. Cohort 2: 1 x 108 p.f.u. Cohort 3: 3 x 108 p.f.u. Cohort 4: 1 x 109 p.f.u. Cohort 5: 3 x 109 p.f.u.
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B: Experimental
Subjects will include those who have not been vaccinated with vaccinia virus (small pox).
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Biological: Vaccinia virus (vvDD-CDSR)
Eligible subjects will receive 1 treatment of vvDD-CDSR. A dose can be divided between 1-3 lesions. The sum total of the maximal diameters of the lesion(s) to be injected must be < 10cm. Cohort 1: 3 x 107 p.f.u. Cohort 2: 1 x 108 p.f.u. Cohort 3: 3 x 108 p.f.u. Cohort 4: 1 x 109 p.f.u. Cohort 5: 3 x 109 p.f.u.
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This is a Phase I, open-label, single dose, dose-escalation trial in subjects with injectable tumors from melanoma, breast cancer, or head and neck squamous cell cancer, hepatocellular, colorectal or pancreatic adenocarinoma. Subjects will be stratified into 2 groups. Group A includes those who have been vaccinated with vaccinia virus. A history of vaccination and a scar at vaccination site is required. Group B subjects will include those who have not been vaccinated. It is expected that the toxicity profile will be quite different between those who have been vaccinated previously with vaccinia virus and therefore subjects will be stratified separately in this phase I trial. All subjects who have refractory tumors will receive treatment at one of the five dose levels in a single dose sequential dose-escalating design. Eligible subjects will receive 1 treatment of vvDD-CDSR. A dose can be divided between 1-3 lesions. The sum total of the maximal diameters of the lesion(s) to be injected must be < 10cm. Three subjects in each group will be treated at each dose level unless a dose-limiting toxicity is observed (DLT). Enrollment will proceed independently in the two groups and will proceed to the next dose level if 0 of 3 subjects experiences a DLT; if one of the first 3 subjects experiences a DLT then additional subjects will be enrolled until a second DLT occurs (which defines the toxic dose) or until six total subjects have been treated, whichever comes first. If a second DLT is not experienced in that cohort, dose escalation may continue. A minimum of 4 weeks must pass after injection of the last subject in one cohort and all toxicity must have resolved before moving to the next cohort.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Herbert J. Zeh, MD, PhD | (412) 692-2852 | zehj@upmc.edu |
Contact: Amy R. Schmotzer, RN, BSN | (412) 647-6205 | schmotzerar@upmc.edu |
United States, Pennsylvania | |
University of Pittsburgh Cancer Institute | Recruiting |
Pittsburgh, Pennsylvania, United States, 15232 | |
Contact: Herbert J. Zeh, MD 412-692-2852 zehh@upmc.edu | |
Contact: Amy R. Schmotzer, RN, BSN (412) 647-6205 schmotzerar@upmc.edu | |
Principal Investigator: Herbert J. Zeh, MD |
Principal Investigator: | Herbert J. Zeh, MD, PhD | University of Pittsburgh |
Responsible Party: | University of Pittsburgh Cancer Institute ( Herbert J. Zeh, III, MD ) |
Study ID Numbers: | 06-041 |
Study First Received: | December 13, 2007 |
Last Updated: | July 9, 2009 |
ClinicalTrials.gov Identifier: | NCT00574977 History of Changes |
Health Authority: | United States: Food and Drug Administration |
vaccinia virus tumor melanoma breast cancer |
squamous cell cancer colorectal hepatocellular pancreatic adenocarcinoma |
Gastrointestinal Diseases Colonic Diseases Squamous Cell Carcinoma Rectal Diseases Melanoma Neoplasms, Germ Cell and Embryonal Nevus, Pigmented Neuroepithelioma Neoplasms, Squamous Cell Hepatocellular Carcinoma Breast Diseases Digestive System Neoplasms Skin Diseases Vaccinia Breast Neoplasms |
Intestinal Diseases Intestinal Neoplasms Carcinoma Neuroendocrine Tumors Virus Diseases Neuroectodermal Tumors Digestive System Diseases Poxviridae Infections Epidermoid Carcinoma Gastrointestinal Neoplasms DNA Virus Infections Nevus Adenocarcinoma Carcinoma, Squamous Cell Colorectal Neoplasms |
Gastrointestinal Diseases Neoplasms, Nerve Tissue Colonic Diseases Rectal Diseases Melanoma Neoplasms by Site Neoplasms, Germ Cell and Embryonal Nevi and Melanomas Neoplasms, Squamous Cell Breast Diseases Neoplasms by Histologic Type Digestive System Neoplasms Skin Diseases Vaccinia Breast Neoplasms |
Intestinal Diseases Intestinal Neoplasms Carcinoma Neuroendocrine Tumors Virus Diseases Neuroectodermal Tumors Neoplasms Digestive System Diseases Poxviridae Infections Gastrointestinal Neoplasms DNA Virus Infections Carcinoma, Squamous Cell Adenocarcinoma Colorectal Neoplasms Neoplasms, Glandular and Epithelial |