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Lung CancerPhase 1NCT03344861

Safety of PDT-Photofrin® Prior to Lung Surgery

A Phase 1 study testing Porfimer Sodium and Fiber optic in people with Lung Cancer and Lung Cancer Metastatic, run by Concordia Laboratories Inc. at 8 sites 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

This research study is being conducted to assess the safety of PDT in subjects with peripherally located malignant tumors in lung parenchyma prior to surgical resection. It will involve up to 10 sites in USA. Participation will last 4 months. Read more about this study

Who is it for?
Ages 18 to 79 years
Conditions the study is for
Lung Cancer, Lung Cancer Metastatic
What is being tested?
Porfimer Sodium and Fiber optic
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
8 sitesUnited States
Study dates
14 Aug 2017to 22 Mar 2019
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 18 to 79 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female aged 18-79
  • Diagnosed with primary or metastatic tumor < 5 cm located in peripheral lung that can be completely resectable
  • Candidate for surgical resection
  • Candidate for bronchoscopy
  • Tumor is accessible for unrestricted illumination of PDT
  • Subject is deemed likely to survive for at least 3 months
Show all 9Show fewer
  • Non-menopausal/non-sterile female subject of childbearing potential has negative B-HCG (Human chorionic gonadotropin) at time of study entry
  • Non-menopausal/non-sterile female subject of childbearing potential uses medically acceptable form of birth control
  • Subject is able and willing to provide written informed consent to participate in the study, which must comply with ICH (International Council for Harmonisation) guidelines \& local requirements

Who cannot join

  • Diagnosis of small cell lung cancer or carcinoid tumors
  • Primary or metastatic lung tumor located in central lung or near vertebral body
  • Tumor invades a major blood vessel
  • Presence of concurrent non-solid malignancy
  • Tumor previously treated with radiation therapy
  • Chemotherapy in the last four weeks
Show all 13Show fewer
  • Tumor treated with PDT within the last 3 months
  • Abnormal blood results
  • Subject with porphyria or hypersensitivity to Photofrin
  • Coexisting ophthalmic disease likely to required slit-lamp exam within next 90 days
  • Acute or chronic medical or psychological illness as judged clinical significant to PI to preclude bronchoscopy procedures
  • female who is breast-feeding or intends to breast-feed during study
  • subject who participated in another study within last 30 days or intends to participate in another study during this study

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

United States8 sites
  • Cancer Treatment Centers of America/Southeastern

    Atlanta, Georgia, 30265

  • University of Colorado

    Denver, Colorado, 80045

  • Dubois Medical Center

    DuBois, Pennsylvania, 15801

  • AMITA Health Alexian Brothers Medical Center

    Elk Grove Village, Illinois, 60007

  • UT MD Anderson Cancer Center

    Houston, Texas, 77030

  • Cedars-Sinai Medical Center

    Los Angeles, California, 90048

  • Providence Health & Services

    Spokane, Washington, 99204

  • Moffitt Cancer Center

    Tampa, Florida, 33612

Other trials in United States

About this study

Official title: A Multicenter, Prospective, Open-label, Non-randomized Single-arm Clinical Study of the Safety and Tissue Response to Photodynamic Therapy Using Porfimer Sodium for Injection as Treatment for Solid Lung Tumor Prior to Surgical Resection

This research study is being conducted to assess the safety of PDT in subjects with peripherally located malignant tumors in lung parenchyma prior to surgical resection. It will involve up to 10 sites in USA. Participation will last 4 months.

Read the detailed description

Lung cancer accounts for almost one-third of cancer deaths. Cancer screening strategies have the potential to achieve a 20% reduction in death rates. Newly developed bronchoscopic technologies (such as navigational bronchoscopy) have been shown to enable physicians to safely reach lesions in peripheral regions of the lung and obtain diagnosis. This new technology may now potentially offer bronchoscopic therapeutic interventions, such as photodynamic therapy, to tumors that were previously unreachable due to their peripheral anatomic location.

