Interstitial Photodynamic Therapy in Treating Patients With Recurrent Head and Neck Cancer

NCT ID: NCT02068157

Last Updated: 2017-10-11

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

3 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-01

Study Completion Date

2016-11-04

Brief Summary

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This phase II trial studies the effects of interstitial photodynamic therapy in patients with head and neck cancer that has come back. Interstitial photodynamic therapy uses a combination of laser light and a light-sensitive drug called porfimer sodium to destroy tumors. During treatment a laser light is used to activate the drug. Interstitial photodynamic therapy may be an effective treatment for head and neck cancer.

Detailed Description

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PRIMARY OBJECTIVES:

I. Demonstrate that our image-guided interstitial photodynamic therapy (I-PDT) dosimetry system can be used to tailor this therapy to individual patients.

OUTLINE:

Patients receive porfimer sodium intravenously (IV) over 3-5 minutes on day 0. Patients then undergo image-guided I-PDT on day 2.

After completion of study, patients are followed up at 1 month, 2 months, 4 months, and then every 2 months for up to 12 months.

Conditions

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Recurrent Laryngeal Squamous Cell Carcinoma Recurrent Laryngeal Verrucous Carcinoma Recurrent Lip and Oral Cavity Squamous Cell Carcinoma Recurrent Metastatic Squamous Cell Carcinoma in the Neck With Occult Primary Recurrent Oral Cavity Verrucous Carcinoma Recurrent Oropharyngeal Squamous Cell Carcinoma Tongue Carcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment (porfimer sodium, image-guided I-PDT)

Patients receive porfimer sodium IV over 3-5 minutes on day 0. Patients then undergo image-guided I-PDT on day 2.

Group Type EXPERIMENTAL

Laboratory Biomarker Analysis

Intervention Type OTHER

Correlative studies

Photodynamic Therapy

Intervention Type DRUG

Undergo image-guided I-PDT

Porfimer Sodium

Intervention Type DRUG

Given IV

Interventions

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Laboratory Biomarker Analysis

Correlative studies

Intervention Type OTHER

Photodynamic Therapy

Undergo image-guided I-PDT

Intervention Type DRUG

Porfimer Sodium

Given IV

Intervention Type DRUG

Other Intervention Names

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PDT Photoradiation Therapy CL-184116 DHE Dihematoporphyrin Ester Dihematoporphyrin Ether Photofrin II

Eligibility Criteria

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Inclusion Criteria

* Have an Eastern Cooperative Oncology Group (ECOG) performance status of =\< 2
* Histologically confirmed recurrent squamous cell carcinoma of the oral cavity, pharynx, (oropharynx, larynx) and neck
* Tumor accessible for unrestricted illumination for interstitial photodynamic therapy (PDT) (accessibility as determined by the physician)
* Patients on chemotherapy \&/or targeted agents for palliation
* Life expectancy of at least 6 months in the judgment of the physician
* Subjects of child-bearing potential must agree to use adequate contraceptive methods (e.g., hormonal or barrier method of birth control; abstinence) prior to study entry and for 6 months after the last treatment; should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately
* Subject or legal representative must understand the investigational nature of this study and sign an Institutional Review Board approved written informed consent form prior to receiving any study related procedure

Exclusion Criteria

* Radiotherapy within the last 2 months in the area to be treated
* Patients with known brain metastases should be excluded from this clinical trial
* Tumor invading a major blood vessel (such as the carotid artery)
* Tumor is not clearly shown on a computed tomography (CT) scan
* Location and extension of the tumor precludes an effective I-PDT
* Patients with porphyria, or with known hypersensitivity to porphyrins or porphyrin-like compounds
* While blood cell (WBC) \< 2.0 x 10\^9/L
* Total serum bilirubin \> 2.0 mg/dl
* Serum creatinine \> 2 mg/dl
* Alkaline phosphatase (hepatic) \> 3 times the upper normal limit
* Serum glutamic oxaloacetic transaminase (SGOT) \> 3 times the upper limit of normal
* Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, acute exacerbation of congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
* Pregnant or nursing female subjects
* Unwilling or unable to follow protocol requirements and the light exposure precautions
* Any condition which in the Investigators' opinion deems the subject an unsuitable candidate to receive study drug and therapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Roswell Park Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hassan Arshad

Role: PRINCIPAL_INVESTIGATOR

Roswell Park Cancer Institute

Locations

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Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2014-00210

Identifier Type: REGISTRY

Identifier Source: secondary_id

I 235613

Identifier Type: OTHER

Identifier Source: secondary_id

P30CA016056

Identifier Type: NIH

Identifier Source: secondary_id

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I 235613

Identifier Type: -

Identifier Source: org_study_id