Recombinant Human Granulocyte Macrophage Colony Stimulating Factor(rhGM-CSF) Treating Oral Mucositis

March 27, 2013 updated by: Wei LUO

A Open,Randomized Phase II Trial Comparing Local Use of rhGM-CSF and Compound Vitamin B12 Solution to Compound Vitamin B12 Solution Alone Treating Chemoradiotherapy-induced Oral Mucositis in Patients With Primary Nasopharyngeal Carcinoma

This is a open,randomized phase II trial comparing effectiveness and safety of local use of rhGM-CSF and Compound Vitamin B12 to Compound Vitamin B12 solution alone treating oral mucositis in primary nasopharyngeal cancer. The main end point is the incidence of grade II and less oral mucositis at the end of treatment.The hypothesis of the study is that the local use of rhGM-CSF and Compound Vitamin B12 can decrease the incidence of grade III and more oral mucositis at the end of treatment compared to local use of Compound Vitamin B12 alone.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

Inclusion Criteria:

  1. Grade II oral mucositis induced by chemoradiotherapy in patient with primary nasopharyngeal carcinoma.
  2. Receiving 68-72 Gray of radiation dose.
  3. Age between 18 and 65 years.
  4. KPS≥70.
  5. Patient who has given his/her written consent before any specific procedure of the protocol.

Exclusion Criteria:

  1. Severe uncontrolled infection.
  2. Pregnant or breast-feeding females.
  3. Allergy to this medicine.
  4. Diarrhea.

Outcome measures:

  1. Grade of oral mucositis:NCI Common Terminology Criteria for Adverse Events v3.0, NCI CTCAE v3.0
  2. Pain: WHO,Numerical Rating Scale(NRS)
  3. Tumor response to chemoradiotherapy:Response Evaluation Criteria in Solid Tumors,RECIST1.1

Study Type

Interventional

Enrollment (Anticipated)

160

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • China
    • Guangdong
      • Guangzhou, Guangdong, China, 510060
        • Recruiting
        • Sun Yat-sen University Cancer Center
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Grade II oral mucositis induced by chemoradiotherapy in patient with primary nasopharyngeal carcinoma.
  2. Receiving 68-72 Gray of radiation dose.
  3. Age between 18 and 65 years.
  4. KPS≥70.
  5. Patient who has given his/her written consent before any specific procedure of the protocol.

Exclusion Criteria:

  1. Severe uncontrolled infection.
  2. Pregnant or breast-feeding females.
  3. Allergy to this medicine.
  4. Diarrhea.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Arm A

Local use of rhGM-CSF + Compound Vitamin B12 solution: The rhGM-CSF is prepared as a mouthwash solution,diluting 150μg in 100ml water(final concentration of 1.5μg/ml).Patient is instructed to use the solution five times daily.

Compound Vitamin B12 solution 5ml being sprayed to mouth five times daily

Radiotherapy: Intensity modulated radiation therapy(IMRT)

Chemotherapy:Docetaxel or cisplatin weekly or cisplatin once every three weeks during radiotherapy.
Drug: rhGM-CSF
The rhGM-CSF is prepared as a mouthwash solution,diluting 150μg in 100ml water(final concentration of 1.5μg/ml).Patient is instructed to use the solution five times daily.
Other Names:
  • 特尔立
Drug: Compound Vitamin B12
Compound Vitamin B12 solution 5ml being sprayed to mouth five times daily
Other Names:
  • 贯新克
Active Comparator: Arm B

Compound Vitamin B12 solution 5ml being sprayed to mouth five times daily

Radiotherapy: Intensity modulated radiation therapy(IMRT)

Chemotherapy:Docetaxel or cisplatin weekly or cisplatin once every three weeks during radiotherapy.
Drug: Compound Vitamin B12
Compound Vitamin B12 solution 5ml being sprayed to mouth five times daily
Other Names:
  • 贯新克

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The incidence of grade II and less oral mucositis at the end of treatment
Time Frame: 7 weeks
Using the criteria of NCI CTCAE v3.0
7 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pain
Time Frame: 12 weeks
Cumulative incidence and time of different grade,using the criteria of WHO,NRS
12 weeks
Cumulative incidence and time of grade III and more oral mucositis
Time Frame: 7 weeks
Using the criteria of NCI CTCAE v3.0
7 weeks
Dysphagia
Time Frame: 12 weeks
Cumulative incidence and time of different grade,using NCI CTCAE v3.0
12 weeks
Tumor response to chemoradiotherapy
Time Frame: 12 weeks
Using the criteria of Response Evaluation Criteria in Solid Tumors1.1(RECIST1.1)
12 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Wei LUO

Investigators

  • Principal Investigator: Wei LUO, M.D., Sun Yat-sen University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2013

Primary Completion (Anticipated)

June 1, 2014

Study Completion (Anticipated)

August 1, 2014

Study Registration Dates

First Submitted

March 4, 2013

First Submitted That Met QC Criteria

March 6, 2013

First Posted (Estimate)

March 7, 2013

Study Record Updates

Last Update Posted (Estimate)

March 29, 2013

Last Update Submitted That Met QC Criteria

March 27, 2013

Last Verified

March 1, 2013

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • L-12-01

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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