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This is multicenter, open-label, randomized, active-controled, phase IV study of local direct intra-tumor injection of rAd-p53 monotherapy, with concurrent chemotherapy , or combination with surgery for treatment of advanced oral and maxillofacial malignant tumors.
Primary objectives of this study is to determine the efficacy profiles of rAd-p53 intra-tumor injection alone, with concurrent chemotherapy, or combination with surgery for treatment of advanced oral and maxillofacial malignant tumors(stage III or IV) including target lesion complete response rate (LCR) and overall target lesion response rate (OLR), response duration (RD), and progress-free survival (PFS).
The secondary objectives of this study is to investigate overall response rate (OPCR) and overall complete response rate (OCR), overall survival (OS), ECOG, and safety of rAd-p53 monotherapy and combined with chemotherapy,or surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| surgery plus p53 gene | Experimental | using p53 gene therapy before surgery |
|
| surgery alone | Active Comparator | Surgery without pre-p53 gene therapy |
|
| p53 plus chemotherapy | Experimental | p53 gene therapy with concurrent chemotherapy |
|
| p53 gene therapy alone | Experimental | Intra-tumor injectio of rAd-p53 gene with no concurrent treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| p53 gene with surgery | Drug | pre-surgery p53 gene treatment: 10exp12 virus particles per 3 days for 5 times |
|
| Measure | Description | Time Frame |
|---|---|---|
| overall best response rate | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| progress free survival | 3 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| qing yu, MD | Contact | 86-755-33065218 | qingyu36@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Longjiang Li, PhD, MD | West China Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| West China Hospital, Sichuan University | Recruiting | Chengdu | Sichuan | 610041 | China |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D016158 | Genes, p53 |
| D013514 | Surgical Procedures, Operative |
| D004358 | Drug Therapy |
| ID | Term |
|---|---|
| D016147 | Genes, Tumor Suppressor |
| D052138 | Genes, Neoplasm |
| D005796 | Genes |
| D040481 | Genome Components |
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| surgery | Procedure | remove tumor surgery |
|
|
| p53 with chemotherapy | Drug | p53 gene treatment: 10exp12 virus particles per 3 days for 10 times Chemotherapy: standard chemotherapy |
|
|
| p53 gene therapy | Drug | p53 gene treatment: 10exp12 virus particles per 3 days for 10 times |
|
|
| D016678 |
| Genome |
| D040342 | Genetic Structures |
| D055614 | Genetic Phenomena |
| D005808 | Genes, Recessive |
| D013812 | Therapeutics |