- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02311907
Glutathione in Preventing Peripheral Neuropathy Caused by Paclitaxel and Carboplatin in Patients With Ovarian Cancer, Fallopian Tube Cancer, and/or Primary Peritoneal Cancer
The Use of Glutathione (GSH) for Prevention of Paclitaxel/Carboplatin (TAXOL/CBDCA) Induced Peripheral Neuropathy: A Phase III Randomized, Double-Blind Placebo Controlled Study
Study Overview
Status
Conditions
- Pain
- Neuropathy
- Stage IIIA Fallopian Tube Cancer
- Stage IIIA Ovarian Cancer
- Stage IIIA Primary Peritoneal Cancer
- Stage IIIB Fallopian Tube Cancer
- Stage IIIB Ovarian Cancer
- Stage IIIB Primary Peritoneal Cancer
- Stage IIIC Fallopian Tube Cancer
- Stage IIIC Ovarian Cancer
- Stage IIIC Primary Peritoneal Cancer
- Stage IV Fallopian Tube Cancer
- Stage IV Ovarian Cancer
- Stage IV Primary Peritoneal Cancer
- Chemotherapeutic Agent Toxicity
- Neurotoxicity Syndrome
Detailed Description
PRIMARY OBJECTIVES:
I. To compare TAXOL (paclitaxel)/carboplatin (CBDCA) induced peripheral neuropathy as measured by European Organization for Research and Treatment of Cancer (EORTC)- Quality of Life (QOL)-chemotherapy induced peripheral neuropathy 20 (CIPN20) between glutathione (GSH) and placebo arms.
SECONDARY OBJECTIVES:
I. To compare the incidences of grade 2+ and grade 3+ TAXOL/CBDCA induced peripheral neuropathy measured by Common Terminology Criteria for Adverse Events (CTCAE) neuropathy scale between GSH and placebo arms.
II. To compare the time to onset of grade 2+ and grade 3+ TAXOL/CBDCA induced peripheral neuropathy between GSH and placebo arms, measured by CTCAE neuropathy scale.
III. To compare the proportion of patients requiring chemotherapy dose reductions secondary to TAXOL/CBDCA induced peripheral neuropathy between GSH and placebo arms.
IV. To compare the proportion of patients stopping TAXOL/CBDCA secondary to peripheral neuropathy between GSH and placebo arms.
V. To assess the toxicity profile of GSH in this situation. VI. To evaluate whether GSH influences the anti-tumor activity of TAXOL/CBDCA. VII. To evaluate patient quality of life (QOL) measured by Functional Assessment of Cancer Therapy-Ovarian (FACT-O) (ovarian/fallopian tube/primary peritoneal cancer patients only) and patient daily symptom questionnaires over time between GSH and placebo arms.
TERTIARY:
I. To explore the association of genetic variations in genes involved in taxane/platinum metabolism with incidence of grade 2+ TAXOL/CBDCA induced peripheral neuropathy.
II. As part of ongoing research for North Central Cancer Treatment Group (NCCTG) studies, we are banking blood products for future studies.
OUTLINE:
Patients are stratified according to baseline neuropathy (none vs grade 1), debulked status (no gross residual disease [no clinically apparent residual lesions at the completion of primary surgery] vs optimal [largest residual lesion < 1 cm at primary surgery] vs sub-optimally debulked [residual lesion > 1 cm] or not operated upon), and cancer type (ovarian/fallopian tube/primary peritoneal cancers vs lung cancer vs other). Patients are randomized to 1 of 2 treatment arms. Patients are grouped based on, Planned paclitaxel dose cycle length (Weekly vs. every 3 weeks vs. every 4 weeks). The stratification factors listed include demographic, prognostic factors and medication that can potentially impact the primary or secondary outcomes, so they need to be distributed evenly among the two arms. The 18 level combinations involved in these four stratification factors are within the maximum recommended of one half of the group sample size for the study.
Ideally, patients begin receiving glutathione before their first dose of chemotherapy, but must begin glutathione before their second dose of chemotherapy.
ARM I: Patients receive glutathione intravenously (IV) over 15 minutes, paclitaxel* IV over 1 or 3 hours depending on planned dose cycle length and carboplatin IV over 30 minutes.
ARM II: Patients receive placebo IV over 15 minutes, paclitaxel* IV over 1 or 3 hours depending on planned dose cycle length and carboplatin IV over 30 minutes.
NOTE: *Alternatively, patients may receive paclitaxel IV over 1 hour and glutathione/placebo IV over 15 minutes weekly and carboplatin every 21 days for 12 weeks.
Blood samples are collected periodically for pharmacogenomic and other biomarker analyses. Patients complete questionnaires periodically, including quality-of-life assessments.