Photodynamic therapy (PDT) uses a combination of a photosensitizing drug (a drug that is activated by light), called porfimer sodium (Photofrin®), and a light from a laser that emits no heat. This technique works to allow the medical doctor to specifically target and destroy abnormal or cancer cells while limiting damage to surrounding healthy tissue. The activation of the drug is done by lightning the abnormal area using a fiber optic device (very fine fiber [like a fishing line] that permits light transmission) inserted into a flexible tube with a light, called bronchoscope for the lung. The light activates the porfimer sodium concentrated in the abnormal tissue, leading to its destruction.

The purpose of this study is to assess the safety of using photodynamic therapy prior to surgical resection of tumors located in the periphery of the lung.

Being tested
Porfimer Sodium, Fiber optic
Keywords
lung cancer, lung carcinoma, lung metastases
Medical subject headings
Lung Neoplasms

What participants receive

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

  • Porfimer SodiumDrug

    Also called Photofrin

    Porfimer sodium (Photofrin®) will be injected intravenously at a dose of 2 mg/kg.

  • Fiber opticDevice

    After injection of porfimer sodium (Photofrin®), a flexible bronchoscopy with navigation guidance will be performed to confirm the location and the size of the lesion with the use of radial probe endobronchial ultrasonography (REBUS). An optical fiber diffuser length matching the tumor length will be placed in the lesion or adjacent to the lesion under fluoroscopy guidance. After the placement of the optical fiber, the laser light will be applied at a dose of 200 J/cm of diffuser length.

Study groups in NCT03344861
Study groupRoleWhat they receive
Photodynamic therapy-PhotofrinExperimentalPhotodynamic therapy (PDT) involves the i.v. injection of porfimer sodium (Photofrin®) followed by illumination of the tumor using a fiber optic device during navigational bronchoscopy. Two days after the injection, the laser light will be applied to the tumor.
Receives: Drug: Porfimer Sodium; Device: Fiber optic

What is being measured

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

  1. Safety: Number of Participants With at Least One Adverse Event

    Safety evaluation will include incidence of all adverse events, including serious and non-serious. The count of how many subjects experienced at least one adverse event.

    Measured: 108 days (to 3 months post surgery)

  2. Safety: Physical Examination Summaries of Non-normal Findings for Each Subject

    Safety evaluation will include the physical examinations summary of non-normal findings for each subject.

    Measured: 108 days (to 3 months post surgery)

  3. Safety: Vital Sign Summary of Abnormal Findings for Each Subject

    Safety evaluation will include vital sign summary for each subject. Only abnormal counts are included.

    Measured: 108 days (to 3 months post surgery)

  4. Safety: Laboratory Tests Summaries of Abnormal Findings for Each Subject

    Safety evaluation will include laboratory tests summarized for each subject with any abnormal lab results considered an AE (adverse event) to be listed.

    Measured: 108 days (to 3 months post surgery)

  5. Safety: Skin Photosensitivity Events Summaries of Abnormal Findings for Each Subject

    Safety evaluation will include incidence of skin photosensitivity summarized for each subject.

    Measured: 108 days (to 3 months post surgery)

Secondary outcomes (21)
  1. Macroscopic Tissue Examination

    The mean measurement of tumor size after surgery. The largest diameter seen is measured.

    Measured: Day 13 to 18

  2. Summary of Microscopic Tissue Examination: Percentage of Participants With Complete Response After Surgery

    The Percentage of Participants with Complete Response in Tumor area (no non-viable/necrotic tumor) after surgery

    Measured: Day 13 to 18

  3. Microscopic Tissue Examination: Percent Tumor Cell Necrosis in Tumor Area After Surgery

    The mean with standard deviation of the percent of tumor cell necrosis in the tumor area after surgery. The tumor itself was examined after it was removed to determine the percent of necrosis seen.

    Measured: Day 13 to 18

  4. Microscopic Tissue Examination: Brisk Inflammatory Reaction After Surgery

    The number of participants showing a brisk inflammatory reaction in the tumor area after surgery. This is determined through a histological examination. Brisk Inflammatory Reaction is defined as lymphocytes that infiltrate diffusely the entire tumor and/or infiltrate across the entire base of the tumor.

