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Carcinoma, Squamous Cell of the Head and NeckPhase 3NCT01166542

Efficacy Study of REOLYSIN® in Combination With Paclitaxel and Carboplatin in Platinum-Refractory Head and Neck Cancers

A Phase 3 study testing REOLYSIN, Carboplatin and Paclitaxel in people with Carcinoma, Squamous Cell of the Head and Neck, run by Oncolytics Biotech at 77 sites in 13 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this Phase 3 study is to evaluate overall survival and progression free survival following intravenous administration of REOLYSIN (Reovirus Serotype 3 Dearing) in combination with paclitaxel and carboplatin versus chemotherapy treatment alone, in patients with metastatic or recurrent Squamous Cell… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
REOLYSIN, Carboplatin and Paclitaxel
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
167 participants
Where
77 sitesin 13 countries
Study dates
Jun 2010to May 2014
Phase
Phase 3
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

Who may be able to join

  • have recurrent or metastatic (R/M) histologically confirmed squamous cell carcinoma (SCC) of the head and neck (oropharynx, oral cavity, larynx, hypopharynx) or squamous cell nasopharynx cancer (NPC) with distal metastasis(es) and no secondary cancers (Patients with NPC without distal metastasis(es) or with undifferentiated NPC are not eligible).
  • have at least one lesion that is measurable by computed tomography or magnetic resonance imaging (Lesions persisting in previously treated radiation fields are considered not evaluable for response except if representing a relapse in a mucosal or nodal lesion that previously demonstrated a complete response. Any new lesion within the previous radiation fields is acceptable for determination of response and/or progression).
  • have completed first line chemotherapy for R/M SCCHN which progressed on or within 190 days following the completion of platinum or platinum-based chemotherapy.
  • have no continuing acute toxic effects (except alopecia) of any prior radiotherapy, chemotherapy, or surgical procedures. Any surgery involving the SCC for which the patient is being treated (except biopsies) must have occurred at least 28 days prior to study enrollment.
  • have received no chemotherapy, radiotherapy, immunotherapy or hormonal therapy within 28 days.
  • have ECOG Performance Score of ≤ 2.
Show all 10Show fewer
  • have life expectancy of at least 3 months.
  • absolute neutrophil count (ANC)≥ 1.5 x 10^9/L ; platelets ≥100 x 10^9/L]; hemoglobin ≥9.0 g/dL; serum creatinine ≤1.5 xULN; bilirubin ≤1.5 x ULN; AST/ALT ≤2.5 x ULN.
  • negative pregnancy test for females with childbearing potential.
  • Be wiling and able to comply with scheduled visits, the treatment plan, and laboratory tests.

Who cannot join

  • receive concurrent therapy with any other investigational anticancer agent while on study.
  • have been treated with a taxane for SCCHN.
  • have current -- or with a history of -- brain metastases because of their poor prognosis and because of the frequent development of progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse events.
  • be on chronic immunosuppressive therapy or have known HIV infection or active hepatitis B or C.
  • be a pregnant or breast-feeding woman. Female patients of childbearing potential must agree to use effective contraception, be surgically sterile, or be postmenopausal. Male patients must agree to use effective contraception or be surgically sterile. Barrier methods are a recommended form of contraception.
  • have clinically significant cardiac disease (New York Heart Association, Class III or IV) including, but not limited to, pre-existing arrhythmia, uncontrolled angina pectoris, or myocardial infarction within 1 year prior to study entry.
  • have dementia or any altered mental status that would prohibit informed consent.
  • have any other acute, or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration or may interfere with the interpretation of study results and, in the judgment of the Principal Investigator, would make the patient inappropriate for this study.

Trial locations and contacts

77 sites in 13 countries.