After completion of study treatment, patients are followed up every 3 months for 1 year.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Alabama
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Mobile, Alabama, United States, 36608
- Providence Hospital
-
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Alaska
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Fairbanks, Alaska, United States, 99701
- Fairbanks Memorial Hospital
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Arizona
-
Scottsdale, Arizona, United States, 85259
- Mayo Clinic in Arizona
-
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California
-
Fairfield, California, United States, 94533
- Northbay Cancer Center
-
Fresno, California, United States, 93720
- Cancer Care Associates of Fresno Medical Group Inc
-
Orange, California, United States, 92868
- UC Irvine Health/Chao Family Comprehensive Cancer Center
-
Orange, California, United States, 92868
- Saint Joseph Hospital - Orange
-
Paradise, California, United States, 95969
- Feather River Cancer Center
-
Roseville, California, United States, 95661
- Sutter Roseville Medical Center
-
Sacramento, California, United States, 95816
- Sutter General Hospital
-
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Colorado
-
Aurora, Colorado, United States, 80012
- The Medical Center of Aurora
-
Boulder, Colorado, United States, 80301
- Boulder Community Hospital
-
Colorado Springs, Colorado, United States, 80907
- Penrose-Saint Francis Healthcare
-
Denver, Colorado, United States, 80210
- Porter Adventist Hospital
-
Denver, Colorado, United States, 80218
- Presbyterian - Saint Lukes Medical Center - Health One
-
Denver, Colorado, United States, 80220
- Rose Medical Center
-
Denver, Colorado, United States, 80218
- Exempla Saint Joseph Hospital
-
Denver, Colorado, United States, 80224-2522
- Colorado Cancer Research Program CCOP
-
Englewood, Colorado, United States, 80113
- Swedish Medical Center
-
Fort Collins, Colorado, United States, 80524
- Poudre Valley Hospital
-
Fort Collins, Colorado, United States, 80528
- Front Range Cancer Specialists
-
Grand Junction, Colorado, United States, 81502
- Saint Mary's Hospital and Regional Medical Center
-
Greeley, Colorado, United States, 80631
- North Colorado Medical Center
-
Lakewood, Colorado, United States, 80228
- Saint Anthony Hospital
-
Lone Tree, Colorado, United States, 80124
- Sky Ridge Medical Center
-
Longmont, Colorado, United States, 80501
- Longmont United Hospital
-
Loveland, Colorado, United States, 80539
- McKee Medical Center
-
Pueblo, Colorado, United States, 81004
- Saint Mary Corwin Medical Center
-
Thornton, Colorado, United States, 80229
- North Suburban Medical Center
-
Wheat Ridge, Colorado, United States, 80033
- Exempla Lutheran Medical Center
-
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Connecticut
-
Greenwich, Connecticut, United States, 06830
- Greenwich Hospital
-
Hartford, Connecticut, United States, 06105
- Saint Francis Hospital and Medical Center
-
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Florida
-
Daytona Beach, Florida, United States, 32114
- Halifax Health Medical Center-Centers for Oncology
-
Jacksonville, Florida, United States, 32224-9980
- Mayo Clinic in Florida
-
-
Georgia
-
Albany, Georgia, United States, 31701
- Phoebe Putney Memorial Hospital
-
Atlanta, Georgia, United States, 30309
- Piedmont Hospital
-
Atlanta, Georgia, United States, 30342
- Northside Hospital
-
Atlanta, Georgia, United States, 30342
- Saint Joseph's Hospital of Atlanta
-
Atlanta, Georgia, United States, 30342
- Atlanta Regional CCOP
-
Augusta, Georgia, United States, 30912
- Georgia Regents University Medical Center
-
Austell, Georgia, United States, 30106
- Well Star Cobb Hospital
-
Columbus, Georgia, United States, 31904
- John B Amos Cancer Center
-
Decatur, Georgia, United States, 30033
- Dekalb Medical Center
-
Gainesville, Georgia, United States, 30501
- Northeast Georgia Medical Center
-
Lawrenceville, Georgia, United States, 30045
- Gwinnett Medical Center
-
Marietta, Georgia, United States, 30060
- Wellstar Kennestone Hospital
-
Riverdale, Georgia, United States, 30274
- Southern Regional Medical Center
-
Rome, Georgia, United States, 30165
- Harbin Clinic Medical Oncology and Clinical Research
-
Savannah, Georgia, United States, 31405
- Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
-
-
Hawaii
-
Aiea, Hawaii, United States, 96701
- Pali Momi Medical Center
-
Honolulu, Hawaii, United States, 96813
- Queen's Medical Center
-
Honolulu, Hawaii, United States, 96817
- The Cancer Center of Hawaii-Liliha
-
Honolulu, Hawaii, United States, 96813
- Straub Clinic and Hospital
-
Honolulu, Hawaii, United States, 96813
- University of Hawaii Cancer Center
-
Honolulu, Hawaii, United States, 96826
- Kapiolani Medical Center for Women and Children
-
Honolulu, Hawaii, United States, 96813
- Oncare Hawaii Inc-POB II
-
Honolulu, Hawaii, United States, 96817
- Oncare Hawaii Inc-Kuakini
-
Kailua, Hawaii, United States, 96734
- Castle Medical Center
-
Lihue, Hawaii, United States, 96766
- Wilcox Memorial Hospital and Kauai Medical Clinic
-
Wailuku, Hawaii, United States, 96793
- Maui Memorial Medical Center
-
Wailuku, Hawaii, United States, 96793
- Pacific Cancer Institute of Maui
-
-
Illinois
-
Bloomington, Illinois, United States, 61704
- Illinois CancerCare-Bloomington
-
Bloomington, Illinois, United States, 61701
- Saint Joseph Medical Center
-
Canton, Illinois, United States, 61520
- Illinois CancerCare-Canton
-
Canton, Illinois, United States, 61520
- Graham Hospital Association
-
Carthage, Illinois, United States, 62321
- Illinois CancerCare-Carthage
-
Carthage, Illinois, United States, 62321
- Memorial Hospital
-
Chicago, Illinois, United States, 60631
- Presence Resurrection Medical Center
