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A Phase I, Open-label, Dose-escalating Study of the Safety or Percutaneous Intra-tumoral Injection of TG4023 (MVA-FCU1) Combined With Systemic Administration of 5-fluorocytosine in Patients With Primary or Secondary Hepatic Tumors.


Phase 1
18 Years
N/A
Not Enrolling
Both
Hepatocellular Carcinoma

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Trial Information

A Phase I, Open-label, Dose-escalating Study of the Safety or Percutaneous Intra-tumoral Injection of TG4023 (MVA-FCU1) Combined With Systemic Administration of 5-fluorocytosine in Patients With Primary or Secondary Hepatic Tumors.


Inclusion Criteria:



- Patients with advanced disease without any other standard of care treatment options:

- hepatic metastases of colorectal cancer (CRC) or of other cancers

- Hepatocellular carcinoma (HCC)

- At least one unresectable target tumor located in the liver, measuring 2-5 cm and
accessible to IT administration of TG4023 and amenable to radiological measurement
using RECIST,

- Weight ≤ 100 kg,

- Patients with stable disease, who have to discontinue chemotherapy because of
intolerance,

- ECOG performance status ≤ 2,

- Life expectancy ≥ 3 months,

- Hematology:

- Absolute neutrophil count > 1,500/mm3,

- Hemoglobin > 9g/dL,

- Platelet count > 100,000/mm3,

- Prothrombin time international normalized ratio (INR) ≤ 2; partial
thromboplastin time ≤ 1.66 times upper limit of normal (ULN),

- Biochemistry:

- Total bilirubin ≤ 3 x ULN,

- Aspartate amino-transferase (AST), alanine amino-transferase (ALT), alkaline
phosphatase

- 5.0 x ULN,

- Creatinin clearance ≥ 40 mL/min,

- Total albumin ≥ 30 g/L,

- Anti-vitamin K anticoagulants should have been switched for low-molecular weight
heparin prior to TG4023 injection,

- Signed, written Independent Ethics Committee (IEC)-approved informed consent.

Exclusion Criteria:

- Child-Pugh stage C hepatic insufficiency,

- Impaired renal function (creatinin clearance < 40 mL/min),

- Known deficiency in dihydropyrimidine dehydrogenase (DPD) or total DPD deficiency
diagnosed at baseline in those patients not previously treated with 5-FU-related
compounds,

- Ascites,

- Brain metastases,

- Significant impairment of gastro-intestinal (GI) tract absorption capacity, such as
total gastrectomy, gastric mucosal atrophy, extensive intestinal resections or
malabsorption disease will not be treated by oral 5-FC,

- History of bleeding disorders,

- Pregnant or breast-feeding women,

- Human Immunodeficiency Virus (HIV) positive,

- Chronic use of immunodepressants within 4 weeks prior to TG4023 injection or
immune-depressed patients,

- Hypersensitivity to 5-FC,

- Hypersensitivity to egg proteins,

- Concomitant or previous chemotherapy or targeted therapy within 4 weeks prior to
TG4023 injection and last treatment with bevacizumab (Avastin®) within 2 months prior
to TG4023 injection,

- Concomitant treatment with anti-inflammatory drugs: systemic cortico-steroids and
non-steroidal anti-inflammatory drugs (NSAIDs),

- Prior gene therapy,

- Prior participation in any other research protocol involving an IMP within 2 months
prior to TG4023 injection,

- Major surgery within 6 weeks of TG4023 injection,

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Maximal tolerated dose

Outcome Time Frame:

6 months

Safety Issue:

Yes

Authority:

France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)

Study ID:

TG4023.01

NCT ID:

NCT00978107

Start Date:

September 2009

Completion Date:

September 2011

Related Keywords:

  • Hepatocellular Carcinoma
  • Hepatic tumors
  • Metastatic colorectal cancer
  • Carcinoma
  • Carcinoma, Hepatocellular

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