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Carcinoma of the VulvaNCT06202339

Alpha Radiation Emitters Device for the Treatment of Primary and Recurrent Squamous Cell Carcinoma of the Vulva (DaRT).

A study testing DaRT seeds in people with Carcinoma of the Vulva and Recurrent Carcinoma of the Vulva, run by Alpha Tau Medical LTD..

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

A unique approach for cancer treatment employing intratumoral diffusing alpha radiation emitter device for the treatment of Primary and Recurrent Squamous Cell Carcinoma of the Vulva. Read more about this study

Who is it for?
Ages 18 to 120 years, women only
What is being tested?
DaRT seeds
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
No sites listed yet
Study dates
Apr 2024to Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 120 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically confirmed newly diagnosed or recurrent (local) vulva SCC with or without distant metastases within 12 months
  • Tumor size ≤ 7 centimeters in the longest diameter.
  • Targeted lesion must be technically amenable for complete coverage (including margins) by the Alpha DaRT sources.
  • Measurable target according to RECIST v1.1
  • Interstitial implant indication validated by multidisciplinary team.
  • ECOG Performance Status ≤3.
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  • Life expectancy ≥6 months.
  • Women Age ≥18
  • Willing and have the ability to provide signed Informed Consent.
  • Willing to use an acceptable contraceptive method to prevent pregnancy for 3 months after RT.
  • Blood tests values:
  • Leucocytes ≥3000mm3,
  • Absolute neutrophil count ≥1500mm3,
  • Platelets ≥100,000 mm3,
  • Total bilirubin ≤ 1.5xULN,
  • AST, SGOT, SGPT ≤2.5xULN, If Alkaline Phosphatase ≤ 4xULN, then transaminases are normal.
  • Creatinine ≤ 2.0xULN.
  • INR or Prothrombin time ≤1.5xULN.

Who cannot join

  • Concomitant chemotherapy or immunotherapy within the past 4 weeks
  • Fit for surgical exploration unless the patient refuses surgery
  • Known hypersensitivity to any of the components of the treatment.
  • Patients undergoing systemic immunosuppressive therapy excepting intermittent, brief use of systemic corticosteroids.
  • Longest tumor diameter >7 cm.
  • Clinically significant cardiovascular disease, e.g. cardiac failure of New York Heart Association classes III-IV, uncontrolled coronary artery disease, cardiomyopathy, uncontrolled arrhythmia, uncontrolled hypertension, or history of myocardial infarction in the last 12 months.
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  • Patients with uncontrolled intercurrent illnesses including, but not limited to an active infection requiring systemic therapy (not including cholangitis) or a known psychiatric or substance abuse disorder(s) that would interfere with cooperation with the requirements of the trial or interfere with the study endpoints.
  • Has a known additional malignancy that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin or squamous cell carcinoma of the skin that has undergone potentially curative therapy or in situ cervical cancer.
  • Patient requires treatment not specified in this protocol which may conflict with the endpoints of this study including evaluation of response or toxicity of Alpha DaRT.
  • Volunteers participating in another interventional study in the past 30 days which might conflict with the endpoints of this study or the evaluation of response or toxicity of Alpha DaRT.
  • High probability of protocol non-compliance (in opinion of investigator).
  • Breastfeeding women or women of childbearing potential unwilling or unable to use an acceptable contraceptive method to prevent pregnancy for 3 months after RT.
  • Subjects not willing to sign an informed consent

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: A Feasibility and Safety Study of Intratumoral Diffusing Alpha Radiation Emitters for the Treatment of Primary and Recurrent Squamous Cell Carcinoma of the Vulva

A unique approach for cancer treatment employing intratumoral diffusing alpha radiation emitter device for the treatment of Primary and Recurrent Squamous Cell Carcinoma of the Vulva.

Read the detailed description

This is an prospective Open label, single arm, multi center, interventional study treatment of Primary and Recurrent Squamous Cell Carcinoma of the Vulva .The study objectives are to collect data on the Feasibility and Safety of DaRT among patients who do not fit the entry of existing investigational trials.

The primary endpoint of the study is to evaluate the feasibility and safety of the Alpha DaRT sources for the treatment of vulva SCC. Feasibility will be determined according to the rate of successful placement of Alpha DaRT . Safety will be determined according to the overall incidence of device related AEs and SAE's graded according to CTCAE v5.0 criteria.

The Secondary endpoint of the study will be to evaluate efficacy, as determined by local control evaluation according to RECIST v1.1

Being tested
DaRT seeds
Keywords
Cancer, Alpha emitting radiation, Brachytherapy, DaRT
Medical subject headings
Vulvar Neoplasms, Neoplasms

What participants receive

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

  • DaRT seedsDevice

    An intratumoral insertion of a seed(s), loaded with Radium-224, securely fixed in the seeds. The seeds release by recoil into the tumor short-lived alpha-emitting atoms

Study groups in NCT06202339
Study groupRoleWhat they receive
DaRT SeedsExperimentalIntratumoral Diffusing alpha-emitters Radiation Therapy (DaRT) Seeds
Receives: Device: DaRT seeds

What is being measured

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

  1. Feasibility - DaRT seed placement

    Feasibility will be determined according to the rate of successful placement of Alpha DaRT

    Measured: immediately following the insertion procedure

  2. Safety - Adverse events

    Safety will be determined according to the overall incidence of device related AEs and SAE's graded according to CTCAE v5.0 criteria.

    Measured: From day 0

Secondary outcomes (1)
  1. Efficacy -Alpha DaRT seeds

    The study's secondary objective will be to evaluate efficacy, as determined by local control evaluation according to RECIST v1.1

    Measured: 1, 3, and 6 months post DaRT insertion].

Timeline

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

  1. First posted11 Jan 2024
  2. Study startApr 2024 (estimated)
  3. Primary completionApr 2026 (estimated)
  4. Study completionDec 2026 (estimated)

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 N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
10 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06202339
Sponsor's protocol ID
CTP-VUL-01
Status last verified
Dec 2023
First submitted
31 Dec 2023
Last updated
31 Jan 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing DaRT seeds in people with Carcinoma of the Vulva and Recurrent Carcinoma of the Vulva, run by Alpha Tau Medical LTD..

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 18 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: opening soon, as of the sponsor's last update on 31 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.

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.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Liron Dimnik (+972542688602, LironD@alphatau.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Feasibility - DaRT seed placement (time frame: immediately following the insertion procedure). The study lists 2 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 2024.

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