Photodynamic Therapy (PDT) With Temoporfin for Non-Resectable Non-Small-Cell Lung Cancer

January 14, 2014 updated by: University of Arkansas
The purpose of this study is to evaluate the safety of I-PDT with Temoporfin for patients with Non-Resectable Non-Small-Cell Lung Cancer (NR-NSCLC). Several clinical studies suggested that photodynamic therapy (PDT) may be an effective treatment for patients with NR-NSCLC. PDT is a therapy where an external light source, such as laser, is used to activate a light-sensitive medicine to produce byproducts that can destroy cancer cells. In this study the investigators will use an experimental light sensitive medicine, Temoporfin, to perform interstitial PDT (I-PDT). In I-PDT, laser fibers are inserted into the tumor to activate the light-sensitive medicine.

Study Overview

Status

Withdrawn

Conditions

Intervention / Treatment

Study Type

Interventional

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Arkansas
      • Little Rock, Arkansas, United States, 72205
        • University of Arkansas for Medical Sciences

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Eighteen years of age and older, male or female, of all races and ethnicities.
  • Histologically confirmed non-small-cell lung cancer (NSCLC).
  • Not a candidate for curative surgery.
  • Not a candidate for curative concurrent chemoradiation therapy.
  • Not a candidate or does not wish to receive curative radiation therapy.
  • Not a candidate or does not wish to receive radiofrequency or microwave thermal ablation.
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status < 2.
  • The tumor is observable in CT with contrast.
  • The tumor is accessible for unrestricted illumination of interstitial photodynamic therapy (I-PDT).
  • Deemed likely to survive for at least 3 months.
  • Patient is able and willing to provide written informed consent to participate in the study.
  • If the subject is a female of childbearing potential, the subject is willing to take a pregnancy test and practice strict birth control (estrogen-containing oral contraceptives or an intrauterine device) throughout the study and for 3 months after Temoporfin administration. Women who have had a hysterectomy are exempt from these requirements.
  • Subject is willing to remain in a controlled light exposure environment for a time period of at least 15 days.
  • History of laboratory tests that meet the following criteria

  • Hematocrit >= 33%, hemoglobin >= 11 g/dl

    • Platelet count > 70,000 per microliter
    • White blood count > 3,000 per microliter or ANC > 1500 per microliter
    • Creatinine: 0.8 to 1.4 mg/dL
    • Serum chloride: 101 to 111 mmol/L
    • Serum potassium: 3.7 to 5.2 mEq/L
    • Serum sodium: 136 to 144 mEq/L
    • Liver function test: albumin, bilirubin (direct/conjugated), ALT (alanine transaminase), AST (aspartate transaminade), GGT (gamma glutamyl transferase), ALP (alkaline phosphatase) within normal limits
    • BUN: 7 to 20 mg/dL

Exclusion Criteria:

  • The tumor invades a major blood vessel.
  • The tumor is not clearly shown on the CT image.
  • The tumor size is larger than 5 cm when measured in a contrasted CT image according to RECIST v1.1.
  • The location and extension of the tumor precludes an effective I-PDT.
  • Patient with porphyria or other diseases exacerbated by light.
  • Patient with hypersensitivity to Temoporfin or to any of its excipients.
  • Patient with known allergies/hypersensitivity to porphyrins.
  • Patient with a planned surgical procedure within the next 30 days.
  • Patient with a coexisting ophthalmic disease likely to require slit-lamp examination within the next 30 days.
  • Patient with existing therapy with a photosensitizing agent (Temoporfin, porphyrin or derivatives of porphyrin).
  • Patient has received prior PDT to the proposed treatment site within the prior 3 months.
  • Patient with known sensitivity to the CT contrast agent (Omnipaque), which would preclude the use of the CT contrast agent.
  • History of poor renal function as demonstrated by serum creatinine and estimated glomerular filtration rate (eGFR) < 40 mL/min/1.73m2, which would preclude the using of the CT contrast agent.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: NA
  • Interventional Model: SINGLE_GROUP
  • Masking: NONE

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Occurrence of serious adverse events
Time Frame: 14 and 30 days post-therapy
The specific aim of this pilot study is to evaluate the safety of CT-guided I-PDT with Temoporfin on patients with NR-NSCLC. Patient safety will be the primary endpoint. The safety of the intervention will be assessed at 14 and 30 days post-therapy. The primary outcome will be occurrence of Serious Adverse Events (SAE).
14 and 30 days post-therapy

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Arkansas

Investigators

  • Principal Investigator: Mary E Meek, MD, University of Arkansas

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

July 1, 2012

Primary Completion (ACTUAL)

January 1, 2014

Study Completion (ACTUAL)

January 1, 2014

Study Registration Dates

First Submitted

July 6, 2012

First Submitted That Met QC Criteria

July 10, 2012

First Posted (ESTIMATE)

July 11, 2012

Study Record Updates

Last Update Posted (ESTIMATE)

January 15, 2014

Last Update Submitted That Met QC Criteria

January 14, 2014

Last Verified

January 1, 2014

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 134367

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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