rAd-p53 Gene Therapy for Advanced Oral and Maxillofacial Malignant Tumors
rAd-p53
Open-Label, Multi-Center, Randomized, Active-Controlled, Phase 4 Study of rAd-p53 Gene Mono-Therapy, With Concurrent Chemotherapy, or Combination With Surgery in Subjects With Advanced Oral and Maxillofacial Malignant Tumors
1 other identifier
interventional
600
1 country
1
Brief Summary
This is multicenter, open-label, randomized, active-controled, phase IV study of local direct intra-tumor injection of rAd-p53 monotherapy, with concurrent chemotherapy , or combination with surgery for treatment of advanced oral and maxillofacial malignant tumors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Jun 2009
Typical duration for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 11, 2009
CompletedFirst Posted
Study publicly available on registry
May 14, 2009
CompletedStudy Start
First participant enrolled
June 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2012
CompletedApril 9, 2012
February 1, 2010
3.1 years
May 11, 2009
April 6, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
overall best response rate
3 years
Secondary Outcomes (1)
progress free survival
3 years
Study Arms (4)
surgery plus p53 gene
EXPERIMENTALusing p53 gene therapy before surgery
surgery alone
ACTIVE COMPARATORSurgery without pre-p53 gene therapy
p53 plus chemotherapy
EXPERIMENTALp53 gene therapy with concurrent chemotherapy
p53 gene therapy alone
EXPERIMENTALIntra-tumor injectio of rAd-p53 gene with no concurrent treatment
Interventions
pre-surgery p53 gene treatment: 10exp12 virus particles per 3 days for 5 times
p53 gene treatment: 10exp12 virus particles per 3 days for 10 times Chemotherapy: standard chemotherapy
p53 gene treatment: 10exp12 virus particles per 3 days for 10 times
Eligibility Criteria
You may qualify if:
- Advanced stages of Oral and Maxillofacial 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 Oral and Maxillofacial 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
You may not qualify if:
- 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 -
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
West China Hospital, Sichuan University
Chengdu, Sichuan, 610041, China
MeSH Terms
Conditions
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Longjiang Li, PhD, MD
West China Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 11, 2009
First Posted
May 14, 2009
Study Start
June 1, 2009
Primary Completion
July 1, 2012
Study Completion
July 1, 2012
Last Updated
April 9, 2012
Record last verified: 2010-02