ClinicalTrials.gg
Not yet recruitingNCT07911293Updated Nov 2, 2026

Intratumoral Chlorine Dioxide Injection in Advanced Solid Tumors

A Phase 1 interventional study of Chlorine Dioxide Injection 2% in Solid Tumor and Neoplasms, sponsored by SunGlow Innovations LLC. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by SunGlow Innovations LLC · Phase 1, Interventional, and Treatment

Updated Nov 2, 2026Newly registeredGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety of injecting a 2% chlorine dioxide solution directly into tumors in adults with advanced solid tumors, and to determine whether the injected solution stays within the tumor under real-time imaging guidance. Chlorine dioxide reacts with and destroys the tissue it contacts and is consumed locally within about a minute. Up to about 50 participants will receive up to 4 treatment sessions per lesion, about one week apart, and will be followed for 12 months.

Read the detailed description

Chlorine Dioxide Injection 2% is a ready-to-use solution of chlorine dioxide in 0.9% sodium chloride, injected into the tumor under ultrasound or CT guidance or under direct vision. Each target lesion receives about 30% (25-35%) of its volume per session (about 10% at high-risk locations). The total volume per session is limited to 50 mL and may be increased to 100 mL after review by an independent Data Safety Monitoring Board. The first 6 participants form a safety lead-in, in which plasma chlorite, chlorate and chloride are measured. Efficacy is assessed on contrast-enhanced CT 7 to 28 days after the last session and during follow-up.

02

Conditions studied

  • Solid Tumor
  • Neoplasms

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Keywords

  • chlorine dioxide
  • intratumoral injection
  • chemical ablation
  • local ablation
03

In context

Neoplasms

10,818 studies on the registry are indexed under Neoplasms; 2,324 are open to participants now.

This study's planned enrollment of 50 is below the median of 60 across 7,703 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

This is the only study on the registry with SunGlow Innovations LLC as lead sponsor.

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

04

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

  • Age >= 18 years.
  • confirmed extracranial solid tumor (primary, locally recurrent or ) that is advanced or unresectable (technically unresectable, medically inoperable, without a remaining standard curative surgical option, or with curative treatment at disproportionate cost such as loss of an entire organ or major function, as documented by a multidisciplinary team), or that has active disease after standard therapy and for which standard local treatment is assessed as unsuitable.
  • At least 1 and no more than 10 target lesions at entry. A target lesion is a non-intracranial lesion, visible on imaging, that can be safely reached by ultrasound- or CT-guided percutaneous puncture or injected under direct vision. Not every visible lesion has to be injectable. Non-target lesions may be present and are recorded. Where safe and feasible, all safely reachable visible lesions are listed as target lesions.
  • Contrast-enhanced CT (with ultrasound or MRI where needed) completed before entry, establishing the inventory of all visible lesions and of target lesions with their volumes. PET-CT is encouraged but not required.
  • Every target lesion \<= 10 cm in greatest dimension.
  • performance status \<= 2; >= 3 months.
  • count >= 50 x 10\^9/L and \<= 1.5. Anticoagulant and antiplatelet therapy is withheld or bridged as for image-guided percutaneous puncture.
  • Estimated (eGFR) >= 30 mL/min/1.73 m².
  • Able to understand the study and give written .
  • Subjects of , and male subjects with partners of reproductive potential, agree to use effective from consent until 3 months after the last session.

Exclusion criteria

Exclusion Criteria:

  • No lesion that can be safely punctured or injected under direct vision, or the lesion(s) to be treated encase major vessels or nerves such that the risk of access is unacceptable.
  • Severe coagulopathy or high bleeding risk.
  • Uncontrolled serious infection, systemic decompensation, severe cachexia or multi-organ failure.
  • Pregnancy or lactation.
  • Psychiatric or cognitive impairment preventing cooperation.
  • Intracranial tumor or intracranial .
  • Rapidly progressive, widespread disease for which local treatment of target lesions is assessed by the MDT as having no clinical value.
  • to the procedures or medications required by this protocol without an alternative (e.g., inability to tolerate puncture under local anesthesia with intravenous analgesia).
  • Candidate for curative treatment that can be delivered with low morbidity.
  • to iodinated contrast or uncontrolled hyperthyroidism, where a lesion requires CT guidance. Such a lesion may be treated under ultrasound guidance only.
  • Any other condition rendering the subject unsuitable in the investigator's judgment.
Terms in these criteria, in plain language(12)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

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

Study arms

  • Experimental
    Intratumoral Chlorine Dioxide Injection 2%

    Image-guided or direct-vision intratumoral injection of about 30% (25-35%) of lesion volume per lesion (about 10% at high-risk locations); total volume per session up to 50 mL, increased to 100 mL after DSMB review; up to 4 sessions per lesion, about 7 days apart, within 60 days.

    Drug: Chlorine Dioxide Injection 2%

Interventions

  • DrugChlorine Dioxide Injection 2%

    Ready-to-use 2% (w/w) chlorine dioxide in 0.9% sodium chloride, injected directly into the tumor under ultrasound or CT guidance or under direct vision.

06

What researchers measure

Primary outcomes

  1. Number of participants with dose-limiting toxicities

    Dose-limiting toxicities as defined in the protocol (Section 8), assessed after each treatment session.

    Time frame: 28 days after each treatment session

  2. Number of participants with treatment-emergent adverse events

    Any adverse event graded by CTCAE v5.0, from the first treatment session onward.

    Time frame: From first treatment session up to 12 months

  3. Number of participants with grade 3 or higher adverse events

    Adverse events of CTCAE v5.0 grade 3 or higher.

