A Phase I Study Of PV701 In Patients With Head And Neck Squamous Cell Carcinoma
PV701
Carcinoma+28
+ Carcinoma de células escamosas de cabeza y cuello
+ Carcinoma nasofaríngeo
Estudio de Tratamiento
Resumen
Fecha de inicio: 1 de abril de 2004
Fecha en la que se inscribió al primer participante.OBJECTIVES: I. Determine the maximum tolerated dose (MTD) of PV701 administered by direct intratumoral injection in patients with advanced or recurrent unresectable squamous cell carcinoma of the head and neck. II. Determine the toxicity of intratumoral PV701 in these patients. III. Determine response rate and time to progression at the injection site in patients treated with this drug. OUTLINE: This is a dose-escalation study. Patients receive intratumoral PV701 once weekly for 3 weeks. Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of PV701 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, at least 6 evaluable patients are treated at that dose. PROJECTED ACCRUAL: A maximum of 30 patients will be accrued for this study within 6-10 months.
Protocolo
Esta sección proporciona detalles del plan del estudio, incluyendo cómo está diseñado y qué se está evaluando.Se reclutarán 30 pacientes
Número total de participantes que el ensayo clínico espera reclutar.Estudio de Tratamiento
Elegibilidad
Los investigadores buscan pacientes que cumplan ciertos criterios, conocidos como criterios de elegibilidad: estado general de salud o tratamientos previos.Cualquier sexo
Sexo biológico de los participantes elegibles para inscribirse.A partir de 18 años
Rango de edades de los participantes que pueden unirse al estudio.Voluntarios sanos no permitidos
Indica si personas sanas, sin la condición que se estudia, pueden participar.Condiciones
Patología
Criterios
Inclusion Criteria: * Histologically or cytologically confirmed squamous cell carcinoma of the head and neck * Locally advanced or recurrent disease * Distant metastases in addition to locally advanced disease acceptable * Not amenable to available standard treatment or palliative measures * At least one target lesion accessible for intratumoral injection, less than 4 cm, and not situated near an airway or major artery * Tumor volume(s) must be large enough to receive injection * No known brain metastases * Performance status - ECOG 0-2 * More than 3 months * WBC \>= 3,000/mm\^3 * Hemoglobin \> 10 g/dL (transfusion permitted) * Platelet count \>= 100,000/mm\^3 * Bilirubin \< 2 times upper limit of normal (ULN) * AST/ALT =\< 2.5 times ULN * Creatinine \< 2.5 mg/dL * No uncontrolled symptomatic congestive heart failure * No unstable angina pectoris * No cardiac arrhythmia * No history of significantly compromised pulmonary function (i.e. FEV_1 \< 50% of predicted) or decreased oxygen saturation of \< 95% on room air * No history of allergy to eggs or egg-based or chicken embryo-based vaccines * No frequent contact with immunocompromised individuals * No ongoing or active infection * No psychiatric illness or social situation that would preclude study compliance * No history of diabetes mellitus requiring oral hypoglycemic agents or insulin * No HIV-positive patients receiving combination antiretroviral therapy * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * More than 4 weeks since prior chemotherapy and recovered * More than 4 weeks since prior radiotherapy and recovered * More than 4 weeks since prior surgery and recovered * No other concurrent investigational agents or commercial agents or therapies for treatment of malignancy * No concurrent antiviral therapy
Plan de Estudio
Conoce todos los tratamientos administrados en este estudio, su descripción detallada y en qué consisten.Un solo grupo de intervención está designado en este estudio
0% de probabilidad de ser asignado al grupo placebo
Grupos de Tratamiento
Grupo I
ExperimentalObjetivos del Estudio
Objetivos Primarios
Objetivos Secundarios
Centros del Estudio
Estos son los hospitales, clínicas o centros de investigación donde se lleva a cabo el estudio. Puedes encontrar la ubicación más cercana a ti y su estado de reclutamiento.Este estudio tiene una ubicación