-
Decatur, Illinois, United States, 62526
- Decatur Memorial Hospital
-
Eureka, Illinois, United States, 61530
- Illinois CancerCare-Eureka
-
Eureka, Illinois, United States, 61530
- Eureka Hospital
-
Galesburg, Illinois, United States, 61401
- Illinois CancerCare Galesburg
-
Harvey, Illinois, United States, 60426
- Ingalls Memorial Hospital
-
Havana, Illinois, United States, 62644
- Mason District Hospital
-
Havana, Illinois, United States, 62644
- Illinois CancerCare-Havana
-
Kewanee, Illinois, United States, 61443
- Illinois CancerCare-Kewanee Clinic
-
La Grange, Illinois, United States, 60525
- Adventist La Grange Memorial Hospital
-
Macomb, Illinois, United States, 61455
- Illinois CancerCare-Macomb
-
Macomb, Illinois, United States, 61455
- Mcdonough District Hospital
-
Maywood, Illinois, United States, 60153
- Loyola University Medical Center
-
Moline, Illinois, United States, 61265
- Garneau, Stewart C MD (UIA Investigator)
-
Moline, Illinois, United States, 61265
- Porubcin, Michael MD (UIA Investigator)
-
Moline, Illinois, United States, 61265
- Spector, David MD (UIA Investigator)
-
Moline, Illinois, United States, 61265
- Trinity Medical Center
-
Moline, Illinois, United States, 61265
- Sharis, Christine M MD (UIA Investigator)
-
Moline, Illinois, United States, 61265
- Stoffel, Thomas J MD (UIA Investigator)
-
Monmouth, Illinois, United States, 61462
- Illinois CancerCare-Monmouth
-
Monmouth, Illinois, United States, 61462
- Holy Family Medical Center
-
Normal, Illinois, United States, 61761
- Community Cancer Center Foundation
-
Normal, Illinois, United States, 61761
- Bromenn Regional Medical Center
-
Normal, Illinois, United States, 61761
- Illinois CancerCare-Community Cancer Center
-
Ottawa, Illinois, United States, 61350
- Illinois CancerCare-Ottawa Clinic
-
Ottawa, Illinois, United States, 61350
- Ottawa Regional Hospital and Healthcare Center
-
Pekin, Illinois, United States, 61554
- Illinois CancerCare-Pekin
-
Pekin, Illinois, United States, 61554
- Pekin Cancer Treatment Center
-
Pekin, Illinois, United States, 61554
- Pekin Hospital
-
Peoria, Illinois, United States, 61637
- OSF Saint Francis Medical Center
-
Peoria, Illinois, United States, 61615
- Illinois CancerCare-Peoria
-
Peoria, Illinois, United States, 61614
- Proctor Hospital
-
Peoria, Illinois, United States, 61603
- Methodist Medical Center of Illinois
-
Peoria, Illinois, United States, 61615-7827
- OSF Saint Francis Medical Center Radiation Oncology Service at the Central Illinois Comprehensive CC
-
Peoria, Illinois, United States, 61615
- Illinois Oncology Research Association CCOP
-
Peru, Illinois, United States, 61354
- Illinois CancerCare-Peru
-
Peru, Illinois, United States, 61354
- Valley Radiation Oncology
-
Peru, Illinois, United States, 61354
- Illinois Valley Hospital
-
Princeton, Illinois, United States, 61356
- Illinois CancerCare-Princeton
-
Princeton, Illinois, United States, 61356
- Perry Memorial Hospital
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Spring Valley, Illinois, United States, 61362
- Saint Margaret's Hospital
-
Spring Valley, Illinois, United States, 61362
- Illinois CancerCare-Spring Valley
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Springfield, Illinois, United States, 62781
- Memorial Medical Center
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Urbana, Illinois, United States, 61801
- Carle Cancer Center
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Indiana
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Beech Grove, Indiana, United States, 46107
- Franciscan St. Francis Health-Beech Grove
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Elkhart, Indiana, United States, 46515
- Elkhart General Hospital
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Elkhart, Indiana, United States, 46514
- Michiana Hematology Oncology PC-Elkhart
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Elkhart, Indiana, United States, 46514-2098
- Elkhart Clinic
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Kokomo, Indiana, United States, 46904
- Community Howard Regional Health
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La Porte, Indiana, United States, 46350
- IU Health La Porte Hospital
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Lafayette, Indiana, United States, 47904
- IU Health Arnett Cancer Care
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Michigan City, Indiana, United States, 46360
- Franciscan Saint Anthony Health-Michigan City
-
Mishawaka, Indiana, United States, 46545
- Michiana Hematology Oncology PC-Mishawaka
-
Mishawaka, Indiana, United States, 46545
- Saint Joseph Regional Medical Center-Mishawaka
-
Plymouth, Indiana, United States, 46563
- Michiana Hematology Oncology PC-Plymouth
-
Richmond, Indiana, United States, 47374
- Reid Hospital and Health Care Services
-
South Bend, Indiana, United States, 46601
- Memorial Hospital of South Bend
-
South Bend, Indiana, United States, 46601
- Michiana Hematology Oncology PC-South Bend
-
South Bend, Indiana, United States, 46617
- South Bend Clinic
-
South Bend, Indiana, United States, 46628
- Northern Indiana Cancer Research Consortium CCOP
-
Westville, Indiana, United States, 46391
- Michiana Hematology Oncology PC-Westville
-
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Iowa
-
Ames, Iowa, United States, 50010
- McFarland Clinic PC-William R Bliss Cancer Center
-
Bettendorf, Iowa, United States, 52722
- Constantinou, Costas L MD (UIA Investigator)
-
Bettendorf, Iowa, United States, 52722
- Hematology Oncology Associates-Quad Cities
-
Cedar Rapids, Iowa, United States, 52403
- Mercy Hospital
-
Cedar Rapids, Iowa, United States, 52403
- Oncology Associates at Mercy Medical Center
-
Cedar Rapids, Iowa, United States, 52403
- Cedar Rapids Oncology Association
