CancerPhase 2NCT06092606
A Multicenter Clinical Trial on DH001 Tablets in the Prevention of Doxorubicin-induced Cardiotoxicity in Cancer Patients
A Phase 2 study testing Trial group: DH001 low-dose group and Trial group: DH001 high-dose group in people with Cancer and Heart Failure, run by Monyan Pharmaceutical (Shanghai) Co., Ltd. at 1 site in China.
Trial summary
Purpose:1. Preliminary evaluation of the preventive effect of DH001 on doxorubicin-induced cardiotoxicity in cancer patients 2.To explore appropriate dosages to provide basis for dosages in subsequent confirmatory studies 3.To evaluate the effect of DH001 on the efficacy of doxorubicin treatment in cancer patients… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Cancer, Heart Failure, Arrhythmia
- What is being tested?
- Trial group: DH001 low-dose group and Trial group: DH001 high-dose group
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 90 participants
- Where
- 1 siteChina
- Study dates
- 4 Apr 2023to 31 Jan 2025
- Phase
- Phase 2
- 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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects who meet all the following criteria can be included in this study:
- 1. Newly diagnosed lymphoma or non-lymphoma patients (breast cancer, soft tissue sarcoma, etc.) as well as lymphoma or non-lymphoma patients that do not have a history of anthracycline treatment (doxorubicin, epirubicin, pyrandoxorubicin, daunorubicin, demethoxydaunorubicin, aclarithromycin, mitoxantrone, etc.);Cancer patients should meet the following requirements:
- Lymphoma:
- Lymphoma patients confirmed by histopathology;
- No previous history of anthracyclines treatment;
- Doxorubicin treatment planned for no less than 6 cycles;
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- Non-lymphoma (breast cancer, soft tissue sarcoma, etc.):
- Subjects with malignant tumors (breast cancer, soft tissue sarcoma, etc.) confirmed by histopathology and/or cytology;
- Subjects planned to be treated with doxorubicin continuously for no less than 4 cycles(The cumulative dose of doxorubicin is no less than 240 mg/m2.);
- Subjects with no history of systemic chemotherapy involving anthracyclines; 2.Age 18-75 years old, male or female; 3.ECOG PS score 0-1; 4.Expected survival ≥24 weeks; 5. Vital organs function well, that is, relevant examination indicators within 14 days before randomization meet the following requirements:
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- Blood routine tests:
- Hemoglobin ≥95 g/L (no blood transfusion within 14 days);
- Neutrophil count ≥1.5×109/L;
- Platelet count ≥75×109/L;
- Blood biochemical tests:
- Total bilirubin ≤ 1.5×ULN ( upper limit of normal );
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≤ 3.0×ULN;
- Creatinine (Cr) ≤1.5×ULN or creatinine clearance rate ≥ 60 ml/min (CockcroftGault formula); 6.Male or female patients of childbearing potential who are willing to use effective contraceptive methods during the study, as well as within 6 months after the last dose of treatment (e.g., double barrier, condoms, oral or injectable contraceptives, intrauterine devices, etc.). All female patients will be considered to be of childbearing potential unless the female patient has undergone natural menopause, artificial menopause or sterilization (such as hysterectomy, bilateral adnexectomy or radioactive ovarian irradiation, etc.).The serum test results within 7 days prior to the enrollment of female patients must show that they are not pregnant , and they must be non-lactating.
- 7.Subjects'participation should be voluntary,subjects have signed the informed consent form,show good compliance, and are able to actively cooperate with treatment and follow-up visits.
