rAd-p53 Gene Therapy for Advanced Oral and Maxillofacial Malignant Tumors
Recruitment status was Recruiting
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Purpose
This is multicenter, open-label, randomized, active-controled, phase IV study of local direct intra-tumor injection of rAd-p53 monotherapy, with concurrent chemotherapy , or combination with surgery for treatment of advanced oral and maxillofacial malignant tumors.
| Condition | Intervention | Phase |
|---|---|---|
|
Advanced Oral and Maxillofacial Malignant Tumors |
Drug: p53 gene with surgery Procedure: surgery Drug: p53 with chemotherapy Drug: p53 gene therapy |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Open-Label, Multi-Center, Randomized, Active-Controlled, Phase 4 Study of rAd-p53 Gene Mono-Therapy, With Concurrent Chemotherapy, or Combination With Surgery in Subjects With Advanced Oral and Maxillofacial Malignant Tumors |
- overall best response rate [ Time Frame: 3 years ] [ Designated as safety issue: Yes ]
- progress free survival [ Time Frame: 3 years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 600 |
| Study Start Date: | June 2009 |
| Estimated Study Completion Date: | July 2012 |
| Estimated Primary Completion Date: | July 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: surgery plus p53 gene
using p53 gene therapy before surgery
|
Drug: p53 gene with surgery
pre-surgery p53 gene treatment: 10exp12 virus particles per 3 days for 5 times
Other Name: no other names
|
|
Active Comparator: surgery alone
Surgery without pre-p53 gene therapy
|
Procedure: surgery
remove tumor surgery
Other Name: no other names
|
|
Experimental: p53 plus chemotherapy
p53 gene therapy with concurrent chemotherapy
|
Drug: p53 with chemotherapy
p53 gene treatment: 10exp12 virus particles per 3 days for 10 times Chemotherapy: standard chemotherapy
Other Name: no other names
|
|
Experimental: p53 gene therapy alone
Intra-tumor injectio of rAd-p53 gene with no concurrent treatment
|
Drug: p53 gene therapy
p53 gene treatment: 10exp12 virus particles per 3 days for 10 times
Other Name: no other names
|
Detailed Description:
Primary objectives of this study is to determine the efficacy profiles of rAd-p53 intra-tumor injection alone, with concurrent chemotherapy, or combination with surgery for treatment of advanced oral and maxillofacial malignant tumors(stage III or IV) including target lesion complete response rate (LCR) and overall target lesion response rate (OLR), response duration (RD), and progress-free survival (PFS).
The secondary objectives of this study is to investigate overall response rate (OPCR) and overall complete response rate (OCR), overall survival (OS), ECOG, and safety of rAd-p53 monotherapy and combined with chemotherapy,or surgery.
Eligibility| Ages Eligible for Study: | 18 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Advanced stages of Oral and Maxillofacial malignant tumors (stage III and VI)
- At least one target tumor can be injected with study drug, the largest diameter greater than 2 cm
- Histologically confirmed Oral and Maxillofacial malignant tumors
- No prior chemotherapy, radiotherapy or biological tumor therapy in 2 weeks
- Age: 18-85 years old
- Expected to survive more 12 weeks
- ECOG:0-2
- Neutrophils≥1.5×109/L,Platelet≥ 80×109/L, Hb≥80g/L, bilitubin≤2mg/dl,ALT and AST ≤2×institutional upper limit of normal, Cr ≤1.5×institutional upper limit of normal,coagulation tests (PTT and INR) within normal range
- Subject provided signed informed consent
Exclusion Criteria:
- Hypersensitive to study drug
- Tumor(s) locate very close to important blood vessels and nerves, which affect injection
- With a coagulation and bleeding disorder
- With uncontrolled, intercurrent illness including but limited to symptomatic neurological illness, symptomatic congestive heart failure, unstable angina pectoris, significant pulmonary disease or hypoxia, or psychiatric illness
- Local infection close to injection site or systemic infection
- Pregnant or lactating
- Principle investigator consider not suitable -
Contacts and Locations| Contact: qing yu, MD | 86-755-33065218 | qingyu36@hotmail.com |
| China, Sichuan | |
| West China Hospital, Sichuan University | Recruiting |
| Chengdu, Sichuan, China, 610041 | |
| Contact: Longjiang Li, PhD, MD 86-28-85503389 muzili63@163.com | |
| Principal Investigator: Longjiang Li, PhD, MD | |
| Principal Investigator: | Longjiang Li, PhD, MD | West China Hospital |
More Information
No publications provided
| Responsible Party: | Shenzhen SiBiono GeneTech Co.,Ltd |
| ClinicalTrials.gov Identifier: | NCT00902083 History of Changes |
| Other Study ID Numbers: | rAd-p53-002 |
| Study First Received: | May 11, 2009 |
| Last Updated: | April 6, 2012 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Shenzhen SiBiono GeneTech Co.,Ltd:
|
p53 gene Oral and Maxillofacial gene therapy malignant tumors |
Additional relevant MeSH terms:
|
Neoplasms Li-Fraumeni Syndrome Neoplastic Syndromes, Hereditary |
Genetic Diseases, Inborn DNA Repair-Deficiency Disorders Metabolic Diseases |
ClinicalTrials.gov processed this record on June 18, 2013