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Privo’s cisplatin patch shows potential to spare oral cancer surgery

Privo’s cisplatin patch shows potential to spare oral cancer surgery

Massachusetts-based Privo Technologies reported that all 22 evaluable patients avoided planned surgery after receiving PRV111, its topical cisplatin patch, in Cohort 1 of the Phase II CLN-004 trial for non-invasive oral cancer or high-grade dysplasia.

Following a single treatment cycle, 21 patients achieved a centrally confirmed pathologic complete response, a rate of 95.5%. The remaining patient was downstaged from oral carcinoma in situ to low-grade dysplasia. No recurrences were observed at a median follow-up of 14 months, with the longest ongoing response exceeding 21 months.

PRV111 is a nanoengineered polymeric patch designed to deliver high doses of cisplatin directly into oral lesions while limiting systemic exposure. Privo reported negligible systemic cisplatin exposure and no systemic or dose-limiting toxicities. Of treatment-related adverse events, 85% were mild and none were serious.

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The cohort was conducted at four US hospitals specializing in head and neck cancer. The findings suggest potential for a non-surgical treatment in patients who may otherwise undergo repeated excisions, which can cause scarring and impair speech and swallowing. However, the small cohort and limited follow-up leave the durability of disease control uncertain.


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