Denne side blev automatisk oversat, og nøjagtigheden af ​​oversættelsen er ikke garanteret. Der henvises til engelsk version for en kildetekst.

Atorvastatin in Preventing Nasopharyngeal Carcinoma Patients Receiving Radiotherapy From Carotid Stenosis

1. december 2017 opdateret af: Yamei Tang, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

Atorvastatin in Preventing Nasopharyngeal Carcinoma Patients Receiving Radiotherapy From Carotid Stenosis: A Multicenter, Double-blind, Placebo-Controlled, Randomized Trial

Patients with head and neck cancer who underwent irradiation have a higher risk of developing severe carotid stenosis, and eventually develop to transient ischemic attack or stroke. However, it's still not clear whether early intervene in vascular risk factors is benefit for patients after radiotherapy.

Our study aimed to evaluate the feasibility and safety of atorvastatin for preventing NPC patients after radiotherapy from severe carotid stenosis. In a randomized, double-blind, placebo-controlled trial, about 324 nasopharyngeal carcinoma (NPC) patients will be enrolled from six centers in Guangdong Province and randomized 1:1 to atorvastatin group or placebo group.

Studieoversigt

Detaljeret beskrivelse

It is a randomized, double-blind, placebo-controlled trial, about 324 nasopharyngeal carcinoma (NPC) patients will be enrolled from six centers in Guangdong Province and randomized 1:1 to atorvastatin group (20mg per night, totally 2 years) or placebo group. All Patients will be followed up for 2 years. Ultrasound and Transcranial Color Doppler (TCD) will be used to evaluate the changes of intima-media thickness (IMT) and occurrence of plaque formation of carotid arteries. Safety will be monitored every 6 months.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

324

Fase

  • Fase 2

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Guangdong
      • Dongguan, Guangdong, Kina, 523059
        • Dongguan People's Hospital
      • Guangzhou, Guangdong, Kina, 510060
        • Sun Yat-Sen University Cancer Center
      • Guangzhou, Guangdong, Kina, 510120
        • Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
      • Zengcheng, Guangdong, Kina, 511300
        • Zengcheng People's Hospital
      • Zhanjiang, Guangdong, Kina, 524001
        • The Affiliated Hospital of Guangdong Medical College
    • Guangxi
      • Nanning, Guangxi, Kina, 530021
        • The First Affiliated Hospital of Guangxi Medical University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

40 år til 65 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Patients must have received radiation therapy for histologically confirmed nasopharyngeal carcinoma.
  • Prior irradiation <3 years prior to study entry.
  • Male or fertile women who are willing to take contraception during the trial.
  • Age 40-65 years old.
  • Carotid stenosis < 50%.
  • LDL-C between 100mg/dL(2.5mmol/L)and 190mg/dL(4.9mmol/L).
  • Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

  • History of bleeding related to tumor or radiotherapy during or after radiation.
  • Evidence of tumor invasion to major vessels(for example the carotid artery).
  • Severe complications, such as history of stroke, myocardial infarction, liver diseases, thyroid dysfunction, inadequately controlled hypertension and epilepsy.
  • Familial hypercholesterolemia.
  • Taking lipid-lowing drugs.
  • Aspartate aminotransferase(AST) or alanine aminotransferase(ALT) >upper limits of normal (ULN), creatinine >ULN.
  • Allergic history of atorvastatin.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Forebyggelse
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Atorvastatin
Patients will take atorvastatin 20mg per night, totally 2 years.
Patients in this group will take 20mg per night.
Andre navne:
  • Lipitor
  • Atorvastatin Calcium Tablets
Placebo komparator: Placebo
Patients will take placebo once per night for 2 years. The appearance and dosage of placebo will be the same as atorvastatin.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change from baseline in maximal of IMT of bilateral carotid arteries
Tidsramme: At baseline and 2 years
Patients will take Ultrasound and Transcranial Color Doppler every 6 months to measure the thickness of intima-media thickness (IMT) and occurrence of plaque formation of carotid arteries. We will compare the maximal IMT of bilateral carotid arteries at 2 years from baseline.
At baseline and 2 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Incidence of sever carotid stenosis
Tidsramme: At 2 years
Patients will be followed up for 2 years. We defined sever carotid stenosis as stenosis>50% by using ultrasound and TCD.
At 2 years
Incidence of cardiovascular events
Tidsramme: At 2 years
Patients will be followed up for 2 years and cardiovascular events such as stroke, transient ischemic attack (TIA) will be recorded.
At 2 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Ying Peng, Ph.D, Sun Yat-sen Memorial Hospital,Sun Yat-sen University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. januar 2017

Primær færdiggørelse (Forventet)

1. december 2023

Studieafslutning (Forventet)

1. januar 2024

Datoer for studieregistrering

Først indsendt

11. december 2013

Først indsendt, der opfyldte QC-kriterier

20. december 2013

Først opslået (Skøn)

27. december 2013

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

4. december 2017

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

1. december 2017

Sidst verificeret

1. december 2017

Mere information

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Nasopharyngealt karcinom

Kliniske forsøg med Placebo

Abonner