Study of Intralesional Injection of M4N in Patients With Refractory Malignant Tumors of the Head and Neck

NCT00057512 | Completed Phase 1

• 1 other identifier: M4N001
• Study Type: interventional
• Target: 9
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study will be to determine the safety and tolerability of intratumoral M4N. Patients suffering from cancer of the head and neck that is recurrent after primary treatment with surgery, radiation therapy, and/or chemotherapy may be eligible. The design is a Phase 1 dose escalation study of M4N administered intratumorally once weekly, initially for three weeks. Dose will be escalated on the starting schedule to a target of 20 mg/cm3 tumor volume and then, new patient cohorts will have their schedule extended to weekly M4N for 4 weeks. Dose escalation will continue, assuming tolerability, so that cohorts will be treated for 6 weeks, and finally, 8 weeks.

Conditions

Head and Neck Neoplasms

Study Arms (1)

Intratumoral M4N

EXPERIMENTAL

The initial dose was 5 mg/cm3 of tumor volume on Days 1, 8, and 15. Dose escalation in cohorts on this schedule took place up to 20 mg/cm3 tumor volume. The dose per lesion was based upon the volume of tumor, and the total dose did not exceed 1197 mg M4N/m2 body surface area.

Drug: M4N

Interventions

M4N DRUG

Dose escalation study of M4N administered intratumorally on days 1, 8 and 15. Dose escalated in cohorts on three weeks schedule to a target of 20 mg/cm3 tumor volume.

Also known as: Tetra-O-Methyl Nordihydroguaiaretic Acid or EM-1421

Intratumoral M4N

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Male and female patients ≥ 18 years of age.
• Patients with documented histologic evidence of head and neck cancer with clinically measurable disease. Head and neck cancer could have been recurrent after primary treatment with surgery, radiation therapy and/or chemotherapy.
• Measurable tumor by direct inspection, photography, or by imaging (CT scan or MRI).
• Life expectancy of at least 3 months in the Investigators' opinion.
• Negative pregnancy test if in women of childbearing potential within 1 week of starting therapy.
• Patients had provided written informed consent to participate in study.
• ECOG Performance Status of 0, 1, or 2.
• Absolute neutrophil ≥ 1500/uL, hemoglobin ≥ 8 gm%, platelets ≥ 50,000/uL,
• ALT/AST ≤ 3 x ULN (upper limit of the normal range), bilirubin ≤ 1.5 x ULN and creatinine ≤ 1.5 x ULN, PT and PTT within normal limits.

You may not qualify if:

• Women who were pregnant or nursing.
• Women of child bearing potential who were unwilling to use an adequate method of contraception during the course of the study.
• Treatment with prior investigational agent within 30 days of entering the study.
• Patients who are unable to comply with the study requirements.
• Patients with known sensitivity to any of the study medication components.
• Patients not consenting to photography.
• Patients with tumors that have enveloped the carotid artery or whose anatomy had been distorted such that in the Investigator's opinion present high-risk of perforation or compromise during injection.
• Prior chemotherapy, radiation therapy, or surgery for the primary carcinoma within 30 days of dosing and/or had not recovered from prior therapy toxicities.

Sponsors & Collaborators

• Erimos Pharmaceuticals: lead
• Duke University: collaborator
• Medical University of South Carolina: collaborator

Study Sites (1)

MUSC

Charleston, South Carolina, 29475, United States

Location

MeSH Terms

Conditions

Head and Neck Neoplasms

Interventions

terameprocol

Condition Hierarchy (Ancestors)

Neoplasms by Site; Neoplasms

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 3, 2003
• First Posted: April 4, 2003
• Study Start: January 1, 2003
• Primary Completion: December 1, 2003
• Study Completion: December 1, 2003
• Last Updated: February 23, 2016

Record last verified: 2006-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)