-
Clive, Iowa, United States, 50325
- Medical Oncology and Hematology Associates-West Des Moines
-
Des Moines, Iowa, United States, 50309
- Iowa Methodist Medical Center
-
Des Moines, Iowa, United States, 50314
- Mercy Medical Center - Des Moines
-
Des Moines, Iowa, United States, 50309
- Medical Oncology and Hematology Associates-Des Moines
-
Des Moines, Iowa, United States, 50316
- Iowa Lutheran Hospital
-
Des Moines, Iowa, United States, 50314
- Medical Oncology and Hematology Associates-Laurel
-
Des Moines, Iowa, United States, 50309
- Iowa Oncology Research Association CCOP
-
Ottumwa, Iowa, United States, 52501
- Ottumwa Regional Health Center
-
Sioux City, Iowa, United States, 51101
- Siouxland Regional Cancer Center
-
Sioux City, Iowa, United States, 51104
- Saint Luke's Regional Medical Center
-
Sioux City, Iowa, United States, 51104
- Mercy Medical Center-Sioux City
-
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Kansas
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Chanute, Kansas, United States, 66720
- Cancer Center of Kansas - Chanute
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Dodge City, Kansas, United States, 67801
- Cancer Center of Kansas - Dodge City
-
El Dorado, Kansas, United States, 67042
- Cancer Center of Kansas - El Dorado
-
Fort Scott, Kansas, United States, 66701
- Cancer Center of Kansas - Fort Scott
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Independence, Kansas, United States, 67301
- Cancer Center of Kansas-Independence
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Kingman, Kansas, United States, 67068
- Cancer Center of Kansas-Kingman
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Lawrence, Kansas, United States, 66044
- Lawrence Memorial Hospital
-
Liberal, Kansas, United States, 67901
- Cancer Center of Kansas-Liberal
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McPherson, Kansas, United States, 67460
- Cancer Center of Kansas - McPherson
-
Newton, Kansas, United States, 67114
- Cancer Center of Kansas - Newton
-
Overland Park, Kansas, United States, 66209
- Menorah Medical Center
-
Overland Park, Kansas, United States, 66213
- Saint Luke's South Hospital
-
Parsons, Kansas, United States, 67357
- Cancer Center of Kansas - Parsons
-
Prairie Village, Kansas, United States, 66208
- Kansas City CCOP
-
Pratt, Kansas, United States, 67124
- Cancer Center of Kansas - Pratt
-
Salina, Kansas, United States, 67401
- Cancer Center of Kansas - Salina
-
Wellington, Kansas, United States, 67152
- Cancer Center of Kansas - Wellington
-
Wichita, Kansas, United States, 67208
- Cancer Center of Kansas-Wichita Medical Arts Tower
-
Wichita, Kansas, United States, 67208
- Associates In Womens Health
-
Wichita, Kansas, United States, 67214
- Cancer Center of Kansas - Main Office
-
Wichita, Kansas, United States, 67214
- Via Christi Regional Medical Center
-
Wichita, Kansas, United States, 67214
- Wichita CCOP
-
Winfield, Kansas, United States, 67156
- Cancer Center of Kansas - Winfield
-
-
Kentucky
-
Louisville, Kentucky, United States, 40215
- Doctors Carrol, Sheth, Raghavan
-
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Louisiana
-
Baton Rouge, Louisiana, United States, 70809
- Ochsner Health Center-Summa
-
Covington, Louisiana, United States, 70433
- Ochsner Health Center-Covington
-
Monroe, Louisiana, United States, 71202
- Louisiana State University Sciences Center- Monroe
-
New Orleans, Louisiana, United States, 70121
- Ochsner Medical Center Jefferson
-
Shreveport, Louisiana, United States, 71103
- Louisiana State University Health Sciences Center Shreveport
-
Shreveport, Louisiana, United States, 71105
- Highland Clinic
-
-
Maine
-
Augusta, Maine, United States, 04330
- Harold Alfond Center for Cancer Care
-
Bangor, Maine, United States, 04401
- Eastern Maine Medical Center
-
-
Maryland
-
Easton, Maryland, United States, 21601
- The Memorial Hospital at Easton
-
Rockville, Maryland, United States, 20850-2062
- Cancer Trials Support Unit
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48106-0995
- Saint Joseph Mercy Hospital
-
Ann Arbor, Michigan, United States, 48106
- Michigan Cancer Research Consortium CCOP
-
Dearborn, Michigan, United States, 48124
- Oakwood Hospital and Medical Center
-
Detroit, Michigan, United States, 48236
- Saint John Hospital and Medical Center
-
Escanaba, Michigan, United States, 49431
- Green Bay Oncology - Escanaba
-
Flint, Michigan, United States, 48502
- Hurley Medical Center
-
Flint, Michigan, United States, 48532
- Genesys Regional Medical Center-West Flint Campus
-
Iron Mountain, Michigan, United States, 49801
- Green Bay Oncology - Iron Mountain
-
Jackson, Michigan, United States, 49201
- Allegiance Health
-
Kalamazoo, Michigan, United States, 49007
- West Michigan Cancer Center
-
Kalamazoo, Michigan, United States, 49007
- Bronson Methodist Hospital
-
Kalamazoo, Michigan, United States, 49001
- Borgess Medical Center
-
Lansing, Michigan, United States, 48912
- Sparrow Hospital
-
Livonia, Michigan, United States, 48154
- Saint Mary Mercy Hospital
-
Mount Clemens, Michigan, United States, 48043
- McLaren-Macomb
-
Niles, Michigan, United States, 49120
- Michiana Hematology Oncology PC-Niles
-
Pontiac, Michigan, United States, 48341
- Saint Joseph Mercy Oakland
-
Port Huron, Michigan, United States, 48060
- Saint Joseph Mercy Port Huron
-
Saginaw, Michigan, United States, 48601
- Saint Mary's of Michigan
-
Saint Joseph, Michigan, United States, 49085
- Marie Yeager Cancer Center
-
Southfield, Michigan, United States, 48075
- Providence Hospital-Southfield Cancer Center
-
St. Joseph, Michigan, United States, 49085
- Lakeland Hospital
-
Warren, Michigan, United States, 48093
- Saint John Macomb-Oakland Hospital
-
-
Minnesota
-
Alexandria, Minnesota, United States, 56308
