This clinical phase II study is designed to investigate the efficacy of intratumorally administered L19IL2/L19TNF in patients with injectable lesions of BCC or cSCC. Favorable tumor responses following intralesional treatment with L19IL2/L19TNF have been observed in patients with injectable melanoma lesions of stage III or IV, for injected and non-injected lesions. The proposed clinical phase II study plans to investigate the intralesional administration of 6.5 Mio IU of L19IL2 (\~1.08 mg) and 200 µg of L19TNF to be administered in an approximate volume of 1.0 mL as a single or multiple intratumoral injections in patients with high-risk BCC or cSCC. There is a high medical need for non-invasive therapeutic strategies with a comparable good response rate and high recurrence free survival for treatment of patients with BCC or cSCC, who cannot be treated by or refuse surgery. Surgery is not always applicable, as it may not be feasible due to the anatomic location, may have a poor cosmetic outcome for the patient or is generally not accepted as treatment strategy by the patient. However, current non-surgical treatment strategies have a considerably reduced response rate and recurrence free survival. Based on the favorable results for injected and non-injected lesions obtained in the phase II study of L19IL2/L19TNF and the good safety profile seen in the subsequent phase III study, both in stage III or IV melanoma patients, we believe, that patients with BCC or cSCC will profit from intralesional treatment with L19IL2/L19TNF.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Single or multiple intratumoral administration of a mixture of L19IL2 and L19TNF will be performed once weekly for up to 4 weeks into all injectable lesions present at the beginning of treatment or appearing during treatment phase The dose will be constituted by 6.5 Mio IU L19IL2 (\~1.08 mg) and 200 µg L19TNF.
Universitätsklinikum Augsburg
Augsburg, Germany
RECRUITINGCharité Universitätsmedizin Berlin
Berlin, Germany
RECRUITINGUniversity Hospital Carl Gustav Carus
Dresden, Germany
NOT_YET_RECRUITINGUniversitätsklinikum Essen (AöR)
Essen, Germany
RECRUITINGNationales Centrum für Tumorerkrankungen (NCT)
Heidelberg, Germany
RECRUITINGUniversity Medical Center Schleswig Holstein
Kiel, Germany
RECRUITINGUniversitätsklinikum Regensburg
Regensburg, Germany
RECRUITINGTübingen University Hospital
Tübingen, Germany
RECRUITINGCentrum Onkologii-Instytut im. Marii Skłodowskiej-Curie Warszawa
Warsaw, Poland
RECRUITINGKantonsspital St.Gallen, Clinical Trials Unit, Dermatologie und Venerologie
Sankt Gallen, Switzerland
RECRUITING...and 1 more locations
Efficacy of L19IL2/L19TNF in CR
Objective Response Rate (Complete Response CR) for each tumor type from beginning of treatment according to RECIST v1.1 criteria.
Time frame: Tumor Assessment/Safety visit (Week 6, Day 36)
Efficacy of L19IL2/L19TNF in PR
Objective Response Rate (Partial Response PR) for each tumor type from beginning of treatment according to RECIST v1.1 criteria.
Time frame: Tumor Assessment/Safety visit (Week 6, Day 36)
Pathological Response
Efficacy of L19IL2/L19TNF measured as Pathological Response for each tumor type at the time of surgery.
Time frame: At Surgery
Safety (AE)
Safety of intratumoral administration of L19IL2/L19TNF, assessed by Common Toxicity Criteria (version 5.0, CTCAE)
Time frame: Throughout study completion for each patient, an average of 12 weeks for each patient
Safety: ECG
Electrocardiogram (ECG) findings. In particular, data about QT/QTc intervals will be collected and analysed for QT/QTc prolongation potentially caused by treatment
Time frame: Before first drug administration at Day 1 and at the Tumor Assessment Visit at Day 36 (Week 6).
Safety: change in vital signs
Measurement of heart rate (beats per minute)
Time frame: Before first drug administration at Day 1, Day 8, Day 15, Day 22 and at the Tumor Assessment Visit at Day 36 (Week 6).
Safety: change in vital signs
Measurement of blood pressure (mmHg)
Time frame: Before first drug administration at Day 1, Day 8, Day 15, Day 22 and at the Tumor Assessment Visit at Day 36 (Week 6).
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