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Trial registered on ANZCTR
Registration number
ACTRN12610000162011
Ethics application status
Approved
Date submitted
11/02/2010
Date registered
19/02/2010
Date last updated
29/08/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
A phase I study of the Dz13 drug targeting the c-Jun gene in subjects with skin cance (nodular Basal Cell Carcinoma).
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Scientific title
A phase I study to determine the safety and tolerability of Dz13 DNAzyme targeting c-Jun in subjects with nodular Basal Cell Carcinoma.
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Secondary ID [1]
1409
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nil.
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Universal Trial Number (UTN)
U1111-1113-5815
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Trial acronym
DISCOVER
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Nodular Basal Cell Carcinoma (BCC)
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Condition category
Condition code
Cancer
256922
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0
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Non melanoma skin cancer
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Dz13 DNAzyme complexed with the lipids DOPE and DOTAP administered as a single intratumoural injection. Three dose cohorts of 10 mcg, 30 mcg and 100 mcg Dz13.
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Intervention code [1]
255981
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Treatment: Drugs
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Comparator / control treatment
No control treatment
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To determine the safety and tolerability of Dz13 complexed with DOPE/DOTAP administered as a single intra-tumoural injection as determined by adverse events (AEs), changes in vital signs, clinical laboratory tests and 12-lead electrcardiography (ECG).
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Assessment method [1]
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Timepoint [1]
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1, 2, 4, 8, 12, 24 hours, 7 days, 14 days, 28 days post injection.
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Primary outcome [2]
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To determine the maximum tolerated dose of Dz13 complexed with DOPE/DOTAP administered as a single intra-tumoural injection as assessed by the incidence of dose limiting toxicity (DLT) events in each dose cohort.
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Assessment method [2]
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Timepoint [2]
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1, 2, 4, 8, 12, 24 hours, 7 days, 14 days, 28 days post injection.
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Secondary outcome [1]
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To measure the level of Dz13 in serum following administration of a single dose of Dz13 complexed with DOPE/DOTAP via intra-tumoural injection.
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Assessment method [1]
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Timepoint [1]
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30 min, 1, 2, 4, 8, 12, 24 hours, 7 days, 14 days, 28 days post injection.
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Secondary outcome [2]
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To compare BCC histopathology and immunohistochemistry 14 days following Dz13 administration relative to baseline.
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Assessment method [2]
263208
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Timepoint [2]
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14 days post injection.
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Eligibility
Key inclusion criteria
Histologically proven nodular BCC.
Measurable disease of 8-16 mm located on trunk or limbs.
Presence of dividing cells as identified histologically.
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Minimum age
18
Years
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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
Women of childbearing potential.
Prior or co-existing malignancy.
Radiotherapy to >30% bone marrow in previous three months.
Known genetic predisposition to skin cancer.
Clinically significant non-malignant disease.
Current immunosuppression.
History of immune-mediated thrombocytopenia or other platelet disease.
History of drug abuse.
Enrollment in another clinical study using another investigational agent.
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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)
Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Study is not randomised.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
Three dose cohorts (10 mcg, 30 mcg, 100 mcg) will receive Dz13.
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Phase
Phase 1
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Type of endpoint/s
Safety
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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
6/09/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
9
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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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Recruitment postcode(s) [1]
2570
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2050
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Cancer Institute NSW
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Address [1]
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Australian Technology Park
Biomedical Building
Suite 101
1 Central Avenue
EVELEIGH NSW 2015
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Country [1]
256480
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Australia
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Primary sponsor type
University
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Name
University of New South Wales
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Address
Sydney
NSW 2052
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
255787
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Other collaborator category [1]
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University
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Name [1]
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University of Sydney
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Address [1]
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Sydney
NSW 2006
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sydney South West Area Health Service (SSWAHS) Royal Prince Alfred Hospital Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
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Research Development Office Level 3, Building 92 Royal Prince Alfred Hospital Missenden Road CAMPERDOWN NSW 2050
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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18/01/2010
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Approval date [1]
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14/07/2010
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Ethics approval number [1]
258534
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EC00113
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Summary
Brief summary
The purpose of this study is to test the safety of a new treatment (Dz13 combined with DOPE and DOTAP) for nodular BCC, a form of skin cancer. Dz13 is a small piece of DNA which binds to an mRNA molecule in the cell which in turn produces a specific protein known as c-Jun. The c-Jun gene is known to be abnormally active in many types of cancer cells, including BCC, causing the abnormal production of the c-Jun protein molecule. The c-Jun protein is involved in 'switiching on' other genes involved in cell growth, resulting in growth and spread of tumour cells. Dz13 binds to the c-Jun mRNA and chops it into two pieces, which disrupts production of the c-Jun protein and limits the growth and spread of the tumour. c-Jun is present at very low levels in normal adult tissues and is mostly expressed at high levels in tumour tissue. It is hypothesised that Dz13 will be able to stop the growth and spread of BCC and other skin tumours without significant toxicity. Dz13 has been shown in animal studies to be well tolerated at doses 35-fold higher than the highest dose that will be used in this study.
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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
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Address
30812
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Country
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Phone
30812
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Fax
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Email
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Contact person for public queries
Name
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Prof. Levon Khachigian
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Address
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UNSW
Centre for Vascular Research
Sydney
2052
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Country
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Australia
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Phone
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+61 2 9385 2537
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Fax
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+61 2 9385 1389
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Email
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[email protected]
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Contact person for scientific queries
Name
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Prof. Levon Khachigian
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Address
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UNSW
Centre for Vascular Research
Sydney
2052
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Country
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Australia
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Phone
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+61 2 9385 2537
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Fax
4987
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+61 2 9385 1389
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Email
4987
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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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