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Brief Title: Efficacy and Safety Study of Leukocyte Interleukin,Injection (LI) to Treat Cancer of the Oral Cavity
Official Title: Phase III Study of LI [Multikine®] Plus SOC (Surgery + Radiotherapy or Surgery + Concurrent Radiochemotherapy) in Subjects With Advanced Primary Squamous Cell Carcinoma of the Oral Cavity/Soft Palate vs. SOC Only
Study ID: NCT01265849
Brief Summary: The purpose of this study was to determine whether LI administered in combination with cyclophosphamide, indomethacin and zinc in a multivitamin (CIZ) combination prior to standard of care therapy (surgery followed by radiotherapy or concurrent radiochemotherapy) is safe and will increase the overall survival of subjects with previously untreated locally advanced primary squamous cell carcinoma of the oral cavity or soft palate at a median of 3 to 5 years
Detailed Description: Head and neck carcinomas constitute about 5% of all cancers annually worldwide. In the US there are about 65,000 new cases annually. Ninety percent are squamous cell carcinoma of the head and neck (SCCHN). Approximately 2/3 of SCCHN patients present on their first visit with locally advanced disease. The median 3 year overall survival (OS) for these patients with existing standard of care (SOC) therapies - surgery followed by radiotherapy or concurrent radiochemotherapy - is estimated to be between 52 and 55%; the 5 year OS is approximately 43%. There are clearly many of SCCHN patients not well served by available modalities. Regional intra or perilymphatic and/or intratumoral or peritumoral low dose cytokine therapy may have important therapeutic effects in SCCHN patients and constitute an additional anti-tumor mechanism of action different and distinct from current SOC. Leukocyte Interleukin Injection (LI) \[Multikine\] contains a defined mixture of naturally derived cytokines and chemokines with demonstrated safety and immunomodulatory activity in animals and in man in Phase I and Phase II clinical trials. LI is administered prior to SOC and in combination with low non-chemotherapeutic doses of cyclophosphamide, indomethacin, and zinc (CIZ) in studies with LI. The results of these studies indicate that the local/regional injection of mixed interleukins (LI) with CIZ prior to SOC can overcome local immunosuppression, break tumor tolerance to tumor antigens and allow for a sustainable and effective anti-tumor immune response. LI was tested in this large, global, multinational Phase III clinical trial to develop definitive proof of its efficacy and safety in treating SCCHN. The trial is an open-label randomized multi-center controlled study of LI + CIZ + SOC in subjects with advanced primary SCCHN of the oral cavity/soft palate vs. SOC \[the comparator arm\]. OS is the primary efficacy endpoint.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Simmons Cancer Institute at Southern Illinois University, Springfield, Illinois, United States
Henry Ford Health System Henry Ford Hospital, Detroit, Michigan, United States
University of Cincinnati Medical Center, Cincinnati, Ohio, United States
Medical College Of South Carolina MSC550, Charleston, South Carolina, United States
VA Puget Sound Healthcare System & University of WA, Seattle, Washington, United States
HNO-Klinik der medizinischen Universitat Graz, Graz, , Austria
