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LeukemiaPhase 2NCT00054171

Photodynamic Therapy in Treating Patients With Lymphoma or Chronic Lymphocytic Leukemia

A Phase 2 study testing aminolevulinic acid hydrochloride in people with Leukemia and Lymphoma, run by Roswell Park Cancer Institute at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

RATIONALE: Photodynamic therapy uses light and drugs that make cancer cells more sensitive to light to kill cancer cells. Photosensitizing drugs such as aminolevulinic acid are absorbed by cancer cells and, when exposed to light, become active and kill the cancer cells. Read more about this study

Who is it for?
Any age
Conditions the study is for
Leukemia, Lymphoma
What is being tested?
aminolevulinic acid hydrochloride
How many people
1 participants
Where
1 siteUnited States
Study dates
Feb 1999to Jul 2005
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

DISEASE CHARACTERISTICS:

  • One of the following histologically confirmed diagnoses:
  • Cutaneous B-cell or T-cell lymphoma confined to the skin
  • No evidence of internal disease other than peripheral adenopathy
  • Early chronic lymphocytic leukemia with cutaneous B-cell infiltrates not requiring systemic therapy
  • Stable or slowly progressive disease that is not expected to substantially change during treatment

PATIENT CHARACTERISTICS:

Age

  • Not specified

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Other

  • Not pregnant or nursing
  • No porphyria or known hypersensitivity to porphyrins
  • No known photosensitivity diseases

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Concurrent clinically necessary interferon alfa allowed

Chemotherapy

  • No concurrent systemic multiagent chemotherapy

Endocrine therapy

  • Not specified

Radiotherapy

  • No concurrent local radiotherapy to study lesions
  • No concurrent whole body radiotherapy

Surgery

  • Not specified

Other

  • More than 1 month since prior topical therapy to study lesions
  • Concurrent topical therapy to non-study lesions allowed

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Roswell Park Cancer Institute

    Buffalo, New York, 14263-0001

Other trials in United States

About this study

Official title: A Pilot Study of Short (1-2.5 h), Medium (4-6 h) and Long (18-24 h) Applications of 20% Topical ALA-PDT for Photodynamic Therapy of Cutaneous T and B Cell Lymphomas and Cutaneous Infiltrates of Early CLL

RATIONALE: Photodynamic therapy uses light and drugs that make cancer cells more sensitive to light to kill cancer cells. Photosensitizing drugs such as aminolevulinic acid are absorbed by cancer cells and, when exposed to light, become active and kill the cancer cells.

PURPOSE: Randomized phase II trial to study the effectiveness of photodynamic therapy using aminolevulinic acid in treating patients who have cutaneous T-cell lymphoma, B-cell lymphoma, or early chronic lymphocytic leukemia involving the skin.

Read the detailed description

OBJECTIVES:

  • Determine the pain grade and epidermal toxic response (ETR) of patients with T-cell or B-cell lymphoma or early chronic lymphocytic leukemia with cutaneous infiltrates treated with photodynamic therapy using aminolevulinic acid.
  • Determine the feasibility of maintaining a pain grade of 1 or less and an approximate ETR of 2 in patients receiving up to 12 sessions of this regimen.
  • Determine the maximal irradiance and corresponding exposure among multiple treatments at the same site and among different sites in the same and in different patients.
  • Determine the cumulative response achieved at the completion of treatment in these patients.
  • Determine the number of sessions required to complete treatment in these patients.
  • Correlate ETR with incremental treatment response in patients treated with this regimen.

OUTLINE: This is a randomized study. Patients' individual lesions are randomized to 1 of 3 treatment arms.

  • Arm I: Patients receive a short duration of topical aminolevulinic acid (ALA) on the lesion and surrounding normal skin. The lesion is then illuminated with red light for up to 30 minutes.
  • Arm II: Patients receive a medium duration of ALA followed by light illumination as in arm I.
  • Arm III: Patients receive a long duration of ALA followed by light illumination as in arm I.

In all arms, treatment repeats every 2 weeks for up to 12 courses in the absence of unacceptable toxicity or progressive (systemic) disease.

Additional patients are accrued to a treatment arm if at least 2 of 3 patients on that arm experience 25% cumulative clinical response.

Patients are followed at 1, 3, and 6 months and then every 6 months for 2 years.

PROJECTED ACCRUAL: A total of 4-10 patients will be accrued for this study within 5-7 years.

Conditions
Leukemia, Lymphoma
Being tested
aminolevulinic acid hydrochloride
Keywords
B-cell chronic lymphocytic leukemia, stage I cutaneous T-cell non-Hodgkin lymphoma, stage I mycosis fungoides/Sezary syndrome, stage 0 chronic lymphocytic leukemia, stage I chronic lymphocytic leukemia
Medical subject headings
Leukemia, Lymphoma, Leukemia, Lymphocytic, Chronic, B-Cell, Lymphoma, T-Cell, Cutaneous, Mycosis Fungoides, Sezary Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • aminolevulinic acid hydrochlorideDrug

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain grade and epidermal toxic response (ETR)

  2. Feasibility of maintaining a pain grade of 1 or less and an approximate ETR of 2

  3. Maximal irradiance and corresponding exposure

  4. Cumulative response achieved at the completion of treatment

  5. Number of sessions required to complete treatment

  6. Correlation of ETR with incremental treatment response

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Feb 2003 (estimated)
  2. Study startFeb 1999
  3. Primary completionJul 2005

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Enrolment
1 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00054171
Sponsor's protocol ID
DS 97-32
Other IDs
RPCI-DS-9732
Status last verified
Jan 2013
First submitted
5 Feb 2003
Last updated
31 Jan 2013
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing aminolevulinic acid hydrochloride in people with Leukemia and Lymphoma, run by Roswell Park Cancer Institute at 1 site in United States.

The full registered description is in the About this study section and the official record.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain grade and epidermal toxic response (ETR). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jan 2013; AzTrials last refreshed its copy on 8 Nov 2026.

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