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Recombinant Adenoviral Human p53 Gene in Treatment of Malignant Pleural Effusion

Phase 2
Conditions
Malignant Pleural Effusion
Interventions
Registration Number
NCT02429726
Lead Sponsor
Shenzhen SiBiono GeneTech Co.,Ltd
Brief Summary

Objective of this study is to investigate of efficacy and safety of recombinant adenoviral human p53 Gene (rAd-p53) in treatment of malignant pleural effusion, compared to cisplatin. This is a phase 2, double blinded, randomized, active controlled study.

Detailed Description

Objective of this study is to investigate of efficacy and safety of recombinant adenoviral human p53 Gene (rAd-p53) in treatment of malignant pleural effusion, compared to cisplatin. Study design: phase 2, double blinded, randomized, active controlled.Ninety patients with malignant pleural effusion, who meet the study inclusion criteria and none of exclusion criteria, will be randomized into 3 treatment groups: rAd-p53, cisplatin, and rAd-p53 combined with cisplatin. The study endpoints are objective response rate, Karnofsky score, effusion-free survival, and safety.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
90
Inclusion Criteria
  1. histopathologically diagnosed original cancer with malignant pleural effusion;
  2. 18 years or older;
  3. with normal tests of hemogram, blood coagulation, liver and kidney function; 6.signed the informed consent form.
  4. signed the informed consent form
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Exclusion Criteria
  1. Serious blood coagulation disorder, bleeding tendency, platelet < 6 * 1000000000/L;
  2. have serious heart, lung function abnormalities or severe diabetes patients;
  3. active infection;
  4. severe atherosclerosis;
  5. AIDS patients;
  6. serious thrombotic or embolic events within 6 months;
  7. renal insufficiency requiring hemodialysis or peritoneal dialysis;
  8. pregnant or lactating women;
  9. mental disorder or disease.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
rAdp53rAdp532 x 10\^12 viral particles of rAdp53 gene are given in 40 ml of saline by intra-cavity infusion at day of 7, 15 and 21
cisplatinCisplatincisplatin 40 mg in 40 ml of saline are given by intra-cavity infusion at day of 7, 15 and 21
rAdp53 plus cisplatinrAdp53 plus cisplatin2 x 10\^12 viral particles of rAdp53 gene and cisplatin 40 mg in 40 ml of saline are given by intra-cavity infusion at day of 7, 15 and 21
Primary Outcome Measures
NameTimeMethod
objective response ratefrom starting study treatment to 3 months

the rate of complete response and partial response

Secondary Outcome Measures
NameTimeMethod
effusion-free survivalfrom starting study treatment to 2 years

effusion-free survival

adverse eventsfrom starting study treatment to 30 days after the last treatment
Karnofsky Performance Statusfrom starting study treatment to 2 years

Trial Locations

Locations (1)

The First Affiliated Hospital of Xi'an Jiao Tong University

🇨🇳

Xian, Shanxi, China

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