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Intratumoral Microdosing for Cancer

Phase < 1
Recruiting
Research Sponsored by Presage Biosciences
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Pathologic diagnosis of [solid tumors] indicated in the relevant substudy(ies)
Male or female ≥ 18 years of age at Visit 1 (Screening)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 4 hours-7 days after microdose injection
Awards & highlights

Study Summary

This trial is designed to study how anti-cancer drugs work in the body when given in small doses intratumorally. The trial will use the CIVO device and will include multiple investigational agents and combinations.

Who is the study for?
Adults with surface accessible solid tumors scheduled for surgery can join. They must be able to follow the study plan and agree to use effective contraception or abstain from sex. Excluded are those with tumors near critical structures, pregnant or breastfeeding women, and anyone with serious illnesses that could affect participation.Check my eligibility
What is being tested?
The trial tests how anti-cancer drugs like Pembrolizumab and its combinations work inside tumors when given in tiny amounts using a device called CIVO before surgical removal of the tumor. It aims to understand drug effects directly within the tumor environment.See study design
What are the potential side effects?
While specific side effects aren't listed due to microdosing, typical reactions may include immune-related issues, infusion reactions, fatigue, skin changes, flu-like symptoms, and potential impact on normal organ functions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My cancer type matches one of the study's specific cancer types.
Select...
I am 18 years old or older.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~4 hours-7 days after microdose injection
This trial's timeline: 3 weeks for screening, Varies for treatment, and 4 hours-7 days after microdose injection for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Quantification of Selected Pharmacodynamic Biomarkers as Specified in Substudies by IHC, ISH, and/or Spatial Biology Platforms
Secondary outcome measures
Number of Patients with Adverse Events

Side effects data

From 2024 Phase 2 trial • 57 Patients • NCT03004183
21%
Fatigue
13%
Nausea
11%
Back pain
9%
Shortness of Breath
9%
Anemia
9%
Abdominal pain
9%
Diarrhea
7%
Pneumonia
7%
Kidney Injury and/or Infection
7%
Dyspnea
7%
Weight Loss
5%
Malnutrition, Hypercalcemia and Weakness
5%
Pneumothorax
5%
Intractable pain, back pain, hip pain
5%
Activated partial thromboplastin time prolonged
4%
Pleural effusion
4%
Atrial fibrillation with rapid ventricular response
2%
Thrombocytopenia
2%
Respiratory failure
2%
Skin rash
2%
colitis
100%
80%
60%
40%
20%
0%
Study treatment Arm
Single Arm

Trial Design

1Treatment groups
Experimental Treatment
Group I: Rilvegostomig, Volrustomig, Sabestomig, PembrolizumabExperimental Treatment4 Interventions
HNSCC patients presenting with a surface accessible lesion who are scheduled for tumor and/or regional node dissection as part of their standard treatment will be injected one to three days prior to surgery using the CIVO device. The planned injection scheme includes: vehicle control and microdoses of rilvegostomig, volrustomig, sabestomig, and pembrolizumab alone.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Pembrolizumab
2017
Completed Phase 2
~2010

Find a Location

Who is running the clinical trial?

TakedaIndustry Sponsor
1,203 Previous Clinical Trials
4,178,010 Total Patients Enrolled
Presage BiosciencesLead Sponsor
8 Previous Clinical Trials
85 Total Patients Enrolled
Merck Sharp & Dohme LLCIndustry Sponsor
3,892 Previous Clinical Trials
5,060,656 Total Patients Enrolled

Media Library

CIVO Intratumoral Microdosing (Other) Clinical Trial Eligibility Overview. Trial Name: NCT04541108 — Phase < 1
Solid Tumors Research Study Groups: Rilvegostomig, Volrustomig, Sabestomig, Pembrolizumab
Solid Tumors Clinical Trial 2023: CIVO Intratumoral Microdosing Highlights & Side Effects. Trial Name: NCT04541108 — Phase < 1
CIVO Intratumoral Microdosing (Other) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04541108 — Phase < 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many volunteers are being recruited for the research investigation?

"Affirmative. According to clinicaltrials.gov, the initial posting for this experiment was on July 26th 2021 and has been revised most recently on September 29th 2022. The trial is currently seeking 24 individuals who can be found at 7 different medical centres across the country."

Answered by AI

In what quantity of healthcare facilities is this trial being conducted?

"Currently, seven clinical sites are enrolling participants in this trial; these locations include Seattle, Shreveport, and Bronx, as well as four other urban centres. It is recommended that those interested sign up at the site closest to them in order to reduce travel needs."

Answered by AI

Could you elucidate the primary indications for Pembrolizumab?

"Pembrolizumab is often employed to treat unresectable melanoma, as well as microsatellite instability high, squamous cell carcinoma, and cases of high risk recurrence."

Answered by AI

Are there still opportunities to participate in this investigation?

"As seen on the clinicaltrials.gov website, enrollment for this medical trial began in July 2021 and was last modified near the end of September 2022; it is currently open to participants."

Answered by AI

Have any additional experiments been conducted utilizing Pembrolizumab?

"Pembrolizumab was initially investigated at the City of Hope Comprehensive Cancer Center in 1997. To date, there have been 2645 completed trials and 2852 that are actively recruiting participants; notably a large number of these are based in Seattle, Washington."

Answered by AI

Who else is applying?

What state do they live in?
Washington
What site did they apply to?
University of Washington
What portion of applicants met pre-screening criteria?
Met criteria
Recent research and studies
~10 spots leftby Dec 2031