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Bowen's DiseasePhase 1/2NCT04293679

Open Label, Dose Escalation Study for the Safety and Efficacy of STP705 in Adult Patients With isSCC

A Phase 1/2 study testing STP705 in people with Bowen's Disease and Cutaneous Squamous Cell Carcinoma in Situ, run by Sirnaomics 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

This is an open label, dose escalation study to evaluate the safety and efficacy of intralesional injection of STP705 in adult patients with Cutaneous Squamous Cell Carcinoma in situ (isSCC, Bowen's disease). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
STP705
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
1 siteUnited States
Study dates
21 Mar 2019to 21 Oct 2020
Phase
Phase 1/2
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1. Male or female adult ≥ 18 years of age.
  • 2. Primary, histologically confirmed trunk or extremity (non-peri-orbital/-anogenital/-facial/-scalp) isSCC lesion suitable for excision with a minimum diameter of 0.5cm and with a maximum diameter of 2.0cm.
  • 3. Histological diagnosis made no more than 6 months prior to the screening visit.
  • 4. Histological biopsy removed ≤25% of the original area of the target lesion.
  • 5. No other dermatological disease in the isSCC 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.
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  • 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. Acceptable "out of range" values are generally those within 2 standard deviations of the mean or explainable due to concurrent medications or disease processes.
  • 9. Ability to follow study instructions and likely to complete all study requirements.
  • 10. Written informed consent obtained, including consent for tissue to be examined and stored by the Central Histology Lab.
  • 11. Written consent to allow photographs of the target isSCC lesion to be used as part of the study data and documentation.
  • 12. 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).

Who cannot join

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

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Center for Clinical and Cosmetic Research

    Aventura, Florida, 33180

Other trials in United States

About this study

Official title: An Open Label, Dose Escalation Study to Evaluate the Safety and Efficacy of Intralesional Injection of STP705 in Adult Patients With Cutaneous Squamous Cell Carcinoma in Situ (isSCC)

This is an open label, dose escalation study to evaluate the safety and efficacy of intralesional injection of STP705 in adult patients with Cutaneous Squamous Cell Carcinoma in situ (isSCC, Bowen's disease). The purpose of this trial is to evaluate the safety, tolerability and efficacy of various doses of STP705 administered as Intralesional injection in subjects with isSCC.

Goals:

  • To determine the safe and effective recommended dose of STP705 for the treatment of isSCC.
  • Analysis of biomarkers common to isSCC formation pathway including TGF-β1 and COX-2.
Read the detailed description

This open label, dose escalation study is designed to evaluate the safety and efficacy of various doses of STP705 administered as an intralesional injection in subjects with cutaneous in situ squamous cell carcinoma (isSCC).

The primary objective of this study is to evaluate the safety, tolerability, and efficacy of various doses of STP705 administered as an Intralesional injection in subjects with cutaneous squamous cell carcinoma in situ skin cancer (isSCC). This study seeks to establish a safe and effective recommended dose of STP705 for the treatment of isSCC. Expression of biomarkers common to the isSCC formation pathway, including TGF-β1 and COX-2, will be evaluated.

The primary endpoint will be the proportion of participants with histological clearance of treated isSCC lesion at the End of Treatment (EOT). Histological clearance (HC) will be defined as the absence of detectable evidence of isSCC tumor cell nests as determined by central pathology review.

Secondary endpoints will include i) time to histological clearance of treated isSCC lesion over the 6 week treatment period, ii) proportion of participants with complete clinical clearance of treated isSCC lesion based on investigator assessment at the End of Treatment (EOT), iii) time to complete clinical clearance of treated isSCC lesion based on investigator assessment over the 6 week treatment period, and iv) the change in size of the treated isSCC lesion over the 6 week treatment period.

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 Intralesional administration of STP705 as assessed by investigator-evaluation of injection site reactions for all patients and within each cohort.

In addition, safety measures will include clinically relevant changes or new abnormal findings in laboratory values, vital signs, electrocardiograms (ECGs), and physical examination variables.

25 adult patients are planned to be enrolled in the study. They will be divided equally among 5 cohorts (10, 20, 30, 60 and 120 μg dose levels) of 5 subjects each. Enrollment of the first two subjects in each dosing cohort will be staggered by at least 48 hours. Participants in the first cohort will attend the study center once weekly for an injection of STP705 into the isSCC lesion. The participants will receive injections of STP705 once a week for up to 6 weeks. The clinician will evaluate the tumor for clinical changes and reduction in size at each treatment visit for up to 6 weeks. If during the 6 weeks of treatment there is complete clinical clearance of the tumor, the treatments will end. At the End of Treatment visit, the residual tumor, or former tumor location will be excised for analysis. In the absence of dose limiting toxicities (DLT), the subsequent cohorts will receive increasing doses of STP705, following the same schedule of administration as the first cohort.

