Study protocol designed to investigate tumour response to calcium electroporation in cancers affecting the skin: a non-randomised phase II clinical trial.

Autor:	Vissing M; Department of Clinical Oncology and Palliative Care, Zealand University Hospital, Roskilde and Næstved, Denmark.; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark., Ploen J; Department of Oncology, University Hospital of Southern Denmark, Vejle, Denmark., Pervan M; Department of Obstetrics and Gynecology, University Hospital Schleswig Holstein, Lübeck, Germany., Vestergaard K; University College Absalon, Sorø, Denmark., Schnefeldt M; Department of Radiology, University Hospital of Southern Denmark, Vejle, Denmark., Frandsen SK; Department of Clinical Oncology and Palliative Care, Zealand University Hospital, Roskilde and Næstved, Denmark., Rafaelsen SR; Department of Radiology, University Hospital of Southern Denmark, Vejle, Denmark., Lindhardt CL; University College Absalon, Sorø, Denmark.; Clinical Institute, University of Southern Denmark, Odense, Denmark., Jensen LH; Department of Oncology, University Hospital of Southern Denmark, Vejle, Denmark., Rody A; Department of Obstetrics and Gynecology, University Hospital Schleswig Holstein, Lübeck, Germany., Gehl J; Department of Clinical Oncology and Palliative Care, Zealand University Hospital, Roskilde and Næstved, Denmark kgeh@regionsjaelland.dk.; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2021 Jun 16; Vol. 11 (6), pp. e046779. Date of Electronic Publication: 2021 Jun 16.
DOI:	10.1136/bmjopen-2020-046779
Abstrakt:	Introduction: Skin malignancy is a distressing problem for many patients, and clinical management is challenging. This article describes the protocol for the Calcium Electroporation Response Study (CaEP-R) designed to investigate tumour response to calcium electroporation and is a descriptive guide to calcium electroporation treatment of malignant tumours in the skin. Calcium electroporation is a local treatment that induces supraphysiological intracellular calcium levels by intratumoural calcium administration and application of electrical pulses. The pulses create transient membrane pores allowing diffusion of non-permeant calcium ions into target cells. High calcium levels can kill cancer cells, while normal cells can restore homeostasis. Prior trials with smaller cohorts have found calcium electroporation to be safe and efficient. This trial aims to include a larger multiregional cohort of patients with different cancer diagnoses and also to investigate treatment areas using MRI as well as assess impact on quality of life. Methods and Analysis: This non-randomised phase II multicentre study will investigate response to calcium electroporation in 30 patients with cutaneous or subcutaneous malignancy. Enrolment of 10 patients is planned at three centres: Zealand University Hospital, University Hospital of Southern Denmark and University Hospital Schleswig-Holstein. Response after 2 months was chosen as the primary endpoint based on short-term response rates observed in a prior clinical study. Secondary endpoints include response to treatment using MRI and change in quality of life assessed by questionnaires and qualitative interviews. Ethics and Dissemination: The trial is approved by the Danish Medicines Agency and The Danish Regional Committee on Health Research Ethics. All included patients will receive active treatment (calcium electroporation). Patients can continue systemic treatment during the study, and side effects are expected to be limited. Data will be published in a peer-reviewed journal and made available to the public. Trial Registration Numbers: NCT04225767 and EudraCT no: 2019-004314-34. Competing Interests: Competing interests: JG and SKF are coinventors of a patent regarding calcium electroporation. Therapeutic applications of calcium electroporation to effectively induce tumour necrosis. Granted. PCT/DK2012/050496 (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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