    Measured: Day 13 to 18

  5. Microscopic Tissue Examination: Number of Participants With Cavitation in Normal Lung Area After Surgery

    The number of participants with cavitation seen in the normal lung area from the microscopic tissue examination after surgery

    Measured: Day 13 to 18

  6. Microscopic Tissue Examination: Number of Participants With Hemorrhage Seen After Surgery

    The Number of Participants with hemorrhage seen during the microscopic tissue examination after surgery

    Measured: Day 13 to 18

  7. Microscopic Tissue Examination: Number of Participants With Pneumonitis in the Normal Lung After Surgery

    The Number of Participants with pneumonitis seen in the normal lung area after surgery following the microscopic tissue examination

    Measured: Day 13 to 18

  8. Microscopic Tissue Examination: Number of Participants With Increased Alveolar Macrophages in the Normal Lung After Surgery

    The number of participants with increased alveolar macrophages post surgery determined in the microscopic tissue examination.

    Measured: Day 13 to 18

  9. Microscopic Tissue Examination: Number of Participants With Atypical/Reactive Type 2 Pneumocytes in the Normal Lung After Surgery

    Number of Participants with Atypical/Reactive Type 2 pneumocytes seen in the normal lung after surgery during the Microscopic Tissue Examination:

    Measured: Day 13 to 18

  10. Microscopic Tissue Examination: Number of Participants With Mucus Plugging/Mucositis in the Normal Lung After Surgery

    Number of Participants with Mucus Plugging/Mucositis seen in the normal lung after surgery during the Microscopic Tissue Examination.

    Measured: Day 13 to 18

  11. Microscopic Tissue Examination: Number of Participants With Interstitial Fibrosis in the Normal Lung After Surgery

    Number of participants with interstitial fibrosis in the normal lung after surgery seen during the Microscopic Tissue Examination

    Measured: Day 13 to 18

  12. Microscopic Tissue Examination: Number of Participants With Necrosis in the Normal Lung After Surgery

    Number of Participants with Necrosis seen in the normal lung after surgery during the Microscopic Tissue Examination

    Measured: Day 13 to 18

  13. Microscopic Tissue Examination: Number of Participants With Large Vessel Damage Indicated by Fibrinoid Necrosis, Thrombus, Vasculitis in the Normal Lung After Surgery

    Number of Participants with Large Vessel Damage indicated by fibrinoid necrosis, thrombus, vasculitis in the normal lung after surgery seen during Microscopic Tissue Examination

    Measured: Day 13 to 18

  14. Microscopic Tissue Examination: Number of Participants With Acute Alveolar Damage in the Normal Lung After Surgery

    Number of Participants with Acute Alveolar damage in the normal lung after surgery seen during the Microscopic Tissue Examination

    Measured: Day 13 to 18

  15. Microscopic Tissue Examination: Number of Participants With Organizing Pneumonia Pattern in the Normal Lung After Surgery

    Number of Participants with Organizing pneumonia pattern in the normal lung after surgery seen during Microscopic Tissue Examination

    Measured: Day 13 to 18

  16. ECOG (Eastern Cooperative Oncology Group) Performance Status: Baseline

    Number of Participants with ECOG Performance at Baseline showing the number of participants at each ECOG level. ECOG is Eastern Cooperative Oncology Group. ECOG has 6 levels (0-5). Level 0 is the best status (fully active, able to carry on all pre-disease performance without restriction); Level 1 is mildly restricted (Restricted in physically strenuous activity but ambulatory ad able to carry out work of a light or sedentary nature, e.g. light house work, office work); Level 2 is more restricted (Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours); Level 3 is restricted (Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours); Level 4 is highly restricted (completely disabled; cannot carry on any selfcare; totally confined to bed or chair); and Level 5 is death (dead).

    Measured: Baseline (-30 to -1 Days)

  17. ECOG Performance Status: Period 1 PDT Day 3

    Number of Participants with ECOG Performance Status at Period 1 PDT Day 3, showing the number of participants at each ECOG level. ECOG is Eastern Cooperative Oncology Group. ECOG has 6 levels (0-5). Level 0 is the best status (fully active, able to carry on all pre-disease performance without restriction); Level 1 is mildly restricted (Restricted in physically strenuous activity but ambulatory ad able to carry out work of a light or sedentary nature, e.g. light house work, office work); Level 2 is more restricted (Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours); Level 3 is restricted (Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours); Level 4 is highly restricted (completely disabled; cannot carry on any selfcare; totally confined to bed or chair); and Level 5 is death (dead).

