Bevacizumab Versus Cidofovir for the Treatment of Recurrent Respiratory Papillomatosis

NCT ID: NCT02555800

Last Updated: 2016-07-26

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2017-06-30

Brief Summary

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The aim of this study is to compare the efficacy of intralesional bevacizumab, a monoclonal antibody against vascular endothelial growth factor, versus the antiviral drug cidofovir in patients with recurrent respiratory papillomatosis.

Detailed Description

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The investigators designed a randomized, double-blind, placebo-controlled study. Children and adults will be randomized to receive either 3 dosis of intralesional bevacizumab, cidofovir or saline solution. Primary endpoints are the assessment of changes in the annual surgery rate and Derkay papilloma severity grading scale; secondary endpoints are changes in the Voice Handicap Index and safety.

Conditions

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Recurrent Respiratory Papillomatosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Bevacizumab

Patients will receive 3 intralesional injections of bevacizumab (Avastin, Genentech, San Francisco, California) every 3 to 6 weeks in a submucosal plane after surgical debulking. 12.5 mg of bevacizumab diluted in 3mL of 9% isotonic sodium chloride solution will be injected intralesionally using a 25 gauge.

Group Type EXPERIMENTAL

Bevacizumab

Intervention Type DRUG

Patients will receive 3 intralesional injections of bevacizumab (Avastin, Genentech, San Francisco, California) every 3 to 6 weeks in a submucosal plane after surgical debulking. 12.5 mg of bevacizumab diluted in 3mL of 9% isotonic sodium chloride solution will be injected intralesionally using a 25 gauge.

Cidofovir

Patients will receive 3 intralesional injections of cidofovir every 3 to 6 weeks a submucosal plane after surgical debulking. 3.5 mL of cidofovir diluted to a concentration of 5 mg/mL in a 9% isotonic sodium chloride solution will be injected intralesionally using a 25 gauge.

Group Type EXPERIMENTAL

Cidofovir

Intervention Type DRUG

Patients will receive 3 intralesional injections of cidofovir every 3 to 6 weeks a submucosal plane after surgical debulking. 3.5 mL of cidofovir diluted to a concentration of 5 mg/mL in a 9% isotonic sodium chloride solution will be injected intralesionally using a 25 gauge.

Saline

Patients will receive 3 intralesional injections of 3.5 mL of saline solution every 3 to 6 weeks in a submucosal plane after surgical debulking.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Saline solution

Interventions

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Bevacizumab

Patients will receive 3 intralesional injections of bevacizumab (Avastin, Genentech, San Francisco, California) every 3 to 6 weeks in a submucosal plane after surgical debulking. 12.5 mg of bevacizumab diluted in 3mL of 9% isotonic sodium chloride solution will be injected intralesionally using a 25 gauge.

Intervention Type DRUG

Cidofovir

Patients will receive 3 intralesional injections of cidofovir every 3 to 6 weeks a submucosal plane after surgical debulking. 3.5 mL of cidofovir diluted to a concentration of 5 mg/mL in a 9% isotonic sodium chloride solution will be injected intralesionally using a 25 gauge.

Intervention Type DRUG

Placebo

Saline solution

Intervention Type OTHER

Other Intervention Names

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Avastin Vistide

Eligibility Criteria

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Inclusion Criteria

* Patients diagnosed with recurrent respiratory papillomatosis proven by biopsy.
* Patients with 2 or more previous surgeries for papillomatosis

Exclusion Criteria

* Patients with heart or renal disease
* Patients who receive another adjuvant therapy
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centro de Investigación en. Enfermedades Infecciosas, Mexico

OTHER_GOV

Sponsor Role lead

Responsible Party

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Gustavo Reyes-Teran

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gustavo Reyes-Terán, M.D.

Role: PRINCIPAL_INVESTIGATOR

Centro de Investigación en. Enfermedades Infecciosas, Mexico

Locations

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Centro de Investigacion en Enfermedades Infecciosas

México, State of Mexico, Mexico

Site Status RECRUITING

Countries

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Mexico

Central Contacts

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Yuria Ablanedo-Terrazas, M.D.

Role: CONTACT

+525556667985

Facility Contacts

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Gustavo Reyes-Teran, M.D.

Role: primary

+52(55)56667985

Yuria Ablanedo-Terrazas, M.D.

Role: backup

+52(55)56667985

References

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Ablanedo-Terrazas Y, Estrada-Camacho O, Alvarado-de la Barrera C, Ramirez-Garcia A, Tona-Acedo G, Bross-Soriano D, Schimelmitz-Idi J. Efficacy of cidofovir versus bevacizumab in recurrent respiratory papillomatosis: A randomized, double-blind, placebo-controlled pilot study. Acta Otorrinolaringol Esp (Engl Ed). 2022 Mar-Apr;73(2):82-88. doi: 10.1016/j.otoeng.2020.12.001.

Reference Type DERIVED
PMID: 35397828 (View on PubMed)

Other Identifiers

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INER

Identifier Type: -

Identifier Source: org_study_id

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