Zopa Retreatment and Vector Shedding in Adults With RRP

NCT ID: NCT06538480

Last Updated: 2025-12-15

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-11

Study Completion Date

2028-12-02

Brief Summary

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This open-label study evaluates safety, vector shedding, and retreatment efficacy of Zopapogene imadenovec (Zopa) in adults with recurrent respiratory papillomatosis (RRP). Two cohorts will be enrolled (n=30): Cohort 1 to assess the magnitude and duration of adenoviral vector shedding in urine, feces, skin, and nasal tissue; Cohort 2 to assess the complete response rate following retreatment.

Detailed Description

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Conditions

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Recurrent Respiratory Papillomatosis Papillomavirus Infection Papillomaviridae

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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Cohort 1 Vector Shedding

Zopa administered subcutaneously at 5 × 10\^11 particle units on Day 1, Week 2, Week 6, and Week 12. Samples for vector shedding to be collected from urine, feces, skin, and nasal tissue.

Group Type EXPERIMENTAL

Zopapogene imadenovec (Zopa)

Intervention Type DRUG

Zopa will be administered as 4 subcutaneous administrations over a 12-week interval.

Cohort 2 Retreatment

Patients with prior treatment with Zopa (5 × 10\^11 PU per injection) and require clinically indicated debulking procedure

Group Type EXPERIMENTAL

Zopapogene imadenovec (Zopa)

Intervention Type DRUG

Zopa will be administered as 4 subcutaneous administrations over a 12-week interval.

Interventions

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Zopapogene imadenovec (Zopa)

Zopa will be administered as 4 subcutaneous administrations over a 12-week interval.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18 years and older.
* Clinical diagnosis of recurrent respiratory papillomatosis with histological confirmation of papilloma.
* Cohort 1: Treatment-naïve with respect to Zopa.
* Cohort 2: Received a minimum of four administrations of Zopa at 5 × 10\^11 PU per injection and require clinically indicated debulking procedures.
* Presence of laryngotracheal papillomas accessible for endoscopic cleanout.
* ECOG performance status 0 or 1.
* Sexually active participants of reproductive potential must agree to use contraception during treatment and for 120 days for males and 6 months for females after last dose.
* Ability to understand and sign informed consent.

Exclusion Criteria

* Conditions or therapies that increase risk or interfere with participation per investigator judgment.
* Systemic corticosteroids \>10 mg prednisone equivalent or other immunosuppressive medications within 14 days prior to dosing.
* Other systemic RRP treatments or investigational agents within 30 days.
* History of heparin-induced thrombocytopenia or vaccine-induced thrombotic thrombocytopenia.
* Active uncontrolled HIV, hepatitis B, or hepatitis C infection.
* Pregnant or nursing women.
* Known allergy to any study drug component.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Precigen, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Amy Lankford, PhD

Role: STUDY_DIRECTOR

Precigen, Inc

Locations

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Winship Cancer Institute, Emory University

Atlanta, Georgia, United States

Site Status RECRUITING

National Institute of Health

Bethesda, Maryland, United States

Site Status RECRUITING

University of Cincinnati

Cincinnati, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Head of Clinical Operations

Role: CONTACT

301-556-9900

Facility Contacts

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Mosope Oyewole, CRC

Role: primary

404-778-5351

Shannon Householder, RN

Role: primary

240-656-8771

Scott Norberg, DO

Role: backup

Rebecca Reinert

Role: primary

513-558-1719

Other Identifiers

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PRGN-2012-301

Identifier Type: -

Identifier Source: org_study_id

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