Who cannot join
- 1.Subjects scheduled to receive other anthracycline regimens; 2.Subjects who have previously received or plan to receive radiotherapy with a target area including the heart or left axillary lymph node; 3.HER-2 positive breast cancer patients; 4.Subjects with existing cardiac clinical symptoms or diseases that are not well controlled, such as:
- Cardiac Doppler ultrasound evaluation: left ventricular ejection fraction (LVEF) <55%;
- QTc > 450ms (men); QTc > 470ms (women) (QTc interval calculated using the Fridericia Formula; if QTc is abnormal, it can be detected three times continuously with an interval of 2 minutes, and the average value is then taken);
- Serum biomarkers:
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- Cardiac troponin T (cTnT, if applicable): cTnT > upper limit of normal ;
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- cardiac troponin I(cTnI):cTnI>upper limit of normal;
- N-terminal pro-BNP:NT-proBNP≥upper limit of normal;
- B-type natriuretic peptide(BNP,if applicable):BNP≥upper limit of normal; 4)New York Heart Association Classification (NYHA standards) of cardiac function >Class II; 5) Unstable angina; 6) Heart failure; 7) Moderate valvular heart disease or above; 8) Myocardial infarction within 1 year before enrollment; 9)Clinically significant supraventricular or ventricular arrhythmias requiring treatment or intervention; 5.Subjects with high blood pressure that is not well controlled using antihypertensive medication (systolic blood pressure ≥160 mmHg or diastolic blood pressure ≥100 mmHg) (based on the average of BP readings obtained from ≥2 measurements),the above parameters are allowed to be achieved through the use of antihypertensive therapy;Subjects with a history of hypertensive crisis or hypertensive encephalopathy; 6.Subjects with type 1 diabetes(T1D); 7.Subjects with a body mass index ≥28 kg/m2; 8.Subjects with a history of previous heart transplant or complex congenital heart disease.
- 9.Subjects that have undergone major surgical treatment (except for diagnosis) within 4 weeks before enrollment or are expected to require major surgical treatment during the study period (except for tumor resection surgery); 10.Subjects with congenital or acquired immunodeficiency diseases, including human immunodeficiency virus (HIV), or history of organ transplantation or allogeneic stem cell transplantation; 11.Subjects with known active infections or active pulmonary tuberculosis infections shall not be included in the study;However, patients infected with hepatitis B virus (HBV) and hepatitis C virus (HCV) whose condition is stable after antiviral treatment can be enrolled.
- 12.Subjects with a history of other malignancies within 5 years, excluding adequately treated cervical cancer in situ, basal cell or squamous cell skin cancer, localized prostate cancer after radical surgery, and breast ductal carcinoma in situ.
- 13.Subjects whom the investigators believe have lesions that require emergency palliative radiotherapy/emergency surgery (such as spinal cord compression, cerebral herniation, pathological fracture).
- 14.Subjects possess physical examination or clinical experimental findings that, investigators believe, may interfere with the results or increase the subject's risk of treatment complications;subjects who suffer from other uncontrollable diseases.
- 15.Subjects who are unable to swallow pills, subjects with malabsorption syndrome, or any condition that affects gastrointestinal absorption.
- 16.Subjects with obvious mental disorders or epilepsy; subjects with no behavioral or cognitive abilities; drug addicts; pregnant or lactating women.
- 17.Subjects who have participated in other clinical trials within 1 month before screening.
- 18.Subjects determined unfit to participate by the investigator.
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
Harbin Institute of Hematology and Cancer
Harbin, Heilongjiang
Jun Ma, +86 133 0451 8000, majun0322@126.com
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Multicenter Clinical Trial on DH001 Tablets in the Prevention of Doxorubicin-induced Cardiotoxicity in Cancer Patients
Purpose:1. Preliminary evaluation of the preventive effect of DH001 on doxorubicin-induced cardiotoxicity in cancer patients 2.To explore appropriate dosages to provide basis for dosages in subsequent confirmatory studies 3.To evaluate the effect of DH001 on the efficacy of doxorubicin treatment in cancer patients 4.To evaluate the safety of DH001 in cancer patients treated with doxorubicin
Read the detailed description
After the subjects sign the informed consent form, meet the inclusion criteria and do not meet the exclusion criteria, they will receive a random number according to the order of enrollment, and will be randomly assigned to the DH001 low-dose group (200 mg), DH001 high-dose group (400 mg) and control group in a 1:1:1 manner according to the randomization plan;Stratification factor: Patient's tumor type [lymphoma and non-lymphoma (breast cancer, soft tissue sarcoma, etc.)].
