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Lung CancerPhase 1NCT00006457

Oltipraz in the Prevention of Lung Cancer in People Who Smoke

A Phase 1 study testing oltipraz in people with Lung Cancer, run by Northwestern University at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development of cancer. PURPOSE: Randomized phase I trial to study the effectiveness of oltipraz in preventing lung cancer in people who smoke. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lung Cancer
What is being tested?
oltipraz
How many people
Not given
Where
2 sitesUnited States
Study dates
Aug 2000to Apr 2004
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

DISEASE CHARACTERISTICS:

  • Current cigarette smokers
  • At least 20 cigarettes a day
  • No variation of more than 10 in the number of cigarettes smoked per day within the past 3 months
  • At least 10 years of smoking any amount
  • Failed to stop smoking after at least one attempt to quit within the last 3 years
  • Prior stage I non-small cell lung cancer allowed if surgically resected with at least a lobectomy
  • No concurrent evidence of lung cancer
  • Willing to undergo 2 bronchoscopies

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • ECOG 0

Life expectancy:

  • Not specified

Hematopoietic:

  • CBC normal
  • Hemostasis normal

Hepatic:

  • PT and PTT normal

Renal:

  • Blood chemistries normal
  • Nonfasting glucose no greater than 200 mg/dL
  • No active renal disease
  • No urinary tract infection by urinalysis (trace protein allowed)

Cardiovascular:

  • EKG normal
  • No coronary artery disease requiring continuous medication

Pulmonary:

  • Chest radiograph normal (postsurgical changes allowed)
  • No acute or significant chronic abnormality
  • FEV1 greater than 1.8 L or 75% predicted
  • No chronic obstructive pulmonary disease requiring continuous medication

Other:

  • No known hypersensitivity or prior adverse reaction to oltipraz
  • No inmates or prisoners
  • No medical or psychological condition that would preclude study (e.g., acute psychosis)
  • No prior malignancy except nonmelanomatous skin cancer, cervical dysplasia, or curatively treated stage I or II cancer of the head and neck
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 6 months after study

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • At least 3 months since prior potential chemoprevention agent (e.g., oltipraz, retinoids, or acetylcysteine)

Endocrine therapy:

  • Not specified

Radiotherapy:

  • Not specified

Surgery:

  • See Disease Characteristics

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Robert H. Lurie Comprehensive Cancer Center, Northwestern University

    Chicago, Illinois, 60611-3013

  • Duke Comprehensive Cancer Center

    Durham, North Carolina, 27710

Other trials in United States

About this study

Official title: Clinical Phase I Multiple-Dose Safety Research Study of Oltipraz in Smokers

RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development of cancer.

PURPOSE: Randomized phase I trial to study the effectiveness of oltipraz in preventing lung cancer in people who smoke.

Read the detailed description

OBJECTIVES:

  • Determine the effect of oltipraz on the level of BP-7,8-diol-9,10-epoxide (BPDE) DNA adducts in the lung lining cells (macrophages and bronchial epithelial cells) of smokers.
  • Determine the tolerability and toxicity of this treatment regimen in these patients.
  • Determine the effect of this treatment regimen on the level of macromolecule adducts in the blood (e.g., BPDE DNA, BPDE hemoglobin, and 8-hydroxy-deoxyguanine), oral lining cells (BPDE DNA), bladder lining cells (4-aminobiphenyl DNA), and lung macrophages (8-hydroxy-deoxyguanine) in these patients.
  • Determine the effect of this treatment regimen on the change (decrease) in activation of NNK as measured by change (increase) in urinary NNAL plus NNAL glucuronide in these patients.
  • Determine the effect of this treatment regimen on the oxidative state, glutathione-S-transferase activity, and superoxide dismutase 3 and phase II enzymes in the lungs and blood of these patients.
  • Compare the changes in oxidative state and phase II enzymes with changes in adduct levels in the lungs and blood of these patients.
  • Determine the correlation between oltipraz-induced changes in phase II enzymes and adduct formation with genotypic variation in glutathione-S-transferase isozymes in these patients.
  • Compare the response to this treatment regimen in terms of oxidative state, phase II enzymes, and adduct formation in the lungs vs the blood in these patients.

OUTLINE: This is a randomized, double-blind, multicenter study. Patients are stratified according to participating center. Patients are randomized to one of three treatment arms.

  • Arm I: Patients receive an oral placebo weekly.
  • Arm II: Patients receive low-dose oral oltipraz weekly.
  • Arm III: Patients receive high-dose oral oltipraz weekly. Treatment continues for 12 weeks in the absence of unacceptable toxicity.

Patients are followed at 4 weeks.

PROJECTED ACCRUAL: A total of 66 patients (22 per treatment arm) will be accrued for this study within 21 months.

Conditions
Lung Cancer
Being tested
oltipraz
Keywords
non-small cell lung cancer, small cell lung cancer
Medical subject headings
Lung Neoplasms, Carcinoma, Non-Small-Cell Lung, Small Cell Lung Carcinoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • oltiprazDrug

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 May 2003 (estimated)
  2. Study startAug 2000
  3. Primary completionApr 2004
  4. Study completionApr 2004

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomised
Masking
Double blind
IDs, dates and publications
ClinicalTrials.gov ID
NCT00006457
Sponsor's protocol ID
NCI 00L1
Other IDs
NU-00L1, DUMC-000346-00-2, NCI-P00-0167
Status last verified
Jun 2012
First submitted
6 Nov 2000
Last updated
11 Jun 2012
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing oltipraz in people with Lung Cancer, run by Northwestern University at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Jun 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jun 2012.

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