- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00365768
Glutamine in Treating Neuropathy Caused by Vincristine in Young Patients With Lymphoma, Leukemia, or Solid Tumors
A Pilot Study Investigating the Effects of Glutamine and Vincristine-Induced Neuropathy in Pediatric Patients With Cancer
RATIONALE: Glutamine may help lessen neuropathy caused by chemotherapy. It is not yet known whether glutamine is more effective than a placebo in treating neuropathy caused by vincristine.
PURPOSE: This randomized phase II trial is studying glutamine to see how well it works compared to a placebo in treating neuropathy caused by vincristine in young patients with lymphoma, leukemia, or solid tumors.
Study Overview
Status
Intervention / Treatment
Detailed Description
OBJECTIVES:
Primary
- Determine the incidence of vincristine-induced peripheral neuropathy in pediatric patients with lymphoma, leukemia, or solid tumors.
Secondary
- Compare the safety of glutamine vs placebo in these patients.
- Compare the efficacy of glutamine vs placebo in reducing the progression and/or resolution of vincristine-induced peripheral neuropathy in these patients.
- Compare the effect of glutamine supplementation vs placebo on chemotherapy-related toxicities in these patients.
- Compare the effect of glutamine vs placebo on measures of quality of life in these patients.
- Compare the effect of glutamine supplementation vs placebo on serum nerve growth factor and glutamine levels in these patients.
- Determine the effect of glutamine on vincristine-mediated antitumor efficacy in vitro.
OUTLINE: This is a randomized, double-blind, placebo-controlled, pilot study. Patients are randomized to 1 of 2 treatment arms.
- Arm I: Beginning 1 week after administration of vincristine chemotherapy, patients receive oral glutamine twice daily on days 1-21.
- Arm II: Beginning 1 week after administration of vincristine chemotherapy, patients receive oral placebo twice daily on days 1-21.
Patients in both arms undergo neuropsychological and clinical neurological assessment, blood collection for serum marker (e.g., serum glutamine and nerve growth factor) analysis, and quality of life assessment on days 1, 21, and 42.
After completion of study treatment, patients are followed for an additional 21 days.
PROJECTED ACCRUAL: A total of 100 patients will be accrued for this study.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
New York
-
New York, New York, United States, 10032
- Herbert Irving Comprehensive Cancer Center at Columbia University Medical Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients between the age of 5 and 21 years old.
- Patients who demonstrate the ability to complete the assessment instruments at baseline.
- Patients who are diagnosed with leukemia or solid tumors and are expected to receive a cumulative dose of > or = to 6mg/m2 of vincristine, or > 6mg if individual vincristine doses are capped at 2mg according to primary cancer treatment protocol, over a 30-week period.
Exclusion Criteria:
- Patients with primary CNS tumors other than medulloblastoma or patients with CNS metastasis.
- Patients with recurrent disease.
- Patients with Grade II, III or IV neurological status by the NCI CTC (Ver. 3.0) on clinical exam.
- Patients who have already received > 8mg/m2 of vincristine, or > 8mg if individual vincristine doses are capped at 2mg according to primary cancer treatment protocol, during their course of therapy at time of consent.
- Patients with hepatic encephalopathy or hyperammonemia.
- Patients with a focally abnormal neurologic exam.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Arm I: Glutamine
Beginning 1 week after administration of vincristine chemotherapy, patients receive oral glutamine twice daily on days 1-21.
|
Administered orally twice daily for 21 days
Other Names:
|
PLACEBO_COMPARATOR: Arm II: Placebo
Beginning 1 week after administration of vincristine chemotherapy, patients receive oral placebo twice daily on days 1-21.
|
Administered orally twice daily for 21 days
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Incidence of Vincristine-induced Peripheral Neuropathy
Time Frame: Up to 30 weeks from baseline while on Vincristine treatment
|
Up to 30 weeks from baseline while on Vincristine treatment
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of Participants With Progression of Neuropathy
Time Frame: 42 days
|
42 days
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
- peripheral neuropathy
- neurotoxicity
- childhood Burkitt lymphoma
- stage III childhood small noncleaved cell lymphoma
- stage IV childhood small noncleaved cell lymphoma
- stage IV childhood large cell lymphoma
- untreated childhood acute lymphoblastic leukemia
- childhood immunoblastic large cell lymphoma
- stage I childhood large cell lymphoma
- stage II childhood large cell lymphoma
- stage III childhood large cell lymphoma
- stage I childhood lymphoblastic lymphoma
- stage II childhood lymphoblastic lymphoma
- stage III childhood lymphoblastic lymphoma
- stage IV childhood lymphoblastic lymphoma
- stage I childhood small noncleaved cell lymphoma
- stage II childhood small noncleaved cell lymphoma
- stage III Wilms tumor
- stage IV Wilms tumor
- stage V Wilms tumor
- stage I Wilms tumor
- stage II Wilms tumor
- childhood diffuse large cell lymphoma
- childhood grade III lymphomatoid granulomatosis
- childhood nasal type extranodal NK/T-cell lymphoma
- previously untreated childhood rhabdomyosarcoma
- localized Ewing sarcoma/PNET
- metastatic Ewing sarcoma/PNET
Additional Relevant MeSH Terms
- Chemically-Induced Disorders
- Nervous System Diseases
- Immune System Diseases
- Neoplasms, Connective and Soft Tissue
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Urologic Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Kidney Diseases
- Urologic Diseases
- Neuromuscular Diseases
- Poisoning
- Sarcoma
- Lymphoma
- Kidney Neoplasms
- Leukemia
- Peripheral Nervous System Diseases
- Neurotoxicity Syndromes
Other Study ID Numbers
- AAAA6806
- CPMC-ICCR-3349 (OTHER: Columbia University Medical Center)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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