77 sites in 13 countries

United States21 sites
  • Emory University - Winship Cancer Institute

    Altanta, Georgia, 30322

  • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center

    Baltimore, Maryland, 21231

  • Mary Bird Perkinds Cancer Center - Baton Rouge

    Baton Rouge, Louisiana, 70809

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35233

  • Dana-Farber Cancer Institute

    Boston, Massachusetts, 02115

  • Providence Health and Services

    Burbank, California, 91505

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Case Comprehensive Cancer Center, University Hospitals Case Medical Center

    Cleveland, Ohio, 44106

  • Wilshire Oncology Medical Group

    Corona, California, 92879

  • Texas Oncology- Sammons Cancer Center

    Dallas, Texas, 75246

  • Rocky Mountain Cancer Centers

    Denver, Colorado, 80218

  • Alexian Brothers Hospital Network

    Elk Grove Village, Illinois, 60007

  • Columbia Basin Hematology and Oncology

    Kennewick, Washington, 99336

  • Comprehensive Cancer Centers of Nevada

    Las Vegas, Nevada, 59169

  • Pasco Hernando Oncology Associates, PA

    New Port Richey, Florida, 34652

  • BMS Physician Practice, A Medical Corporation DBA Medical Oncology Care Associates

    Orange, California, 92868

  • Cancer Therapy and Research Center at UTHSCSA

    San Antonio, Texas, 78229

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • Mercy Cancer Center

    Toledo, Ohio, 43623

  • Arizona Oncology Associates

    Tucson, Arizona, 85715

  • Texas Oncology - Tyler

    Tyler, Texas, 75702

Other trials in United States

Russia14 sites
  • State Health Care Institution "Arkhangelsk Regional Clinical Oncology Dispensary"

    Arkhangelsk

  • Regional State Health Care Institution "Belgorod Oncology Dispensary"

    Belgorod

  • State Health Care Institution "Chelyabinsk Regional Oncology Dispensary"

    Chelyabinsk

  • State Health Care Institution "Republican Clinical Oncology Dispensary of Ministry of Health of the Republic of Tatarstan"

    Kazan'

  • State Budgetary Health Care Institution "Clinical Oncology Dispensary #1" of Krasnodar Region Health Care Department

    Krasnodar

  • Regional Budgetary Health Care Institution "Kursk Regional Oncology Dispensary" of Health Care Committee of Kursk region

    Kursk

  • Federal State Budgetary Institution "Medical Research Radiology Center" of Ministry of Public Health and Social Development of Russian Federation, Obninsk

    Obninsk

  • Federal State Budgetary Institution "N. N. Petrov Oncology Research Institute" of Ministry of Public Health and Social Development of the Russian Federation

    Saint Petersburg

  • Federal State Budgetary Institution "Russian Research Centre of Radiology and Surgery technologies" of Ministry of Public Health and Social Development of the Russian Federation

    Saint Petersburg

  • St.Petersburg State Health Care Institution City Clinical Oncology Dispensary"

    Saint Petersburg

  • State Health Care Institution "Oncology Dispensary №2" of Krasnodar Region Health Care Department

    Sochi

  • State Health Care Institution "Tula Regional Oncology Dispensary"

    Tula

  • State Budgetary Healthcare Institution "Republic Clinical Oncology Dispensary Ministry of Health of Bashkortostan"

    Ufa

  • State Budgetary Health Care Institution of the Yaroslavl region "Regional Clinical Oncological Hospital"

