A phase I study of the Dz13 drug targeting the c-Jun gene in subjects with skin cance (nodular Basal Cell Carcinoma).
A phase I study to determine the safety and tolerability of Dz13 DNAzyme targeting c-Jun in subjects with nodular Basal Cell Carcinoma.
University of New South Wales
9 participants
Sep 6, 2010
Interventional
Conditions
Summary
The purpose of this study is to test the safety of a new treatment (Dz13 combined with DOPE and DOTAP) for nodular BCC, a form of skin cancer. Dz13 is a small piece of DNA which binds to an mRNA molecule in the cell which in turn produces a specific protein known as c-Jun. The c-Jun gene is known to be abnormally active in many types of cancer cells, including BCC, causing the abnormal production of the c-Jun protein molecule. The c-Jun protein is involved in 'switiching on' other genes involved in cell growth, resulting in growth and spread of tumour cells. Dz13 binds to the c-Jun mRNA and chops it into two pieces, which disrupts production of the c-Jun protein and limits the growth and spread of the tumour. c-Jun is present at very low levels in normal adult tissues and is mostly expressed at high levels in tumour tissue. It is hypothesised that Dz13 will be able to stop the growth and spread of BCC and other skin tumours without significant toxicity. Dz13 has been shown in animal studies to be well tolerated at doses 35-fold higher than the highest dose that will be used in this study.
Eligibility
Inclusion Criteria3
- Histologically proven nodular BCC.
- Measurable disease of 8-16 mm located on trunk or limbs.
- Presence of dividing cells as identified histologically.
Exclusion Criteria9
- Women of childbearing potential.
- Prior or co-existing malignancy.
- Radiotherapy to >30% bone marrow in previous three months.
- Known genetic predisposition to skin cancer.
- Clinically significant non-malignant disease.
- Current immunosuppression.
- History of immune-mediated thrombocytopenia or other platelet disease.
- History of drug abuse.
- Enrollment in another clinical study using another investigational agent.
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Interventions
Dz13 DNAzyme complexed with the lipids DOPE and DOTAP administered as a single intratumoural injection. Three dose cohorts of 10 mcg, 30 mcg and 100 mcg Dz13.
Locations(1)
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ACTRN12610000162011