N.N. Alexandrov Research Istitute of Oncology and Medical Radiology, Lesnoy 2, Minsk, Belarus
Vitebsk Regional Oncology Dispensary, Vitebsk, , Belarus
University Clinical Centre Tuzla, Trnovac, Tuzla, Bosnia and Herzegovina
Clinical Center Banja Luka, Banja Luka, , Bosnia and Herzegovina
University Clinical Hospital Mostar, Mostar, , Bosnia and Herzegovina
Clinical Centre University of Sarejevo Clinic for ENT, Sarajevo, , Bosnia and Herzegovina
St. Josephs Healthcare Department of Surgery, Hamilton, Ontario, Canada
Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada
CHU de Quebec - L'Hotel Dieu de Quebec, Quebec, , Canada
CHC Osijek, Osijek, , Croatia
General Hospital Dr. Josip Bencevic, Slavonski Brod, , Croatia
CH Dubrava, Zagreb, , Croatia
Clinical Hospital Center Zagreb Kispaticeva 12, Zagreb, , Croatia
KBC Sestre Milosrdnice, Zagreb, , Croatia
KBC Zagreb, Zagreb, , Croatia
ICL 6 avenue Bourgogne CS30519, Vandoeuvre les Nancy, , France
University of Debrecen Medical and Health Scioence Centre, Debrecen, Hajdu Bihar, Hungary
National institute of Oncology, Budapest, Rath Gyorgy, Hungary
Semmelweis University, Budapest, , Hungary
University of Pecs Institute of Oncotherapy, Pecs, , Hungary
University of Szeged Dept of Oral and Maxillofacial Surgery, Szeged, , Hungary
Markusovsky Teaching Hospital, Szombathely, , Hungary
Bibi General Hospital and Cancer Centre, Malkapet, Andhra Pradesh, India
Amrita Institute of Medical Sciences, Kochi, Kerala, India
Sujan Regional Cancer Hospital & Amravati Cancer Foundation, Amravati, Maharashtra, India
Government Medical College and Hospital, Aurangabad, Maharashtra, India
Tata Memorial Hospital, Mumbai, Maharashtra, India
Curie Manavata Cancer Center, Mumbai, Naka Nashik, India
Searoc Cancer Center, Jaipur, Rajashlan, India
V.N. Cancer Center G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, Tamil Nadu, India
Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India
Regional Cancer Center, Kerola, Thiruvananthapuram, India
Galaxy Cancer Center, Ghaziabad, Uttar Pradesh, India
Rambam Health Care Campus, Sha'ar Ha'Aliya, Saint Haifa, Israel
Rabin Medical Center, Petaẖ Tiqwa, Tikva, Israel
National Tumor Institute of Italy, Naples, , Italy
Ospedale S.G. Moscati Santissima Annunziata, Taranto, , Italy
Dept of Head and Neck Surgery School of Medical Sciences Univ. Sains, Kuantan, Penang, Malaysia
University Kabangsan Medical Center, Kuala Lumpur, , Malaysia
Wojewodzki Szpital Specjalistyczny im Kopernika, Lodz, Ul Paderewskiego 4, Poland
Swietokrzyskie Centrum Onkologii, Kielce, Ul. Artwinskiego 3, Poland
Centrum Onkologii im. Prof. Lukaszcyka, Warsaw, Ul. Roentgena 5, Poland
Centrum Onkologi-Instytut im. Marie Sklodowskiej-Curie, Warszawa, Ul. Roentgena 5, Poland
ul. M. Sklodowskiej-Curie 24A, Bialystok, , Poland
Szpital Specialistyczny im. Ludwika Rydgiera, Krakow, , Poland
Samodzielny Publiczny Szpital Kliniczny Klinika Otolarryngologii I Onkologii Laryngologicznej, Lublin, , Poland
Weilkopolskie Centrum Onkologii Klinika Chirurgii Glowy Szye Onkologii Laryngologiczne, Poznan, , Poland
Uniwersitecki Szpital Kliniczny Klinika Otolaryngologii Chirugii Glowy i Szxyi, Wroclaw, , Poland
Regional Institute of Oncology IASI, Iasi, , Romania
Spital Clinic Judetean Mures, Targu Mures, , Romania
Sverdlovsk Regional Cancer Center, Sverdlov, Ekaterinberg, Russian Federation
Leningrad Regional Oncology Center, St. Petersburg, Leningradskaya, Russian Federation
