Viral Genetics Begins Phase 1 Clinical Trial for Ovarian Cancer
Posted: July 19, 2012 at 5:11 pm
SAN MARINO, Calif.--(BUSINESS WIRE)--
The first patient has now been enrolled into the Phase 1 clinical trial sponsored by Viral Genetics (OTC Pink: VRAL) and supported by a donation from Scott and White Foundation. The trial will study Metabolic Disruption Technology (MDT) compounds in combination with an existing cancer therapy to treat drug-resistant ovarian cancer. A total of up to 24 patients will receive combination treatment of hydroxychloroquine and sorafenib (marketed as Nexavar) under primary investigator, Tyler Curiel, M.D., MPH, a medical oncologist affiliated with The Cancer Therapy and Research Center (CTRC) of The University of Texas Health Science Center at San Antonio. This clinical trial is the first sponsored by Viral Genetics based on the licensed research of Dr. M. Karen Newell-Rogers, the Companys Chief Scientist, and represents a milestone in the transition of the Company from preclinical- to clinical-stage. Patient enrollment is also expected to commence at Scott and White Hospital as soon as internal review procedures there are finalized.
Patient enrollment marks the formal beginning of a clinical trial and so we are quite happy to get underway after much preparation and hard work by our team members, and Dr. Curiels group, said Haig Keledjian, President of Viral Genetics. I want to emphasize that we would not have proceeded with this choice of one MDT compound if we and our advisors were not confident that it held real promise for patients, but one should also appreciate the severity of the illnesses we are attempting to treat in this study. We advise optimistic but cautious and restrained expectations.
Because of the staggered nature of patient enrollment which calls for a few patients to be enrolled and treated at low doses prior to enrolling additional patients at higher doses, full enrollment of the study could take up to a few months. Follow up and patient observation will continue post-treatment for up to 12 months. The study can be stopped at any time for safety reasons.
Study Design
Title: A Phase I Dose-Escalation Trial of Oral Hydroxychloroquine Plus Oral Sorafenib to Treat Epithelial Ovarian Cancer FIGO Stage III or Stage IV, or Extraovarian Peritoneal Carcinoma, or Fallopian Tube Carcinoma Failing or Ineligible for First-Line Therapy (HSO1)
The HSO1 study will examine the safety and efficacy of one of the MDT compounds, hydroxychloroquine (HCQ), in combination with an existing cancer drug, sorafenib (marketed as Nexavar) in the treatment of resistant or otherwise untreatable Stage III or IV ovarian cancer including related carcinomas. Viral Genetics is sponsoring the HSO1 study, which is taking place at the Cancer Therapy and Research Center and, eventually at Scott and White Hospital system.
The primary endpoints of the HSO1 study are related to safety and reflect the dose-escalation design of the trial, which is intended to find a maximum tolerated dose of different combinations of HCQ and sorafenib in patients while being alert to any potential toxicities. The study can be stopped in the event of significant adverse events, including toxicity. Both HCQ and sorafenib have separately been extensively studied in humans for safety and toxicity, and they have fairly well-understood individual safety profiles. This will be the first study to examine them in combination using the MDT research suggesting that such a dual-pronged approach would significantly enhance results of single agents alone.
Efficacy will also be evaluated through secondary endpoints in three ways: objective tumor responses (defined under the global Response Evaluation Criteria in Solid Tumors standard), progression-free survival, and certain immune system blood markers. A positive response would generally be characterized by shrinkage in tumor, lesion, or lymph nodes and/or patient survival without advancement of their existing cancer. Additional signs of efficacy include improvement or normalization in certain blood markers (including CA-125 and immunological tests) that are linked to successful treatment responses in ovarian cancer, although this would not generally be considered as a successful outcome on its own without other improvements as well.
There will be up to four separate groups or cohorts in the HSO1 study, each of which will have up to 6 patients. Each cohort will be given a combination of doses of HCQ and sorafenib over a treatment cycle of 28 days. Presuming low levels of toxicity following dosing, additional patients will be added and higher doses of the combination will be given. Depending on the outcome of the primary, and to a lesser extent, secondary endpoints, the study will enroll between 2 and 24 patients in total. Treatment will generally continue for as long as toxicity results remain within acceptable limits and patients experience clinical benefit. Results will be available throughout the course of each 28 day cycle, and will be reviewed by a Data Safety Monitoring Board.
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Viral Genetics Begins Phase 1 Clinical Trial for Ovarian Cancer
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