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The purpose of this trial is to evaluate safety, tolerability and efficacy of various doses of STP705 administered as intralesional injection in subjects with cutaneous squamous cell carcinoma (in situ) skin cancer (isSCC).
This is a two-part, double-blind, randomized, placebo-controlled study designed to evaluate safety and efficacy of various doses of STP705 administered as an intralesional injection in subjects with isSCC.
A total of up to 100 eligible subjects will be enrolled. Enrolled subjects will be randomly allocated to receive STP705 or placebo injection once weekly for 6 weeks.
After 6 weeks, the lesion will be excised.
In part 1 (dose ranging study): 40 subjects will be randomized to receive 1 of the 3 STP705 doses or placebo.
An interim analysis will be done after all subjects have completed end of treatment (EOT) visits to determine 2 selected dose levels of STP705 to be used in part of the study.
In part 2: 60 additional subjects will be randomized to receive 1 of the 2 selected doses (from part 1) or placebo.
In both parts at the End of Treatment (EOT), the lesion will be excised.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Arm A | Experimental | STP705 30 μg dose, intralesional injection, given once a week for 6 weeks. |
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| Part 1: Arm B | Experimental | STP705 60 μg dose, intralesional injection, given once a week for 6 weeks. |
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| Part 1: Arm C | Experimental | STP705 90 μg dose, intralesional injection, given once a week for 6 weeks. |
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| Part 1: Arm D | Other | Placebo (normal saline), intralesional injection, given once a week for 6 weeks. |
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| Part 2: Arm A, B or C | Experimental | STP705 selected dose 1, intralesional injection, given once a week for 6 weeks. |
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| Part 2: Arm A or B or C | Experimental | STP705 selected dose 2, intralesional injection, given once a week for 6 weeks. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| STP705 | Drug | The STP705 drug substance is composed of two siRNA oligonucleotides, targeting TGF-β1 and COX-2 mRNA respectively. |
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| Measure | Description | Time Frame |
|---|---|---|
| Proportion of participants with histological clearance of treated isSCC lesion | Proportion of participants with histological clearance of treated isSCC lesion at the End of Treatment (EOT). | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in size of the treated isSCC lesion | Change in size of the treated isSCC lesion over the 6-week treatment period. | 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mark Nestor, MD | Center for Clinical and Cosmetic Research | Principal Investigator |
| David Goldberg | Schweiger Dermatology Group | Principal Investigator |
| Michael Gold, MD | Tennessee Clinical Research | Principal Investigator |
| Edward Lain, MD | Austin Institute for Clinical Research | Principal Investigator |
| Kenneth Beer, MD | Research Institute of the Southeast LLC | Principal Investigator |
| Brenda LaTowsky, MD | Investigate MD | Principal Investigator |
| Edward Primka, MD | Dermatology Associates of Knoxville | Principal Investigator |
| Girish Munavalli, MD | Dermatology, Laser and Vein Specialists of the Carolinas | Principal Investigator |
| Brian Jiang, MD | University of California, San Diego | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigate MD | Scottsdale | Arizona | 85255 | United States | ||
| Center for Clinical and Cosmetic Research |
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| ID | Term |
|---|---|
| D000081483 | Squamous Intraepithelial Lesions |
| ID | Term |
|---|---|
| D065308 | Morphological and Microscopic Findings |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D007267 | Injections |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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Part 1: 40 subjects randomized in a 1:1:1:1 ratio to receive 6 weeks of treatment of placebo, 30 ug, 60 ug, or 90 ug of STP705. Enrollment will be temporarily stopped after the 40th subject. Interim Analysis will be done for dose response assessment and selection of the 2 doses for Part 2 of the study.
Part 2: 60 additional subjects will be randomized in a 1:1:1 ratio to receive placebo or one of the 2 selected STP705 doses.
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This is a double-blind study. All subjects, investigators, and site staff (except unblinded pharmacist or designated site staff) in the study will be blinded to the treatment assignment.
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| Part 2: Arm D | Other | Placebo (normal saline), intralesional injection, given once a week for 6 weeks. |
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| Placebo Saline | Other | Normal Saline |
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| Megan Couvillion, MD |
| SBA Dermatology |
| Principal Investigator |
| Mark Ling, MD | Medaphase Inc | Principal Investigator |
| Aventura |
| Florida |
| 33180 |
| United States |
| Research Institute of the Southeast LLC | West Palm Beach | Florida | 33401 | United States |
| Dermatology, Laser and Vein Specialists of the Carolinas | Charlotte | North Carolina | 28207 | United States |
| Dermatology Associates of Knoxville | Knoxville | Tennessee | 37909 | United States |
| Tennessee Clinical Research | Nashville | Tennessee | 37215 | United States |
| Austin Institute for Clinical Research | Pflugerville | Texas | 78660 | United States |