Head and Neck Cancer Clinical Trial
Official title:
Phase I Trial of Photodynamic Therapy With HPPH (2-1[Hexyloxyethyl]-2-devinylpyropheophorbide-a) for Treatment of Dysplasia, Carcinoma in Situ and Stage I Carcinoma of the Oral Cavity
RATIONALE: Photodynamic therapy uses a drug, such as HPPH, that is absorbed by tumor cells.
The drug becomes active when it is exposed to light. When the drug is active, tumor cells
are killed.
PURPOSE: This phase I trial is studying the side effects and best dose of photodynamic
therapy using HPPH in treating patients with recurrent dysplasia, carcinoma in situ, or
stage I oral cavity cancer.
OBJECTIVES:
Primary
- To determine the maximum tolerated dose in the oral cavity of photodynamic therapy
(PDT) using HPPH and 665 nm light in patients with recurrent dysplasia, carcinoma in
situ, or stage I squamous cell carcinoma of the oral cavity.
Secondary
- To determine response of dysplasia, carcinoma in situ, and selected patients with T1
squamous cell carcinoma of the oral cavity using PDT with HPPH and 665 nm light.
OUTLINE: This is a dose-escalation study of laser light dose therapy.
Patients receive HPPH IV over 1 hour on day 1. Approximately 24 hours after receiving HPPH,
patients undergo laser light treatment to the tumor bed on day 2. Patients with multicentric
or large area confluent disease receive a second course of treatment at least 8 weeks later
for lesions untreated at the first treatment session.
After completion of study treatment, patients are followed at 1 week, 1 month, 3 months, and
periodically thereafter.
;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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