- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03799380
DRIHNC - Dehydration Reduction in Head & Neck Cancer
DRIHNC - Dehydration Reduction in Head & Neck Cancer: Daily Oral Fluid and Electrolyte Maintenance to Prevent Acute Care Clinic and Emergency Department Visits for Patients Receiving Radiation With or Without Chemotherapy/Immunotherapy for Head & Neck and Esophageal Cancer.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Among patients with cancer of the H&N or esophagus, complications related to dehydration are fairly common, and can result in requiring IV fluid support in an ACC setting, ED or even inpatient admission. By instructing participants to drink a reasonable amount of a common electrolyte-rich energy drink from the initiation of treatment through its completion, the hypothesis will be tested that this inexpensive and easily administered preventative strategy can significantly decrease the rate of ACC and ED visits.
The objectives of this study are to decrease the frequency of ACC visits during the course of radiation therapy and decrease the frequency of ED visits during the course of radiation therapy. The study team also seeks to decrease the incidence of orthostatic vital signs during the course of radiation therapy and decrease the number of days of missed treatments due to radiation toxicity during the course of radiation therapy.
In the pilot cohort, participants will be given Gatorade G2 to drink daily during the course of radiation, along with standard of care nutritional support from dietitians. The randomized Phase 2 cohort has two study groups. Group 1 will receive standard of care nutritional support. Group 2 will receive standard of care nutritional support plus the study agent, Gatorade G2.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Ohio
-
Cleveland, Ohio, United States, 44106
- Cleveland Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects must have histologically confirmed primary invasive cancer of the H&N (Nasopharynx/Nasal Cavity, Oral cavity, Oropharynx, Larynx, Hypopharynx) or Esophagus.
Histologies: squamous cell carcinoma, adenocarcinoma, adenoid cystic carcinoma, sinonasal undifferentiated carcinoma Stages: Any stage that necessitates radiation therapy (either definitive, neoadjuvant or adjuvant) as per standard practice guidelines (NCCN, ASTRO)
- Subjects must have received no prior radiation therapy to the head, neck, thorax or abdomen in the last 1 year (with the exception of scalp squamous cell or basal cell carcinoma.
- ECOG Performance status 0-2.
- Life expectancy of ≥ 3 months, in the opinion of and as documented by the investigator.
- Subjects must have organ and marrow function based on lab values deemed acceptable to proceed with radiation therapy. No additional or specific lab value cutoffs are required for this protocol given the nature of the intervention. General guidelines are provided below.
- Hemoglobin ≥ 7 g/dl
- Absolute neutrophil count ≥ 500/mcL
- Platelet count ≥ 50,000/mcL
- Total bilirubin within normal institutional limits
- Subjects must have the ability to understand and the willingness to sign a written informed consent document.
- HIV-positive subjects on combination antiretroviral therapy are eligible.
Exclusion Criteria:
The presence of any of the following will exclude a subject from study enrollment.
- Prior radiation therapy to the head, neck, thorax or abdomen in the last year, with the exception of scalp squamous cell or basal cell carcinoma.
- Patients with active, uncontrolled, symptomatic volume overload congestive heart failure.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: Control - Standard of Care
Standard of care nutritional support
|
Standard of care nutritional support
|
EXPERIMENTAL: Experimental - Gatorade
Standard of care nutritional support with the addition of daily Gatorade G2
|
Gatorade (G2), 20 oz.
bottle, daily through the entire course of radiation therapy (approximately 5-7 weeks)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
ACC visits
Time Frame: Up to 11 weeks after start of treatment
|
ACC visits during the course of radiation (7 weeks).
Participants are followed for 4 weeks after completion of radiation.
|
Up to 11 weeks after start of treatment
|
ED visits
Time Frame: Up to 11 weeks after start of treatment
|
Number of ED visits during the course of radiation (7 weeks).
Participants are followed for 4 weeks after completion of radiation.
|
Up to 11 weeks after start of treatment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of orthostatic vital signs
Time Frame: Up to 11 weeks after start of treatment
|
Number of orthostatic vital signs during the course of radiation therapy assessed at weekly visits.
|
Up to 11 weeks after start of treatment
|
Missed days of radiation +/- chemotherapy/immunotherapy treatment
Time Frame: Up to 7 weeks after start of treatment
|
Number of missed days of radiation treatment among H&N and esophageal cancer patients undergoing radiation +/- chemotherapy/immunotherapy during the course of treatment.
|
Up to 7 weeks after start of treatment
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Elisha Fredman, MD, University Hospitals Cleveland Medical Center
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 (ACTUAL)
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
Other Study ID Numbers
- CASE8318
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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