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A Safety Study of Two Intratumoural Doses of Coxsackievirus Type A21 in Melanoma Patients

This study has been completed.
Information provided by:
Viralytics Identifier:
First received: February 19, 2007
Last updated: May 9, 2017
Last verified: May 2017

The purpose of the study is to determine the safety and tolerability of two doses of Coxsackievirus A21, administered 48 hours apart into a superficial melanoma tumour.

Injected and non-injected tumours will be observed regarding change in tumour size.

Coxsackievirus A21 (CVA21) is a naturally occurring virus, that is known to cause self limiting upper respiratory infections. CVA21 has been shown in cell culture to infect and kill human melanoma cancer cell lines. This property of CVA21 is due to the specific receptors CVA21 uses in order to attach to, and infect a cell. The 2 receptors CVA21 uses to infect a cell are Intracellular Adhesion Molecule 1 (ICAM-1) and Decay Accelerating Factor. Both of these surface proteins are expressed on melanoma cell lines as well as human melanoma tumours. Animal models of human melanoma tumours have demonstrated that CVA21 injection either intratumour or intravenous causes infection in the tumours, resulting in reduction of tumour size and growth.

Condition Intervention Phase
Stage IV Melanoma Drug: Coxsackievirus A21 Phase 1

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase I, Open Label, Cohort Study of Two Doses of Cavatak (Coxsackievirus Type A21) Given Intratumourally in Stage IV Melanoma Patients.

Resource links provided by NLM:

Further study details as provided by Viralytics:

Primary Outcome Measures:
  • Safety and tolerability of two doses of Coxsackievirus A21 administered intratumourally. [ Time Frame: Days 1, 3, 6, 8, 10, 13, 17, 24, 38, 52, 87 ]

Secondary Outcome Measures:
  • To determine clinical response of the injected tumour [ Time Frame: Days 24, 52, 87 ]
  • To determine clinical response in non-injected tumours using RECIST criteria [ Time Frame: 3 months ]
  • Time course and quantify CVA21 viremias [ Time Frame: 3 months ]
  • Determine time course to elimination of CVA21 [ Time Frame: 3 months ]
  • Determine time course, frequency as well as quantify the development of anti-CVA21 antibodies [ Time Frame: 3 months ]

Estimated Enrollment: 9
Study Start Date: February 2007
Study Completion Date: September 2009
Primary Completion Date: September 2009 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: Coxsackievirus A21
    Two doses of drug, separated by 48 hours
    Other Name: CAVATAK

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

Inclusion Criteria:

  • Greater than 18 years of age.
  • One subcutaneous melanoma metastatic deposit, 2.0 to 5.0 cm in diameter, accessible to 3mm punch biopsy and injection, may be tumour infiltrated lymph node.
  • Melanoma stage IV.
  • 3mm punch biopsy of the selected tumour must be expressing ICAM-1 and DAF.
  • Absence of circulating antibodies to CVA21 (titre < 1:16)
  • Patients must have adequate hematological, renal and hepatic function
  • Failed or refused standard treatment (s)
  • Patients are able and willing to provide signed/informed consent to participate in the study.
  • Fertile males and females must agree to the use of adequate form of contraception, eg. Condoms for males
  • Negative pregnancy test is required for female patients of child bearing potential.

Exclusion Criteria:

  • Mucosal or ocular tumour
  • Presence of CNS tumour
  • Radiotherapy to the injection tumour site.
  • Prior local radiotherapy without subsequent nodule progression
  • Chemotherapy within 4 weeks of screening visit.
  • ECOG score greater than 1.
  • Life expectancy less than 3 months.
  • Pregnancy or breast feeding.
  • Primary or secondary immunodeficiency, including immuno-suppressive doses of corticosteroids (prednisolone greater than 7.5 mg/day, or other immuno-suppressive drugs such as cyclosporine, azothioprine, interferons, within the 4 weeks prior to screening visit.
  • Positive serology for HIV, Hepatitis B virus or Hepatitis C virus
  • Full dose anticoagulation, or a history of bleeding diathesis, or history of difficult to control bleeding in the month before screening visit.
  • Previous splenectomy.
  • Presence of uncontrolled infection.
  • Presence of unstable neurological disease
  • Any uncontrolled medical condition that in the opinion of the Investigator is likely to place the patient at unacceptable risk during the study or reduce their ability to complete the study
  • Participation in another study requiring administration of an investigational drug or biological agent within the last 4 weeks prior to screening visit.
  • Known allergy to treatment medication or excipients
  • Any other medical or psychological condition that would preclude participation in the study or compromise ability to give informed consent.
  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 identifier: NCT00438009

Australia, Queensland
Princess Alexandra Hospital
Brisbane, Queensland, Australia
Sponsors and Collaborators
  More Information

Additional Information:
Responsible Party: Stephen Goodall, Chief Operating Officer Identifier: NCT00438009     History of Changes
Other Study ID Numbers: PSX-X-03
PAH HREC identifier 2006/49
Study First Received: February 19, 2007
Last Updated: May 9, 2017

Keywords provided by Viralytics:
coxsackievirus type a21
oncolytic virus

Additional relevant MeSH terms:
Coxsackievirus Infections
Neuroendocrine Tumors
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms by Histologic Type
Neoplasms, Nerve Tissue
Nevi and Melanomas
Enterovirus Infections
Picornaviridae Infections
RNA Virus Infections
Virus Diseases processed this record on August 18, 2017