Calcium Electroporation for Treatment of Cutaneous Metastases
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ClinicalTrials.gov Identifier: NCT01941901 |
Recruitment Status :
Completed
First Posted : September 13, 2013
Last Update Posted : November 5, 2019
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Condition or disease | Intervention/treatment | Phase |
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Cutaneous Metastases | Drug: Calcium electroporation Drug: Electrochemotherapy with bleomycin | Phase 2 |
Double-blinded phase II clinical study. We will compare the effect of calcium electroporation for the treatment of cutaneous metastases with standard treatment: electrochemotherapy with intratumoral injection of bleomycin. Separate randomisation will be performed and the lesions will be treated with either intratumoral injection of calcium or bleomycin. It is a once only treatment and the patients will be followed up for 6 months.
It is a non-inferiority study and we accept a difference in response on 15%.
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 7 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | Patients with cutanoues tumors of any cancer histology were included, and metastases were marked, numbered and photographed. Syringes with either calcium or bleomycin were prepared by a pharmacist, blinded for the treating clinician. After injection of study drug (calcium or bleomycin), electroporation was performed. Metastases were followed and at the 6 month follow-up response was recorded for treated metastases and the actual drug used for each metastasis was revealed. |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Masking Description: | The patient and treating doctor only knew the size of the treated tumor, and the injection volume, but not the content of the syringe (either calcium or bleomycin). |
Primary Purpose: | Treatment |
Official Title: | Calcium Electroporation for Treatment of Cutaneous Metastases |
Study Start Date : | September 2013 |
Actual Primary Completion Date : | September 2016 |
Actual Study Completion Date : | January 23, 2017 |
Arm | Intervention/treatment |
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Experimental: Calcium electroporation
The metastases will be treated with intratumoral injection of calcium chlorid followed by electrotransfer. It is a once-only treatment. Calcium chlorid concentration: 9mg/ml. Total dose: 0,5ml/cm3 tumor volume. |
Drug: Calcium electroporation
Intratumoral injection, once only treatment.
Other Names:
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Active Comparator: Electrochemotherapy with bleomycin
The metastases will be treated with intratumoral injection of bleomycin followed by electrotransfer. It is a once only treatment. bleomycin concentration: 1000 IU/ml. Total dose: o,5 ml/cm3 tumor volume. |
Drug: Electrochemotherapy with bleomycin
Intratumoral injection, once only treatment
Other Names:
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- Tumor response [ Time Frame: After 6 months ]Response evaluated by "Response Evaluation Criteria in Solid Tumors" (RECIST) guidelines version 1.1.
- Adverse events to calcium electroporation [ Time Frame: After 6 months ]Describe adverse events using Common Terminology for Adverse Events, version 4.0
- Compare tumor response of calcium electroporation with tumor response of electroporation. Response is evaluated by RECIST criteria. [ Time Frame: After 6 months ]It is a non-inferiority study, and we accept a difference in response on 15%.

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age > 18 years.
- Histological confirmed cutaneous metastases of any histology.
- At least 1. cutaneous metastases between 0,5 to 3cm, available to electroporation.
- Patient should have been offered standard treatment.
- At least 2 weeks since chemotherapy or radiotherapy.
- Performance status >2 (ECOG).
- Life expectancy >3 months.
- platelet count > 50 mia/l.
- International Normalized Ratio (INR) <1,2.
- Men and women of reproductive age must use effective contraception during the study.
- Patient should be able to understand participants information.
- Signed, informed consent.
Exclusion Criteria:
- Previously treatment with bleomycin > 200.000 Units/m2.
- Allergy to bleomycin.
- Clinically significant coagulopathy.
- Pregnancy or lactation.
- Participation in other clinical trial involving experimental drugs or participation in a clinical trial within 4 weeks before study treatment.

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 ClinicalTrials.gov identifier (NCT number): NCT01941901
Denmark | |
Department of Oncology, Copenhagen University Hospital, Herlev | |
Herlev, Denmark, 2730 |
Principal Investigator: | Julie Gehl | Department of Oncology, Copenhagen University hospital, Herlev |
Other Publications:
Responsible Party: | Julie Gehl, Medical Doctor, Herlev Hospital |
ClinicalTrials.gov Identifier: | NCT01941901 |
Other Study ID Numbers: |
AA1232 |
First Posted: | September 13, 2013 Key Record Dates |
Last Update Posted: | November 5, 2019 |
Last Verified: | November 2019 |
Cutaneous metastases |
Neoplasm Metastasis Neoplasms, Second Primary Skin Neoplasms Neoplastic Processes Neoplasms Pathologic Processes Neoplasms by Site Skin Diseases |
Calcium, Dietary Bleomycin Calcium Calcium-Regulating Hormones and Agents Physiological Effects of Drugs Bone Density Conservation Agents Antibiotics, Antineoplastic Antineoplastic Agents |