- Conditions
- Cancer, Heart Failure, Arrhythmia, Doxorubicin Induced Cardiomyopathy, Doxorubicin Adverse Reaction
- Being tested
- Control group:DH001 placebo, Trial group: DH001 low-dose group, Trial group: DH001 high-dose group
- Medical subject headings
- Neoplasms, Heart Failure, Arrhythmias, Cardiac
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Control group:DH001 placeboDrug
Also called Control group
Dosage: DH001 placebo (8 tablets)
Trial group: DH001 low-dose groupDrug
Dosage: DH001 200mg (4 tablets) + DH001 placebo (4 tablets)
Trial group: DH001 high-dose groupDrug
Dosage: DH001 400mg (8 tablets).
| Study group | Role | What they receive |
|---|---|---|
| Control group:DH001 placebo | Placebo comparator | Medication: Once per day on an empty stomach in the morning. Treatment cycle: 3 days before the first administration of doxorubicin to the entire treatment cycle of doxorubicin.
Dosage: DH001 placebo (8 tablets) Receives: Drug: Control group:DH001 placebo |
| Trial group: DH001 low-dose group | Experimental | Medication: once per day on an empty stomach in the morning. Treatment cycle: 3 days before the first administration of doxorubicin to the entire treatment cycle of doxorubicin.
Dosage: DH001 200mg (4 tablets) + DH001 placebo (4 tablets) Receives: Drug: Trial group: DH001 low-dose group |
| Trial group: DH001 high-dose group | Experimental | Medication: Once per day on an empty stomach in the morning. Treatment cycle: 3 days before the first administration of doxorubicin to the entire treatment cycle of doxorubicin.
Dosage: DH001 400mg (8 tablets). Receives: Drug: Trial group: DH001 high-dose group |
What is being measured
The primary outcome is the main question the study is designed to answer.
The incidence of cardiac events
The incidence of cardiac events in subjects during doxorubicin treatment
Measured: 18-24 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Oct 2023
- Study start4 Apr 2023
- Primary completion31 Jan 2025 (estimated)
- Study completion31 Jan 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 90 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Monyan Pharmaceutical (Shanghai) Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jun Zhu, Principal investigator, Peking University Cancer Hospital & InstituteHongmei Jing, Principal investigator, Peking University Third HospitalHui Zhou, Principal investigator, Hunan Cancer HospitalYufu Li, Principal investigator, Henan Cancer HospitalHesheng He, Principal investigator, The First Affilaited Hospital of Wannan Medical CollegeZeping Zhou, Principal investigator, The Second Affiliated Hospital of Kunming Medical UniversityWenbin Qian, Principal investigator, Second Affiliated Hospital, Zhejiang University, School of MedicineXiaojia Wang, Principal investigator, Zhejiang Cancer Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06092606
- Sponsor's protocol ID
- CTR20232122
- Status last verified
- Oct 2023
- First submitted
- 9 Oct 2023
- Last updated
- 23 Oct 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Oct 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Multicenter Clinical Trial on DH001 Tablets in the Prevention of Doxorubicin-induced Cardiotoxicity in Cancer Patients
- ClinicalTrials.gov ID
- NCT06092606
- Acronym / sponsor ID
- CTR20232122
- Conditions
- Cancer, Heart Failure, Arrhythmia, Doxorubicin Induced Cardiomyopathy, Doxorubicin Adverse Reaction
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 90 participants (estimated)
- Lead sponsor
- Monyan Pharmaceutical (Shanghai) Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 4 Apr 2023 (actual)
- Primary completion
- 31 Jan 2025 (estimated)
- Study completion
- 31 Jan 2025 (estimated)
- First posted
- 23 Oct 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Purpose:1. Preliminary evaluation of the preventive effect of DH001 on doxorubicin-induced cardiotoxicity in cancer patients 2.To explore appropriate dosages to provide basis for dosages in subsequent confirmatory studies 3.To evaluate the effect of DH001 on the efficacy of doxorubicin treatment in cancer patients 4.To evaluate the safety of DH001 in cancer patients treated with doxorubicin
Detailed description
After the subjects sign the informed consent form, meet the inclusion criteria and do not meet the exclusion criteria, they will receive a random number according to the order of enrollment, and will be randomly assigned to the DH001 low-dose group (200 mg), DH001 high-dose group (400 mg) and control group in a 1:1:1 manner according to the randomization plan;Stratification factor: Patient's tumor type [lymphoma and non-lymphoma (breast cancer, soft tissue sarcoma, etc.)].
