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Head and Neck NeoplasmsPhase 3NCT02183246

Porfiromycin Used as an Adjuvant to Radiation Therapy in Postoperative Head and Neck Cancer Patients

A Phase 3 study testing Porfiromycin and Radiotherapy in people with Head and Neck Neoplasms, run by Boehringer Ingelheim.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Determination of efficacy and safety of porfiromycin versus placebo as an adjuvant to radiotherapy in postoperative head and neck a cancer patients as well as assessment of population pharmacokinetic parameters. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Head and Neck Neoplasms
What is being tested?
Porfiromycin and Radiotherapy
Type of treatment
Surgery or procedure
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
3 participants
Where
No sites listed yet
Study dates
May 2000to Dec 2000
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

  • 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.

Who cannot join

  • 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)
Show all 14Show fewer
  • 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.

About this study

Official title: 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

Determination of efficacy and safety of porfiromycin versus placebo as an adjuvant to radiotherapy in postoperative head and neck a cancer patients as well as assessment of population pharmacokinetic parameters.

Being tested
Porfiromycin, Placebo, Radiotherapy
Medical subject headings
Head and Neck Neoplasms

What participants receive

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

  • PorfiromycinDrug

  • PlaceboDrug

  • RadiotherapyRadiation

Study groups in NCT02183246
Study groupRoleWhat they receive
Porfiromycin + RadiotherapyExperimentalNot described
Receives: Drug: Porfiromycin; Radiation: Radiotherapy
Placebo + RadiotherapyPlacebo comparatorNot described
Receives: Drug: Placebo; Radiation: Radiotherapy

What is being measured

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

  1. Time to Disease Progression

    Measured: week 4 and 8 post treatment, every 8 weeks until end of study

  2. Maximum toxicity grades of Adverse Events (AE)

    Measured: until 42 days after end of treatment

  3. Time to non-accidental death

    Measured: week 4 and 8 post treatment, every 8 weeks until end of study

  4. Serum porfiromycin concentration-time profile

    Measured: up to week 7

Secondary outcomes (7)
  1. Death for any reason

    Measured: 4 weeks post treatment for every 8 weeks through 48 weeks, every 12 weeks until end of study

  2. Loss of local or regional control, distant metastasis or death for any reason

    Measured: 4 weeks post treatment for every 8 weeks through 48 weeks, every 12 weeks until end of study

  3. Loss of local or regional control or distant metastasis

    Measured: 4 weeks post treatment for every 8 weeks through 48 weeks, every 12 weeks until end of study

  4. Loss of local or regional control

    Measured: 4 weeks post treatment for every 8 weeks through 48 weeks, every 12 weeks until end of study

  5. Occurrence of Adverse Events

    Measured: up to week 16

  6. Significant changes in laboratory tests

    Measured: up to week 7

  7. Changes from baseline in Patients health related Quality of life-Questionnaires

    Measured: week 1, 5, 7, 4 weeks post treatment, every 12 weeks until end of study

Timeline

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

  1. First posted8 Jul 2014 (estimated)
  2. Study startMay 2000
  3. Primary completionDec 2000

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
Double blind
Enrolment
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02183246
Sponsor's protocol ID
1164.4
Status last verified
Jul 2014
First submitted
4 Jul 2014
Last updated
8 Jul 2014
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Porfiromycin and Radiotherapy in people with Head and Neck Neoplasms, run by Boehringer Ingelheim.

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 7 inclusion and 14 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: stopped early, as of the sponsor's last update on 8 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.

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 was stopped early. Results are not available in the source record.

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?

Time to Disease Progression (time frame: week 4 and 8 post treatment, every 8 weeks until end of study). The study lists 4 primary outcomes in all. 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 8 Jul 2014.

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