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Studio in aperto sull'incremento della dose per la sicurezza e l'efficacia di STP705 in pazienti adulti con carcinoma basocellulare

31 agosto 2026 aggiornato da: Sirnaomics

Uno studio in aperto sull'aumento della dose per valutare la sicurezza e l'efficacia dell'iniezione localizzata di STP705 in pazienti adulti con carcinoma basocellulare

This phase 2, open label, dose escalation study is designed to evaluate the safety, tolerability and efficacy of various doses of STP705 administered as localized injection in patients with Basal Cell Carcinoma (BCC).

Goals:

  • To determine the safe and effective recommended dose of STP705 for the treatment of basal cell carcinoma.
  • Analysis of biomarkers common to BCC formation pathway including TGF-β1 and COX-2.

Panoramica dello studio

Stato

Completato

Intervento / Trattamento

Descrizione dettagliata

Basal cell carcinoma occurs most often on areas of the skin that are exposed to the sun, such as head and neck. The most commonly found clinical feature of Basal Cell Carcinoma (BCC) is an elevated tumor with a pearly and translucent margin and telangiectasia. The color may vary widely from nearly normal skin color to erythematous to violaceous and may also be pigmented. BCC may also resemble noncancerous skin conditions such as eczema or psoriasis. The majority of these cancers occur on areas of skin that are regularly exposed to sunlight or other ultraviolet radiation.

The STP705 drug substance (STP705) is composed of two siRNA oligonucleotides, targeting the expression of TGF-β1 and Cox-2 mRNA respectively. Along with the HKP-enhanced delivery system, the combination is expected to downregulate TGF-β1 and COX-2 expression resulting in the inhibition of tumor growth and provide an alternative non-invasive approach for the treatment of BCC.

This phase 2, open label, dose escalation study is designed to evaluate the safety, tolerability and efficacy of various doses of STP705 administered as localized injection in patients with BCC. This study seeks to establish a safe and effective recommended dose of STP705 for the treatment of BCC. The clinician will evaluate the change in tumor size at each treatment visit. At the End of Treatment visit, the residual tumor, or former tumor location, will be excised for analysis. Expression of biomarkers common to the BCC formation pathway, including TGF-β1 and COX-2, will be evaluated.

Safety and tolerability will be assessed by the number of incidence of adverse events (AEs) and serious adverse events (SAEs); the incidence of AEs and SAEs leading to discontinuation of trial medication; the incidence and severity of Local Skin Response (LSR); hypopigmentation and hyperpigmentation following treatment; and the tolerability of repeated localized administration of STP705 as assessed by investigator-evaluation of injection site reactions for all patients and within each cohort.

The study plans to enroll approximately 35 adult patients at up to 3 clinical sites in the United States. The 35 patients will be divided equally among 7 cohorts (30, 60, 90, 120, 180, 240, and 320 μg dose level) of 5 patients each.

Tipo di studio

Interventistico

Iscrizione (Effettivo)

32

Fase

  • Fase 2

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

    • Florida
      • Aventura, Florida, Stati Uniti, 33180
        • Center for Clinical and Cosmetic Research

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria: Subjects are required to meet all of the following criteria for enrollment into the study:

  1. Male or female adult ≥ 18 years of age.
  2. Primary, histologically confirmed trunk or extremity (non-peri-orbital/-anogenital/-facial/-scalp) basal cell carcinoma lesion suitable for excision with a minimum diameter of 0.5 cm and with a maximum diameter of 2.0 cm.
  3. Histological diagnosis made no more than 6 months prior to the screening visit.
  4. Histological biopsy removed ≤25% of the original volume of the target lesion.
  5. No other dermatological disease in the BCC target site or surrounding area, which in the opinion of the investigator, could interfere with the study.
  6. Willing to refrain from using non-approved lotions or creams on the target site and surrounding area during the treatment period.
  7. Willing to refrain from exposure to excessive direct sunlight or ultraviolet light and to avoid the use of tanning parlors for the duration of the study.
  8. Laboratory values for the tests (listed in the Study Schedule) within the reference ranges as defined by the central laboratory, or "out of range" test results that is clinically acceptable to the investigator. Ability to follow study instructions and likely to complete all study requirements.
  9. Written informed consent obtained, including consent for tissue to be examined and stored by the Central Histology Lab.
  10. Written consent to allow photographs of the target BCC lesion to be used as part of the study data and documentation.
  11. For females of childbearing potential, a negative pregnancy test at screening and using an acceptable form of birth control (oral / implant/ injectable/ transdermal contraceptives, intrauterine device, condom, diaphragm, abstinence, or a monogamous relationship with a partner who has had a vasectomy).

