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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03754140
Registration number
NCT03754140
Ethics application status
Date submitted
31/10/2018
Date registered
27/11/2018
Titles & IDs
Public title
Intralesional Sclerosant for in Transit and Cutaneous Melanoma Metastases
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Scientific title
Intralesional Sclerosant for in Transit and Cutaneous Melanoma Metastases
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Secondary ID [1]
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HREC/18/RPAH 621
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Universal Trial Number (UTN)
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Trial acronym
INTRANS
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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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In-Transit Metastasis of Cutaneous Melanoma
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0
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Condition category
Condition code
Cancer
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0
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Malignant melanoma
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Cancer
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0
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Non melanoma skin cancer
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Polidocanol Injection
Experimental: Polidocanol Injection - Polidocanol (3%) 0.1ml intralesional injection per 10mm diameter lesion
Treatment: Drugs: Polidocanol Injection
Sclerotic agent
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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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Clinical efficacy of interlesional polidocanol injection assessed by the size of in transit melanoma metastases after treatment
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Assessment method [1]
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Proportion of patients with a complete response (complete disappearance of treated lesions), partial response (a 25% or more reduction in size of treated lesions), stable disease (a 0 to 24% reduction in size of treated lesions) or disease progression (any increase in size of treated lesions)
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Timepoint [1]
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8 weeks
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Secondary outcome [1]
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Incidence of treatment related adverse events
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Assessment method [1]
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Treatment related adverse events using the CTCAE version 4 terms and grading.
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Timepoint [1]
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8 weeks
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Secondary outcome [2]
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Bystander treatment effect on untreated intransit melanoma metastases
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Assessment method [2]
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Proportion of patients with a complete response (complete disappearance of untreated lesions), partial response (a 25% or more reduction in size of untreated lesions), stable disease (a 0 to 24% reduction in size of untreated lesions) or disease progression (any increase in size of untreated lesions)
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Timepoint [2]
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8 weeks
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Secondary outcome [3]
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Bystander treatment effect on the proportion of tumour infiltrating immune markers in treated and untreated melanoma lesions
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Assessment method [3]
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The proportion (%) of tumour-infiltrating immune markers: CD4, CD8 and FoxP3 T cell markers, CD20 (B cell), CD16 and CD56 Natural Killer (NK) cell markers, Ki67 marker of proliferation, CD31 (endothelial cells) and CD68 and CD163 (macrophages) detected at baseline and 1 week after intralesional injection by immunohistochemistry. The same analysis will be undertaken in a minimuim of one untreated lesion detected at baseline and at anytime between 1 and 8 weeks. Change in the proportion (%) of immune markers will be ,made within each lesion and between each lesion.
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Timepoint [3]
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8 weeks
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Secondary outcome [4]
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Bystander treatment effect on tumour viabilty in treated and untreated melanoma lesions
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Assessment method [4]
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The proportion of residual non-necrotic melanoma cells detected histolologcally in treated and untreated lesions one week after intralesional injection.
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Timepoint [4]
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8 weeks
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Eligibility
Key inclusion criteria
* Histologically confirmed in transit and/or cutaneous melanoma metastases unsuitable for, or with progressive disease despite systemic, surgical, intra-arterial, topical or radiation therapies
* A minimum of 2 accessible lesions
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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
* Periocular lesions
* Severe renal impairment defined as an estimated glomerular filtration rate <20ml/min/1.73sqm
* Sever liver function abnormality defined as aspartate aminotransferase and / or alanine aminotransferase > 3 x upper limit of normal and / or bilirubin > 1.5 x upper limit of normal
* known hypersensitivity to polidocanol or its exipients
* Patients unavailble for the full study duration (of a 4 week screening period and 8 week treatment period) because of general frailty, geographical or social reasons
* Pregnant or breast feeding female patients
* Patients receiving topical or radiation therapy to the in transit and / or cutaneous lesions within 4 weeks of planned start of study treatment (patients receiving current systemic immunotherapy which is deemed appropriate to continue, despite progression of disease in the skin, in order to reduce the likelihood of visceral metastases are eligible)
* Patients receiving sclerosants for other indications within 4 weeks of planned start of study treatment or during study treatment.
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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 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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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
20/05/2020
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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
1/12/2022
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Actual
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Sample size
Target
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Accrual to date
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Final
0
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment postcode(s) [1]
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2050 - Camperdown
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Funding & Sponsors
Primary sponsor type
Other
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Name
Melanoma Institute Australia
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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
There is currently an urgent need for low cost and well tolerated intralesional agents for the management of in transit and cutaneous melanoma metastases that are unsuitable for, or resistant to, other therapies. This pilot study will determine whether intralesional injections of the sclerosant polidocanol into intransit and cutaneous melanoma lesions shows promise for efficacy, safety and ease of use that will enable this inexpensive and widely available agent to undergo further evaluation.
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Trial website
https://clinicaltrials.gov/study/NCT03754140
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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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Diona Damian
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Address
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Royal Prince Alfred Hospital, Sydney, 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
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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/NCT03754140