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RecruitingNCT05351502Updated Aug 16, 2024

A Study to Assess the Safety and Efficacy of Nitric Oxide Injection Into Unresectable Solid Primary or Metastatic Tumors

A Phase 1 interventional study of Nitric Oxide 25,000 ppm and Nitric Oxide 50,000 ppm in Cancer, sponsored by Beyond Air Inc.. Recruiting at 4 sites in Israel. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-16.

Sponsored by Beyond Air Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2025, 1 year 4 months ago, but the record still lists the study as recruiting.
  • Started Aug 2022; still recruiting 4 years 1 month later.
Phase
Phase 1
Study type
Interventional
Enrollment
38
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 1, open-label, dose-escalation and dose-expansion study comprised of a screening period, a single treatment session, an evaluation period of 21±3 days, and safety and survival follow-up period of up to 12 weeks post-treatment.

Read the detailed description

The purpose of this Phase 1 study is to initiate clinical development of gNO in patients with unresectable cutaneous or subcutaneous primary or metastatic solid tumors that are not amenable or have failed standard treatment, for which no therapy of proven efficacy exists, or which has progressed despite standard therapy. This study of gNO treatment will consist of 2 parts: a dose-escalation part to establish a safe and tolerable dose of gNO in patients with primary or metastatic unresectable cutaneous or subcutaneous solid tumors (Part A), and a dose expansion phase (Part B) which may be initiated at the Sponsor's discretion after the maximum tolerated dose (MTD) and/or optimal biological dose (OBD) (or recommended Phase 2 dose [RP2D]) has been determined in the dose-escalation phase (Part A). This study will be the basis for future studies.

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Conditions studied

  • Cancer

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Keywords

  • Intratumoral Injection
  • Nitric Oxide
  • single gNO injection
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In context

Neoplasm Metastasis

3,517 studies on the registry are indexed under Neoplasm Metastasis; 883 are open to participants now.

This study's planned enrollment of 38 is below the median of 54 across 2,765 interventional studies indexed under Neoplasm Metastasis.

Browse Neoplasm Metastasis studies →

Lead sponsor

Beyond Air Inc. is the lead sponsor of 10 studies on the registry; 1 is 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

Inclusion criteria

  • Patient (male or female) is at least 18 years of age at the time of signature of the informed consent form.
  • Patient has an ECOG Performance Status score of 0-3 and with a life expectancy of ≥3 months.
  • Patient must have a confirmed diagnosis of at least one unresectable cutaneous or subcutaneous histologically confirmed primary or metastatic solid tumor. Up to five target lesions may be identified.
  • No therapy of proven efficacy exists for the tumor, the tumor is not amenable to standard therapies, the tumor has failed to respond to standard therapy or has progressed despite standard therapy.
  • Patient has measurable disease on imaging based on RECIST Version 1.1.
  • Patient have adequate hematologic and organ function.
  • Patient have not had radiotherapy to the targeted lesions within the preceding 12 months.
  • Superficial tumor axis minimum length and depth of 4.5mm. .
  • Patient is not with childbearing potential or agrees to use adequate contraceptive methods

Exclusion criteria

Exclusion Criteria:

  • The tumor is situated in the lymph node, in thyroid, close to trachea or in facial area or other region which, in the Investigator's opinion, can pose extra risk to the patient.
  • Has received prior systemic anti-cancer therapy including investigational agents within 14 days of the start of study treatment.
  • Active central nervous system tumors or metastases..
  • Received systemic corticosteroid therapy ≤1 week prior to study treatment or any other form of systemic immunosuppressive medication for medically significant acute or chronic conditions.
  • Any unresolved toxicity NCI CTCAE Grade ≥2 from previous anticancer therapy with the exception of alopecia, vitiligo, neuropathy and protocol-defined laboratory values.
  • Active or prior documented autoimmune or inflammatory disorders.
  • History of primary immunodeficiency, history of allogenic organ transplant that requires therapeutic immunosuppression and the use of immunosuppressive agents within 28 days of enrolment.
  • Known active infection and uncontrolled intercurrent illness.
  • Receiving drugs that have contraindication with NO.
  • Patient is receiving anticoagulants including low molecular weight heparin.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
38 participants (estimated)

Study arms

  • Experimental
    Cohort 1

    Subjects will receive 25,000 ppm NO

    Drug: Nitric Oxide 25,000 ppm

  • Experimental
    Cohort 2

    Subjects will receive 50,000 ppm NO

    Drug: Nitric Oxide 50,000 ppm

  • Experimental
    Cohort 3

    Subjects will receive 100,000 ppm NO

    Drug: Nitric Oxide 100,000 ppm

  • Experimental
    RP2D Expansion

    Subjects will receive the RP2D dose of NO

    Drug: Nitric Oxide selected dose

Interventions

  • DrugNitric Oxide 25,000 ppm

    Intratumoral injection of 25,000 gNO

    Also known as: gNO injection

  • DrugNitric Oxide 50,000 ppm

    Intratumoral injection of 50000 gNO

  • DrugNitric Oxide 100,000 ppm

    Intratumoral injection of 100,000 gNO

  • DrugNitric Oxide selected dose

    Intratumoral injection of selected does on gNO

06

What researchers measure

Primary outcomes

  1. Incidence of AEs, SAEs and DLTs (safety) parameters.

    The incidence and characteristics of adverse events (AEs), serious adverse events (SAEs), dose-limiting toxicities (DLTs) and changes in assessed safety parameters. Toxicity will be graded according to NCI CTCAE version 5.0

    Time frame: up to12 weeks from injection

Secondary outcomes

  1. Anti-tumor activity of a single intratumoral gNO injection at all administered doses

    The anti-tumor activity of a single intratumoral gNO injection will be measured per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, and secondarily immune-related RECIST (iRECIST).

    Time frame: up to Day 21 from injection

Other outcomes

  1. Assessment of predictive biomarkers for anti-tumor activity of a single intratumoral gNO injection

    Measurement of blood immune biomarkers levels

    Time frame: up to Day 21 from injection

07

Study locations

4 of 4 sites recruiting
  • Soroka Medical Center
    Be'er Sheva, Israel
    Recruiting
  • Hadassah Ein-Karem
    Jerusalem, Israel
    Recruiting
  • Sheba Medical Center
    Ramat Ef'al, Israel
    Recruiting
  • Sourasky Tel Aviv Medical Center
    Tel Aviv, Israel
    Recruiting
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References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05351502
Lead sponsor
Beyond Air Inc.
Responsible party
Sponsor
First posted
Apr 28, 2022
Start date
Aug 14, 2022
Primary completion
May 30, 2025 (estimated)
Completion
Jun 30, 2025 (estimated)
Last update
Aug 16, 2024

Study contacts

Edith Dekel
Contact
edekel@beyondcancer.com
972-50-8464449
Yaara Ber, PhD
Contact
yber@beyondcancer.com
David Greenberg, MD
study director · Study Internal Medical Monitor

Oversight

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

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