Kursk Regional Clinical Oncology Dispensary, Kursk, , Russian Federation
Blokhin Cancer Research Center, Moscow, , Russian Federation
N.N. Blokhin Russian Cancer Research Center, Moscow, , Russian Federation
Budget Institution of Healthcare of Omsk Region Clincal Oncology Dispensary, Omsk, , Russian Federation
Ryazan Clinical oncology Dispensary, Ryazan, , Russian Federation
Serbia Clinic for ENT and Maxillofacial Surgery, Belgrade, Pasterova 14, Serbia
Clincal Center Serbia Clinic for Oral and Maxillofacial Surgery, Belgrade, , Serbia
Faculty of Dental Medicine Clinic for Maxillofacial Surgery, Belgrade, , Serbia
Military Medical Academy Clinic for Maxillofacial Surgery, Belgrade, , Serbia
Clinical Center Nis center for Oncology, Nis, , Serbia
Clinic for Stomatology department for maxillofacial Surgery, Nis, , Serbia
Clinical center Vojvodina Clinic for ORL, Novi Sad, , Serbia
Clinical Centre Vojvodina Clinic for Maxillofacial Surgery, Novi Sad, , Serbia
Hospital Universitari Vall d'Hebron, Barcelona, , Spain
Hospital Universitario de Princesa, Madrid, , Spain
Hospital Universitario Ramon y Cajal, Madrid, , Spain
Hospital Madrid North Universitaro de Sanchinnaro, Madrid, , Spain
Complejo Hospitalario Univ. de Santiago, Santiago de Compostela, , Spain
Consorsio Hospital General Universitario de valencia, Valencia, , Spain
National Cancer Institute Dept of Clinical Oncology & Radiotherapy, Colombo, , Sri Lanka
Oncology Unit Teaching Hospital Karapitya, Galle, , Sri Lanka
Kaohsiung Branch Chang Gung Memorial Hospital, Niaosong, Kaohsiung, Taiwan
National Cheng Kung University Hospital, Taipei, Tainan, Taiwan
National Taiwan Research Hospital, Chengshan, Taipei, Taiwan
Linkou Branch Chang Gung Memorial Hospital, Guishan, Taoyuan, Taiwan
Changua Christian Hospital, Chang-hua, , Taiwan
Buddhist Tzu Chi General Hospital, Hualien Branch, Hualien City, , Taiwan
China Medical University Hospital, Taichung, , Taiwan
Taichung Veterans General Hospital, Taichung, , Taiwan
Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, , Taiwan
Khon Kaen University Dept of Otolaryngology, Nai- Muang, , Thailand
Haceteppe University Dept of Otolaryngology - Head and Neck Surgery, Ankara, , Turkey
Acibadem University Maslak Hospital ENT Department, Istanbul, , Turkey
Cherkasky Regional Oncological Dyspensary Dept. Head and Neck tumour, Cherkasy, , Ukraine
Clinical Diagnostic Laboratory of Dnepropetrovsk Municipal Institution City Multidisciplinary Clinical Hospital No. 4, Dnepropetrovsk, , Ukraine
Donetsk Regional Antitumor Center, Donetsk, , Ukraine
Grigoriev Institute for Medical Radiology of National Academy of Medical Science of Ukraine Dept. of Remote, Combined Radiation and Complex Therapy, Kharkiv, , Ukraine
Kharkiv Regional Clinical Oncology Center Dept. Of Head and Neck Tumour, Kharkiv, , Ukraine
Kiev City Clinical Oncology Center of the Main Health Care Dept of Kiev Day Hospital Radiotherapy Dept., Kiev, , Ukraine
Kiev City Clinical Oncology Center of the Main Health Care Dept. of the Kiev Day Hospital, Kiev, , Ukraine
Lviv State OncologyRegional treatment and Diagnostic Center, Lviv, , Ukraine
Sumy Regional Clinical Oncology Dyspensary, Sumy, , Ukraine
Zaporiz'ka Regional Clinical Oncology Dispensary, Zaporiz'ka Oblast', , Ukraine
Aintree University Hospital, Liverpool, , United Kingdom
Name: Eyal Talor, PhD
Affiliation: CEL-SCI Corporation
Role: STUDY_DIRECTOR