    Yaroslavl

Other trials in Russia

United Kingdom9 sites
  • Beatson West of Scotland Cancer Center

    Glasgow, G12 0YN

  • Royal Surrey County Hospital

    Guildford, GU2 7WG

  • St. James's University Hospital

    Leeds, LS9 7TF

  • Guy's and St. Thomas Hospital

    London, SE1 9RT

  • The Royal Marsden Cancer Center, Fulham Road branch

    London, SW3 6JJ

  • Clatterbridge Centre for Oncology NHS Foundation Trust

    Metropolitan Borough of Wirral, CH634JY

  • The Royal Marsden Cancer Center, Sutton Branch

    Sutton, SM2 5PT

  • Musgrove Park Hospital

    Taunton, TA1 5DA

  • The Velindre Hospital

    Whitchurch, CF14 2TL

Other trials in United Kingdom

Spain7 sites
  • Hospital Vall D'Hebron

    Barcelona, 08035

  • Instituto Catlan de Oncologia (ICO) - Hospital Duran i Reynals

    Barcelona, 08908

  • Hospital Clinic i Provincial de Barcelona

    Barcelona

  • Hospital Santa Creu I Sant Pau

    Barcelona

  • Instituto Catlan de Oncologia (ICO) - Hospital Germans Trias I Pujol

    Barcelona

  • Hospital de Basurto

    Bilbao

  • Hospital de Navarra

    Pamplona

Other trials in Spain

Hungary5 sites
  • Fovarosi Onkormanyzat Uzsoki Utcai Kórház

    Budapest

  • Orszagos Onkologiai Intezet

    Budapest

  • Pecsi Tudomanyegyetem

    Pécs

  • Szegedi Tudományegyetem

    Szegedi

  • Markusovszky Korhaz

    Szombathely

Other trials in Hungary

Canada4 sites
  • Tom Baker Cancer Centre

    Calgary, Alberta, T2N 4N2

  • Juravinski Cancer Center

    Hamilton, Ontario, L8V 5C2

  • London Health Sciences Centre

    London, Ontario, N6A 4L6

  • Hopital Notre-Dame

    Montreal, Quebec, H2L 4M1

Other trials in Canada

Italy4 sites
  • Ufficio Sperimentazioni Cliniche c/o S.C. Oncologia Medica

    Cuneo

  • Fondazione IRCCS Istituto Nazionale del Tumori

    Milan

  • Ospedale San Paolo - Oncologia Medica

    Milan

  • University Hospital in Modena

    Modena

Other trials in Italy

Poland4 sites
  • Centrum Onkologii - Instytyt im.M.Skłodowskiej-Curie

    Krakow

  • Wojewódzki Szpital Specjalistyczny im. M.Kopernika

    Lodz

  • Szpital MSWiA - Centrum Onkologi

    Olsztyn

  • Wielkopolskie Centrum Onkologii

    Poznan

Other trials in Poland

Belgium3 sites
  • ZNA Middelheim

    Antwerp

  • University Hospital Antwerp

    Edegem

  • Universitair Ziekenhuis Brussel

    Jette, 1090

Other trials in Belgium

France3 sites
  • Hopital Saint-André / Service d'Oncologie-Radiothérapie

    Bordeaux, 33075

  • Centre Antoine Lacassagne / Oncologie Médicale

    Nice, 06189

  • Institut Curie / Département d'Oncologie Médicale

    Paris, 75248

Other trials in France

Germany1 site
  • UKE Hamburg

    Hamburg

Other trials in Germany

Greece1 site
  • Attikon University Hospital

    Athens

Other trials in Greece

Slovenia1 site
  • Institute of Oncology Ljubljana

    Ljubljana

Other trials in Slovenia

About this study

Official title: Randomized, Double-blind, Multicenter Two-Stage Adaptive Phase 3 Study of Intravenous Administration of REOLYSIN (Reovirus Type 3 Dearing) in Combination With Paclitaxel and Carboplatin Versus the Chemotherapy Alone in Patients With Metastatic or Recurrent Squamous Cell Carcinoma of the Head and Neck Who Have Progressed on or After Prior Platinum-Based Chemotherapy

The purpose of this Phase 3 study is to evaluate overall survival and progression free survival following intravenous administration of REOLYSIN (Reovirus Serotype 3 Dearing) in combination with paclitaxel and carboplatin versus chemotherapy treatment alone, in patients with metastatic or recurrent Squamous Cell Carcinoma of the Head and Neck.

Read the detailed description

Squamous cell carcinoma of the head and neck is the sixth most common cancer in the world. More than 50% of patients diagnosed with advanced regional disease will relapse locally or at distant sites. Initial therapeutic options include irradiation, surgery and chemotherapy. The most commonly used agents are cisplatin and carboplatin, generally in combination with 5-FU or a taxane. Erbitux has been approved for use in first-line with radiation and in second-line as monotherapy. Only about a third of the patients will respond to first-line platinum-based therapy and the median overall survival is about 6-9 months.

