Porfiromycin Used as an Adjuvant to Radiation Therapy in Postoperative Head and Neck Cancer Patients
A Phase III, Double-Blind, Randomized, Placebo-Controlled Study of Porfiromycin Used as an Adjuvant to Radiation Therapy in Postoperative Head and Neck Cancer Patients
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Studietype
Studietype
Inschrijving (Werkelijk)
Inschrijving
Fase
Fase
- Fase 3
Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- Male or female postoperative radical neck surgery patients with histologically proven Stage III or IV (without distant metastases) epidermoid (squamous cell) carcinoma of the head and neck limited to the following locations as defined by the American Joint Commission (AJC): lip and oral cavity, pharynx, or larynx.
- Postoperative radical patients whose specimen had a) microscopic positive tumor cell margins (< 2mm from surgical margin) or b) extranodal capsular spread (perineural-vascular embolization) or c) two or more positive nodes
- Postoperative radical neck patients must have received Radiotherapy (RT).
- Performance status of ≥ 70 on the Karnofsky Performance Score (KPS) at screening.
- Patients ≥ 18 years of age
- Patients must have provided written informed consent prior to participation in the trial.
- Patients must have demonstrated an educational level and a degree of understanding such that they could communicate effectively with the investigator.
Exclusion Criteria:
- Patients that received any prior chemotherapy including mitomycin-C or porfiromycin.
- Treatment with granulocyte, granulocyte-macrophage stimulating factor (G-CSF, GM-CSF) or Interleukin-11 within 30 days prior to start of RT.
- RT within the treatment field for any malignancy within the past five years.
- Patients who had any gross (visible or palpable) residual disease left after surgery.
Patients who met any of the following clinical laboratory criteria upon screening:
- Granulocyte (neutrophil) count of < 1,500/cubic millimeters (mm3)
- Platelets < 75,000/mm3
- Prothrombin time (PT) and partial thromboplastin time (PTT) > 1.5 times the upper limit of normal (ULN) in seconds.
- Women who were pregnant or nursing.
- Women of childbearing potential who were unwilling to utilise a medically acceptable method of contraception (oral contraceptives, intrauterine devices, diaphragm or subdermal implants eg: Norplant®).
- Other malignancies active within the past five years (other than basal or squamous cell carcinomas of the skin outside the planned radiation portals, or in situ carcinoma of the cervix).
- The presence of more than one primary tumor or presence of distant metastases.
- The presence of any other life-threatening illness, such a severe chronic lung, liver, or heart disease that would be expected to be fatal within five years, regardless of the patient's cancer status.
- Patients who participated in a clinical trial with another investigational drug or treatment 30 days prior to screening.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Dubbele
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
|---|---|
|
Experimenteel: Porfiromycin + Radiotherapy
|
|
|
Placebo-vergelijker: Placebo + Radiotherapy
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
|
Time to Disease Progression
Tijdsspanne: week 4 and 8 post treatment, every 8 weeks until end of study
|
week 4 and 8 post treatment, every 8 weeks until end of study
|
|
Maximum toxicity grades of Adverse Events (AE)
Tijdsspanne: until 42 days after end of treatment
|
until 42 days after end of treatment
|
|
Time to non-accidental death
Tijdsspanne: week 4 and 8 post treatment, every 8 weeks until end of study
|
week 4 and 8 post treatment, every 8 weeks until end of study
|
|
Serum porfiromycin concentration-time profile
Tijdsspanne: up to week 7
|
up to week 7
|
Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
|
Death for any reason
Tijdsspanne: 4 weeks post treatment for every 8 weeks through 48 weeks, every 12 weeks until end of study
|
4 weeks post treatment for every 8 weeks through 48 weeks, every 12 weeks until end of study
|
|
Loss of local or regional control, distant metastasis or death for any reason
Tijdsspanne: 4 weeks post treatment for every 8 weeks through 48 weeks, every 12 weeks until end of study
|
4 weeks post treatment for every 8 weeks through 48 weeks, every 12 weeks until end of study
|
|
Loss of local or regional control or distant metastasis
Tijdsspanne: 4 weeks post treatment for every 8 weeks through 48 weeks, every 12 weeks until end of study
|
4 weeks post treatment for every 8 weeks through 48 weeks, every 12 weeks until end of study
|
|
Loss of local or regional control
Tijdsspanne: 4 weeks post treatment for every 8 weeks through 48 weeks, every 12 weeks until end of study
|
4 weeks post treatment for every 8 weeks through 48 weeks, every 12 weeks until end of study
|
|
Occurrence of Adverse Events
Tijdsspanne: up to week 16
|
up to week 16
|
|
Significant changes in laboratory tests
Tijdsspanne: up to week 7
|
up to week 7
|
|
Changes from baseline in Patients health related Quality of life-Questionnaires
Tijdsspanne: week 1, 5, 7, 4 weeks post treatment, every 12 weeks until end of study
|
week 1, 5, 7, 4 weeks post treatment, every 12 weeks until end of study
|
Medewerkers en onderzoekers
Sponsor
Sponsor
Publicaties en nuttige links
Nuttige links
Studie record data
Bestudeer belangrijke data
Studie start
Studie start
Primaire voltooiing (Werkelijk)
Primaire voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
Andere studie-ID-nummers
- 1164.4
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