Oral Leukoplakia Clinical Trial
Official title:
Phase I Study of Photodynamic Therapy Using Pulsed Dye Laser and Oral Aminolevulinic Acid in Patients With Oral Leukoplakia
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.
Status | Terminated |
Enrollment | 15 |
Est. completion date | November 2010 |
Est. primary completion date | June 2010 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Criteria: - Histologically confirmed oral leukoplakia with dysplasia OR oral leukoplakia with hyperplasia in a high-risk area (e.g., floor of mouth, tongue, or oropharynx) - Multiple oral leukoplakia lesions are allowed however no more than 5 distinct lesions are biopsied and treated - All lesions to be treated must be technically accessible by laser - Patients with oral leukoplakia with hyperplasia in a non-high-risk location (e.g., buccal mucosa from ill-fitting dentures) are not allowed - 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 - No evidence of ongoing radiation damage to the target site - Karnofsky performance status (PS) 70-100% or Zubrod PS 0-1 - Life expectancy > 2 years - Hemoglobin > 12 g/dL - Platelet count > 100,000/mm^3 - ANC > 1,500/mm^3 - Creatinine =< 1.5 mg/dL - SGPT and SGOT =< 1.5 x upper limit of normal (ULN) - Total bilirubin =< 1.5 x ULN (a higher level of bilirubin due to a familial metabolism will be considered on an individual basis) - Willing to adhere to avoidance of sunlight and indoor light exposure for 24 hours after treatment - Not pregnant or nursing - No history of allergic reactions attributed to compounds of similar chemical or biological composition to aminolevulinic acid - No porphyria - No uncontrolled intercurrent illness including, but not limited to, any of the following: - Ongoing or active infection - Symptomatic congestive heart failure - Unstable angina pectoris - Cardiac arrhythmia - Psychiatric illness or social situation that, in the opinion of the investigators, would limit compliance or jeopardize the patient or integrity of the data - Prior treatment for leukoplakia allowed - No prior photodynamic therapy - More than 3 months since prior participation in a clinical trial for leukoplakia - More than 4 weeks since prior ablative therapy to the target lesion - More than 4 weeks since prior and no concurrent psoralen or PUVA therapy - No concurrent oral retinoids (e.g., isotretinoin) - No concurrent use of tanning beds - No other concurrent investigational agents - Fertile patients must use effective contraception - 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 - No chronic liver disease including those with normal liver function tests |
Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Northwestern University | Chicago | Illinois |
United States | Robert H. Lurie Comprehensive Cancer Center | Chicago | Illinois |
United States | University of Chicago | Chicago | Illinois |
United States | Froedtert and the Medical College of Wisconsin | Milwaukee | Wisconsin |
Lead Sponsor | Collaborator |
---|---|
National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | 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 | Up to 84 days | Yes | |
Secondary | Clinical response | 1 month | No | |
Secondary | Clinical response | 3 months | No | |
Secondary | Histologic response | 3 months | No | |
Secondary | Mucosal risk marker modulation as measured by proliferation using Ki-67, apoptosis using TUNEL, cyclin D1, p53 expression, and DNA ploidy | Up to 84 days | No |
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