PMID- 14534895 OWN - NLM STAT- MEDLINE DCOM- 20031030 LR - 20041117 IS - 0008-543X (Print) IS - 0008-543X (Linking) VI - 98 IP - 8 DP - 2003 Oct 15 TI - A multicenter Phase I safety study of intratumoral photoactivation of talaporfin sodium in patients with refractory solid tumors. PG - 1767-71 AB - BACKGROUND: Photodynamic therapy (PDT) currently is approved for the palliative treatment of malignancies of the aerodigestive tract using laser-activated porfimer sodium. A new approach has been developed, based on intratumoral placement of a nonlaser light device that activates talaporfin sodium, that may expand the use of PDT to include a broader range of treatment-resistant malignancies. The safety of this approach was assessed in a Phase I study in patients with locally advanced, refractory tumors. METHODS: Twenty-one patients with radiation-resistant or chemotherapy-resistant or inoperable malignancies were enrolled in four cohorts representing four light doses. Patients were treated with a single intratumoral light device and a fixed photosensitizer dose. Safety assessments were based on review of adverse events (AEs) and serious adverse events (SAEs), and independent evaluation of computed tomography (CT) images. RESULTS: The observed occurrence of treatment-related AEs and SAEs was minimal. No cutaneous phototoxicity was observed in any patient. The overall observed tumor response rate was 33%. CONCLUSIONS: Photoactivation of talaporfin sodium using intratumoral nonlaser light was found to be safe in the patient population of the current study at all light dose levels tested. CI - Copyright 2003 American Cancer Society. FAU - Lustig, Robert A AU - Lustig RA AD - Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA. FAU - Vogl, Thomas J AU - Vogl TJ FAU - Fromm, David AU - Fromm D FAU - Cuenca, Rosa AU - Cuenca R FAU - Alex Hsi, R AU - Alex Hsi R FAU - D'Cruz, Anil K AU - D'Cruz AK FAU - Krajina, Zdenko AU - Krajina Z FAU - Turic, Marko AU - Turic M FAU - Singhal, Anil AU - Singhal A FAU - Chen, James C AU - Chen JC LA - eng PT - Clinical Trial PT - Clinical Trial, Phase I PT - Journal Article PT - Multicenter Study PL - United States TA - Cancer JT - Cancer JID - 0374236 RN - 0 (Photosensitizing Agents) RN - 0 (Porphyrins) SB - IM MH - Aged MH - Aged, 80 and over MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neoplasms/*drug therapy MH - Photochemotherapy/*adverse effects MH - Photosensitizing Agents/*administration & dosage MH - Porphyrins/*administration & dosage EDAT- 2003/10/10 05:00 MHDA- 2003/10/31 05:00 CRDT- 2003/10/10 05:00 PHST- 2003/10/10 05:00 [pubmed] PHST- 2003/10/31 05:00 [medline] PHST- 2003/10/10 05:00 [entrez] AID - 10.1002/cncr.11708 [doi] PST - ppublish SO - Cancer. 2003 Oct 15;98(8):1767-71. doi: 10.1002/cncr.11708.