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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00636558
Registration number
NCT00636558
Ethics application status
Date submitted
7/03/2008
Date registered
14/03/2008
Date last updated
1/07/2019
Titles & IDs
Public title
Coxsackie Virus A21 Administered Intravenously (IV) for Solid Tumour Cancers (PSX-X04)
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Scientific title
A Phase I, Open-Label, Cohort Study of Multiple Doses of Cavatakā¢ (Coxsackie Virus A21) Given Intravenously to Stage IV Solid Tumour Cancer Patients Bearing ICAM-1 With or Without DAF Expressing Tumours (PSX-X04)
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Secondary ID [1]
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PSX-X04
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Secondary ID [2]
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V937-004
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Universal Trial Number (UTN)
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Trial acronym
PSX-X04
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Melanoma
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Breast Cancer
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Prostate Cancer
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Condition category
Condition code
Infection
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0
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Other infectious diseases
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Infection
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0
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Studies of infection and infectious agents
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Cancer
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Prostate
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Cancer
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Malignant melanoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - CVA21
Experimental: CVA21 - IV administration of CVA21 in a dose escalation manner
Treatment: Drugs: CVA21
IV infusion, dose escalation of one or two infusions of escalating strength
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The primary objective of the study is to determine the safety and tolerability of CVA21 given by intravenous infusion in multiple escalating doses.
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Assessment method [1]
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Timepoint [1]
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Days 1, 2, 5, 6, 7, 8, 12, 16, 20, 28, 42, 56, 84
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Secondary outcome [1]
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To obtain preliminary efficacy data, determine the time course of viraemia and its elimination post-administration of CVA21
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Assessment method [1]
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0
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Timepoint [1]
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Days 1, 2, 5, 6, 7, 8, 12, 16, 20, 28, 42, 56, 84
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Secondary outcome [2]
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To characterise the time course of the anti-CVA21 antibody response
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Assessment method [2]
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0
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Timepoint [2]
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Days 1, 2, 5, 6, 7, 8, 12, 16, 20, 28, 42, 56, 84
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Eligibility
Key inclusion criteria
1. Patients who are willing and able to provide written informed consent to participate in the study.
2. Male or female aged 18 years or older.
3. Stage IV solid tumour disease with the primary tumour being any one of the following types - breast, prostate or melanoma.
4. ICAM-1 with or without DAF-expressing tumour. Patients without archival material for testing must agree to a new tumour biopsy.
5. Absence of circulating antibodies to CVA21 (titre < 1:16).
6. Patients must have failed or refused standard treatment(s).
7. Adequate haematological, hepatic and renal function, defined as:
* ANC > 1.5 x 10^9/L, platelets > 100 x 10^9/L
* Bilirubin < 20µmol/L, AST < 2.5 times the upper limit of normal
* Calculated creatinine clearance > 30 mL/minute
8. Adequate immunologic function, defined as:
* Serum IgG > 5g/L
* T cell subsets within normal limits
9. Fertile males and females must agree to the use of an adequate form of contraception. Hormonal contraceptives should be supplemented with an additional barrier method. Negative pregnancy test is required in female patients of child-bearing potential.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Presence or history of Central Nervous System (CNS) malignancy.
2. Patients must not have received chemotherapy within 4 weeks prior to date of consent.
3. Performance status > 1 on the Eastern Cooperative Oncology Group (ECOG) scale.
4. Life expectancy < 6 months.
5. Pregnancy or breastfeeding.
6. Primary or secondary immunodeficiency, including immunosuppressive disease, and immunosuppressive doses of corticosteroids (e.g. prednisolone > 7.5mg per day) or other immunosuppressive medications including cyclosporine, azathioprine, interferons, within the past 4 weeks.
7. Positive serology for HIV, hepatitis B or hepatitis C.
8. Splenectomy.
9. Presence of uncontrolled infection.
10. Presence of unstable neurological disease.
11. Any uncontrolled medical condition that in the opinion of the Investigator is likely to place the patient at unacceptable risk during the study or reduce their ability to complete the study
12. Participation in another study requiring administration of an investigational drug or biological agent within the last 4 weeks
13. Known allergy to treatment medication or its excipients
14. Any other medical or psychological condition that would preclude participation in the study or compromise ability to give informed consent.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
29/02/2008
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
12/01/2012
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Sample size
Target
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Accrual to date
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Final
8
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Recruitment hospital [1]
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Cancer Care Centre, St George Hospital - Kogarah
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Recruitment hospital [2]
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Redcliffe Hospital - Redcliffe
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Recruitment postcode(s) [1]
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2217 - Kogarah
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Recruitment postcode(s) [2]
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4020 - Redcliffe
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Viralytics
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Coxsackie A21 (CVA21) virus is to be administered by IV infusion to patients with Stage 4 melanoma, prostate and breast cancer. This is a dose escalation, safety study.
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Trial website
https://clinicaltrials.gov/study/NCT00636558
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Boris Chern, MD
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Address
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Redcliffe Hospital, Brisbane, Qld., Australia
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00636558
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