Study on the Safety and Effectiveness of PRV111 and PRV211 for Oral Squamous Cell Carcinoma
Sponsor: Privo Technologies
ClinicalTrials ID:NCT05893888
This clinical trial is testing two new treatments, PRV111 and PRV211, for patients with oral squamous cell carcinoma. The study aims to determine if these treatments are safe and effective in controlling the cancer.
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Program Overview
This study is exploring two new treatments for oral squamous cell carcinoma, a type of cancer that affects the mouth. The first treatment, PRV111, is a patch applied directly over the tumor area to deliver medication. The second treatment, PRV211, is used during surgery to target the area where the tumor was removed. The study will assess the safety and effectiveness of these treatments in patients with different stages of this cancer.
Description
The study involves two groups of patients based on their cancer stage:
Group 1 (PRV111 Treatment):
- PRV111 is a patch that delivers medication directly to the tumor area in the mouth. It is designed to treat early-stage cancer (Carcinoma in Situ) by being placed over the tumor.
- Patients will undergo a screening process to confirm their eligibility, including a biopsy to confirm the cancer stage.
- The treatment involves applying the patch and taking photos of the tumor to track changes.
- Patients will have at least three treatment visits to assess the effectiveness of the patch.
- If the cancer does not improve, patients may proceed to surgery.
Group 2 (PRV211 Treatment):
- PRV211 is a treatment used during surgery to target the area where the tumor was removed. It aims to eliminate any remaining cancer cells.
- Patients will be screened to confirm their cancer stage and eligibility for surgery.
- The safety of PRV211 will be tested in an initial study with a small group of patients. If it is safe, more patients will be treated to assess its effectiveness.
- The study will monitor for any side effects and determine if the treatment helps prevent the cancer from returning.
Both treatments aim to provide targeted therapy to the cancer area, potentially improving outcomes for patients with oral squamous cell carcinoma.
Eligibility Criteria
Different diagnosis for ARM 1 & ARM 2, however the rest of inclusion criteria are the same for both arms:
In order to be eligible to participate in the study, an individual must meet all of the following criteria:
• Diagnosis Arm 1: Pathologically proven and clinically confirmed Tis/CIS of the lip or oral cavity Arm 2: Pathologically proven and clinically confirmed T1-T3, Nx,M0 of the lip or oral cavity
Criteria for Inclusion for both ARM 1 & ARM 2:
- Tumors for which the cytological and architectural changes upon histopathological assessment warrant surgical intervention
- Adult subjects, men and women, defined by age ≥18 years at the time of screening.
- Tumor must be accessible, with no evidence of infection or active bleeding.
- Tumor is amenable to surgical resection within 8 weeks of screening visit (Visit 0).
- Clinically and/or radiologically measurable tumor.
- Eastern Collaborative Oncology Group Performance Status of ≤2.
- Male and female subjects of childbearing potential must agree to use 2 methods of effective contraception from screening and for at least 30 days after the final dose of investigational product. Appropriate birth control is defined as barrier methods with spermicides, oral or parenteral contraceptives and/or intrauterine devices, or naturally or surgically sterile (with documentation in the subject's medical records). Postmenopausal women are defined as presenting at least 12 months' natural spontaneous amenorrhea, or at least 6 weeks following surgical menopause (bilateral oophorectomy). Females of childbearing potential must be non-lactating and have a negative serum hCG within 14 days of treatment initiation.
- Absence of any serious underlying medical conditions which could impair the ability of the subject to participate in the study.
- Have a life expectancy of ≥3 months.
- Willing and able to provide written informed consent.
- Able to return to study site for treatment and follow-up visits as defined in the Protocol.
Criteria for Exclusion for both ARM 1 and ARM 2 (unless specified):
An individual who meets any of the following criteria will be excluded from participation in the study:
- Subjects that are not eligible for surgery as SOC.
- Patients with a prior history of invasive squamous cell carcinoma (Arm 1 only)
- Tumors involving the marginal gingiva (Arm 1 only)
- Squamous cell carcinoma (SCC) of the oral cavity that received previous radiotherapy.(Arm 1 only)
- Systemic chemotherapy for the treatment of SCC of the head and neck less than 2 years prior to Screening (Arm 1 only)
- Concurrent documented malignancy, with the exception of localized SCCs and basal cell carcinoma of the skin Exposure to any investigational agent within 3 months prior to Screening
- Known allergy or hypersensitivity to platinum-containing agents, or known intolerance to a prior platinum- containing agent, or to any of the excipients, which, in the judgement of the physician will preclude re- exposure to platinum-containing agent
- Active, uncontrolled infection requiring systemic therapy, such as but not limited to HIV, Syphilis, Hepatitis B, or Hepatitis C
- Uncontrolled intercurrent illness that would risk subject safety, interfere with the objectives of the Protocol, or limit subject compliance with study requirements, as determined by the Investigator
- Known or suspected pregnancy, planned pregnancy, or lactation
- Any medical or psychiatric condition that may compromise the ability to give written informed consent
- Known diagnosis of oral submucous fibrosis (Arm 1 only)
- Known diagnosis of trismus (Arm 1 only)
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