Trial of E10A in Head and Neck Cancer
Conditions
Head and Neck Squamous Carcinoma - Nasopharyngeal Carcinoma
Conditions: official terms
Carcinoma - Carcinoma, Squamous Cell - Head and Neck Neoplasms - Nasopharyngeal Neoplasms
Conditions: Keywords
clinical trial, randomized, Endostatin, gene therapy, head and neck cancer, head and neck squamous carcinoma
Study Type
Interventional
Study Phase
Phase 2
Study Design
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Intervention
Name: E10A Type: Drug
Name: Cisplatin Type: Drug
Name: Paclitaxel Type: Drug
Overall Status
Recruiting
Summary
Angiogenesis, the formation of new blood vessel from existing vessels, is essential for tumor growth and metastasis. Antiangiogenic therapies inhibit the growth of genetically stable endothelial cells, and most tumors should starve to death with little acquired resistance. Endostatin has been shown to block endothelial cell proliferation, survival, and migration. Antitumor activity of endostatin protein has been demonstrated in various murine and human tumors in animal model studies without any detectable toxicity. Endostatin gene therapy could directly express the highly bioactive protein in vivo by means of the mechanism of eukaryotic expression system as post-translational modification and folding, as well as overcoming the challenge of the long-term storage and the cumbersome daily administration of endostatin protein.

E10A is a replication-deficient recombinant adenovirus containing a wild-type human endostatin transgene constructed from serotype 5 adenovirus (Ad5). Preclinical studies demonstrated that intratumoral injection of E10A provided significant tumor growth inhibition and sustained elevation of endostatin in blood and tumor tissue in hepatocellular carcinoma, nasopharyngeal carcinoma, and tongue cancer animal models. A Phase I clinical trial of E10A we conducted showed that repetitive intratumoral injection of E10A resulted in a small and sustained elevation of endostatin in blood and had a mild antitumor activities with very limited toxicity. The major toxicity was transient and manageable fever. A randomized Phase III trial in nonsmall-cell lung cancer showed endostatin improved response rate and time to tumor progression in combination to chemotherapy. Therefore, we designed a randomized phase II trial to explore the safety and effectiveness of E10A combined with chemotherapy in the treatment of patients with head and neck cancer.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: 65 Years
Minimum Age: 18 Years
Gender: Both
Criteria: Inclusion Criteria:

- histologically or cytologically confirmed recurrent or metastatic head and neck squamous carcinoma or nasopharyngeal carcinoma

- the tumor was amenable to direct injection and measurement ( > 2 cm)

- an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2

- a life expectancy over three months

- the absence of serious medical or psychiatric disorders

- serum creatinine < 1.5 mg/dL; WBC count >3,000/mm3, platelet count > 80,000/mm3, hemoglobin > 8 g/dL; total bilirubin value < 1.5 times the upper limit of normal [ULN], ALT level < 2.5 times ULN, AST < 2.5 times ULN.

Exclusion Criteria:

- pregnant or breast feeding

- a history of brain metastases or a primary brain tumor

- a history of hemorrhagic diathesis

- a history of corticosteroids or immunosuppressives use within four weeks of study entry

- a history of immune deficiency disorder or organ transplant

- has evidence of active adenovirus infection or uncontrolled infection

- received any chemotherapy or radiotherapy within four weeks of study entry
Location
Cancer center, Sun Yat-sen University
Guangzhou, Guangdong, China
Status: Recruiting
Contact: Xubin Lin, MD, PhD - linxubin@mail.sysu.edu.cn
Start Date
March 2008
Completion Date
December 2010
Sponsors
Sun Yat-sen University
Source
Sun Yat-sen University
Record processing date
ClinicalTrials.gov processed this data on July 28, 2015
ClinicalTrials.gov page