Exclusion Criteria:

  1. Pregnant or lactating.
  2. Presence of known or suspected systemic cancer.
  3. Histological evidence of SCC, or any other non-BCC tumor in the biopsy specimen.
  4. Histological evidence of infiltrative or other aggressive histological subtype growth patterns in the biopsy specimen.
  5. History of recurrence of the target BCC lesion.
  6. Evidence of dermatological disease or confounding skin condition with in 2 cm margin of the target BCC lesion, e.g., SCC, actinic keratosis, rosacea, psoriasis, atopic dermatitis, eczema, xeroderma pigmentosa.
  7. Concurrent disease or treatment that suppresses the immune system;
  8. Patients with baseline QTC > 480 msec using Frederica's formula.
  9. Chronic medical condition that in the judgment of the investigator(s) would interfere with the performance of the study or would place the patient at undue risk.
  10. Known sensitivity to any of the ingredients in the study medication.
  11. Use of a tanning beds or other excessive or prolonged exposure to ultraviolet light or direct sunlight during the study.
  12. Treatment with systemic chemotherapeutic agents within the 6 months prior to the screening visit.
  13. Use of systemic retinoids within the 6 months prior to the screening period.
  14. Treatment with systemic immunomodulators or immunosuppressants within the 6 months prior to the screening period.
  15. Use of topical immunomodulators within 2 cm of the target BCC lesion within the 4 weeks prior to the screening period.
  16. Treatment with the following topical agents within 2 cm of the target BCC lesion within the 4 weeks prior to the screening visit: amino-levulinic acid, 5-fluorouracil, corticosteroids, retinoids, diclofenac, ingenol mebutate, or imiquimod.
  17. Treatment with liquid nitrogen, surgical excision (excluding diagnostic incisional biopsy) or curettage within 2 cm of the target BCC lesion during the 4 weeks prior to the screening visit.
  18. Evidence of current chronic alcohol or drug abuse.
  19. Current enrollment in an investigational drug or device study or participation in such a study within 4 weeks of the screening visit.
  20. In the investigator's opinion, evidence of unwillingness, or inability to follow the restrictions and requirements of the protocol and complete the study.
  21. Taking any other investigational product within 1 month of first dose of STP705.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Non randomizzato
  • Modello interventistico: Assegnazione sequenziale
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Cohort A: STP705 30 μg dose

Cohort A: STP705 30 μg dose, localized injection, given once a week for 6 weeks

Dry powder for intra-and peri-lesional injection.

Altri nomi:
  • STP705 Polvere per preparazioni iniettabili
Sperimentale: Cohort B: STP705 60 μg dose

Cohort B: STP705 60 μg dose, localized injection, given once a week for 6 weeks

Dry powder for intra-and peri-lesional injection.

Altri nomi:
  • STP705 Polvere per preparazioni iniettabili
Sperimentale: Cohort C: STP705 90 μg dose

Cohort C: STP705 90 μg dose, localized injection, given once a week for 6 weeks

Dry powder for intra-and peri-lesional injection.

Altri nomi:
  • STP705 Polvere per preparazioni iniettabili
Sperimentale: Cohort D: STP705 120 μg dose

Cohort D: STP705 120 μg dose, localized injection, given once a week for 6 weeks

Dry powder for intra-and peri-lesional injection.

Altri nomi:
  • STP705 Polvere per preparazioni iniettabili
Sperimentale: Cohort E: STP705 180 μg dose

Cohort E: STP705 180 μg dose, localized injection, given once a week for 6 weeks

Dry powder for intra-and peri-lesional injection.

Altri nomi:
  • STP705 Polvere per preparazioni iniettabili
Sperimentale: Cohort F: STP705 240 μg dose

Cohort F: STP705 240 μg dose, localized injection, given once a week for 6 weeks

Dry powder for intra-and peri-lesional injection.

Altri nomi:
  • STP705 Polvere per preparazioni iniettabili
Sperimentale: Cohort G: STP705 320 μg dose

Cohort G: STP705 320 μg dose, localized injection, given once a week for 6 weeks

Dry powder for intra-and peri-lesional injection.

Altri nomi:
  • STP705 Polvere per preparazioni iniettabili

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Proportion of Participants With Histological Clearance of Treated Basal Cell Carcinoma Lesion at the End of Treatment (EOT)
Lasso di tempo: 6 weeks

Histological clearance (HC) will be defined as the absence of detectable evidence of BCC tumor cell nests as determined by central pathology review.

6 weeks

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Change in Clinical Diameter of the Treated Basal Cell Carcinoma Lesion Over the 6 Week Treatment Period
Lasso di tempo: End of Treatment (EOT) visit (Week 6)

A baseline assessment of lesion clinical diameter will be made by investigator at T1 (first visit). The change in size from baseline to the End of Treatment (EOT) visit (Week 6) will be reported.

End of Treatment (EOT) visit (Week 6)

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Collaboratori

Investigatori

  • Investigatore principale: Mark Nestor, MD, PhD, Center for Clinical and Cosmetic Research

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

28 dicembre 2020

Completamento primario (Effettivo)

9 febbraio 2023

Completamento dello studio (Effettivo)

9 febbraio 2023

Date di iscrizione allo studio

Primo inviato

9 dicembre 2020

Primo inviato che soddisfa i criteri di controllo qualità

9 dicembre 2020

Primo Inserito (Effettivo)

17 dicembre 2020

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

24 settembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

31 agosto 2026

Ultimo verificato

1 agosto 2026

Maggiori informazioni

Termini relativi a questo studio

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

NO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

Sì

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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