A Study of Amolimogene (ZYC101a) in Patients With High Grade Cervical Intraepithelial Lesions of the Uterine Cervix

NCT ID: NCT00264732

Last Updated: 2013-05-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

251 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-07-31

Study Completion Date

2009-05-31

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of amolimogene, in the treatment of patients with high-grade cervical intraepithelial lesions of the uterine cervix.

Detailed Description

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This is a double-blind study, so neither the patient not the doctor will know which treatment has been assigned.

Conditions

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Uterine Cervical Dysplasia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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1

Group Type EXPERIMENTAL

Amolimogene

Intervention Type DRUG

1-dose amolimogene Group: Two intramuscular (IM) injections (100 micrograms ZYC101a per injection), one in each quadriceps, at Treatment Initiation. Single IM placebo injections (approximately 1 mL 0.9% sterile saline) at Weeks 3 and 6 in alternating quadriceps.

2

Group Type EXPERIMENTAL

Amolimogene

Intervention Type DRUG

3-dose amolimogene Group: Two IM injections (100 micrograms ZYC101a per injection), one in each quadriceps, at Treatment Initiation. Single IM injections of 100 micrograms ZYC101a at Weeks 3 and 6 in alternating quadriceps.

3

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo Group: Two IM placebo injections at Treatment Initiation (1 injection in each quadriceps). Single placebo injections at Weeks 3 and 6 in alternating quadriceps. Each placebo injection consists of approximately 1 mL 0.9% sterile saline.

Interventions

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Amolimogene

1-dose amolimogene Group: Two intramuscular (IM) injections (100 micrograms ZYC101a per injection), one in each quadriceps, at Treatment Initiation. Single IM placebo injections (approximately 1 mL 0.9% sterile saline) at Weeks 3 and 6 in alternating quadriceps.

Intervention Type DRUG

Amolimogene

3-dose amolimogene Group: Two IM injections (100 micrograms ZYC101a per injection), one in each quadriceps, at Treatment Initiation. Single IM injections of 100 micrograms ZYC101a at Weeks 3 and 6 in alternating quadriceps.

Intervention Type DRUG

Placebo

Placebo Group: Two IM placebo injections at Treatment Initiation (1 injection in each quadriceps). Single placebo injections at Weeks 3 and 6 in alternating quadriceps. Each placebo injection consists of approximately 1 mL 0.9% sterile saline.

Intervention Type OTHER

Other Intervention Names

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ZYC101a ZYC101a

Eligibility Criteria

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Inclusion Criteria

To be considered for enrollment, patients must:

1. Have an abnormal Pap smear (atypical squamous cells of undetermined significance \[ASCUS\], atypical squamous cells, cannot exclude high grade \[ASC-H\], low grade squamous intraepithelial lesion \[LSIL\], high grade squamous intraepithelial lesion \[HSIL\]) result within 6 months of screening visit.
2. Have a colposcopically visible lesion suspected to be high-grade that does not involve more than 75% of the cervix.
3. Have a CIN 2/3 consensus pathology diagnosis on tissue taken from a colposcopically-directed punch biopsy.
4. Not have evidence of cervical carcinoma on Pap smear or biopsy and not have a positive endocervical curettage.
5. Not have atypical endometrial cells or glandular-cell atypia on Pap smear or biopsy.
6. Have colposcopic visualization of entire squamocolumnar junction and of the entire lesion (i.e. cannot extend into canal).
7. Not have concomitant cancer, history of malignancies, including carcinoma of the cervix, except for non-melanoma skin cancer.
8. Be willing to sign an Institutional Review Board (IRB) approved informed consent. Minors must have the consent of a parent or legal guardian as required by local laws and regulations.
9. Agree to use 2 acceptable forms of contraception (e.g., double-method including at least one barrier and one hormonal method).
10. Be capable of complying with the protocol.
11. Not have other illnesses that would put the patient at undue risk for participation in the trial or would interfere with the required clinical observations.
12. Not have abnormalities of hematological, renal, or hepatic function as determined by clinical laboratory testing.
13. Not have immunologic disorder such as immunodeficiency, lupus, or other chronic auto-immune disease.
14. Not have an active systemic infection requiring treatment.
15. Not have ongoing systemic chronic steroid therapy or immunosuppressive medication (inhalers used for treating asthma and topical steroids are permitted).
16. Not be positive for HIV antibody.
17. Not be pregnant or lactating.
18. Not plan to use a cervical cap or diaphragm during the study.
19. Not have been treated with any investigational agent within 30 days prior to randomization in this trial.
20. Not have had prior gene therapy.
21. Not have had an excisional or ablative procedure performed on the cervix within one year of enrollment.
22. Be willing to consent to an excisional procedure, such as LEEP or cold-knife cone procedure, if indicated.
Minimum Eligible Age

