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Trial registered on ANZCTR
Registration number
ACTRN12614000115639
Ethics application status
Approved
Date submitted
16/12/2013
Date registered
29/01/2014
Date last updated
19/04/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
A safety study of a fluorescent marker to visualise cancer cells
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Scientific title
A Phase 1 dose escalation/expansion study of BLZ-100 administered by intravenous injection in adult subjects with skin cancer
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Secondary ID [1]
283775
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NCT02097875
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Skin cancer
290751
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Condition category
Condition code
Cancer
291110
291110
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0
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Non melanoma skin cancer
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Cancer
294409
294409
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0
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Malignant melanoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
BLZ-100, a targeted fluorescent molecule that belongs to a class of products known as Tumor Paint (Trademark) bioconjugates designed to illuminate cancer foci to facilitate surgical resection. BLZ-100 will be administered as a single, intravenous dose approximately 48 hours before scheduled excision of skin cancer lesions. The study consists of two parts: a dose escalation and a dose expansion. In the dose escalation part of the study, the dose of BLZ-100 will be increased in cohorts of subjects until either the highest pre-specified dose level is reached or unacceptable side effects are noted. The planned dose cohorts are 1, 3, 6, 12 and 18 mg BLZ-100. Escalation to a higher dose cohort will proceed when the previous dose has been found to be reasonably tolerated based on available safety data for all subjects enrolled in the cohort. Upon completion of the dose escalation, a dose level shown to be well-tolerated will be selected to enrol subjects in the dose expansion part of the study.
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Intervention code [1]
288461
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Treatment: Drugs
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Intervention code [2]
288462
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Treatment: Surgery
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Safety as assessed by vital signs, adverse events (AEs), physical examinations and laboratory safety parameters. The possible side effects of BLZ-100 in humans are unknown. Data from animal studies suggests possible adverse events could include allergic reactions, decreased activity/slowed movements or sleepiness.
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Assessment method [1]
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Timepoint [1]
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Vital signs: 5 and 60 mins and days 3, 5 and 8 post-BLZ-100 administration.
Adverse events: Continuous assessment for at least 7 days (study day 8) post-BLZ-100 administration.
Physical examinations: Days 3, 5 and 8 post-BLZ-100 administration.
Laboratory safety: Days 3 and 8 post-BLZ-100 administration.
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Secondary outcome [1]
305998
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Concentrations of BLZ-100 in the blood will be measured by collecting several blood sampled over time. The blood will be analysed by chemical means to determine the BLZ-100 concentration and these data will be used to calculate pharmacokinetic parameters.
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Assessment method [1]
305998
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Timepoint [1]
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1, 5, 15, 30, 60 and 90 minutes (min) and 2, 3, 4, 6, 8, 12 and 24 hours (h) post-administration.
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Secondary outcome [2]
312745
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Determination of a dose level for Phase 2 studies based on safety, measurement of fluorescence signal in lesions and pharmacokinetics.
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Assessment method [2]
312745
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Timepoint [2]
312745
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End of study - approximately 14 months
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Eligibility
Key inclusion criteria
1. Male or female patients age 18 years or older.
2. Known or suspected non-metastatic basal cell or squamous cell carcinomas equal to or greater than 10 mm longest diameter or non-metastatic melanoma equal to or greater than 6 mm longest diameter scheduled for excision, without advanced disease.
3. Written Informed Consent.
4. Agree to the use of effective contraceptive from Baseline and for 30 days after treatment if either male or female of child bearing potential.
5. Available for and able to comply with study requirements.
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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. Women who are lactating/breastfeeding
2. Women with a positive pregnancy test or who are planning to become pregnant during the duration of the study.
3. Life expectancy <6 months.
4. Karnofsky Performance Status of 70% or less.
5. The following laboratory abnormalities:
a) Neutrophil count <1.5 x 109/L
b) Platelets <75 x 109/L
c) Haemoglobin <10 g/dL (may be determined following transfusion)
d) Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 2x upper limit of normal (ULN)
e) Total bilirubin >2x upper limit of reference range (unless Gilbert’s syndrome or extrahepatic source as denoted by increased indirect bilirubin fraction)
f) International Normalized Ratio (INR) >1.5
g) Creatinine >1.5x ULN
6. History of hypersensitivity or allergic reactions requiring corticosteroids, epinephrine and/or hospitalization.
7. Uncontrolled asthma or asthma requiring oral corticosteroids.
8. Clinically significant chronic inflammatory skin conditions, including psoriasis, atopic dermatitis and scleroderma, as determined by the investigator.
