Rhenium-Skin Cancer Therapy (SCT) for the Treatment of Non-Melanoma Skin Cancer. (EPIC-Skin)
Efficacy of Personalised Irradiation With Rhenium-Skin Cancer Therapy (SCT) for the Treatment of Non-Melanoma Skin Cancer: A Phase IV, Multi-Centre, International, Open-Label, Single Arm Study.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Gerhard Dr Dahlhoff, MD
- Phone Number: 08136808989
- Email: gerhard.dahlhoff@oncobeta.com
Study Contact Backup
- Name: Sam Dr Vohra, PhD
- Phone Number: +61450556969
- Email: sam@avionmedical.com.au
Study Locations
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New South Wales
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Sydney, New South Wales, Australia, 2065
- Genesis Care Health Hub at RNS
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Queensland
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Tugun, Queensland, Australia, 4224
- John Flynn Hospital
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Western Australia
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Perth, Western Australia, Australia, 6009
- Hollywood Private
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Ottakring, Austria, 1160
- Klinik Ottakring
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Rostock, Germany, 18057
- Rostock University Hospital
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Pretoria, South Africa, 0001
- Steve Beko Hospital
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London, United Kingdom
- Kings College Hospital London
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Stage I or II BCC or SCC (SCC Well to Moderately Differentiated), and clinically node negative disease
- Confirmed Histology, and with depth of lesion noted
- Subjects with up to 3 lesions suitable to enter the study (subjects with more than 3 lesions are not excluded from the study, however 3 target lesions are determined for study evaluation only.)
- Subjects able and willing to comply with the requirements of the study
- Age >=18 years
- Informed Consent signed by the subject consenting to undergo the study
- Lesions up to 8cm2
- Lesions with a depth up to 3mm confirmed on biopsy report AND deemed appropriate clinically by treating clinician
- Subjects who are not deemed suitable for surgery, for example due to tumour location, performance status or other comorbidities as deemed relevant by the treating clinician
- Patients who may have declined Surgery and/or fractionated Radiation Therapy
Exclusion Criteria:
- Inability to personally provide written informed consent or to understand and collaborate throughout the study
- Inability or unwillingness to comply with study requirements
- Prior treatment with surgery or radiation therapy for their target lesion(s)
- Depth of lesion greater than 3mm as defined by Biopsy and/or clinical assessment
- Lupus and Scleroderma
- Basal cell naevus syndrome, xeroderma, vitiligo and albinism
- Prior laser at the tumour site
- Malignant melanoma systemic therapy ongoing
- Any ongoing treatment for malignancy, or in the last 4 weeks prior to study entry
- A tumour affecting nerves or bony structures
- Clinical concern of metastatic disease
- Pregnancy and/or Lactation
- Pathological exclusions: Perineural Invasion, Lymphovascular invasion
- Anatomical exclusions: NMSC's of the Medial canthus, eyelid margin (upper and lower), Vermillion lip
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Treatment arm
Treatment with Rhenium-SCT, Single treatment.
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Rhenium-SCT irradiation device
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Complete Response (CR) with Modified Visual RECIST tool
Time Frame: 12 months
|
To assess the proportion of lesions achieving complete response (CR) as per MODIFIED VISUAL RECIST criteria
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12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
SKINDEX-16 QoL Questionnaire
Time Frame: 6 months and 12 months
|
The QoL questionnaire will be scored according to the author's instructions.
Change from baseline in score will be calculated.
Descriptive statistics will be presented for actual score and change from baseline by timepoint, overall and by tumour type (BCC/SCC).
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6 months and 12 months
|
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Comfort of Treatment short questionnaire
Time Frame: 14 days
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Comfort of treatment assessed using a short questionnaire completed by subjects post treatment with Rhenium-SCT.
The frequency (and percentage) of subjects reporting each option for each question will be presented.
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14 days
|
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cosmetic outcomes by Visual Analogue Scale
Time Frame: 12 months and 24 months
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Cosmetic outcome assessed by subject and Clinician, using Visual Analogue Scale.
Descriptive statistics will be presented overall and by tumour type (BCC or SCC).
A mixed model will be fitted with Visual Analogue Scale as the outcome variable.
Tumour type and tumour stage will be included as factors.
Other relevant prognostic factors assessed at Baseline will be included.
From the model the adjusted mean score will be obtained and presented with 95% confidence limits.
Adjusted mean score will be estimated overall and by tumour type.
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12 months and 24 months
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety as assessed by CTCAE v4.0
Time Frame: 24 months
|
Adverse events by severity and by relationship to Rhenium-SCT, including radiation dermatitis, dry skin, skin ulceration, alopecia, skin induration, hypo/hyperpigmentation, and telangiectasia.
Adverse events will be coded using MedDRA and comprehensively summarised by System Organ Class (SOC) and Preferred Term (PT) overall, by severity and by relationship to Rhenium-SCT.
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24 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Gerhard Dr Dahlhoff, MD, Oncobeta GmbH
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- OB-RHSCT-101
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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