NP2 Enkephalin For Treatment of Intractable Cancer Pain

NCT ID: NCT01291901

Last Updated: 2014-08-08

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

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2013-11-30

Brief Summary

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The purpose of this study is to examine the impact of intradermal delivery of NP2 on pain scores and pain medication usage in subjects with intractable pain due to malignant disease. A second purpose is to confirm safety and secondary efficacy measurements.

Detailed Description

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Chronic severe pain remains a significant unmet medical need in patients that have progressive cancer. Existing treatments have limited efficacy and also suffer significant side effects. This is a multi-center, randomized, double blind, placebo-controlled clinical trial designed to evaluate the impact of intradermal injection of NP2 in subjects who have intractable pain due to malignant disease. NP2 is a gene transfer vector engineered to express human preproenkephalin, a gene naturally involved in pain control. Delivery of NP2 directly to the site of pain caused by cancer is intended to provide increased Enkephalin peptides, which bind to opioid receptors, that may allow better pain control.

Conditions

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Intractable Pain Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Active NP2

Single intradermal dose of active NP2. An open label study extension will offer up to two additional doses of active NP2 between weeks 4-10 following the previous dose.

Group Type EXPERIMENTAL

NP2

Intervention Type BIOLOGICAL

NP2 is a replication defective HSV-1 based gene transfer vector engineered to express human preproenkephalin. The drug will be injected intradermally corresponding to the distribution of the malignancy-related pain. The total amount to be injected will be a dose volume of 1.0 ml delivered in a single session on Study Day 0.

Placebo

Single intradermal dose of placebo (vehicle). An open label study extension will offer up to two additional doses of active NP2 between weeks 4-10 following the previous dose.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

The placebo (vehicle) will be injected intradermally corresponding to the distribution of the malignancy-related pain. The total amount to be injected will be a dose volume of 1.0 ml delivered in a single session on Study Day 0.

Interventions

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NP2

NP2 is a replication defective HSV-1 based gene transfer vector engineered to express human preproenkephalin. The drug will be injected intradermally corresponding to the distribution of the malignancy-related pain. The total amount to be injected will be a dose volume of 1.0 ml delivered in a single session on Study Day 0.

Intervention Type BIOLOGICAL

Placebo

The placebo (vehicle) will be injected intradermally corresponding to the distribution of the malignancy-related pain. The total amount to be injected will be a dose volume of 1.0 ml delivered in a single session on Study Day 0.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed malignant disease.
* Intractable pain related to malignancy.
* Females must be postmenopausal or practicing birth control.
* Able to provide appropriate written consent.

Exclusion Criteria

* Positive pregnancy test prior to receiving study treatment.
* Serious uncontrolled medical condition other than malignancy (e.g. congestive heart failure, coagulopathy, uncontrolled diabetes).
* Evidence of active Hepatitis B, Hepatitis C, or HIV infection.
* Evidence of viral, bacterial, or fungal infection in the planned treatment area.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Paragon Biomedical

INDUSTRY

Sponsor Role collaborator

invivodata, Inc.

INDUSTRY

Sponsor Role collaborator

Diamyd Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Darren Wolfe, Ph.D.

Role: STUDY_DIRECTOR

Diamyd Inc

David Fink, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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HOPE Research Institute

Phoenix, Arizona, United States

Site Status

Arizona Clinical Research Center

Tucson, Arizona, United States

Site Status

Compassionate Cancer Care Medical Group, Inc.

Corona, California, United States

Site Status

Cancer Care Associates

Fresno, California, United States

Site Status

TriWest Research Associates

La Mesa, California, United States

Site Status

White Memorial Medical Center

Los Angeles, California, United States

Site Status

Hematology Oncology Associates

Oakland, California, United States

Site Status

Advanced Pharma CR

Miami, Florida, United States

Site Status

Better Health Clinical Research Inc

Newnan, Georgia, United States

Site Status

Christie Clinic

Champaign, Illinois, United States

Site Status

Global Scientific Innovations

Evansville, Indiana, United States

Site Status

Montana Cancer Institute Foundation

Missoula, Montana, United States

Site Status

Center for Clinical Research

Winston-Salem, North Carolina, United States

Site Status

Signal Point Clinical research Center

Middletown, Ohio, United States

Site Status

Pain Research of Oregon

Eugene, Oregon, United States

Site Status

Hematology Oncology Associatesof Rhode Island

Cranston, Rhode Island, United States

Site Status

Medical Therapy and Research

San Antonio, Texas, United States

Site Status

Medical Oncology Associates

Spokane, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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NP2/P2/10/2

Identifier Type: -

Identifier Source: org_study_id

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