Preliminary assessment of a Phase 1-2 study conducted in the UK investigating the combination of REOLYSIN, carboplatin and paclitaxel suggested that patients with head and neck carcinomas may represent a group of patients in whom this treatment combination is active. Studies have also shown that paclitaxel and carboplatin combination therapy may be effective in head and neck cancers, even in heavily pretreated patients and those resistant to previous treatment. These results strongly support the utility of the carboplatin/paclitaxel combination as a control arm for salvage therapy in platinum refractory patients, a patient group with few and poor treatment options and with no gold standard therapy.

This Phase 3 study is designed to compare response rates following intravenous administration of REOLYSIN (Reovirus Type 3 Dearing) in combination with paclitaxel and carboplatin versus chemotherapy treatment alone, in patients with metastatic or recurrent Squamous Cell Carcinoma of the Head and Neck.

Overall survival is a primary endpoint of this trial. Patients will be clinically evaluated after each course of treatment and radiologically every 6 weeks on and after treatment. The safety of the paclitaxel and carboplatin with intravenous blinded placebo or intravenous blinded REOLYSIN will also be assessed.

Being tested
REOLYSIN, Carboplatin, Paclitaxel, Placebo
Keywords
carcinoma, squamous cell, head, neck, REOLYSIN (Reovirus Type 3 Dearing), chemotherapy, Carboplatin, Paclitaxel, metastatic, recurrent
Medical subject headings
Squamous Cell Carcinoma of Head and Neck, Carcinoma, Neoplasm Metastasis, Recurrence

What participants receive

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

  • REOLYSINBiological

    Also called reovirus serotype 3 Dearing Strain

    3E10 TCID50, 1 hour intravenous infusion, administered on Days 1, 2, 3, 4 and 5 of a 21 day cycle

  • CarboplatinDrug

    5 AUC mg/mL min, 30 min intravenous infusion, given on Day 1 of a 21 day cycle

  • PaclitaxelDrug

    175 mg/m2, 3 hour intravenous infusion, given on Day 1 of a 21 day cycle

  • PlaceboDrug

    Placebo

Study groups in NCT01166542
Study groupRoleWhat they receive
REOLYSIN, paclitaxel, carboplatinActive comparatorNot described
Receives: Biological: REOLYSIN; Drug: Carboplatin; Drug: Paclitaxel
placebo, paclitaxel, carboplatinPlacebo comparatorNot described
Receives: Drug: Carboplatin; Drug: Paclitaxel; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall survival

    Measured: every 3 months until death.

Secondary outcomes (4)
  1. Progression-free survival

    Measured: Assessed every 6 weeks until disease progression or death.

  2. Objective response (complete response (CR) + partial response (PR)) rate and duration

    Measured: Evaluation of response is conducted every 6 weeks on and after study. Duration of objective response is measured from the time measurement criteria are first met for CR or PR until recurrent or progressive disease is objectively documented.

  3. Number of participants with adverse events as a measure of safety and tolerability of REOLYSIN when administered in combination with paclitaxel and carboplatin.

    Measured: Within 30 days of the last dose of REOLYSIN.

  4. Compare Best % Tumor Specific Response in loco-regional disease and/or metastatic disease for the treatment regimens in the study population

    Measured: Assessed every 6 weeks until disease progression or death.

Timeline

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

  1. First posted21 Jul 2010 (estimated)
  2. Study startJun 2010
  3. Primary completionApr 2012
  4. Study completionMay 2014

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
167 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01166542
Sponsor's protocol ID
REO 018
Status last verified
Nov 2014
First submitted
13 Jul 2010
Last updated
5 Nov 2014
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing REOLYSIN, Carboplatin and Paclitaxel in people with Carcinoma, Squamous Cell of the Head and Neck, run by Oncolytics Biotech at 77 sites in 13 countries.

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

Who may be eligible to take part?

The sponsor lists 10 inclusion and 8 exclusion criteria. 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 5 Nov 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 77 sites in United States, Russia, United Kingdom, Spain, Hungary and 8 more countries. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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.

What does the primary outcome measure?

Overall survival (time frame: every 3 months until death.). It is what the study was designed to measure, not a finding.

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 5 Nov 2014.

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