- Medini, Eitan MD (UIA Investigator)
-
Burnsville, Minnesota, United States, 55337
- Fairview Ridges Hospital
-
Coon Rapids, Minnesota, United States, 55433
- Mercy Hospital
-
Duluth, Minnesota, United States, 55805
- Essentia Health Cancer Center
-
Duluth, Minnesota, United States, 55805
- Essentia Health Saint Mary's Medical Center
-
Duluth, Minnesota, United States, 55805
- Miller-Dwan Hospital
-
Edina, Minnesota, United States, 55435
- Fairview-Southdale Hospital
-
Fridley, Minnesota, United States, 55432
- Unity Hospital
-
Hutchinson, Minnesota, United States, 55350
- Hutchinson Area Health Care
-
Mankato, Minnesota, United States, 56001
- Mayo Clinic Health Systems-Mankato
-
Maplewood, Minnesota, United States, 55109
- Saint John's Hospital - Healtheast
-
Maplewood, Minnesota, United States, 55109
- Minnesota Oncology Hematology PA-Maplewood
-
Minneapolis, Minnesota, United States, 55415
- Hennepin County Medical Center
-
Minneapolis, Minnesota, United States, 55407
- Abbott-Northwestern Hospital
-
Minneapolis, Minnesota, United States, 55417
- Minneapolis Veterans Medical Center
-
Robbinsdale, Minnesota, United States, 55422
- North Memorial Medical Health Center
-
Rochester, Minnesota, United States, 55905
- Mayo Clinic
-
Saint Cloud, Minnesota, United States, 56303
- Coborn Cancer Center at Saint Cloud Hospital
-
Saint Cloud, Minnesota, United States, 56303
- Saint Cloud Hospital
-
Saint Louis Park, Minnesota, United States, 55416
- Park Nicollet Clinic - Saint Louis Park
-
Saint Louis Park, Minnesota, United States, 55416
- Metro-Minnesota NCI Community Oncology Research Program
-
Saint Paul, Minnesota, United States, 55101
- Regions Hospital
-
Saint Paul, Minnesota, United States, 55102
- United Hospital
-
Shakopee, Minnesota, United States, 55379
- Saint Francis Regional Medical Center
-
Stillwater, Minnesota, United States, 55082
- Lakeview Hospital
-
Waconia, Minnesota, United States, 55387
- Ridgeview Medical Center
-
Willmar, Minnesota, United States, 56201
- Rice Memorial Hospital
-
Woodbury, Minnesota, United States, 55125
- Minnesota Oncology and Hematology PA-Woodbury
-
-
Missouri
-
Kansas City, Missouri, United States, 64116
- North Kansas City Hospital
-
Kansas City, Missouri, United States, 64111
- Saint Luke's Hospital of Kansas City
-
Kansas City, Missouri, United States, 64132
- Research Medical Center
-
Kansas City, Missouri, United States, 64118
- Heartland Hematology and Oncology Associates Incorporated
-
Kansas City, Missouri, United States, 64111
- Saint Luke's Cancer Institute
-
Kansas City, Missouri, United States, 64114
- Saint Joseph Health Center
-
Lee's Summit, Missouri, United States, 64086
- Saint Luke's East - Lee's Summit
-
Liberty, Missouri, United States, 64068
- Liberty Radiation Oncology Center
-
Liberty, Missouri, United States, 64068
- Liberty Hospital
-
Saint Joseph, Missouri, United States, 64506
- Heartland Regional Medical Center
-
Saint Joseph, Missouri, United States, 64507
- Saint Joseph Oncology Inc
-
Springfield, Missouri, United States, 65804
- Cancer Research for the Ozarks NCORP
-
Springfield, Missouri, United States, 65807
- CoxHealth South Hospital
-
Springfield, Missouri, United States, 65804
- Mercy Hospital Springfield
-
-
Montana
-
Billings, Montana, United States, 59101
- Saint Vincent Healthcare
-
Billings, Montana, United States, 59101
- Northern Rockies Radiation Oncology Center
-
Billings, Montana, United States, 59101
- Montana Cancer Consortium CCOP
-
Billings, Montana, United States, 59102
- Frontier Cancer Center and Blood Institute-Billings
-
Billings, Montana, United States, 59107
- Billings Clinic Cancer Center
-
Bozeman, Montana, United States, 59715
- Bozeman Deaconess Hospital
-
Bozeman, Montana, United States, 59715
- Bozeman Deaconess Cancer Center
-
Butte, Montana, United States, 59701
- Saint James Community Hospital and Cancer Treatment Center
-
Great Falls, Montana, United States, 59405
- Great Falls Clinic
-
Great Falls, Montana, United States, 59405
- Benefis Healthcare- Sletten Cancer Institute
-
Great Falls, Montana, United States, 59405
- Berdeaux, Donald MD (UIA Investigator)
-
Great Falls, Montana, United States, 59405
- Big Sky Oncology
-
Havre, Montana, United States, 59501
- Northern Montana Hospital
-
Helena, Montana, United States, 59601
- Saint Peter's Community Hospital
-
Kalispell, Montana, United States, 59901
- Kalispell Regional Medical Center
-
Kalispell, Montana, United States, 59901
- Glacier Oncology PLLC
-
Kalispell, Montana, United States, 59901
- Kalispell Medical Oncology
-
Missoula, Montana, United States, 59802
- Saint Patrick Hospital - Community Hospital
-
Missoula, Montana, United States, 59804
- Guardian Oncology and Center for Wellness
-
Missoula, Montana, United States, 59801
- Community Medical Hospital
-
Missoula, Montana, United States, 59802
- Montana Cancer Specialists
-
-
Nebraska
-
Lincoln, Nebraska, United States, 68510
- Nebraska Cancer Research Center
-
Omaha, Nebraska, United States, 68124
- Alegent Health Bergan Mercy Medical Center
-
Omaha, Nebraska, United States, 68122
- Alegent Health Immanuel Medical Center
-
Omaha, Nebraska, United States, 68131
- Creighton University Medical Center
-
Omaha, Nebraska, United States, 68106
- Missouri Valley Cancer Consortium
-
-
Nevada
-
Las Vegas, Nevada, United States, 89102
- University Medical Center of Southern Nevada
-
Las Vegas, Nevada, United States, 89106
- Nevada Cancer Research Foundation CCOP
-
-
New Hampshire
-
Dover, New Hampshire, United States, 03820
- Wentworth-Douglass Hospital
-
Nashua, New Hampshire, United States, 03060
- Saint Joseph Hospital
-
-
New Jersey
-
Somerville, New Jersey, United States, 08876
- Robert Wood Johnson University Hospital Somerset
-
-
New York
-
Glens Falls, New York, United States, 12801
