Pilot Study of Oral 852A for Elimination of High-Grade Dysplasia in Barrett's Esophagus

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00386594
Recruitment Status : Terminated
First Posted : October 11, 2006
Last Update Posted : January 21, 2009
Information provided by:
Rogers, B.H. Gerald, M.D.

Brief Summary:
Barrett's esophagus with high-grade dysplasia is a premalignant condition caused by chronic reflux of gastric contents into the esophagus. High-grade dysplasia is the same as carcinoma-in-situ. If untreated, patients with this condition are at high risk for developing cancer of the esophagus. Cancer of the esophagus is a miserable disease that is difficult to treat and about 95% fatal after 5 years. To prevent progession to cancer of the esophagus several interventions are available and they include surgery, Photofrin photodynamic therapy, endoscopic mucosal resection and endoscopic thermal therapy. All of these modalities are uncomfortable, expensive and have associated risks. The oral agent, 852A stimulates the innate immune system in such a way as to eliminate early cancer. A similar dermatologic drug(imiquimod) is approved for treating the premalignant condition, actinic keratosis. If local therapy with imiquimod can eliminate a premalignant lesion in the skin, a similar acting drug should be able to do the same for a premalignant lesion in the lining of the esophagus. This study is designed to test that hypothesis.

Condition or disease Intervention/treatment Phase
Barrett Esophagus Drug: 852A Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 10 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Study Start Date : October 2006
Estimated Primary Completion Date : October 2010
Estimated Study Completion Date : October 2012

Primary Outcome Measures :
  1. Elimination of high-grade dysplasia in Barrett's esophagus [ Time Frame: 2 years ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Male or female, 18 years or older
  2. Documented Barrett's esophagus with high-grade dysplasia with diagnosis confirmed by the Pathology Department at the University of Chicago
  3. Laboratory parameters within the range given in the protocol.

Exclusion criteria.

  1. Patients with high-grade dysplasia of the esophagus who on ultrasound of the esophagus have invasion through the muscularis mucosa
  2. Patients who do not tolerate repeated endoscopy
  3. Patients who are allergic to 852A or any component in its vehicle
  4. Patients with autoimmune disease such as rheumatoid arthritis, ulcerative colitis or Crohn's disease which could be worsened by stimulating the innate immune system
  5. Pregnant patients, and vulnerable patients who cannot or will not use contraceptives
  6. Males who have a sexual partner who is pregnant or a vulnerable partner who cannot or will not use contraceptives.
  7. Cardiac ischemia, cardiac arrhythmias or congestive heart failure uncontrolled by medication
  8. History of, or clinical evidence of, a condition which, in the opinion of the investigator, could confound the results of the study or put the subject at undue risk
  9. Uncontrolled intercurrent or chronic illness
  10. Active hepatitis B or C with evidence of ongoing viral replication
  11. Hyperthyroidism
  12. Uncontrolled seizure disorder
  13. Active coagulation disorder not controlled with medication
  14. HIV positive
  15. Congenital long QT syndrome or abnormal baseline QTc interval after Bazett's correction
  16. Laboratory values outside of the acceptable range as given in protocol.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00386594

United States, Illinois
B. H. Gerald Rogers, M. D.
Chicago, Illinois, United States, 60611
Weiss Memorial Hospital
Chicago, Illinois, United States, 60640
Sponsors and Collaborators
Rogers, B.H. Gerald, M.D.
Principal Investigator: B. H. Gerald Rogers, M. D. Clinical Professor, University of Chicago School of Medicine. Attending Physician, Weiss Memorial Hospital, Chicago, Illinois

Responsible Party: B. H. Gerald Rogers, M.D., Weiss Memorial Hospital, Chicago, Illinois Identifier: NCT00386594     History of Changes
Other Study ID Numbers: 100606
First Posted: October 11, 2006    Key Record Dates
Last Update Posted: January 21, 2009
Last Verified: December 2006

Keywords provided by Rogers, B.H. Gerald, M.D.:
Barrett Esophagus
High grade dysplasia
Carcinoma in situ

Additional relevant MeSH terms:
Barrett Esophagus
Digestive System Abnormalities
Digestive System Diseases
Esophageal Diseases
Gastrointestinal Diseases