- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02022293
Atorvastatin in Preventing Nasopharyngeal Carcinoma Patients Receiving Radiotherapy From Carotid Stenosis
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
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Tilmelding (Forventet)
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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Guangdong
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Dongguan, Guangdong, Kina, 523059
- Dongguan People's Hospital
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Guangzhou, Guangdong, Kina, 510060
- Sun Yat-Sen University Cancer Center
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Guangzhou, Guangdong, Kina, 510120
- Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
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Zengcheng, Guangdong, Kina, 511300
- Zengcheng People's Hospital
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Zhanjiang, Guangdong, Kina, 524001
- The Affiliated Hospital of Guangdong Medical College
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Guangxi
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Nanning, Guangxi, Kina, 530021
- The First Affiliated Hospital of Guangxi Medical University
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
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
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Aktiv komparator: Atorvastatin
Patients will take atorvastatin 20mg per night, totally 2 years.
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Patients in this group will take 20mg per night.
Andre navne:
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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.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change from baseline in maximal of IMT of bilateral carotid arteries
Tidsramme: At baseline and 2 years
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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.
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At baseline and 2 years
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Incidence of sever carotid stenosis
Tidsramme: At 2 years
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Patients will be followed up for 2 years.
We defined sever carotid stenosis as stenosis>50% by using ultrasound and TCD.
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At 2 years
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Incidence of cardiovascular events
Tidsramme: At 2 years
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Patients will be followed up for 2 years and cardiovascular events such as stroke, transient ischemic attack (TIA) will be recorded.
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At 2 years
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Samarbejdspartnere og efterforskere
Efterforskere
- Ledende efterforsker: Ying Peng, Ph.D, Sun Yat-sen Memorial Hospital,Sun Yat-sen University
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Hjerte-kar-sygdomme
- Karsygdomme
- Cerebrovaskulære lidelser
- Hjernesygdomme
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Arterielle okklusive sygdomme
- Neoplasmer efter histologisk type
- Neoplasmer
- Neoplasmer efter sted
- Neoplasmer, kirtel og epitel
- Pharyngeale neoplasmer
- Otorhinolaryngologiske neoplasmer
- Neoplasmer i hoved og hals
- Nasopharyngeale sygdomme
- Pharyngeale sygdomme
- Stomatognatiske sygdomme
- Otorhinolaryngologiske sygdomme
- Patologiske Tilstande, Anatomiske
- Carotisarteriesygdomme
- Nasopharyngeale neoplasmer
- Karcinom
- Nasopharyngealt karcinom
- Carotis stenose
- Forsnævring, patologisk
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- Antimetabolitter
- Antikolesteræmiske midler
- Hypolipidæmiske midler
- Lipidregulerende midler
- Hydroxymethylglutaryl-CoA-reduktasehæmmere
- Atorvastatin
Andre undersøgelses-id-numre
- 2013018
- SYSN003
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Kliniske forsøg med Nasopharyngealt karcinom
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National Cancer Institute (NCI)AfsluttetNivolumab til behandling af patienter med tilbagevendende og/eller metastatisk nasopharyngeal cancerTilbagevendende nasopharynx carcinom | Stadie III Nasopharyngeal Carcinoma AJCC v7 | Stadie IV Nasopharyngeal Carcinoma AJCC v7 | Stadie IVA Nasopharyngeal Carcinoma AJCC v7 | Stadie IVB Nasopharyngeal Carcinoma AJCC v7 | Stadie IVC Nasopharyngeal Carcinoma AJCC v7 | Nasopharyngeal ikke-eratiniserende...Forenede Stater, Singapore, Kina
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LifeMine TherapeuticsRekruttering