If any of the SAEs or dose limiting toxicities outlined above has occurred, the Data Safety Monitoring Board (DSMB) will conduct independent review of the data and will make a final decision for dose escalation to the next cohort.

Being tested
STP705
Keywords
isSCC, Cutaneous Squamous Cell Carcinoma, STP705, Cutaneous Squamous Cell Carcinoma in situ
Medical subject headings
Bowen's Disease

What participants receive

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

  • STP705Drug

    Investigational Product

Study groups in NCT04293679
Study groupRoleWhat they receive
Cohort A: STP705 10 μg doseExperimentalCohort A: STP705 10 μg dose, intradermal injection, given once a week for up to 6 weeks
Receives: Drug: STP705
Cohort B: STP705 20 μg doseExperimentalCohort B: STP705 20 μg dose, intradermal injection, given once a week for up to 6 weeks
Receives: Drug: STP705
Cohort C: STP705 30 μg doseExperimentalCohort C: STP705 30 μg dose, intradermal injection, given once a week for up to 6 weeks
Receives: Drug: STP705
Cohort D: STP705 60 μg doseExperimentalCohort D: STP705 60 μg dose, intradermal injection, given once a week for up to 6 weeks
Receives: Drug: STP705
Cohort E: STP705 120 μg doseExperimentalCohort E: STP705 120 μg dose, intradermal injection, given once a week for up to 6 weeks
Receives: Drug: STP705

What is being measured

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

  1. Proportion of participants with histological clearance of treated isSCC lesion at the End of Treatment (EOT).

    Proportion of participants with histological clearance of treated isSCC lesion at the End of Treatment (EOT).

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

    Measured: 6 weeks

Secondary outcomes (4)
  1. Time to histological clearance of treated isSCC lesion over the 6 week treatment period.

    Measured: over the 6 week treatment period

  2. Proportion of participants with complete clinical clearance of treated isSCC lesion based on investigator assessment at the End of Treatment (EOT).

    Measured: 6 weeks

  3. Time to complete clinical clearance of treated isSCC lesion based on investigator assessment over the 6 week treatment period.

    Measured: over the 6 week treatment period

  4. Change in size of the treated isSCC lesion over the 6 week treatment period.

    Change in size of the treated isSCC lesion over the 6 week treatment period. A base line assessment of lesion size will be made by investigator at T1 (first visit, Day 0). The change in size will be assessed every week until the surgical excision of isSCC at the End of Treatment visit (EOT, Day 42) .

    Measured: over the 6 week treatment period

Timeline

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

  1. First posted3 Mar 2020
  2. Study start21 Mar 2019
  3. Primary completion21 Oct 2020
  4. Study completion21 Oct 2020

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
Participants in the first cohort will attend the study center once weekly for an injection of STP705 into the isSCC lesion. The participants will receive injections of STP705 once a week for up to 6 weeks. The clinician will evaluate the tumor for clinical changes and reduction in size at each treatment visit for up to 6 weeks. If during the 6 weeks of treatment there is Complete Clinical Clearance of the tumor, the treatments will end. At the End of Treatment visit, the residual tumor, or former tumor location, will be excised for analysis. In the absence of dose limiting toxicities (DLT), the subsequent cohorts will receive increasing doses of STP705, following the same schedule of administration as the first cohort.
Masking
None (open label)
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04293679
Sponsor's protocol ID
SRN-705-004
Status last verified
Dec 2020
First submitted
26 Feb 2020
Last updated
9 Jun 2022
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Kuzbicki L, Brozyna AA. Expression of Cyclooxygenase-2 in Human Epithelial Skin Lesions: A Systematic Review of Immunohistochemical Studies. Appl Immunohistochem Mol Morphol. 2021 Mar 1;29(3):163-174. doi: 10.1097/PAI.0000000000000871.

    PubMed 32889812

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing STP705 in people with Bowen's Disease and Cutaneous Squamous Cell Carcinoma in Situ, run by Sirnaomics at 1 site 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 12 inclusion and 23 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 9 Jun 2022. 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 combined 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.

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?

Proportion of participants with histological clearance of treated isSCC lesion at the End of Treatment (EOT). (time frame: 6 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04293679, which also lists 1 linked publication.

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 9 Jun 2022.

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