    Measured: Day 3

  18. ECOG Performance Status: Period II Surgery (Day 13-18)

    Number of Participants with ECOG Performance Status at Period II Surgery (Day 13-18) showing the number of participants at each ECOG level. ECOG is Eastern Cooperative Oncology Group. ECOG has 6 levels (0-5). Level 0 is the best status (fully active, able to carry on all pre-disease performance without restriction); Level 1 is mildly restricted (Restricted in physically strenuous activity but ambulatory ad able to carry out work of a light or sedentary nature, e.g. light house work, office work); Level 2 is more restricted (Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours); Level 3 is restricted (Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours); Level 4 is highly restricted (completely disabled; cannot carry on any selfcare; totally confined to bed or chair); and Level 5 is death (dead).

    Measured: Day 13 to 18

  19. ECOG Performance Status: Period III Follow-up (Day 20-25)

    Number of Participants with ECOG Performance Status at Period III Follow-up (Day 20-25) showing the number of participants at each ECOG level. ECOG is Eastern Cooperative Oncology Group. ECOG has 6 levels (0-5). Level 0 is the best status (fully active, able to carry on all pre-disease performance without restriction); Level 1 is mildly restricted (Restricted in physically strenuous activity but ambulatory ad able to carry out work of a light or sedentary nature, e.g. light house work, office work); Level 2 is more restricted (Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours); Level 3 is restricted (Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours); Level 4 is highly restricted (completely disabled; cannot carry on any selfcare; totally confined to bed or chair); and Level 5 is death (dead).

    Measured: Day 20 to 25

  20. ECOG Performance Status: Period III Follow-up (Day 43 -48)

    Number of Participants with ECOG Performance Status at Period III Follow-up (Day 43 -48) showing the number of participants at each ECOG level. ECOG is Eastern Cooperative Oncology Group. ECOG has 6 levels (0-5). Level 0 is the best status (fully active, able to carry on all pre-disease performance without restriction); Level 1 is mildly restricted (Restricted in physically strenuous activity but ambulatory ad able to carry out work of a light or sedentary nature, e.g. light house work, office work); Level 2 is more restricted (Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours); Level 3 is restricted (Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours); Level 4 is highly restricted (completely disabled; cannot carry on any selfcare; totally confined to bed or chair); and Level 5 is death (dead).

    Measured: Day 43 to 48

  21. ECOG Performance Status: Period III Follow-up (Day 103 - 108)

    Number of Participants with ECOG Performance Status at Period III Follow-up (Day 103 - 108) showing the number of participants at each ECOG level. ECOG is Eastern Cooperative Oncology Group. ECOG has 6 levels (0-5). Level 0 is the best status (fully active, able to carry on all pre-disease performance without restriction); Level 1 is mildly restricted (Restricted in physically strenuous activity but ambulatory ad able to carry out work of a light or sedentary nature, e.g. light house work, office work); Level 2 is more restricted (Ambulatory and capable of all selfcare but unable to carry out any work activities; up and about more than 50% of waking hours); Level 3 is restricted (Capable of only limited selfcare; confined to bed or chair more than 50% of waking hours); Level 4 is highly restricted (completely disabled; cannot carry on any selfcare; totally confined to bed or chair); and Level 5 is death (dead).

    Measured: 108 days (to 3 months post surgery)

Timeline

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

  1. First posted17 Nov 2017
  2. Study start14 Aug 2017
  3. Primary completion22 Mar 2019
  4. Study completion22 Mar 2019

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 1
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03344861
Sponsor's protocol ID
CLI-PHO1701
Status last verified
Dec 2019
First submitted
13 Nov 2017
Last updated
13 Jan 2020
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
Individual data sharing
No: This is a phase 2 study with only 10 subjects which is of minor use to other researchers.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Porfimer Sodium and Fiber optic in people with Lung Cancer and Lung Cancer Metastatic, run by Concordia Laboratories Inc. at 8 sites in United States.

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

Who may be eligible to take part?

The sponsor lists 9 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 2 Jan 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Safety: Number of Participants With at Least One Adverse Event (time frame: 108 days (to 3 months post surgery)). The study lists 5 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 13 Jan 2020.

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