A Pilot Study of "OncozeneTM" Microspheres for Intra-arterial Delivery of Doxorubicin

NCT02141906 | Completed Phase 2 DMC

• 1 other identifier: STU 012014-079
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

This is a pilot study of Onconzene Microspheres for intra-arterial delivery of doxorubicin for the treatement of patients with unresectable hepatocellular cancer.

Conditions

Hepatocellular Cancer

Outcome Measures

Primary Outcomes (1)

• Response

  Treatement response will be measured using modified RECIST assessment for hepatocellular cancer. Patients will undergo a maximum of 3 treatments each, at least 4 weeks apart unless there is a complete response as per mRECIST criteria (no enhancing tumor on subsequent CT or MRI scan)

  (Oncozene-DEB-TACE): TACE 1 Day 22-28, TACE 2-6 Day 22-28, Follow up after completion of treatemtent every 4-6 weeks up to 36 weeks.

Secondary Outcomes (1)

• Progression

  (Oncozene-DEB-TACE): TACE 1 Day 22-28, TACE 2-6 Day 22-28, Follow up after completion of treatemtent every 4-6 weeks up to 36 weeks.

Study Arms (1)

Oncozene-DEB-TACE

EXPERIMENTAL

Screening Visit (procedures should be done within 28 days of treatment day): Study visit assessments will be performed prior to Oncozene-DEB-TACE delivery (except pharmacokinetic blood draw). Labs may be done within 3 days of the procedure. All visits can be completed +/- 10 days of planned visit day Follow up after completion of treatment every 4-6 weeks:

Other: Oncozene-DEB-TACE

Interventions

Oncozene-DEB-TACE OTHER

ONCOZENE microspheres are the newly available microspheres for DEB-TACE. It appears (based on the preliminary bench tests) that these microspheres may allow more efficient drug loading, and slow elution and equivalent vascular occlusion(12). In this pilot study, we aim to assess the safety of these microspheres when used for chemoembolization of unresectable hepatocellular carcinoma.

Also known as: Oncozene microspheres for Doxurubicin delivery

Oncozene-DEB-TACE

Eligibility Criteria

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

You may qualify if:

• Patients must have a diagnosis of Hepatocellular carcinoma confirmed by at least one of the following: a) histological confirmation; b) imaging results consistent with cirrhosis and at least one solid liver lesion of \>2cm with early enhancement and delayed washout (AASLD criteria for diagnosis of HCC); c) Alpha fetoprotein level \>400ng/mL and evidence of at least one solid liver lesion \>2cm, regardless of specific imaging characteristics on MRI.
• Tumor not suitable for resection at the time of study entry. (Transplant eligible patients are allowed)
• Age ≥ 18 years.
• Performance status ECOG PS 0-1 (Eastern Cooperative Oncology Group Performance Status).
• Child Pugh Score A only
• Adequate organ and marrow function as defined below:
• leukocytes ≥ 3,000/mcL (Measurement and Calibration Lab)
• absolute neutrophil count ≥ 1,500/mcL
• platelets ≥ 75,000/mcl
• total bilirubin ≤ 3.0
• AST (Aspartate Aminotransferase)(SGOT)/ALT (Alanine Aminotransferase)(SPGT) ≤ 5 X institutional upper limit of normal
• creatinine ≤ 2.0
• INR (International Normalized Ratio) ≤ 1.8
• Albumin ≥ 2.8
• Women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation, and for 90 days following completion of therapy. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.

You may not qualify if:

• Any concurrent therapy for HCC including concurrent investigational agents.
• Subjects with known brain metastases should be excluded from this clinical trial because of their poor prognosis and because they often develop progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse events.
• History of allergic reactions attributed to compounds of similar chemical or biologic composition to doxorubicin or other agents used in study.
• Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
• Subjects must not be pregnant or nursing due to the potential for congenital abnormalities and the potential of this regimen to harm nursing infants.
• Child-Pugh status B or C
• Encephalopathy no adequately controlled medically
• Known cardiac ejection fraction \<50%
• Tumor involving \>50% of the liver
• Infiltrative form of HCC on imaging; If there is at least one measurable lesion per mRECIST criteria and otherwise patient is eligible for the study, the patient can be enrolled.
• Extensive extrahepatic spread of hepatocellular carcinoma. Patients with limited metastatic disease may be enrolled as defined as
• lymph node disease
• pulmonary nodules \<5 mm in size
• bone metastases
• Active gastrointestinal bleeding

Sponsors & Collaborators

• University of Texas Southwestern Medical Center: lead

Study Sites (1)

UT Southwestern Medical Center

Dallas, Texas, 75390, United States

Location

MeSH Terms

Conditions

Liver Neoplasms

Condition Hierarchy (Ancestors)

Digestive System Neoplasms; Neoplasms by Site; Neoplasms; Digestive System Diseases; Liver Diseases

Study Officials

• Muhammad Beg, MD

  University of Texas Southwestern Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Medicine

Study Record Dates

• First Submitted: April 30, 2014
• First Posted: May 20, 2014
• Study Start: January 21, 2015
• Primary Completion: June 22, 2018
• Study Completion: May 16, 2022
• Last Updated: August 18, 2022

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)