9. Unstable angina, myocardial infarction, known or suspected transient ischemic events or stroke within 24 weeks of Screening.
10. Uncontrolled hypertension.
11. QTc prolongation >450 msec.
12. Receipt of photosensitising drugs within 30 days of screening.
13. Positive serology for human immunodeficiency virus (HIV), hepatitis C virus (HCV) or hepatitis B virus (HBV).
14. Any concurrent condition, including psychological and social situations, which, in the opinion of the investigator, would impact adversely on the subject or the interpretation of the study data.
15. Known or suspected sensitivity to study product or excipients.
16. Prior participation in this clinical trial (has received study product).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Allocation is nonrandomised
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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
Dose escalation will follow the 3 + 3 design
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Phase
Phase 1
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Type of endpoint/s
Safety
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Statistical methods / analysis
There will be no formal hypothesis testing. All analyses will be descriptive.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
24/12/2013
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Actual
24/12/2013
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Date of last participant enrolment
Anticipated
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Actual
23/02/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
21
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Accrual to date
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Final
21
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment postcode(s) [1]
7641
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4102 - Woolloongabba
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Funding & Sponsors
Funding source category [1]
288436
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Commercial sector/Industry
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Name [1]
288436
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Blaze Bioscience Australia Pty Ltd
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Address [1]
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224 Hawthorn Road
Caulfield North, VIC 3161
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Country [1]
288436
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Blaze Bioscience Australia Pty Ltd
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Address
224 Hawthorn Road
Caulfield North, VIC 3161
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Country
Australia
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Secondary sponsor category [1]
287138
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None
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Name [1]
287138
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Address [1]
287138
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Country [1]
287138
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
290311
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Bellberry Limited
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Ethics committee address [1]
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129 Glen Osmond Road Eastwood, SA 5063
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Ethics committee country [1]
290311
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Australia
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Date submitted for ethics approval [1]
290311
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Approval date [1]
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25/10/2013
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Ethics approval number [1]
290311
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2013-09-497
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Summary
Brief summary
This study is evaluating the safety of a fluorescent marker (BLZ-100) used to visualise cancer cells in adults with skin cancer. Who is it for? You may be eligible to join this study if you are a male or female aged 18 years or above who has been diagnosed with non-melanotic skin cancer (e.g. non metastatic basal cell or squamous cell carcinomas or amelanotic melanoma) and are scheduled for surgical excision. Many types of cancer are primarily treated with surgery and the extent of surgical removal of the tumour is directly related to patient survival. However, it is often difficult for surgeons to distinguish tumour tissue from normal tissue or to detect tumour cells that have spread from the original tumour site. In addition, in some sites, such as the brain, it is critical to avoid damage to normal tissue around the tumour to prevent adverse effects on function. In this study all participants will be administered BLZ-100 intravenously (i.e. directly into the vein) approximately 48 hours before scheduled excision of cancer lesions. BLZ-100 is a targeted fluorescent molecule that belongs to a class of products known as Tumor Paint (Trademark) bioconjugates designed to illuminate cancer cells to facilitate surgical resection. We hope that BLZ-100 will improve surgical outcomes by allowing surgeons to visualise the edges of the tumour and small groups of cancer cells in real-time, as they operate.
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Trial website
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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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Dr Lynda Spelman
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Address
45002
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Veracity Clinical Research Pty Ltd
Specialist Connect Building
68 Ipswich Rd
Woolloongabba, QLD 4102
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Country
45002
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Australia
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Phone
45002
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+61 7 3039 1300
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Fax
45002
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Email
45002
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[email protected]
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Contact person for public queries
Name
45003
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Errol Malta
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Address
45003
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Blaze Bioscience Australia Pty Ltd
224 Hawthorn Road
Caulfield North, VIC 3161
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Country
45003
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Australia
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Phone
45003
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+61 3 9629 6111
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Fax
45003
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Email
45003
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[email protected]
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Contact person for scientific queries
Name
45004
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Dennis Miller
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Address
45004
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Blaze Bioscience Inc
530 Fairview Avenue North
Suite 1400
Seattle, WA 98109
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Country
45004
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United States of America
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Phone
45004
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+1 206 535 8144
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Fax
45004
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Email
45004
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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