Ignite Creation Date:
2025-12-25 @ 12:13 AM
Ignite Modification Date:
2026-01-06 @ 11:04 AM
Study NCT ID:
NCT00571558
Status:
TERMINATED
Last Update Posted:
2014-10-09
First Post:
2007-12-11
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
Photodynamic Therapy Using Aminolevulinic Acid in Treating Patients With Oral Leukoplakia
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D007972', 'term': 'Leukoplakia, Oral'}], 'ancestors': [{'id': 'D009062', 'term': 'Mouth Neoplasms'}, {'id': 'D006258', 'term': 'Head and Neck Neoplasms'}, {'id': 'D009371', 'term': 'Neoplasms by Site'}, {'id': 'D009369', 'term': 'Neoplasms'}, {'id': 'D007971', 'term': 'Leukoplakia'}, {'id': 'D011230', 'term': 'Precancerous Conditions'}, {'id': 'D009059', 'term': 'Mouth Diseases'}, {'id': 'D009057', 'term': 'Stomatognathic Diseases'}, {'id': 'D020763', 'term': 'Pathological Conditions, Anatomical'}, {'id': 'D013568', 'term': 'Pathological Conditions, Signs and Symptoms'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D000622', 'term': 'Aminolevulinic Acid'}, {'id': 'D010778', 'term': 'Photochemotherapy'}, {'id': 'C008848', 'term': '1-phenyl-3,3-dimethyltriazene'}], 'ancestors': [{'id': 'D007982', 'term': 'Levulinic Acids'}, {'id': 'D007651', 'term': 'Keto Acids'}, {'id': 'D002264', 'term': 'Carboxylic Acids'}, {'id': 'D009930', 'term': 'Organic Chemicals'}, {'id': 'D000596', 'term': 'Amino Acids'}, {'id': 'D000602', 'term': 'Amino Acids, Peptides, and Proteins'}, {'id': 'D003131', 'term': 'Combined Modality Therapy'}, {'id': 'D013812', 'term': 'Therapeutics'}, {'id': 'D004358', 'term': 'Drug Therapy'}, {'id': 'D010789', 'term': 'Phototherapy'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE1'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'NA', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'SINGLE_GROUP'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 15}}, 'statusModule': {'overallStatus': 'TERMINATED', 'startDateStruct': {'date': '2008-03'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2013-02', 'completionDateStruct': {'date': '2010-11', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2014-10-08', 'studyFirstSubmitDate': '2007-12-11', 'studyFirstSubmitQcDate': '2007-12-11', 'lastUpdatePostDateStruct': {'date': '2014-10-09', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2007-12-12', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2010-06', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Safety and tolerability with determination of optimal light dosing regimen, determination of dose limiting-toxicities, and maximum tolerated dose of photodynamic therapy using pulsed laser therapy and oral aminolevulinic acid', 'timeFrame': 'Up to 84 days'}], 'secondaryOutcomes': [{'measure': 'Clinical response', 'timeFrame': '1 month'}, {'measure': 'Clinical response', 'timeFrame': '3 months'}, {'measure': 'Histologic response', 'timeFrame': '3 months'}, {'measure': 'Mucosal risk marker modulation as measured by proliferation using Ki-67, apoptosis using TUNEL, cyclin D1, p53 expression, and DNA ploidy', 'timeFrame': 'Up to 84 days'}]}, 'conditionsModule': {'conditions': ['Oral Leukoplakia']}, 'descriptionModule': {'briefSummary': 'This phase I trial studies the side effects and best dose of photodynamic therapy using aminolevulinic acid in treating patients with oral leukoplakia. Photodynamic therapy uses a drug, such as aminolevulinic acid, that becomes active when it is exposed to a certain kind of light. When the drug is active, abnormal cells are killed. Photodynamic therapy using aminolevulinic acid may be effective against oral leukoplakia.', 'detailedDescription': 'PRIMARY OBJECTIVES:\n\nI. To determine the toxicity and feasibility of photodynamic therapy using pulsed laser therapy and oral aminolevulinic acid in treating patients with oral leukoplakia.