Skin Cancer Clinical Trial
Official title:
A Safety and Effectiveness Study of Intratumoral Diffusing Alpha Radiation Emitters for the Treatment of Malignant Cutaneous, Mucosal or Superficial Soft Tissue Neoplasia
A unique approach for cancer treatment employing intratumoral diffusing alpha radiation emitter device for superficial cutaneous, mucosal or soft tissue neoplasia
Status | Recruiting |
Enrollment | 56 |
Est. completion date | January 1, 2026 |
Est. primary completion date | January 1, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Subjects with histopathological confirmation of primary or secondary malignant cutaneous neoplastic lesions, or oral cavity mucosal tumors, or superficial soft tissue sarcoma. Confirmation obtained within 6 months of planned treatment. - Subjects with a tumor size = 7 centimeters in the longest diameter. - Targetable lesion must be technically amenable for complete coverage (including margins) by the DaRT seeds - Brachytherapy indication validated by a multidisciplinary team - Patients who have either failed first-line treatment, or are medically unfit for standard of care (surgery, external-beam radiation therapy or chemotherapy), or refuse standard of care. - Measurable disease according to RECIST v1.1. - Subjects over 18 years old. - Subjects' ECOG Performance Status Scale is < 2. - Subjects' life expectancy is more than 6 months. - Platelet count =100,000/mm3. - WBC = 3500/µl, granulocyte = 1500/µl - AST and ALT = 2.5 X ULN - International normalized ratio of prothrombin time =1.8. - Creatinine =1.9 mg/dL. Women of childbearing potential (WOCBP) will have evidence of negative pregnancy test and are required to use an acceptable contraceptive method to prevent pregnancy for 3 months after brachytherapy. - Subjects are willing to sign an informed consent form. Exclusion Criteria: - Subject has a tumor of Keratoacanthoma histology. - Known hypersensitivity to any of the components of the treatment. - Clinically significant cardiovascular disease, e.g. cardiac failure of New York Heart Association classes III-IV, uncontrolled coronary artery disease, cardiomyopathy, uncontrolled arrhythmia, uncontrolled hypertension, or history of myocardial infarction in the last 12 months. - Any medical or psychiatric illness which in the opinion of the investigator would compromise the patient's ability to tolerate this treatment or interfere with the study endpoints. - Patients undergoing systemic immunosuppressive therapy excepting intermittent, brief use of systemic corticosteroids - Patient requires treatment which may conflict with the endpoints of this study including evaluation of response or toxicity of DaRT - Volunteers participating in another interventional study in the past 30 days which might conflict with the endpoints of this study or the evaluation of response or toxicity of DaRT. - Patients must agree to use adequate contraception (vasectomy or barrier method of birth control) prior to study entry, for the duration of study participation and for 3 months after discontinuing therapy. - High probability of protocol non-compliance (in opinion of investigator). - Subjects not willing to sign an informed consent. - Women who are pregnant or breastfeeding. |
Country | Name | City | State |
---|---|---|---|
Israel | Sharett institute, Hadassah Medical Center - Ein-Kerem | Jerusalem |
Lead Sponsor | Collaborator |
---|---|
Alpha Tau Medical LTD. |
Israel,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Adverse Events | All Adverse Events (AE) related and unrelated to the study treatment | Up to 24 Months | |
Primary | Tumor response to DaRT | Assessed using the Response Evaluation Criteria in Solid Tumors (RECIST) (Version 1.1) | 9-11 weeks post DaRT insertion | |
Primary | Adverse Events | The incidence, frequency, severity and causality of acute adverse events related to the DaRT treatment according to Common Terminology and Criteria for adverse events (CTCAE) version 5.0. | Up to 24 Months | |
Secondary | Change in tumor volume | Based on imaging | 9-11 weeks post DaRT insertion | |
Secondary | DaRT seeds placement | Assessment by localization of the DaRT seeds in the tumor using CT imaging on the day of DaRT insertion | 1 Day of procedure | |
Secondary | Change in quality of life | Assessment of patient reported health-related Quality of Life outcome after DaRT, using QoL questionnaire Skindex-16 questionnaire score | Day 15, Day 30, Day 70, Day 180 post DaRT insertion | |
Secondary | Change in quality of life | Assessment of patient reported health-related Quality of Life outcome after DaRT, using QoL questionnaire Skin Cancer Index (SCI) questionnaire score | Day 30, Day 70, Day 180 post DaRT insertion | |
Secondary | Progression Free Survival | Time elapsed from response to disease progression | 24 months post DaRT insertion |
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT02721459 -
XL888 + Vemurafenib + Cobimetinib for Unresectable BRAF Mutated Stage III/IV Melanoma
|
Phase 1 | |
Completed |
NCT03740815 -
Feasibility of Serratus Plane Block Associated With Sedation in Axillary Dissection
|
N/A | |
Recruiting |
NCT05779423 -
Cryoablation+Ipilimumab+Nivolumab in Melanoma
|
Phase 2 | |
Terminated |
NCT01468818 -
Immunotherapy Using Tumor Infiltrating Lymphocytes for Patients With Metastatic Melanoma
|
Phase 2 | |
Completed |
NCT01820234 -
Evaluation of Store-and-Forward Teledermatology Versus a Face-to-Face Assessment During a Skin Cancer Screening Event
|
N/A | |
Completed |
NCT00535769 -
Evaluation of Adherence to Topical Agents: Applying Communication Technology to Improve Sunscreen Use
|
Phase 0 | |
Completed |
NCT00526032 -
Melanoma Detection by Oblique-Incidence Optical Spectroscopy
|
N/A | |
Completed |
NCT00588341 -
Phase II Trial of Neoadjuvant Temozolomide in Melanoma Patients With Palpable Stage III or IV Disease Undergoing Complete Surgical Resection
|
Phase 2 | |
Active, not recruiting |
NCT01447199 -
The Molecular Predisposition to Hereditary Nonpolyposis Colon Cancer (HNPCC)
|
||
Enrolling by invitation |
NCT04758988 -
AI Augmented Training for Skin Specialists
|
N/A | |
Not yet recruiting |
NCT04534868 -
Patient Acceptance And Satisfaction of Teledermoscopy In General Practice In a Belgian Rural Area
|
N/A | |
Recruiting |
NCT04138342 -
Topical Fluorescent Nanoparticles Conjugated Somatostatin Analog for Suppression and Bioimaging Breast Cancer
|
Phase 1 | |
Completed |
NCT03673917 -
Cosmetology Students and Skin Cancer
|
N/A | |
Recruiting |
NCT04341064 -
Sun-safe Habits Intervention and Education
|
Phase 3 | |
Completed |
NCT04206995 -
Cancer Sensing: Evaluation of Odour Sampling Techniques
|
||
Recruiting |
NCT05574101 -
A Study of Radiation Therapy and Cemiplimab for People With Skin Cancer
|
Phase 2 | |
Not yet recruiting |
NCT05860881 -
Topical Sirolimus in Chemoprevention of Facial Squamous Cell Carcinomas in Solid Organ Transplant Recipients (SiroSkin)
|
Phase 3 | |
Completed |
NCT05146622 -
Virtual Sun Safe Workplaces Ph I
|
||
Recruiting |
NCT05068310 -
Applicability of a Cellular Resolution Full-field OCT Image System for Pigmented and Non-pigmented Skin Tumors
|
||
Recruiting |
NCT03889899 -
Alpha Radiation Emitters Device (DaRT) for the Treatment of Cutaneous, Mucosal or Superficial Soft Tissue Neoplasia.
|
N/A |