Dose Escalating Study for Amphinex-based PCI of Bleomycin.
Dose Escalating Study to Evaluate the Tolerability, Efficacy and Safety of Amphinex 0.125 mg/kg or Lower in Amphinex-based PCI of Bleomycin in Patients With Local Recurrence or Advanced/Metastatic, Cutaneous or Sub-cutaneous Malignancies.
This date has not been verified as actual or estimated.
Primary Completion
October 2012
Actual (reported)
Study Completion
February 2013
Actual (reported)
Brief Summary
The primary goal of this extension study is to further investigate the tolerability and efficacy in a phase I setting in order to see whether lower doses than the initial study dose of 0.25 mg/kg bw Amphinex in Amphinex-based PCI of bleomycin will show a comparable or improved safety and tolerability profile in combination with comparable signs of efficacy.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
3 participants
Study completion date
February 2013
Actual (reported)
Listed locations
1 countries · 1 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
January 2012
Date type not reported
This date has not been verified as actual or estimated.
AmphinexPCIBleomycinCutaneous malignanciesSub-cutaneous malignanciesSafetyPhase IPhotochemical InternalisationSquamous Cell CarcinomaHead and Neck cancerBreast CancerHNSCCSCCHNAdvanced or metastatic cancerDose finding
Outcome Measures
Primary Outcomes (1)
To assess the combined tolerability and efficacy of Amphinex 0.125 mg/kg or lower in Amphinex-based PCI of bleomycin
Maximal pain during the procedure will be recorded immediately after the procedure on a 10 centimetre visual analogue scale (VAS). Pain will also be recorded 24 hours after the illumination and on day 4. The end-points of the VAS will be "no pain" and "unbearable pain
A formal efficacy analysis is not appropriate for this trial. The response data will be documented by descriptive summary tables. No statistical comparison of dose levels will be done. Fluorescence measurements over time and lesion response evaluation according to RECIST (see Appendix E) will be presented for APT and PP stratified by dose level.
From Baseline to 3 months
Secondary Outcomes (1)
To evaluate the safety of Amphinex 0.125 mg/kg or lower in Amphinex-based PCI of bleomycin.
From Baseline to 3 months
Study Arms (1)
Amphinex based PCI of bleomycin
EXPERIMENTAL
The photosensitiser Amphinex is activated by Laser to enhance the effect of Bleomycin
Drug: AmphinexDrug: BleomycinDevice: Laser
Interventions
AmphinexDrug
Photosensitiser
Amphinex based PCI of bleomycin
BleomycinDrug
Anticancer agent
Amphinex based PCI of bleomycin
Eligibility Criteria
Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Male or female aged 18 years or above who have given written informed consent
Skin type I- IV according to the Fitzpatrick skin classification (see Appendix G)
To determine the pharmacokinetics of Amphinex 0.125 mg/kg or lower in Amphinex-based PCI of bleomycin.
From Baseline to 3 months
LaserDevice
Laser that emits red light at 652 nm.
Also known as: Ceralas PDT 652+/-3nm 2W" by CeramOptec GmbH CE0297
Amphinex based PCI of bleomycin
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
With a diagnosis of local recurrence or advanced/metastatic, cutaneous or subcutaneous malignancy
Lesion measurement must not be done more than 2 weeks before the beginning of treatment. More than one field with lesion can be illuminated, but care must be taken to avoid overlap of the fields illuminated
Have discontinued any other investigational therapy or radiotherapy for at least 2 weeks prior to administration of Amphinex at the baseline visit, and have recovered from the acute effects of therapy
Have discontinued cytostatic or cytotoxic therapies with at least 6 half life cycles of the agent prior to administration of Amphinex at the baseline visit
Have a performance status of 0-2 on the Eastern Cooperative Oncology Group (ECOG) Scale (see Appendix D)
Clinically assessed as eligible for bleomycin chemotherapy
Have a predicted life expectancy of at least 3 months
Geographic proximity that allow adequate follow-up
If female: have had childbearing potential either terminated by surgery, radiation, or menopause or attenuated by the use of an approved contraceptive method during and for 3 months after the trial
If male: have had reproductive potential either terminated or attenuated by the use of an approved contraceptive method during and for 3 months after the trial.
You may not qualify if:
Have received prior PCI
Tumours known to be eroding into a major blood vessel in or adjacent to the illumination site
Planned surgery in first 28 days after treatment, except for planned surgical removal of the treated lesion
Planned dentist appointments in first 28 days after treatment
Anticancer therapy within the first 28 days after treatment
Therapy with drugs that induce light sensitivity (e.g. tetracyclines, sulfonamides, phenothiazines, sulfonylurea, hypoglycemic agents, thiazide diuretics, and griseofulvin) within the first 14 days after treatment
Co-existing ophthalmic disease likely to require slit-lamp examination within the first 28 days after treatment
History of hypersensitivity/anaphylactic reactions
Previous cumulative dose of Bleomycin received over 200 000 IE
Known allergy or sensitivity to photosensitisers
Known allergy to Cremophor
Known allergy to bleomycin
Conditions contraindicated for bleomycin treatment (lung infection, impaired pulmonary function)
Conditions that worsen when exposed to light (including porphyria)
Conditions associated with a risk of poor protocol compliance
+1 more criteria
Contact the study team to confirm eligibility.
Skin Diseases
Skin and Connective Tissue Diseases
Neoplastic Processes
Pathologic Processes
Pathological Conditions, Signs and Symptoms
Intervention Hierarchy (Ancestors)
GlycopeptidesGlycoconjugatesCarbohydratesPeptidesAmino Acids, Peptides, and ProteinsOptical DevicesEquipment and SuppliesRadiation Equipment and Supplies
Primary Completion
October 2012
Actual (reported)
Study Completion
February 2013
Actual (reported)
Last Updated
June 16, 2014
Record last verified: 2014-06
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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