Participant with squamous cell cancer of head and neck are invited to participate in this study. In this study the investigators will be Inserting the gene for interleukin-12 into a person's cancer cells with the anticipation to make the body build an immune response to kill more tumor cells.
This is a Phase I/II trial to study the effectiveness of gene therapy in treating patients who have unresectable, recurrent, or refractory head and neck cancer.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
7
Dana-Farber Cancer Institute
Boston, Massachusetts, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Maximum Tolerated Dose (MTD) [Phase I]
The MTD of IL-12 gene medicine is determined by the number of participants who experience a dose limiting toxicity (DLT). The MTD is defined as the highest dose at which fewer than one-third of patients experience a DLT. If no DLTs are observed in the two dose levels planned then evaluation of a third escalation will be considered. If the MTD is not reached, the dose selected for use in the phase II portion will be defined as the maximum volume that can be reasonably and safely injected into the tumor.
Time frame: Assessed during therapy up to 7 weeks.
Dose Limiting Toxicity (DLT) [Phase I]
A DLT was defined as grade 4 hematologic toxicity greater than 5 days duration or grade 3 or higher non-hematologic toxicity based on NCI common toxicity criteria (CTCAEv2).
Time frame: Assessed during therapy up to 7 weeks.
Grade 3-4 Toxicity Rate [Phase II]
All Grade 3-4 events based on CTCAEv2 as reported on case report forms.
Time frame: Assessed until last scheduled on-study visit up to visit 12/day 112.
Time to Progressive Disease (TTP) [Phase III]
Time to progression based on the Kaplan-Meier method is defined as the duration of time from study entry to documented first observation of progressive disease (PD). Time to progression based on the Kaplan-Meier method is defined as the duration of time from study entry to documented first observation of progressive disease (PD).
Time frame: Measurement by CT occurs up to the earliest of progression, death or 4 months after enrollment of last patient.
Response [Phase II]
Best response on treatment classifies patients into 4 groups: complete response (CR) is complete disappearance of all signs, symptoms, biochemical and radiographic evidence of tumor for a minimum of 1 month; partial response (PR) is \>/=50% decreases in tumor area for at least 4 weeks without an increase in size of other lesions of \>25% or appearance of new lesions; progressive disease (PD) is \>50% increase in size of any lesion present at baseline or after response, or appearance of a new lesion; and stable disease (SD) is neither PR or better nor PD.
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Time frame: Measurement by CT occurs up to visit 12/day 112.
Overall Survival (OS) [Phase II]
OS is defined as the duration of time from study entry to death or date last known alive and estimated using Kaplan-Meier (KM) methods.
Time frame: Measurement by CT occurs up to the earliest of progression, death or 4 months after enrollment of last patient.