CAN1012 for Oral Epithelial Dysplasia and Carcinoma In Situ

IN
Overseen ByIsa Ngirailemesang, RN
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

The trial aims to test a new treatment, CAN1012, for specific mouth and breast conditions. These conditions include oral epithelial dysplasia, ductal carcinoma in situ (a non-invasive breast condition), and lobular carcinoma in situ (another non-invasive breast condition). The trial will assess the effectiveness and safety of CAN1012 for these conditions. Individuals with clinically identified oral epithelial dysplasia or a biopsy-confirmed ductal or lobular carcinoma in situ, with a single lesion at least 2 cm in size, may be suitable candidates for this trial. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new treatment.

Do I have to stop taking my current medications for the trial?

The trial requires that you stop taking certain medications, like corticosteroids above a certain dose and hormonal contraceptives. If you're on medications that affect liver enzymes (CYPs), you might also need to stop those. It's best to discuss your specific medications with the trial team.

Is there any evidence suggesting that CAN1012 is likely to be safe for humans?

Research on CAN1012 has provided information about its safety for humans. Early results indicate that when tested in people with advanced solid tumors, CAN1012 did not cause serious side effects, suggesting the treatment is generally well-tolerated. However, CAN1012 remains in the early stages of testing. Although the initial findings are encouraging, further studies are necessary to fully understand its safety. This information comes from early trials focused on assessing safety. So far, CAN1012 appears safe enough to warrant further testing.12345

Why do researchers think this study treatment might be promising?

Unlike the standard of care for oral epithelial dysplasia and carcinoma in situ, which often involves invasive surgical procedures, CAN1012 offers a less invasive alternative. This treatment is distinctive because it is administered through injections, allowing for the possibility of deferring surgery. Researchers are excited about CAN1012 as it targets the condition directly without the need for immediate surgery, potentially offering a more convenient and less disruptive option for patients.

What evidence suggests that CAN1012 might be an effective treatment for oral epithelial dysplasia and carcinoma in situ?

Research has shown that CAN1012 helps the immune system identify and destroy abnormal cells. This treatment uses a special substance that enables the body to recognize and combat early tissue changes that could lead to cancer. In this trial, participants with oral epithelial dysplasia, ductal carcinoma in situ, and lobular carcinoma in situ will receive CAN1012. Early results suggest this method might be effective for conditions like oral epithelial dysplasia, which can sometimes progress to cancer. Although more research is needed to fully understand its effects, the treatment appears promising in addressing these early-stage issues.12678

Who Is on the Research Team?

SS

Sasha Stanton, MD, PhD

Principal Investigator

Providence Health & Services

Are You a Good Fit for This Trial?

Adults with oral epithelial dysplasia, ductal carcinoma in situ (DCIS), or lobular carcinoma in situ (LCIS) can join this trial. They must have good physical health, acceptable blood test results, and agree to use non-hormonal contraception if they can conceive. Excluded are those needing certain medications like hormonal contraceptives or steroids, those with specific heart risks, autoimmune diseases that pose significant risk, serious medical conditions that could affect the study's safety or outcomes.

Inclusion Criteria

I am very active or have minor symptoms that don't limit my daily activities.
Laboratory values within 72 hours of Day 0: WBC ³ 2.0 K/µL, ANC ³ 1.0 K/µL, Hgb ≥ 10 g/dL, Platelets ³ 100,000 K/µL, Creatinine £ 1.5 x ULN, AST/ALT £ 2.5 x ULN, Total bilirubin £ 3 x ULN (except subjects with Gilbert's Syndrome, who must have a total bilirubin less than 3.0 mg/dL), Negative pregnancy test (bHCG urine or serum, people of childbearing potential only), Patients and their partners who are sexually active and capable of conceiving must agree to use effective methods of contraception (non-hormonal only for DCIS and LCIS patients) during the course of treatment and for 165 days after last dose of CAN1012
My tumor is a specific type of non-invasive oral or breast lesion.
See 1 more

Exclusion Criteria

I use hormonal birth control or take medication affected by liver enzymes.
I need to take 10mg or more of prednisone daily, but inhaled steroids are okay.
I have a history of Hepatitis B or C.
See 7 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a single dose of intralesional CAN1012 ahead of planned surgical resection

1 day

Post-operative follow-up

Participants are monitored for safety and effectiveness after surgery

4 weeks
1 visit (in-person)

Optional additional treatment

For oral epithelial dysplasia patients, the treating investigator may opt to defer surgery and pursue additional injections

What Are the Treatments Tested in This Trial?

Interventions

  • CAN1012

Trial Overview

The trial is testing two doses of CAN1012 (.4 mL and .2 mL) for treating oral epithelial dysplasia and certain types of breast cancer (DCIS and LCIS). It's an early-phase study to see how safe the treatment is and how well it works.

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Group I: Arm C: Lobular Carcinoma in Situ PatientsExperimental Treatment1 Intervention
Group II: Arm B: Ductal Carcinoma in Situ PatientsExperimental Treatment1 Intervention
Group III: Arm A: Oral Epithelial Dysplasia PatientsExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Providence Health & Services

Lead Sponsor

Trials
131
Recruited
827,000+

CanWell Pharma Inc.

Industry Sponsor

Trials
1
Recruited
40+

Citations

NCT07408856 | CAN1012 in OED, DCIS, and LCIS.

This is a Phase I/Ib study evaluating CAN1012 in patients with oral epithelial dysplasia, ductal carcinoma in situ, and lobular carcinoma in ...

Clinical Trial: CAN1012 in OED, DCIS, and LCIS.

Brief Summary: This is a Phase I/Ib study evaluating CAN1012 in patients with oral epithelial dysplasia, ductal carcinoma in situ, and lobular ...

Update on Oral Epithelial Dysplasia and Progression to Cancer

The diagnosis and grading of oral epithelial dysplasia is based on a combination of architectural and cytological changes.

Advancing Non-Invasive Diagnosis of Oral Epithelial ...

The present study was conducted to evaluate the diagnostic performance of OCT in distinguishing between mild, moderate, and severe dysplasias and carcinoma in ...

In situ treatment with a TLR9 agonist virus-like particle ... - PMC

This study focuses on the immune signature of oral dysplasia and explores whether stimulating the immune system with an immune therapy, ...

Understanding of oral potentially malignant disorders ... - PMC

This binary system categorizes oral epithelial dysplasia as having a low or high risk for malignant transformation. The cutoff points between ...

Premalignant Lesions

Reported recurrence rates for premalignant lesions are as high as 34.4%.2 One study found an 18% recurrence rate in cases of severe epithelial dysplasia or ...

Intratumoral CAN1012(selective TLR7 Agonist) in Subjects ...

To evaluate CAN1012 when administered by IT injection to subjects with advanced solid tumors who are not candidates for standard therapy. Official Title.