13 Years

Maximum Eligible Age

25 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Eisai Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Alabama

Birmingham, Alabama, United States

Site Status

Arizona Wellness Center for Women/Precision Trials, LLC

Phoenix, Arizona, United States

Site Status

University of Arizona

Tucson, Arizona, United States

Site Status

Arrowhead Regional Medical Center

Colton, California, United States

Site Status

The Center for Advanced Research and Education, Inc.

Palm Springs, California, United States

Site Status

Medical Center for Clinical Research

San Diego, California, United States

Site Status

Physicians Research Options, LC

Lakewood, Colorado, United States

Site Status

Visions Clinical Research

Boynton Beach, Florida, United States

Site Status

University of Florida, Miami

Miami, Florida, United States

Site Status

Physician Care Clinical Research

Sarasota, Florida, United States

Site Status

Insignia Clinical Research

Tampa, Florida, United States

Site Status

Comprehensive Clinical Trials LLC

West Palm Beach, Florida, United States

Site Status

Medical College of Georgia, Department of Family Medicine

Augusta, Georgia, United States

Site Status

Rosemark Women's Care Specialists

Idaho Falls, Idaho, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Centennial Hills OB-GYN Associaties

North Las Vegas, Nevada, United States

Site Status

Southwest Clinical Research

Albuquerque, New Mexico, United States

Site Status

Lyndhurst Gynecologic Associates

Winston-Salem, North Carolina, United States

Site Status

The University of Oklahoma Health Sciences Center, Center for Research in Women's Health

Oklahoma City, Oklahoma, United States

Site Status

Temple Center for Women's Health

Philadelphia, Pennsylvania, United States

Site Status

Sarah Cannon Research

Memphis, Tennessee, United States

Site Status

Michael Altenbern, MD

Nashville, Tennessee, United States

Site Status

UT Southwestern Medical Center at Dallas

Dallas, Texas, United States

Site Status

Physicians' Research Options

Pleasant Grove, Utah, United States

Site Status

Physicians' Research Options, LLC

Sandy City, Utah, United States

Site Status

Tidewater Clinical Research

Virginia Beach, Virginia, United States

Site Status

Countries

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United States

References

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Crum CP, Beach KJ, Hedley ML, Yuan L, Lee KR, Wright TC, Urban RG. Dynamics of human papillomavirus infection between biopsy and excision of cervical intraepithelial neoplasia: results from the ZYC101a protocol. J Infect Dis. 2004 Apr 15;189(8):1348-54. doi: 10.1086/382956. Epub 2004 Mar 30.

Reference Type BACKGROUND
PMID: 15073670 (View on PubMed)

Garcia F, Petry KU, Muderspach L, Gold MA, Braly P, Crum CP, Magill M, Silverman M, Urban RG, Hedley ML, Beach KJ. ZYC101a for treatment of high-grade cervical intraepithelial neoplasia: a randomized controlled trial. Obstet Gynecol. 2004 Feb;103(2):317-26. doi: 10.1097/01.AOG.0000110246.93627.17.

Reference Type BACKGROUND
PMID: 14754702 (View on PubMed)

Other Identifiers

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ZYC1-004

Identifier Type: -

Identifier Source: org_study_id

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