- Glens Falls Hospital
-
Staten Island, New York, United States, 10305
- Staten Island University Hospital
-
-
North Carolina
-
Asheboro, North Carolina, United States, 27203
- Randolph Hospital
-
Goldsboro, North Carolina, United States, 27534
- Wayne Memorial Hospital
-
Greensboro, North Carolina, United States, 27403
- Cone Health Cancer Center
-
Hendersonville, North Carolina, United States, 28791
- Margaret R Pardee Memorial Hospital
-
Kinston, North Carolina, United States, 28501
- Kinston Medical Specialists PA
-
Reidsville, North Carolina, United States, 27320
- Annie Penn Memorial Hospital
-
-
North Dakota
-
Bismarck, North Dakota, United States, 58501
- Sanford Bismarck Medical Center
-
Bismarck, North Dakota, United States, 58501
- Mid Dakota Clinic
-
Bismarck, North Dakota, United States, 58501
- Saint Alexius Medical Center
-
Grand Forks, North Dakota, United States, 58201
- Altru Cancer Center
-
Minot, North Dakota, United States, 58701
- Trinity Cancer Care Center
-
-
Ohio
-
Akron, Ohio, United States, 44304
- Summa Akron City Hospital/Cooper Cancer Center
-
Akron, Ohio, United States, 44307
- Akron General Medical Center
-
Barberton, Ohio, United States, 44203
- Summa Barberton Hospital
-
Bellefontaine, Ohio, United States, 43311
- Mary Rutan Hospital
-
Chillicothe, Ohio, United States, 45601
- Adena Regional Medical Center
-
Columbus, Ohio, United States, 43214
- Riverside Methodist Hospital
-
Columbus, Ohio, United States, 43228
- Doctors Hospital
-
Columbus, Ohio, United States, 43215
- Grant Medical Center
-
Columbus, Ohio, United States, 43222
- Mount Carmel Health Center West
-
Columbus, Ohio, United States, 43215
- Columbus CCOP
-
Dayton, Ohio, United States, 45406
- Good Samaritan Hospital - Dayton
-
Dayton, Ohio, United States, 45409
- Miami Valley Hospital
-
Dayton, Ohio, United States, 45415
- Samaritan North Health Center
-
Dayton, Ohio, United States, 45405
- Grandview Hospital
-
Dayton, Ohio, United States, 45420
- Dayton CCOP
-
Delaware, Ohio, United States, 43015
- Grady Memorial Hospital
-
Findlay, Ohio, United States, 45840
- Blanchard Valley Hospital
-
Franklin, Ohio, United States, 45005-1066
- Atrium Medical Center-Middletown Regional Hospital
-
Greenville, Ohio, United States, 45331
- Wayne Hospital
-
Kettering, Ohio, United States, 45429
- Kettering Medical Center
-
Lancaster, Ohio, United States, 43130
- Fairfield Medical Center
-
Lima, Ohio, United States, 45801
- Saint Rita's Medical Center
-
Marietta, Ohio, United States, 45750
- Marietta Memorial Hospital
-
Mount Vernon, Ohio, United States, 43050
- Knox Community Hospital
-
Newark, Ohio, United States, 43055
- Licking Memorial Hospital
-
Springfield, Ohio, United States, 45505
- Springfield Regional Medical Center
-
Troy, Ohio, United States, 45373
- Upper Valley Medical Center
-
Westerville, Ohio, United States, 43081
- Saint Ann's Hospital
-
Wilmington, Ohio, United States, 45177
- Clinton Memorial Hospital
-
Wright-Patterson Afb, Ohio, United States, 45433-5529
- Wright-Patterson Medical Center
-
Xenia, Ohio, United States, 45385
- Greene Memorial Hospital
-
Zanesville, Ohio, United States, 43701
- Genesis HealthCare System
-
-
Pennsylvania
-
Abington, Pennsylvania, United States, 19001
- Abington Memorial Hospital
-
Danville, Pennsylvania, United States, 17822
- Geisinger Medical Center
-
Hazleton, Pennsylvania, United States, 18201
- Geisinger Medical Center-Cancer Center Hazleton
-
Philadelphia, Pennsylvania, United States, 19107
- Pennsylvania Hospital
-
Phoenixville, Pennsylvania, United States, 19460
- Phoenixville Hospital
-
Sayre, Pennsylvania, United States, 18840
- Guthrie Medical Group PC-Robert Packer Hospital
-
State College, Pennsylvania, United States, 16801
- Geisinger Medical Group
-
West Chester, Pennsylvania, United States, 19380
- Chester County Hospital
-
Wilkes-Barre, Pennsylvania, United States, 18711
- Geisinger Wyoming Valley/Henry Cancer Center
-
-
South Carolina
-
Anderson, South Carolina, United States, 29621
- AnMed Health Cancer Center
-
Charleston, South Carolina, United States, 29401
- Roper Hospital
-
Easley, South Carolina, United States, 29640
- Greenville Health System Cancer Institute-Easley
-
Florence, South Carolina, United States, 29506
- McLeod Regional Medical Center
-
Greenville, South Carolina, United States, 29605
- Greenville Health System Cancer Institute-Faris
-
Greenville, South Carolina, United States, 29605
- Greenville Memorial Hospital
-
Greenville, South Carolina, United States, 29615
- Greenville Health System Cancer Institute-Eastside
-
Greenville, South Carolina, United States, 29605
- Greenville Health System Cancer Institute-Butternut
-
Greenwood, South Carolina, United States, 29646
- Self Regional Healthcare
-
Greer, South Carolina, United States, 29650
- Cancer Centers of the Carolinas-Greer Medical Oncology
-
Seneca, South Carolina, United States, 29672
- Greenville Health System Cancer Institute-Seneca
-
Spartanburg, South Carolina, United States, 29307
- Greenville Health System Cancer Institute-Spartanburg
-
-
South Dakota
-
Sioux Falls, South Dakota, United States, 57117-5134
- Sanford USD Medical Center - Sioux Falls
-
Sioux Falls, South Dakota, United States, 57104
- Sanford Cancer Center-Oncology Clinic
-
Sioux Falls, South Dakota, United States, 57105
- Medical X-Ray Center
-
Sioux Falls, South Dakota, United States, 57104
- Sanford NCI Community Oncology Research Program of the North Central Plains
-
-
Tennessee
-
Kingsport, Tennessee, United States, 37660
- Wellmont Holston Valley Hospital and Medical Center
-
Knoxville, Tennessee, United States, 37920
- University of Tennessee - Knoxville
-
-
Virginia
-
Fredericksburg, Virginia, United States, 22408
- Hematology Oncology Associates of Fredericksburg Inc
-
