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CompletedNCT05077033SmartGeneH&NUpdated Dec 14, 2023

Intratumoral phIL12 GET

A Phase 1 interventional study of phIL12 GET in Basal Cell Carcinoma, sponsored by Institute of Oncology Ljubljana. Completed at 2 sites in Slovenia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-14.

Sponsored by Institute of Oncology Ljubljana · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

Electroporation provides non-viral gene delivery method for plasmid DNA. Its clinical application was already proven in preclinical and in clinical trial in treatment of melanoma skin metastases with plasmid coding IL-12, in USA. Intratumoral gene transfer of plasmid coding for IL-12 has proven safe end effective, having good local tumour control and some evidence indicates on abscopal effect. The EU directives recommend the use of plasmids without the gene for antibiotic resistance. For this purpose we constructed plasmid coding for IL-12 in accordance with the EU regulatory requirements.

In the proposed study we intend to study the safety and tolerability of the constructed plasmid, phIL12, in treatment of basal cell carcinomas in patients with operable tumors in head and neck region. The study is designed as exploratory, dose escalating with the aim to determine the dose of plasmid that produces IL-12 expression in the tumours with best biological activity, infiltration of the immune cells and no toxicity.

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Conditions studied

  • Basal Cell Carcinoma

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03

In context

Carcinoma, Basal Cell

369 studies on the registry are indexed under Carcinoma, Basal Cell; 65 are open to participants now.

This study's enrollment of 9 is below the median of 41 across 262 interventional studies indexed under Carcinoma, Basal Cell.

Browse Carcinoma, Basal Cell studies →

Lead sponsor

Institute of Oncology Ljubljana is the lead sponsor of 90 studies on the registry; 29 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Histologically or cytologically confirmed, previously untreated cutaneous basal cell carcinoma located in head and neck region.
  • Solitary tumors, with largest diameter up to 3 cm, in the region where curative surgery is feasible.
  • Age 18-years or older.
  • Life expectancy > 3 months.
  • Physical performance in accordance with the Karnofsky scale ≥ 70 or \< 2 in accordance with World Health Organization (WHO) scale.
  • The patient must be capable of understanding the treatment procedure and possible adverse events, which may arise during treatment.
  • The patient must be capable of signing the informed consent to participate in the clinical study (voluntary and conscientious consent after education).
  • Prior to inclusion in the trial, the patient must be presented at a multidisciplinary advisory team meeting.

Exclusion criteria

Exclusion Criteria:

  • Known malignancy elsewhere in/on the body.
  • Lesions not suitable for treatment with GET (invasion into the bone, infiltration of large vessels).
  • A life-threatening infection and/or severe heart failure and/or liver failure and/or other life-threatening systemic diseases.
  • Significantly reduced lung function, which requires the determination of DLCO. Patients should not be treated if DLCO is abnormal.
  • Treatment with immunosuppressive drugs, steroids and other drugs that would affect poor wound healing.
  • Age under 18-years.
  • Major disruptions in the coagulation system (who does not respond to the standard therapy - replacement of vitamin K or freshly frozen plasma).
  • A chronic decline in the kidney function (creatinine > 150 µmol/L).
  • Epilepsy.
  • Pregnancy and breast-feeding.
  • The patient's incapability of comprehending the purpose or course of the trial, or not agreeing to be included in the trial.
  • Patients unwilling or unable to comply with the protocol requirements and scheduled visits.
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    Intratumoral phIL12 gene electrotransfer

    Drug: phIL12 GET

Interventions

  • DrugphIL12 GET

    intratumoral phIL12 gene electrotransfer

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What researchers measure

Primary outcomes

  1. Number of acute adverse events

    CTCAE v.5.0 criteria

    Time frame: Adverse events 2 days after the treatment.

  2. Number of adverse events 7 days after the treatment

    CTCAE v.5.0 criteria

    Time frame: Adverse events 7 days after the treatment.

  3. Number of late adverse events

    CTCAE v.5.0 criteria

    Time frame: Adverse events 30 days after the treatment.

  4. Evaluating quality of life with questionnaire one week after the treatment

    EORTC QLQ-C30

    Time frame: Changes from baseline 7 days after the treatment.

  5. Evaluating quality of life with questionnaire one month after the treatment

    EORTC QLQ-C30

    Time frame: Changes from baseline 30 days after the treatment.

Secondary outcomes

  1. Area under the plasma concentration versus time curve (AUC)

    Determination of serum levels of IL-12 cytokine.

    Time frame: Changes from baseline at 2, 7 and 30 days after the treatment.

  2. Concentrations of IL-12 and IFN-y in tumor samples

    Determination of tumor IL-12 and IFN-y levels in tumor biopsies.

    Time frame: Changes from baseline at 7 and 30 days after the treatment.

07

Study locations

2 sites
  • Institute of Oncology Ljubljana
    Ljubljana, 1000, Slovenia
  • University Medical Centre Ljubljana, Department of Otorhinolaryngology and Cervicofacial Surgery
    Ljubljana, 1000, Slovenia
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References and documents

Publications

  • Groselj A, Bosnjak M, Jesenko T, Cemazar M, Markelc B, Strojan P, Sersa G. Treatment of skin tumors with intratumoral interleukin 12 gene electrotransfer in the head and neck region: a first-in-human clinical trial protocol. Radiol Oncol. 2022 Aug 14;56(3):398-408. doi: 10.2478/raon-2022-0021. PubMed 35535423 ↗

Related links

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 14, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05077033
Lead sponsor
Institute of Oncology Ljubljana
Responsible party
Sponsor
First posted
Oct 13, 2021
Start date
Sep 28, 2021
Primary completion
Sep 1, 2023
Completion
Nov 30, 2023
Last update
Dec 14, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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