Phase 3
N=928
Efficacy and Safety Study of Leukocyte Interleukin,Injection (LI) to Treat Cancer of the Oral Cavity
Squamous Cell Carcinoma of the Oral Cavity · Squamous Cell Carcinoma of the Soft Palate
Bottom Line
View on ClinicalTrials.gov: NCT01265849 ↗Enrolled (actual)
928
Serious AEs
53.8%
Results posted
Aug 2022
Primary outcome: Primary: Overall Survival (OS) — 46.3; 58.1; 52.9 months — p=0.4051
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- LI (Biological); Cyclophosphamide (Drug); Indomethacin (Drug); Zinc (Dietary_supplement); Surgery (Procedure); Cisplatin (Drug); Radiotherapy (Radiation)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- CEL-SCI Corporation
- Primary completion
- May 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Overall Survival (OS) |
46.3; 58.1; 52.9 | 0.4051 |
| PRIMARY OS in Low Risk Subjects |
101.7; 68.2; 55.2 | 0.0478 sig |
| SECONDARY Local Regional Control (LRC) |
NA; NA; NA | 0.7304 |
| SECONDARY LRC in Low Risk Subjects |
NA; NA; NA | 0.6142 |
| SECONDARY Progression Free Survival (PFS) |
32.4; 37.0; 45.5 | 0.3303 |
| SECONDARY PFS in Low Risk Subjects |
66.4; 68.2; 51.5 | 0.1797 |
| SECONDARY Quality of Life by EORTC QLQ-C30 Global Health Status [GHS] at Month 2 |
0.28; 7.95; 3.29 | 0.2100 |
| SECONDARY Quality of Life by EORTC QLQ-C30 Global Health Status [GHS] at Month 36 |
7.64; 10.79; 6.33 | 0.5871 |
| SECONDARY EORTC Quality of Life Questionnaire (QLQ) - Head & Neck Cancer Module: QLQ-H&N35 at Month 2 |
-2.75; -2.80; -3.81; 8.11; 6.29; 7.31 | 0.6296 |
| SECONDARY EORTC Quality of Life Questionnaire (QLQ) - Head & Neck Cancer Module: QLQ-H&N35 at Month 36 |
-9.47; -8.63; -8.42; 6.90; 1.66; 8.94 | 0.6337 |
| SECONDARY Statistical Comparisons of Time-to-event Outcomes (OS, LRC, PFS) Were Repeated for Varying Levels of Histopathology (HP) Markers in Low Risk Subjects |
61; 0 | <0.05 sig |
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
Eligibility Criteria
Inclusion Criteria (main):
- Untreated SCCHN of oral cavity (anterior tongue, floor of mouth, cheek)/soft palate, categories T1N1-2M0,T2N1-2M0,T3N0-2M0,T4N0-2M0 (T4 allowed only if invasion of mandible is negligible i. e. 5mm or less) scheduled for SOC
- Primary tumor and any positive node(s) measurable in 2 dimensions
- Normal immune function
- No immunosuppressives with 1 year of entry
- KPS>70/100
- Age>18
- Male or Female (non-pregnant)
- Life expectancy >6 months
- Able to take oral medication
- Able to provide informed consent
Exclusion Criteria (main):
- Subjects to be treated with other than SOC
- Tumor invasion of bone (also see inclusion criteria)
- Tumor classifications T1N0, T2N0, T4N3, any TN classification with M1
- Tumors in locations other than those specified in inclusion criteria
- Active peptic ulcer (or on full-dose therapeutic anti-coagulants)
- Prior resection of jugular nodes ipsilateral to tumor
- Acute or chronic viral, bacterial immune or other disease associated with abnormal immune function
- Subjects on hemodialysis or peritoneal dialysis; or having a history of
- History of asthma, allergy to fluoroquinolone antibiotics, congestive heart failure, or on hemodialysis or peritoneal dialysis
- Any condition that in the opinion of the investigator would cause the subject to be unable to participate or tolerate the protocol regimen
- Failure to meet inclusion criteria
Data sourced from ClinicalTrials.gov (NCT01265849). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.