Norton, Virginia, United States, 24273
- Southwest VA Regional Cancer Center
-
-
Washington
-
Bellingham, Washington, United States, 98225
- PeaceHealth Saint Joseph Medical Center
-
Centralia, Washington, United States, 98531
- Providence Regional Cancer System-Centralia
-
Federal Way, Washington, United States, 98003
- Saint Francis Hospital
-
Kirkland, Washington, United States, 98033
- EvergreenHealth Medical Center
-
Lakewood, Washington, United States, 98499
- Saint Clare Hospital
-
Olympia, Washington, United States, 98506-5166
- Providence - Saint Peter Hospital
-
Puyallup, Washington, United States, 98372
- MultiCare Good Samaritan Hospital
-
Renton, Washington, United States, 98055
- Valley Medical Center
-
Seattle, Washington, United States, 98101
- Virginia Mason Medical Center
-
Seattle, Washington, United States, 98104
- Pacific Medical Center-First Hill
-
Seattle, Washington, United States, 98101
- Virginia Mason CCOP
-
Tacoma, Washington, United States, 98405
- MultiCare Allenmore Hospital
-
Tacoma, Washington, United States, 98405
- Saint Joseph Medical Center
-
Tacoma, Washington, United States, 98415
- MultiCare Health System
-
Tacoma, Washington, United States, 98405
- Northwest CCOP
-
Yakima, Washington, United States, 98902
- North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
-
-
West Virginia
-
Huntington, West Virginia, United States, 25701
- Edwards Comprehensive Cancer Center
-
-
Wisconsin
-
Chippewa Falls, Wisconsin, United States, 54729
- Marshfield Clinic-Chippewa Center
-
Eau Claire, Wisconsin, United States, 54701
- Marshfield Clinic Cancer Center at Sacred Heart
-
Green Bay, Wisconsin, United States, 54301
- Saint Vincent Hospital
-
Green Bay, Wisconsin, United States, 54303
- Green Bay Oncology Limited at Saint Mary's Hospital
-
Green Bay, Wisconsin, United States, 54303
- Saint Mary's Hospital
-
Green Bay, Wisconsin, United States, 54301-3526
- Green Bay Oncology at Saint Vincent Hospital
-
La Crosse, Wisconsin, United States, 54601
- Gundersen Lutheran Medical Center
-
Madison, Wisconsin, United States, 53717
- Dean Hematology and Oncology Clinic
-
Manitowoc, Wisconsin, United States, 54221
- Holy Family Memorial Hospital
-
Marinette, Wisconsin, United States, 54143
- Bay Area Medical Center
-
Marshfield, Wisconsin, United States, 54449
- Marshfield Clinic
-
Mequon, Wisconsin, United States, 53097
- Columbia Saint Mary's Hospital - Ozaukee
-
Milwaukee, Wisconsin, United States, 53211
- Columbia Saint Mary's Water Tower Medical Commons
-
Minocqua, Wisconsin, United States, 54548
- Marshfield Clinic-Minocqua Center
-
Oconto Falls, Wisconsin, United States, 54154
- Green Bay Oncology - Oconto Falls
-
Rhinelander, Wisconsin, United States, 54501
- Marshfield Clinic at James Beck Cancer Center
-
Rice Lake, Wisconsin, United States, 54868
- Marshfield Clinic-Rice Lake Center
-
Sheboygan, Wisconsin, United States, 53081
- Saint Nicholas Hospital
-
Stevens Point, Wisconsin, United States, 54481
- Marshfield Clinic Cancer Care at Saint Michael's Hospital
-
Sturgeon Bay, Wisconsin, United States, 54235
- Green Bay Oncology - Sturgeon Bay
-
Weston, Wisconsin, United States, 54476
- Marshfield Clinic - Weston Center
-
Wisconsin Rapids, Wisconsin, United States, 54494
- Marshfield Clinic - Wisconsin Rapids Center
-
-
Wyoming
-
Casper, Wyoming, United States, 82609
- Rocky Mountain Oncology
-
Sheridan, Wyoming, United States, 82801
- Welch Cancer Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Scheduled to undergo treatment with TAXOL at 150-200 mg/m2 and CBDCA at area under the curve (AUC) = 5-7 every 21 or 28 days for at least 12 weeks; alternatively, paclitaxel can be prescribed at 80 mg/m2 weekly for at least 12 weeks, with the same CBDCA dose of AUC = 5-7 every 21 days; additional chemotherapy agents are allowed (bevacizumab, etoposide, etc) per physician discretion, as long as they are not known to be neurotoxic; Note: patients ideally will begin GSH therapy prior to their first dose of this chemotherapy, but must begin GSH therapy prior to their second dose of chemotherapy
- Ability to sign informed consent and understand the nature of a placebo-controlled trial
- Eastern Cooperative Oncology Group (ECOG) performance status 0-2
- Ability to complete English language questionnaire(s) by themselves or with assistance
- Life expectancy >= 6 months
- Negative pregnancy test done =< 7 days prior to registration, for women of childbearing potential only, per clinician discretion
- Willingness to provide blood specimens as required by the protocol
- White blood cell (WBC) >= 3400
- Absolute neutrophil count (ANC) >= 1500
- Platelet (PLT) >= 100,000
- Hemoglobin (HgB) > 10.0
- Creatinine =< 1.5 x upper limit of normal (ULN)
Exclusion Criteria:
- Pre-existing history of peripheral neuropathy > grade 1 (National Cancer Institute [NCI] CTCAE version [v] 4.0) due to any cause (e.g., chemotherapy, diabetes, alcohol, toxin, or heredity)
- Other medical conditions, which in the opinion of the treating physician/allied health professional would make this protocol unreasonably hazardous for the patient
Any of the following:
- Pregnant women
- Nursing women
- Women of childbearing potential who are unwilling to employ adequate contraception
- Prior TAXOL and/or CBDCA chemotherapy treatment (other than the current treatment regimen)
Concurrent use of any agent being used specifically to prevent or treat neuropathy, including but not limited to the following:
- Gabapentin
- Glutamine powder or glutamine tablets
- Vitamin B6 or E
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Arm I (glutathione, carboplatin)
Patients receive glutathione intravenously (IV) over 15 minutes, paclitaxel* IV over 1 or 3 hours depending on planned dose cycle length and carboplatin IV over 30 minutes.
