Exploratory Study of Safety and ex Vivo Fluorescence of BLZ-100 in Adult Subjects With Solid Tumors Undergoing Surgery



Status:Recruiting
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:July 2015
End Date:July 2016
Contact:Stefanie Ostergard, RN
Email:stefanie.ostergard@overlakehospital.org
Phone:425-467-3986

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A Phase 1 Exploratory Study of the Safety and ex Vivo Fluorescence of BLZ-100 Administered by Intravenous Injection in Adult Subjects With Solid Tumors Undergoing Surgery

Surgery is the primary treatment modality for many types of cancer and the extent of
surgical resection is directly related to patient survival. However, it is often difficult
for surgeons to distinguish normal from neoplastic tissue or to detect metastatic disease or
tumor-infiltrated lymph nodes. In some sites, surgical precision is also required to avoid
damage to critical normal tissues. The purpose of this exploratory study is to evaluate the
ex vivo fluorescence of BLZ-100 in excised samples from subjects with various solid tumors
including breast, lung, prostate, colorectal, and "other".

Subjects diagnosed to have a solid tumor for which surgical resection is clinically
indicated will be enrolled in this study.

Upon obtaining signed informed consent, subjects will enter a Screening Period for up to 14
days to determine eligibility. Subjects meeting all of the inclusion and none of the
exclusion criteria will be eligible to participate in the study.

All subjects entered into the study will be required to arrive at the hospital (or Phase 1
unit if applicable) for BLZ-100 administration at least 2 hours before their scheduled
surgical procedure. Following administration of BLZ-100, subjects will be continuously
monitored for safety and any allergic reaction occurrence for 30 minutes; thereafter,
subjects will be evaluated for 7 days after drug administration. All subjects will be
followed for at least 30 days following drug administration to monitor for SAEs.

Excised tumor samples will be imaged with the SIRIS imaging system or equivalent device,
processed, and sent to a central laboratory to be evaluated for ex vivo fluorescence using
the Odyssey® CLx imaging system.

Inclusion Criteria:

1. Male or female subject aged 18 years or older.

2. Diagnosed solid tumor scheduled for surgical excision. Subjects with recurrent
disease will be eligible only if the duration between last tumor surgery and
scheduled new surgery is ≥3 months.

3. Able to provide written informed consent.

4. If of child-bearing potential, agree to continued use of two reliable methods of
contraceptive from study entry (time of informed consent) through 30 days after
BLZ-100 administration. Male subjects with vasectomy do not need to use a second form
of contraceptive.

5. Available for all study visits and able to comply with all study requirements.

Exclusion Criteria:

1. Suspected central nervous system (CNS) tumor(s) or sarcoma.

2. Female who is lactating/breastfeeding.

3. Female with a positive pregnancy test or who is planning to become pregnant during
the duration of the study.

4. Karnofsky Performance Status of <60%.

5. Any of the following laboratory abnormalities at Screening:

1. Neutrophil count <1.5 x 109/L

2. Platelets <75 x 109/L

3. Hemoglobin <10 g/dL (may be determined following transfusion)

4. Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 3 x upper
limit of normal (ULN)

5. Total bilirubin >1.5 x ULN (unless Gilbert's syndrome or extrahepatic source as
denoted by increased indirect bilirubin fraction)

6. International Normalized Ratio (INR) >1.5 x ULN

7. Creatinine >1.5 x ULN

6. QTc prolongation >480 msec.

7. History of hypersensitivity or allergic reactions requiring corticosteroids,
epinephrine, and/or hospitalization.

8. Uncontrolled asthma or asthma requiring oral corticosteroids.

9. Known or suspected sensitivity to diagnostic imaging contrast agents.

10. Known or suspected sensitivity to indocyanine green (ICG).

11. Unstable angina, myocardial infarction, known or suspected transient ischemic events,
or stroke within 24 weeks of start of Screening.

12. Uncontrolled hypertension.

13. Initiation of new photosensitizing drugs within 30 days of Screening.

14. Use of any ongoing medications which might generate fluorescence or, according to the
medication label, might generate a photochemical reaction. These include
haematoporphyrin derivatives and purified fractions, Photofrin®, and the precursors
of protoporphyrin IX (5-Aminolevulinic acid) used in Gliolan or Hexvix.

15. Receipt of an investigational drug or device within 30 days of enrollment.

16. Prior treatment with BLZ-100.

17. Any concurrent condition, including psychological and social situations, which, in
the opinion of the investigator, would adversely impact the subject or the
interpretation of the study data.
We found this trial at
2
sites
Bellevue, Washington 98004
Principal Investigator: Kristi M Harrington, MD
Phone: 425-467-3986
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1959 NE Pacific St
Seattle, Washington 98195
(206) 598-3300
Principal Investigator: David R. Byrd, MD
Phone: 206-221-3341
University of Washington Medical Center University of Washington Medical Center is one of the nation's...
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