    Time frame: From first treatment session up to 12 months

  4. Number of participants with serious adverse events

    Serious adverse events as defined in 21 CFR 312.32.

    Time frame: From first treatment session up to 12 months

  5. Number of participants with adverse events related to study drug

    Adverse events assessed by the investigator as possibly, probably or definitely related to Chlorine Dioxide Injection 2%.

    Time frame: From first treatment session up to 12 months

  6. Percentage of deliveries with solution outside the lesion boundary

    Number of deliveries in which intraprocedural imaging shows delivered solution outside the target lesion boundary, divided by the total number of deliveries, expressed as a percentage.

    Time frame: During each treatment session

  7. Percentage of deliveries terminated by a mandatory stopping rule

    Number of deliveries terminated by a stopping rule defined in the protocol (Section 7.6), divided by the total number of deliveries, expressed as a percentage.

    Time frame: During each treatment session

  8. Number of participants with non-target tissue injury

    Injury to tissue outside the treatment zone attributable to delivered solution, assessed clinically and on imaging.

    Time frame: During each treatment session and up to 28 days after

Secondary outcomes

  1. Lesion-level complete non-viable radiological response rate

    Percentage of target lesions with no residual viable tumor on contrast-enhanced imaging.

    Time frame: 7 to 28 days after the last treatment session

  2. Patient-level complete non-viable radiological response rate

    Percentage of participants with complete non-viable response of all lesions, among participants in whom all visible lesions were injected.

    Time frame: 7 to 28 days after the last treatment session

  3. Necrosis percentage per target lesion

    Necrosis proportion = 1 - (residual viable volume / baseline lesion volume), expressed as a percentage, per target lesion.

    Time frame: 7 to 28 days after the last treatment session

  4. Number of target lesions by necrosis grade

    Target lesions categorized by necrosis grade: complete; 90% or more; 50% to less than 90%; less than 50%.

    Time frame: 7 to 28 days after the last treatment session

  5. Maintenance of complete non-viable response

    Percentage of target lesions with complete non-viable response that remain without residual viable tumor on imaging.

    Time frame: 3, 6 and 12 months after the first treatment session

  6. Objective response by RECIST 1.1

    Percentage of participants with complete or partial response of target lesions according to RECIST 1.1.

    Time frame: Up to 12 months

  7. Pain score on the numeric rating scale

    Patient-reported pain on an 11-point numeric rating scale (0 = no pain, 10 = worst pain imaginable).

    Time frame: Before and 24 hours, 7 days and 28 days after each treatment session

  8. Number of participants with cessation of tumor bleeding

    Among participants with a bleeding target lesion at baseline, the number in whom bleeding stopped.

    Time frame: 24 hours, 7 days and 28 days after each treatment session

  9. Maximum plasma chlorite concentration

    Maximum observed plasma chlorite concentration measured by validated ion chromatography in safety lead-in participants. Values below the limit of quantification are reported as such.

    Time frame: Before and up to 24 hours after the first treatment session

  10. Maximum plasma chlorate concentration

    Maximum observed plasma chlorate concentration measured by validated ion chromatography in safety lead-in participants. Values below the limit of quantification are reported as such.

    Time frame: Before and up to 24 hours after the first treatment session

  11. Change in plasma chloride concentration

    Change from pre-treatment in plasma chloride concentration (mmol/L) in safety lead-in participants, interpreted against the physiological background.

    Time frame: Before and up to 24 hours after the first treatment session

  12. Maximum methemoglobin level

    Maximum blood methemoglobin level (% of total hemoglobin) measured by co-oximetry.

    Time frame: Before and up to 24 hours after each treatment session

  13. Change in plasma free hemoglobin

    Change from pre-treatment in plasma free hemoglobin (mg/dL).

    Time frame: Before and up to 24 hours after each treatment session

  14. Change in serum haptoglobin

    Change from pre-treatment in serum haptoglobin (mg/dL).

    Time frame: Before and up to 24 hours after each treatment session

  15. Change in serum lactate dehydrogenase

    Change from pre-treatment in serum lactate dehydrogenase (U/L).

    Time frame: Before and up to 24 hours after each treatment session

  16. Change in total bilirubin

    Change from pre-treatment in total bilirubin (mg/dL).

    Time frame: Before and up to 24 hours after each treatment session

  17. Local control rate with retreatment permitted

    Percentage of treated target lesions without viable tumor at the treated site, with retreatment of residual or recurrent tumor permitted as specified in the protocol. Retreatment is not counted as treatment failure.

    Time frame: 3, 6 and 12 months after the first treatment session

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Mar 2027; primary completion for Mar 2028, 12 months later.

Of 677 industry-sponsored phase 1 interventional studies under Neoplasms, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 61. This study's planned 12 months is below that.

Counting every sponsor, half of 903 studies reached it within 40 months; a quarter within 23 and three quarters within 64.

Neoplasms covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 23, 2026
First posted
Nov 2, 2026
StartEst.
Mar 2027
Primary completionEst.
Mar 2028
CompletionEst.
Mar 2029
Last update
Nov 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07911293
Lead sponsor
SunGlow Innovations LLC
Collaborators
Beijing WanBincell Biotechnology Co., Ltd.
Responsible party
Sponsor
First posted
Nov 2, 2026
Start date
Mar 2027 (estimated)
Primary completion
Mar 2028 (estimated)
Completion
Mar 2029 (estimated)
Last update
Nov 2, 2026

Study contacts

Xuewu Liu
Contact
xuewu.liu@cdsxcancer.com
+86 186 0119 6898
Xuewu Liu
study director · SunGlow Innovations LLC

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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