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Control group:DH001 placebo | Placebo comparator | Drug: Control group:DH001 placeboMedication: Once per day on an empty stomach in the morning. Treatment cycle: 3 days before the first administration of doxorubicin to the entire treatment cycle of doxorubicin. Dosage: DH001 placebo (8 tablets) |
| Trial group: DH001 low-dose group | Experimental | Drug: Trial group: DH001 low-dose groupMedication: once per day on an empty stomach in the morning. Treatment cycle: 3 days before the first administration of doxorubicin to the entire treatment cycle of doxorubicin. Dosage: DH001 200mg (4 tablets) + DH001 placebo (4 tablets) |
| Trial group: DH001 high-dose group | Experimental | Drug: Trial group: DH001 high-dose groupMedication: Once per day on an empty stomach in the morning. Treatment cycle: 3 days before the first administration of doxorubicin to the entire treatment cycle of doxorubicin. Dosage: DH001 400mg (8 tablets). |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (20 listed)
- Subjects who meet all the following criteria can be included in this study:
- 1. Newly diagnosed lymphoma or non-lymphoma patients (breast cancer, soft tissue sarcoma, etc.) as well as lymphoma or non-lymphoma patients that do not have a history of anthracycline treatment (doxorubicin, epirubicin, pyrandoxorubicin, daunorubicin, demethoxydaunorubicin, aclarithromycin, mitoxantrone, etc.);Cancer patients should meet the following requirements:
- Lymphoma:
- Non-lymphoma (breast cancer, soft tissue sarcoma, etc.):
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Key exclusion criteria (17 listed)
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- 9.Subjects that have undergone major surgical treatment (except for diagnosis) within 4 weeks before enrollment or are expected to require major surgical treatment during the study period (except for tumor resection surgery); 10.Subjects with congenital or acquired immunodeficiency diseases, including human immunodeficiency virus (HIV), or history of organ transplantation or allogeneic stem cell transplantation; 11.Subjects with known active infections or active pulmonary tuberculosis infections shall not be included in the study;However, patients infected with hepatitis B virus (HBV) and hepatitis C virus (HCV) whose condition is stable after antiviral treatment can be enrolled.
- 12.Subjects with a history of other malignancies within 5 years, excluding adequately treated cervical cancer in situ, basal cell or squamous cell skin cancer, localized prostate cancer after radical surgery, and breast ductal carcinoma in situ.
- 13.Subjects whom the investigators believe have lesions that require emergency palliative radiotherapy/emergency surgery (such as spinal cord compression, cerebral herniation, pathological fracture).
- 14.Subjects possess physical examination or clinical experimental findings that, investigators believe, may interfere with the results or increase the subject's risk of treatment complications;subjects who suffer from other uncontrollable diseases.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Control group:DH001 placeboAlso: Control groupDosage: DH001 placebo (8 tablets) | Drug | Control group:DH001 placebo |
| Trial group: DH001 low-dose groupDosage: DH001 200mg (4 tablets) + DH001 placebo (4 tablets) | Drug | Trial group: DH001 low-dose group |
| Trial group: DH001 high-dose groupDosage: DH001 400mg (8 tablets). | Drug | Trial group: DH001 high-dose group |
Primary outcome
The incidence of cardiac events
Time frame: 18-24 weeks
The incidence of cardiac events in subjects during doxorubicin treatment
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Oct 2023.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jun Zhu principal investigator
Peking University Cancer Hospital & Institute
Hongmei Jing principal investigator
Peking University Third Hospital
Hui Zhou principal investigator
Hunan Cancer Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Trial group: DH001 low-dose group and Trial group: DH001 high-dose group in people with Cancer and Heart Failure, run by Monyan Pharmaceutical (Shanghai) Co., Ltd. at 1 site in China.
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 20 inclusion and 17 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: status not confirmed, as of the sponsor's last update on 23 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Jun Ma (+86 133 0451 8000, majun0322@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The incidence of cardiac events (time frame: 18-24 weeks). 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 23 Oct 2023.