\n\nII. To define the dose-limiting toxicity and maximum tolerated dose of photodynamic therapy using pulsed laser therapy and oral aminolevulinic acid in these patients.\n\nSECONDARY OBJECTIVES:\n\nI. To assess the efficacy of photodynamic therapy using pulsed dye laser and oral aminolevulinic acid by examining clinical response at 1 and 3 months.\n\nII. To determine quantitative histologic response at 3 months. III. To explore the association of response with specific molecular and biologic markers (i.e., DNA ploidy, proliferation using Ki-67, apoptosis using TUNEL, cyclin D1, and p53).\n\nOUTLINE: This is a dose-escalation study of long pulsed dye laser light.\n\nPatients receive aminolevulinic acid\\* orally (PO) 3-4 hours before undergoing photodynamic therapy using pulsed dye laser on day 1.\n\n(Note: \\*Patients in cohort 1 and a latter cohort \\[to be determined during the course of the study\\] do not receive aminolevulinic acid before photodynamic therapy.)\n\nPatients undergo biopsies of target lesions and clinically uninvolved mucosa 4-8 weeks before beginning therapy and then at 3 months for biomarker studies (DNA ploidy, p53, Ki-67, cyclin D1, and TUNEL assay). Blood is collected on days 1, 2, 14, 28, and 84 for toxicity assessment.\n\nAfter completion of study treatment, patients are followed for up to 84 days.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Criteria:\n\n* Histologically confirmed oral leukoplakia with dysplasia OR oral leukoplakia with hyperplasia in a high-risk area (e.g., floor of mouth, tongue, or oropharynx)\n* Multiple oral leukoplakia lesions are allowed however no more than 5 distinct lesions are biopsied and treated\n* All lesions to be treated must be technically accessible by laser\n* Patients with oral leukoplakia with hyperplasia in a non-high-risk location (e.g., buccal mucosa from ill-fitting dentures) are not allowed\n* Must be willing to undergo baseline biopsies of leukoplakia lesion(s) and surrounding normal tissue 4-8 weeks before therapy and repeat biopsies at 3 months\n* No evidence of ongoing radiation damage to the target site\n* Karnofsky performance status (PS) 70-100% or Zubrod PS 0-1\n* Life expectancy \\> 2 years\n* Hemoglobin \\> 12 g/dL\n* Platelet count \\> 100,000/mm\\^3\n* ANC \\> 1,500/mm\\^3\n* Creatinine =\\< 1.5 mg/dL\n* SGPT and SGOT =\\< 1.5 x upper limit of normal (ULN)\n* Total bilirubin =\\< 1.5 x ULN (a higher level of bilirubin due to a familial metabolism will be considered on an individual basis)\n* Willing to adhere to avoidance of sunlight and indoor light exposure for 24 hours after treatment\n* Not pregnant or nursing\n* No history of allergic reactions attributed to compounds of similar chemical or biological composition to aminolevulinic acid\n* No porphyria\n* No uncontrolled intercurrent illness including, but not limited to, any of the following:\n\n * Ongoing or active infection\n * Symptomatic congestive heart failure\n * Unstable angina pectoris\n * Cardiac arrhythmia\n * Psychiatric illness or social situation that, in the opinion of the investigators, would limit compliance or jeopardize the patient or integrity of the data\n* Prior treatment for leukoplakia allowed\n* No prior photodynamic therapy\n* More than 3 months since prior participation in a clinical trial for leukoplakia\n* More