- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02325401
Dose-finding Study of Metformin With Chemoradiation in Locally Advanced Head and Neck Squamous Cell Carcinoma
A Phase I Dose-finding Study of Metformin in Combination With Concurrent Cisplatin and Radiation in Patients With Locally Advanced Head and Neck Squamous Cell Carcinoma
The purpose of this research study is to test the safety of adding metformin to standard of care. The standard of care treatment will be cisplatin once every 3 weeks for 3 treatments and radiation for 7 weeks.
Metformin is a medication that is currently used to treat diabetes. Increasing amounts of metformin will be given to groups of patients already receiving normal treatment for their cancer to see if metformin causes any good effects by killing your cancer or bad effects (side effects).
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Patients were registered by contacting the University of Cincinnati Clinical Trials Office. Patients must be registered and consent obtained prior to initiation of any protocol therapy.
Treatment was administered on an outpatient basis. Adverse events and potential risks for metformin and cisplatin and radiation were reported.
Patients must have screening labs performed within 2 weeks of start of treatment including a complete blood count, liver function tests, metabolic renal panel including magnesium, vitamin B12 level, lactate, and C-peptide. Renal panel must be verified within 24 hours of cisplatin administration. They must fulfill inclusion criteria.
The recommended starting dose of metformin in diabetic patients is 500mg orally twice a day which can be escalated by 500mg increments weekly as tolerated with the maximum recommended daily dose of 2550mg.
Cisplatin was given either before or after the radiation therapy fraction that is given on the same day. If radiation is held for more than 2 days (for any reason), cisplatin may be held as well until radiation resumes.
The prescribed radiotherapy dose was be 70 Gy in 2 Gy once-daily fraction size (total of 35 fractions).
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
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Ohio
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Cincinnati, Ohio, United States, 45267
- University of Cincinnati Cancer Institute
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Locally advanced squamous cell cancer of the head and neck, stage III or IV disease (T1-2, N2a-3 or T3-4).
- Measurable disease
- No prior chemotherapy or radiation for head and neck squamous cell cancer
- Life expectancy of greater than 3 months.
- Adequate labs
Exclusion Criteria:
- Known metastatic disease.
- Nasopharyngeal carcinoma
- History of allergic reactions attributed to metformin or other agents used in study.
- Known diagnosis of diabetes requiring insulin for control.
- Administration of metformin within last 4 weeks.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Metformin with Chemoradiation
Metformin administered orally daily to start one week prior to Cisplatin and Radiation Therapy.
Metformin dose is escalating.
|
Escalating doses of 2000mg, 2550 mg and 3000mg.
Starting 1 week prior to the initiation of chemoradiation and ending the final day of chemo or radiation.
Other Names:
Dosed at 100mg/m2 on days 1, 22, and 43
Other Names:
70 Gy in 2 Gy once daily fractions of 35 fractions
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Maximum Tolerated Dose (MTD) of Metformin in Combination With Concurrent Cisplatin and Radiation
Time Frame: 24 months
|
Cohorts of patients received escalating doses of metformin (2000 mg, 2550 mg, or 3000 mg divided into daily doses) with a 7-day to 14-day lead-in prior to CRT based on the modified toxicity probability interval design to allow for possible re-escalation after previous de-escalation and to maximize the ability to identify the maximum tolerated dose (MTD).
Patients continued to receive metformin for the duration of CRT as tolerated.
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24 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants Experiencing No-Reoccurrence at 36 Months
Time Frame: 36 months
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Patients were evaulated at 36 months to determine if there was recurrence of disease.
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36 months
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Number of Participants With Adverse Events
Time Frame: 36 months
|
Adverse event means any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related.
Adverse event means any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related.Any participants with any adverse event at any grade was included.
Adverse events were collected during the on study period of 21 weeks up to three months after the study for a total of 34 weeks.
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36 months
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Progression Free Survival
Time Frame: 24 months
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2-year progression free survival
|
24 months
|
Overall Survival
Time Frame: 24 months
|
2 year overall survival
|
24 months
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
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
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Head and Neck Neoplasms
- Neoplasms, Squamous Cell
- Carcinoma, Squamous Cell
- Squamous Cell Carcinoma of Head and Neck
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Antineoplastic Agents
- Cisplatin
- Metformin
Other Study ID Numbers
- UCCI-HN-14-01
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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