|
Correlative studies
Ancillary studies
Other Names:
Given IV, over 30 minutes per planned chemotherapy regimen
Other Names:
Given IV, over 15 minutes, immediately before chemotherapy administration
Other Names:
Given IV, over 1 or 3 hours, per planned chemotherapy regimen
Other Names:
|
|
Placebo Comparator: Arm II (placebo, paclitaxel)
Patients receive placebo IV over 15 minutes, paclitaxel* IV over 1 or 3 hours depending on planned dose cycle length and carboplatin IV over 30 minutes.
|
Correlative studies
Ancillary studies
Other Names:
Given IV
Other Names:
Given IV, over 30 minutes per planned chemotherapy regimen
Other Names:
Given IV, over 1 or 3 hours, per planned chemotherapy regimen
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Paclitaxel/Carboplatin (PC) Induced Peripheral Neuropathy as Assessed by EORTC QLQ-CIPN20 (European Organization for Research and Treatment of Cancer (EORTC), Quality of Life (QLQ), Chemotherapy Induced Peripheral Neuropathy 20 (CIPN20)).
Time Frame: Every 28 day cycle, up to 6 cycles.
|
The CIPN sensory subscale will be calculated by standard scoring algorithm and converted to 0-100 scale (higher scores indicated less symptoms and better quality of life).
Generalized linear models (repeated measures analysis of variance [ANOVA] if data are complete) will be used to compare the CIPN between Glutathione (GSH) and placebo arms.
|
Every 28 day cycle, up to 6 cycles.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Recurrence-free Survival (for Patients Without Clinical Evidence of Disease)
Time Frame: Up to 1 year
|
A log-rank test and a Kaplan-Meier curve will be used to compare the recurrence free survival between GSH and placebo arms (for ovarian/fallopian tube/primary peritoneal patients only).
|
Up to 1 year
|
|
Change in Patient Reported Quality of Life as Assessed by Functional Assessment of Cancer Therapy-Ovarian (FACT-O) and Patient Daily-symptom Questionnaires Over Time.
Time Frame: Baseline to 1 year
|
Quality of life was measured by FACT-O (on a 0 to 100 scale, higher scores represent better life quality) from baseline and at the end of TAXOL/CBDCA.
The change in Quality of Life was calculated as the difference between baseline measure and end of treatment measure (with range from -100 to 100).
A negative change represents a worsening in QOL from baseline to one year.
Abbreviations used: Change from Baseline (chg from bsl)
|
Baseline to 1 year
|
|
Paclitaxel Acute Pain Syndrome Incidence and Severity Between GSH and Placebo Arms
Time Frame: Up to 1 year
|
Descriptive statistics will be used to describe TAXOL/CBDCA acute pain syndrome incidence/severity between GSH and placebo arms.
Pain was scored on a scale from 0-10, where 0 = 'No aches or pains' and 10 = 'Aches or pains as bad as can be.'
|
Up to 1 year
|
|
Percentage of Patients Delaying PC Chemotherapy Secondary to PN
Time Frame: Up to 1 year
|
Patients delaying TAXOL/CBDCA secondary to peripheral neuropathy between GSH and placebo arms.
|
Up to 1 year
|
|
Percentage of Patients Undergoing Dose Reductions Secondary to PCI PN
Time Frame: Up to 1 year
|
Proportion of patients requiring chemotherapy dose reductions secondary to TAXOL/CBDCA induced peripheral neuropathy between GSH and placebo arms.
|
Up to 1 year
|
|
Percentage of Patients With Grade 2+ and Grade 3+ Paclitaxel/Carboplatin-induced (PCI) Peripheral Neuropathy (PN) According to the Common Terminology Criteria for Adverse Events (CTCAE) Neuropathy Scale
Time Frame: Up to 1 year
|
Proportion of grade 2+ and grade 3+ chemotherapy induced peripheral neuropathy (CIPN) at any time during or at the end of the TAXOL/CBDCA based chemotherapy between GSH and placebo arms.
Neuropathy scale has grades 1 through 5 (1-mild, Grade 2 Moderate, Grade 3 Severe, Grade 4 Life-threatening and Grade 5 Death related to AE).
|
Up to 1 year
|
|
Times to Onset of CTCAE Grade 2+ PN
Time Frame: Up to 1 year
|
Compare time to grade 2+ CIPN between GSH and placebo arms.
|
Up to 1 year
|
|
Times to Onset of CTCAE Grade 3+ PN
Time Frame: Up to 5 years from registration
|
Time to grade 3+ CIPN between GSH and placebo arms.
|
Up to 5 years from registration
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Charles Loprinzi, Alliance for Clinical Trials in Oncology
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 (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Chemically-Induced Disorders
- Digestive System Diseases
- Nervous System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Peritoneal Diseases
- Genital Neoplasms, Female
- Endocrine System Diseases
- Ovarian Diseases
- Adnexal Diseases
- Gonadal Disorders
- Digestive System Neoplasms
- Endocrine Gland Neoplasms
- Neuromuscular Diseases
- Fallopian Tube Diseases
- Abdominal Neoplasms
- Poisoning
- Peripheral Nervous System Diseases
- Ovarian Neoplasms
- Fallopian Tube Neoplasms
- Peritoneal Neoplasms
- Carcinoma, Ovarian Epithelial
- Neurotoxicity Syndromes
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Phytogenic
- Carboplatin
- Paclitaxel
- Albumin-Bound Paclitaxel
Other Study ID Numbers
- N08CA
- U10CA037404 (U.S. NIH Grant/Contract)
- NCI-2011-01965 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- CDR0000654097
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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