than 4 weeks since prior ablative therapy to the target lesion\n* More than 4 weeks since prior and no concurrent psoralen or PUVA therapy\n* No concurrent oral retinoids (e.g., isotretinoin)\n* No concurrent use of tanning beds\n* No other concurrent investigational agents\n* Fertile patients must use effective contraception\n* Patients with a previous diagnosis of stage I or II head and neck cancer are eligible provided definitive therapy, including radiation therapy, is completed and the patient has been rendered disease free for \\>= 2 years\n* No chronic liver disease including those with normal liver function tests'}, 'identificationModule': {'nctId': 'NCT00571558', 'briefTitle': 'Photodynamic Therapy Using Aminolevulinic Acid in Treating Patients With Oral Leukoplakia', 'organization': {'class': 'NIH', 'fullName': 'National Cancer Institute (NCI)'}, 'officialTitle': 'Phase I Study of Photodynamic Therapy Using Pulsed Dye Laser and Oral Aminolevulinic Acid in Patients With Oral Leukoplakia', 'orgStudyIdInfo': {'id': 'NCI-2009-00842'}, 'secondaryIdInfos': [{'id': 'NCI-2009-00842', 'type': 'REGISTRY', 'domain': 'CTRP (Clinical Trial Reporting Program)'}, {'id': 'CDR0000579270'}, {'id': 'NU-NWU05-5-01', 'type': 'OTHER', 'domain': 'Robert H. Lurie Comprehensive Cancer Center'}, {'id': 'NWU05-5-01', 'type': 'OTHER', 'domain': 'DCP'}, {'id': 'P30CA060553', 'link': 'https://reporter.nih.gov/quickSearch/P30CA060553', 'type': 'NIH'}]}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Treatment (aminolevulinin acid and photodynamic therapy)', 'description': 'Patients receive aminolevulinic acid PO 3-4 hours before undergoing photodynamic therapy using pulsed dye laser on day 1.', 'interventionNames': ['Drug: aminolevulinic acid hydrochloride', 'Drug: photodynamic therapy', 'Other: laboratory biomarker analysis']}], 'interventions': [{'name': 'aminolevulinic acid hydrochloride', 'type': 'DRUG', 'otherNames': ['5-ALA HCl', 'ALA HCl', 'aminolevulinic acid HCl'], 'description': 'Given PO', 'armGroupLabels': ['Treatment (aminolevulinin acid and photodynamic therapy)']}, {'name': 'photodynamic therapy', 'type': 'DRUG', 'otherNames': ['Light Infusion Therapy™', 'PDT', 'therapy, photodynamic'], 'description': 'Undergo photodynamic therapy', 'armGroupLabels': ['Treatment (aminolevulinin acid and photodynamic therapy)']}, {'name': 'laboratory biomarker analysis', 'type': 'OTHER', 'description': 'Correlative studies', 'armGroupLabels': ['Treatment (aminolevulinin acid and photodynamic therapy)']}]}, 'contactsLocationsModule': {'locations': [{'zip': '60611', 'city': 'Chicago', 'state': 'Illinois', 'country': 'United States', 'facility': 'Northwestern University', 'geoPoint': {'lat': 41.85003, 'lon': -87.65005}}, {'zip': '60611', 'city': 'Chicago', 'state': 'Illinois', 'country': 'United States', 'facility': 'Robert H. Lurie Comprehensive Cancer Center', 'geoPoint': {'lat': 41.85003, 'lon': -87.65005}}, {'zip': '60637', 'city': 'Chicago', 'state': 'Illinois', 'country': 'United States', 'facility': 'University of Chicago', 'geoPoint': {'lat': 41.85003, 'lon': -87.65005}}, {'zip': '53226', 'city': 'Milwaukee', 'state': 'Wisconsin', 'country': 'United States', 'facility': 'Froedtert and the Medical College of Wisconsin', 'geoPoint': {'lat': 43.0389, 'lon': -87.90647}}], 'overallOfficials': [{'name': 'Wong Stuart', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Robert H. Lurie Cancer Center'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'National Cancer Institute (NCI)', 'class': 'NIH'}, 'responsibleParty': {'type': 'SPONSOR'}}}}