Photodynamic Therapy in Treating Patients With Lung Cancer

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Roswell Park Cancer Institute
ClinicalTrials.gov Identifier:
NCT01668823
First received: August 16, 2012
Last updated: July 30, 2014
Last verified: July 2014
  Purpose

This phase I trial is studying the side effects and best dose of photodynamic therapy using HPPH in treating patients with lung cancer. 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, cancer cells are killed.


Condition Intervention Phase
Adenocarcinoma of the Lung
Large Cell Lung Cancer
Recurrent Non-small Cell Lung Cancer
Squamous Cell Lung Cancer
Stage 0 Non-small Cell Lung Cancer
Drug: HPPH
Drug: photodynamic therapy
Procedure: therapeutic bronchoscopy
Phase 1

Study Type: Interventional
Study Design: Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase I Study of Light Dose for Photodynamic Therapy(PDT) Using 2-[ 1-hexyloxyethel]-2-devinyl Pyropheophorbide-a (HPPH) for Treatment of Non-small Cell Carcinoma in Situ or Non-small Cell Microinvasive Carcinoma. A Dose Ranging Study

Resource links provided by NLM:


Further study details as provided by Roswell Park Cancer Institute:

Primary Outcome Measures:
  • MTID [ Time Frame: Up to 2 years ] [ Designated as safety issue: Yes ]
    Defined as the dose at which =< 1 out of 6 patients experiences dose-limiting toxicity.

  • Systemic toxicity according to NCI Common Toxicity Criteria version 2 [ Time Frame: Up to 6 months ] [ Designated as safety issue: Yes ]
  • PDT-related normal tissue toxicity [ Time Frame: Up to 6 months ] [ Designated as safety issue: Yes ]
    Assessed by a scale with grades 0-3 being acceptable, grade 4 being unacceptable, and grade 5 being stopping study.


Secondary Outcome Measures:
  • Objective tumor response [ Time Frame: Up to 6 months ] [ Designated as safety issue: No ]

Enrollment: 17
Study Start Date: February 2004
Estimated Study Completion Date: June 2014
Primary Completion Date: June 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Treatment (PDT using HPPH)
Patients receive HPPH IV over 1 hour on day 1. Patients then photodynamic therapy with laser light on day 3. Patients also undergo therapeutic bronchoscopy for endoscopic debridement on day 5.
Drug: HPPH
Given IV
Other Name: Photochlor
Drug: photodynamic therapy
Undergo photodynamic therapy with HPPH
Other Names:
  • Light Infusion Therapy™
  • PDT
  • therapy, photodynamic
Procedure: therapeutic bronchoscopy
Undergo therapeutic bronchoscopy for endoscopic debridement

Detailed Description:

PRIMARY OBJECTIVES:

I. To determine maximally tolerated light dose (MTID). Identify systemic and normal tissue toxicity using 2-[hexyloxyethyl)-2-devinyl pyropheophorbide-a (HPPH) for photodynamic therapy in patients with bronchogenic carcinoma-in-situ (CIS) or microinvasive carcinoma.

SECONDARY OBJECTIVES:

I. To study tumor response in patients with bronchogenic carcinoma-in-situ (CIS) or bronchogenic microinvasive carcinoma.

OUTLINE: This is a dose-escalation study.

Patients receive HPPH intravenously (IV) over 1 hour on day 1. Patients then photodynamic therapy with laser light on day 3. Patients also undergo therapeutic bronchoscopy for endoscopic debridement on day 5.

After completion of study treatment, patients are followed up at 4-6 weeks, 6 months, and then periodically for at least 2 years.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients with biopsy confirmed carcinoma-in-situ (CIS) or microinvasive lung cancer
  • Patients may have squamous cell carcinoma, adenocarcinoma, or large cell carcinoma
  • Patients may have received prior therapy for lung cancer of any type, e.g. chemotherapy, radiation therapy
  • Patients must have no contraindications for bronchoscopy
  • Female patients must not be pregnant and must be practicing a medically acceptable form of birth control, be sterile or post-menopausal
  • Patients must have a Karnofsky scale 50 or above (Eastern Cooperative Oncology Group [ECOG] 0-2)
  • Patients must sign an Informed Consent according to Food and Drug Administration (FDA) guidelines acceptable to the Roswell Park Cancer Institute (RPCI) Institutional Review Board (IRB)
  • Patients with underlying lung disease must be judged (by the principal investigator) able to with stand mucous/debris formation at the site of treatment
  • Definition of CIS or microinvasive lung cancer for this protocol: the lesion will be radiographically occult and not definable by conventional computed tomography (CT) of the chest; the lesion may or may not be invisible on white light bronchoscopy, but is definable and photographable on lung imaging fluorescence endoscope (LIFE) bronchoscopy; biopsies of the lesion must indicate no evidence of invasion beyond cartilage on histopathology; the lesion may, however, be invasive through the basement membrane (microinvasive carcinoma)

Exclusion Criteria:

  • Porphyria or hypersensitivity to porphyrin or porphyrin-like compounds
  • White blood cells (WBC) < 4000
  • Platelet count < 100,000
  • Prothrombin time exceeding 1.5 times the upper normal limit
  • Total serum bilirubin > 3.0 mg/dl
  • Serum creatinine > 3.0 mg/dl
  • Alkaline phosphatase (hepatic) or serum glutamic oxaloacetic transaminase (SGOT) > 3 times the upper normal limit
  • Severe chronic obstructive pulmonary disease (COPD) that would in the opinion of the investigator preclude multiple bronchoscopies or partial central airway obstruction from mucous/debris formation
  • Any evidence of worsening pulmonary symptoms or COPD exacerbation
  • Evidence of major pulmonary vessel encasement on CT scan of the chest
  • Myocardial infarction (Ml) or unstable angina in the previous 6 months
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01668823

Locations
United States, New York
Roswell Park Cancer Institute
Buffalo, New York, United States, 14263
Sponsors and Collaborators
Roswell Park Cancer Institute
Investigators
Principal Investigator: Samjot Dhillon Roswell Park Cancer Institute
  More Information

No publications provided

Responsible Party: Roswell Park Cancer Institute
ClinicalTrials.gov Identifier: NCT01668823     History of Changes
Other Study ID Numbers: I 05903, NCI-2010-02114
Study First Received: August 16, 2012
Last Updated: July 30, 2014
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Adenocarcinoma
Carcinoma, Non-Small-Cell Lung
Lung Neoplasms
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms
Carcinoma, Bronchogenic
Bronchial Neoplasms
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Lung Diseases
Respiratory Tract Diseases

ClinicalTrials.gov processed this record on August 28, 2014