A Study of Recombinant Vaccinia Virus to Evaluate the Safety and Efficacy of a Transdermal Injection Within the Tumor of Patients With Primary or Metastatic Hepatic Carcinoma

NCT ID: NCT00629759

Last Updated: 2013-01-04

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

PHASE1

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-01-31

Study Completion Date

2007-08-31

Brief Summary

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The primary purpose of this study is to determine the maximum tolerable dose (MTD) and/or the maximum feasible dose (MFD), as well as to evaluate the safety of JX-594 (Pexa-Vec) injected within hepatic carcinoma tumors.

Detailed Description

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Patients are treated with JX-594 once every three weeks until progression at the site(s) of injection or until the patient has received a maximum of 4 treatments; four additional cycles can be administered to patients with an objective response of the injected tumor(s) (i.e. 8 total treatments possible). Study dose levels are 1e8 pfu, 3e8 pfu, 1e9 pfu and 3e9 pfu per treatment. Standard Phase I dose-escalation guidelines are used, with 2-6 patients enrolled per cohort (3 if no dose-limiting toxicities are reported).

Conditions

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Neoplasms, Liver

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

1e8 pfu (plaque forming units)total dose each treatment day

Group Type EXPERIMENTAL

JX-594: Recombinant vaccinia virus (TK-deletion plus GM-CSF)

Intervention Type GENETIC

The total dose is divided between 1-3 tumors located within the liver. Patients are treated with JX-594 once every 3 weeks until progression at the site(s) of injection or until the patient has received a maximum of 4 treatments.

2

3e8 pfu (plaque forming units) total dose each treatment day

Group Type EXPERIMENTAL

JX-594: Recombinant vaccinia virus (TK-deletion plus GM-CSF)

Intervention Type GENETIC

The total dose is divided between 1-3 tumors located within the liver. Patients are treated with JX-594 once every 3 weeks until progression at the site(s) of injection or until the patient has received a maximum of 4 treatments.

3

1e9 pfu (plaque forming units) total dose each treatment day

Group Type EXPERIMENTAL

JX-594: Recombinant vaccinia virus (TK-deletion plus GM-CSF)

Intervention Type GENETIC

The total dose is divided between 1-3 tumors located within the liver. Patients are treated with JX-594 once every 3 weeks until progression at the site(s) of injection or until the patient has received a maximum of 4 treatments.

4

3e9 pfu (plaque forming units) total dose each treatment day

Group Type EXPERIMENTAL

JX-594: Recombinant vaccinia virus (TK-deletion plus GM-CSF)

Intervention Type GENETIC

The total dose is divided between 1-3 tumors located within the liver. Patients are treated with JX-594 once every 3 weeks until progression at the site(s) of injection or until the patient has received a maximum of 4 treatments.

Interventions

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JX-594: Recombinant vaccinia virus (TK-deletion plus GM-CSF)

The total dose is divided between 1-3 tumors located within the liver. Patients are treated with JX-594 once every 3 weeks until progression at the site(s) of injection or until the patient has received a maximum of 4 treatments.

Intervention Type GENETIC

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* Patients with hepatic carcinoma (primary or metastatic) clinically or histologically confirmed to have tumors (≤10cm maximum diameter) that are progressing (refractory to standard treatment) despite regular treatment and that can be transdermally accessed by an injection needle in an imaging-guided procedure
* Tumor progression despite undergoing regular treatment such as surgery, transarterial chemoembolization, chemotherapy, and radiotherapy
* Performance score: Karnofsky Performance Score (KPS) ≥70
* Expected survival of at least 16 weeks
* For patients who are sexually active, able and willing to use contraceptives for a three month period during and after taking JX-594
* WBC \> 3,500 cells/mm3
* ANC \> 1,500 cells/mm3
* Hemoglobin \> 10g/dL
* Platelet count \> 75,000 plts/mm3
* Serum creatinine \< 1.5 mg/dL
* AST, ALT \< 2.5 x ULN
* Total bilirubin ≤ 2.0 mg/dL
* In patients with primary HCC, Child Pugh A or B
* Able/willing to sign an IRB/IEC/REB-approved written consent form
* Able and willing to comply with study procedures and follow-up examinations

Exclusion Criteria

* Pregnant or nursing an infant
* Known infection with HIV
* Clinically significant active infection or uncontrolled medical condition considered high risk for investigational new drug treatment
* Significant immunodeficiency due to underlying illness (e.g. hematological malignancies, congenital immunodeficiencies and/or HIV infection/AIDS) and/or medication (e.g. high-dose systemic corticosteroids)
* Patients with household contacts with significant immunodeficiency
* History of exfoliative skin condition (e.g. severe eczema, ectopic dermatitis, or similar skin disorder) that at some stage has required systemic therapy
* Severe or unstable cardiac disease
* Use of adrenal cortical hormone drug or immunosuppressant within four weeks of study enrollment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Green Cross Corporation

INDUSTRY

Sponsor Role collaborator

Jennerex Biotherapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Jennerex, Inc. (Jennerex Biotherapeutics)

Principal Investigators

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David Kirn, MD

Role: STUDY_DIRECTOR

Jennerex Biotherapeutics (Jennerex, Inc.)

Locations

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Dong-A University Hospital

Busan, , South Korea

Site Status

Countries

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South Korea

References

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Park BH, Hwang T, Liu TC, Sze DY, Kim JS, Kwon HC, Oh SY, Han SY, Yoon JH, Hong SH, Moon A, Speth K, Park C, Ahn YJ, Daneshmand M, Rhee BG, Pinedo HM, Bell JC, Kirn DH. Use of a targeted oncolytic poxvirus, JX-594, in patients with refractory primary or metastatic liver cancer: a phase I trial. Lancet Oncol. 2008 Jun;9(6):533-42. doi: 10.1016/S1470-2045(08)70107-4. Epub 2008 May 19.

Reference Type DERIVED
PMID: 18495536 (View on PubMed)

Related Links

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http://www.jennerex.com

Sponsor company website

Other Identifiers

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JX594-IT-HEP001

Identifier Type: -

Identifier Source: org_study_id

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