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Trial registered on ANZCTR
Registration number
ACTRN12609000475246
Ethics application status
Approved
Date submitted
5/06/2009
Date registered
17/06/2009
Date last updated
29/11/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Topical immunotherapy with diphencyprone for cutaneous metastatic melanoma
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Scientific title
Response of cutaneous metastatic melanoma to topical immunotherapy with diphencyprone
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Secondary ID [1]
283663
0
Nil Known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Melanoma metastatic and/or locally recurrent to skin
236933
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Condition category
Condition code
Cancer
237292
237292
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0
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Malignant melanoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Topical application of diphencyprone cream to cutaneous metastases.
The optimal diphencyprone dose is determined in each patient as the concentration causing adequate but not excessive contact dermatitis. The concentration may range from 0.0001% to 2%, mixed in aqueous cream. The cream is applied once per week, for 24 to 48 hours depending on intensity of response.
If there has been no response in 3 months, the treatment will be ceased. If there is response, the treatment can be continued indefinitely until refractory disease recurrence/progression. Usually, patients will require ~1 to 3 months to achieve a response. Ongoing treatment (ie, cream applied each week at home by patients) will then be offered to any patients who request it, with the aim of preventing further recurrence.
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Intervention code [1]
236723
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Treatment: Drugs
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Intervention code [2]
236757
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Treatment: Other
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
238103
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Clinical clearance of cutaneous metastases (ie, active cutaneous lesions are no longer visible or palpable)
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Assessment method [1]
238103
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Timepoint [1]
238103
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1, 3, 6, 12 and 24 months following development of contact hypersensitivity response to diphencyprone
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Secondary outcome [1]
242311
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Histological clearance of cutaneous metastases (S100 stain after melanin bleaching on biopsy taken from treated area)
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Assessment method [1]
242311
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Timepoint [1]
242311
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1, 3, 6, 12 and 24 months following development of contact hypersensitivity response to diphencyprone
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Eligibility
Key inclusion criteria
Melanoma locally recurrent or metastatic to skin
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pregnancy or lactation
Severe uncontrolled eczema
Previous type I hypersensitivity to diphencyprone
Primary melanoma
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
No treatment allocation: uncontrolled study
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1 / Phase 2
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
15/06/2009
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Actual
16/06/2009
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Date of last participant enrolment
Anticipated
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Actual
4/03/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
237119
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Hospital
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Name [1]
237119
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Royal Prince Alfred Hospital
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Address [1]
237119
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Missenden Rd
Camperdown NSW 2050
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Country [1]
237119
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Australia
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Primary sponsor type
Hospital
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Name
Royal Prince Alfred Hospital
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Address
Missenden Rd
Camperdown NSW 2050
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Country
Australia
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Secondary sponsor category [1]
4612
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None
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Name [1]
4612
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Address [1]
4612
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Country [1]
4612
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Other collaborator category [1]
705
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Other Collaborative groups
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Name [1]
705
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Sydney Melanoma Unit
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Address [1]
705
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GH3, Royal Prince Alfred Hospital
Missenden Rd
Camperdown NSW 2050
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Country [1]
705
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
239216
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Sydney South West Area Health Service Ethics Committee
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Ethics committee address [1]
239216
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Level 3 Building 92 Royal Prince Alfred Hospital Missenden Rd Camperdown NSW 2050
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Ethics committee country [1]
239216
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Australia
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Date submitted for ethics approval [1]
239216
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Approval date [1]
239216
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09/04/2009
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Ethics approval number [1]
239216
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09/RPAH/50
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Summary
Brief summary
The objective is to investigate whether diphencyprone (DPCP), a chemical which can cause contact allergy on the skin in about 95% of people, can stimulate the immune system to destroy these melanoma cells. DPCP is frequently used in dermatology as a treatment for autoimmune hair loss (alopecia areata) and warts, where it also stimulates an immune attack on the wart virus. As melanoma is a tumour which is known to be particularly susceptible to immune attack, it is hoped that DPCP treatment will be helpful to patients with otherwise untreatable secondary melanoma in their skin. There have so far been a handful of published case reports of patients in whom DPCP has been helpful for melanoma.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
29712
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Prof Diona Damian
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Address
29712
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Dermatology, GH3
Royal Prince Alfred Hospital
Camperdown NSW 2050
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Country
29712
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Australia
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Phone
29712
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+612 9515 8295
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Fax
29712
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Email
29712
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[email protected]
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Contact person for public queries
Name
12959
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Diona Damian
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Address
12959
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Dermatology, GH3
Royal Prince Alfred Hospital
Missenden Rd
Camperdown NSW 2050
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Country
12959
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Australia
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Phone
12959
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612 9515 8295
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Fax
12959
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612 9565 1048
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Email
12959
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[email protected]
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Contact person for scientific queries
Name
3887
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Diona Damian
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Address
3887
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Dermatology, GH3
Royal Prince Alfred Hospital
Missenden Rd
Camperdown NSW 2050
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Country
3887
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Australia
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Phone
3887
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612 9515 8295
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Fax
3887
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612 9565 1048
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Email
3887
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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