Photodynamic Therapy Using HPPH in Treating Patients With Advanced Non-Small Cell Lung Cancer That Blocks the Air Passages
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
RATIONALE: Photodynamic therapy uses a drug, such as HPPH, that becomes active when it is exposed to a certain kind of light. When the drug is active, tumor cells are killed. This may be an effective treatment for advanced non-small cell lung cancer that blocks the air passages.
PURPOSE: This phase II trial is studying how well photodynamic therapy using HPPH works in treating patients with advanced non-small cell lung cancer that blocks the air passages.
| Condition | Intervention | Phase |
|---|---|---|
|
Lung Cancer |
Drug: HPPH Procedure: endoscopic procedure |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase II Study of Photodynamic Therapy (PDT) Using 2-[1-hexyloxyethyl]-2 Devinyl Pyropheophorbide-a (HPPH) for Treatment of Advanced Obstructing Endobronchial Lung Cancer |
- Tumor response [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Palliation of symptoms as assessed by the pulmonary symptom scale [ Time Frame: 2 months ] [ Designated as safety issue: No ]
- Photosensitizer (HPPH) concentration in tumor [ Time Frame: 2 months ] [ Designated as safety issue: No ]
- STAT3 cross-links as assessed by western blotting [ Time Frame: 2 months ] [ Designated as safety issue: No ]
- Inflammation and apoptosis as assessed by immunohistochemistry [ Time Frame: 2 months ] [ Designated as safety issue: No ]
| Enrollment: | 6 |
| Study Start Date: | August 2007 |
| Estimated Primary Completion Date: | January 2013 (Final data collection date for primary outcome measure) |
-
Drug: HPPH
OBJECTIVES:
Primary
- To determine the efficacy of photodynamic therapy (PDT) using HPPH in patients with advanced obstructing endobronchial non-small cell lung cancer.
Secondary
- To determine palliation of symptoms in patients treated with this regimen.
- To determine the amount of HPPH taken up by the obstructing endobronchial tumors in these patients.
- To determine the extent of STAT3 cross-links, which are molecular markers of immediate PDT reaction, in the obstructing tumors of these patients before and after PDT treatment.
- To determine inflammation and apoptosis in the obstructing bronchial tumors of these patients before and after PDT treatment.
OUTLINE: Patients receive HPPH IV over 1 hour on day 1. On day 3, patients undergo photodynamic therapy (PDT) comprising laser light delivered by flexible, fiberoptic fibers passed through the biopsy channel of an endoscope. Patients undergo endoscopic debridement on day 5. If viable tumor is found outside of the initial treatment area, patients may receive another dose of laser light without additional HPPH.
Patients may undergo tumor biopsies periodically during study for optional biomarker/correlative studies. Tumor tissue samples are analyzed for STAT3 cross-links by western blotting; apoptosis and inflammation biomarkers by immunohistochemistry, TUNEL, and other immunological laboratory methods; and tumor concentrations of HPPH by fluorescence emission spectroscopy.
After completion of study treatment, patients are followed at 4-6 weeks and then periodically thereafter.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Biopsy confirmed advanced obstructing endobronchial non-small cell lung cancer
- May have squamous cell carcinoma, adenocarcinoma, or large cell carcinoma histology
- Ineligible for or refused surgical resection
- Local endobronchial recurrence after prior surgical resection, radiotherapy, or chemotherapy allowed
- No evidence of tumor encasement of major pulmonary vessels on CT scan of the chest
PATIENT CHARACTERISTICS:
- Karnofsky performance status (PS) 50-100% OR ECOG PS 0-2
- WBC ≥ 4,000/mm³
- Platelet count ≥ 100,000/mm³
- Prothrombin time < 1.5 times upper limit of normal (ULN)
- Total bilirubin ≤ 2.0 mg/dL
- Creatinine ≤ 2.0 mg/dL
- Alkaline phosphatase (hepatic) ≤ 3 times ULN
- SGOT ≤ 3 times ULN
- No contraindications for bronchoscopy
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for 3 months after the completion of study treatment
- Patients with underlying lung disease must be judged (by the principal investigator) able to withstand mucous/debris formation at the site of treatment
- Patients who cannot breathe due to complete upper airway obstruction and who need emergency treatment to open the airway are not eligible
- No porphyria or hypersensitivity to porphyrin or porphyrin-like compounds
- No severe chronic obstructive pulmonary disease that, in the opinion of the investigator, would preclude multiple bronchoscopies
- No partial central airway obstruction from mucous/debris formation
- No high-grade upper airway obstruction of the trachea
PRIOR CONCURRENT THERAPY:
- Any type of prior therapy (e.g., chemotherapy or radiotherapy) for lung cancer allowed
- At least 4 weeks since prior and no concurrent chemotherapy or radiotherapy
Contacts and Locations| United States, New York | |
| Roswell Park Cancer Institute | |
| Buffalo, New York, United States, 14263-0001 | |
| Principal Investigator: | Todd L. Demmy, MD | Roswell Park Cancer Institute |
More Information
Additional Information:
No publications provided
| Responsible Party: | Roswell Park Cancer Institute |
| ClinicalTrials.gov Identifier: | NCT00528775 History of Changes |
| Other Study ID Numbers: | CDR0000563948, RPCI-I-98707 |
| Study First Received: | September 10, 2007 |
| Last Updated: | September 18, 2012 |
| Health Authority: | United States: Food and Drug Administration United States: Institutional Review Board |
Keywords provided by Roswell Park Cancer Institute:
|
adenocarcinoma of the lung large cell lung cancer squamous cell lung cancer recurrent non-small cell lung cancer |
stage IIIA non-small cell lung cancer stage IIIB non-small cell lung cancer stage IV non-small cell lung cancer |
Additional relevant MeSH terms:
|
Carcinoma, Non-Small-Cell Lung Lung Neoplasms Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms |
Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases Respiratory Tract Diseases |
ClinicalTrials.gov processed this record on May 23, 2013