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Active, not recruiting Phase 1/2

Study of Recombinant Adenovirus AdVince in Patients With Neuroendocrine Tumors; Safety and Efficacy

NCT02749331 · tracked via the Priya Life Science Sweden tracker
Phase
Phase 1/2
Started
2016-03
Last updated
2024-12-03

Condition(s) studied

Neuroendocrine Tumors

Investigational drug(s) / intervention(s)

AdVince

AdVince: Virus solution for infusion in intrahepatic artery

Study summary

An open-labelled, uncontrolled, single-center Phase I/IIa clinical study to evaluate the safety of repeated infusions of AdVince into the hepatic artery in patients with metastatic neuroendocrine tumors (NETs), and if possible determination of maximum tolerated dose.

Eligibility

Sex
ALL
Min age
18 Years
Max age
100 Years
Healthy volunteers
No
Inclusion Criteria: 1. Subject´s written informed consent 2. Histologically and radiologically confirmed progressive neuroendocrine carcinoma of gastrointestinal, pancreatic or bronchial origin with multiple liver metastases. Progression in Clinical symptoms and tumor growth verified over the last 6 months on CT or MRI 3. Cancer that is not considered resectable for potential cure or tumor reduction 4. Patent portal vein and adequate liver perfusion 5. Liver dominant disease with involvement of \<60% of liver parenchyma 6. Karnofsky performance status of \>=70% 7. Life expectancy of \>=6 months 8. \>=18 years of age 9. Must use a reliable method of contraception if sexually active and of reproductive potential 10. Plasma creatinine \<105 ug/ml 11. Aspartate transaminase (AST), Alanine transaminase (ALT) and Alkaline Phosphatase (ALP) \<3.0-fold upper limit of normal 12. Total bilirubin \<2.0-fold upper limit of normal 13. Prothrombin time (PT)/International Normalized Ratio (INR) \<2.0 and Prothromboplastin time (PTT) within normal limits 14. Neutrophils \>1500/ml, hemoglobin \>100 g/L, platelets \>100 000/ml 15. Patients with functioning NET should have cover by somatostatin analog Exclusion Criteria: 1. Known chronic liver dysfunction Before the development of metastatic cancer (e.g. cirrhosis, chronic hepatitis) 2. Active infection, including documented HIV and hepatitis C 3. Any viral syndrome diagnosed within the previous 2 weeks 4. Chemotherapy within the previous 4 weeks Before the first treatment 5. Radiotherapy to the target tumor site within the last 24 weeks from the baseline CT scan 6. Concomitant malignancy 7. Pregnant or lactating females 8. Prior participation in any research protocol that involved administration of adenovirus vectors 9. Treatment with any other investigational therapy within the last 4 weeks, organ transplantation prior to treatment, severe cardiovascular, metabolic or pulmonary disease 10. Continuing treatment with any other cancer therapy

Primary outcome measure(s)

  • Number of Adverse Events (AE) according to Common Terminology Criteria for Adverse Events (CTCAE) v 4.03 — From screening visit and through study completion, an average time of 18 months.
    AEs probably or possibly related to the study drug or local injuries caused by the administration procedure. If possible identify dose limiting toxicity (DLT), i.e. grade 4 toxicity of any duration or grade 3 toxicity lasting more than 7 days, excluding flu-like symptoms, according to CTCAE v4.03.Clinically significant changes in laboratory parameters (haematology, blood coagulation, liver function, biochemistry and kidney function) and vital signs (body temperature, heart rate, blood pressure, respiratory rate and consciousness according to Reaction Level Scale from 1985 (RLS-85).

Trial sites (1)

FacilityCityRegionStatus
Endocrine Oncology Clinic, Uppsala University Hospital Uppsala Sweden

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT02749331 on ClinicalTrials.gov ↗ ← All trials in Sweden