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Randomized, Double-Blind, Placebo-Controlled, Multi-Center, Phase II Trial of Selenomethionine as a Modulator of Efficacy and Toxicity of Chemoradiation in Locally-Advanced Squamous Cell Carcinoma of the Head and Neck


Phase 2
18 Years
N/A
Not Enrolling
Both
Chemotherapeutic Agent Toxicity, Mucositis, Radiation Toxicity, Stage III Squamous Cell Carcinoma of the Hypopharynx, Stage III Squamous Cell Carcinoma of the Larynx, Stage III Squamous Cell Carcinoma of the Lip and Oral Cavity, Stage III Squamous Cell Carcinoma of the Nasopharynx, Stage III Squamous Cell Carcinoma of the Oropharynx, Stage III Squamous Cell Carcinoma of the Paranasal Sinus and Nasal Cavity, Stage IV Squamous Cell Carcinoma of the Hypopharynx, Stage IV Squamous Cell Carcinoma of the Larynx, Stage IV Squamous Cell Carcinoma of the Lip and Oral Cavity, Stage IV Squamous Cell Carcinoma of the Nasopharynx, Stage IV Squamous Cell Carcinoma of the Oropharynx, Stage IV Squamous Cell Carcinoma of the Paranasal Sinus and Nasal Cavity, Xerostomia

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Trial Information

Randomized, Double-Blind, Placebo-Controlled, Multi-Center, Phase II Trial of Selenomethionine as a Modulator of Efficacy and Toxicity of Chemoradiation in Locally-Advanced Squamous Cell Carcinoma of the Head and Neck


PRIMARY OBJECTIVES:

I. To assess whether SLM reduces the incidence of grade 3 or 4 mucositis in head and neck
squamous cell carcinoma (HNSCC) patients treated with concurrent chemoradiation (CRT) over 7
weeks.

SECONDARY OBJECTIVES:

I. To assess the impact of SLM on tumor complete response rate, relapse-free survival,
overall survival and quality of life.

II. To assess whether SLM reduces the incidence and severity of treatment-related toxicities
including xerostomia, renal impairment and myelosuppression.

III. To assess whether SLM improves chemoradiation dose delivery. IV. To determine safety of
SLM at this dose. V. In New Zealand (NZ) patients only, to assess the impact of SLM on
plasma free cisplatin and plasma selenium pharmacokinetics (PK) and on pharmacodynamic (PD)
markers of biological activity of selenium.

OUTLINE: Patients are randomized to 1 of 2 treatment arms.

ARM I: Patients receive placebo orally (PO) twice daily in week 1 and then once daily in
weeks 2-11. Patients also receive cisplatin intravenously (IV) over 3 hours once in weeks 2,
5, and 8 and undergo radiotherapy 5 days a week in weeks 2-8.

ARM II: Patients receive selenomethionine PO twice daily in week 1 and then once daily in
weeks 2-11. Patients also receive cisplatin and undergo radiotherapy as in arm I.

After completion of study treatment, patients are followed up periodically.


Inclusion Criteria:



- Biopsy-proven locally-advanced HNSCC, including those with cancers of the oral
cavity, oropharynx, hypopharynx, larynx, nasopharynx or paranasal sinuses

- Stage III, IVa or IVb disease

- No prior definitive surgery for present diagnosis

- Appropriate candidate for concurrent cisplatin and radiation as definitive treatment;
patients who receive induction chemotherapy as part of a definitive treatment program
that will include concurrent CRT are eligible for this study

- Hemoglobin >= 10 g/dL (100 g/l)

- Absolute neutrophil count >= 2,000 cells/mm^3 (2 x 10^9/l)

- Platelets >= 100,000 cells/mm^3 (100 x 10^9/l)

- Serum creatinine =< 1.5 mg/dL (133 umol/l) or calculated creatinine clearance >= 50
ml/min using the Cockcroft-Gault formula

- Eastern Cooperative Oncology Group (ECOG) performance status 0-2

- Able to give written informed consent

- Be willing and able to comply with study procedures

Exclusion Criteria:

- Non-regional metastatic disease (stage IVc)

- Previous malignancy within the last 5 years except for adequately treated basal or
squamous cell carcinoma of the skin or cervical intra-epithelial neoplasia

- Prior chemotherapy or radiotherapy for HNSCC, or any prior radiotherapy that would
compromise delivery of a radical dose to the HNSCC

- Known to be positive for hepatitis C or human immunodeficiency virus (HIV)

- Unable to tolerate oral medication (unless a feeding tube is in place)

- History of hypersensitivity to platinum drugs

- Symptomatic peripheral neuropathy >= National Cancer Institute (NCI)-Common
Terminology Criteria for Adverse Events (CTCAE) grade II

- Pregnant, lactating or unwilling to use adequate contraception

- Women of child-bearing potential and men must agree to use adequate contraception
(hormonal or barrier method of birth control; abstinence) prior to study entry and
for the duration of study participation

- Planned use of amifostine for prophylaxis against radiation-induced xerostomia

- Patients taking selenium supplements in excess of 100 ug/day

- Uncontrolled intercurrent illness including, but not limited to, ongoing or active
infection, symptomatic congestive heart failure, unstable angina pectoris, clinically
significant cardiac arrhythmia, or psychiatric illness/social situations that would
limit compliance with study requirements

- Evidence of any other significant medical disorder or laboratory finding that in the
opinion of the Investigator compromises the subject's safety during the study

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Supportive Care

Outcome Measure:

Incidence of >= grade 3 mucositis

Outcome Description:

Will be compared as difference in proportions with 95% confidence intervals.

Outcome Time Frame:

Up to 5 years

Safety Issue:

Yes

Principal Investigator

Anurag Singh

Investigator Role:

Principal Investigator

Investigator Affiliation:

Roswell Park Cancer Institute

Authority:

United States: Institutional Review Board

Study ID:

I 107807

NCT ID:

NCT01682031

Start Date:

June 2009

Completion Date:

June 2012

Related Keywords:

  • Chemotherapeutic Agent Toxicity
  • Mucositis
  • Radiation Toxicity
  • Stage III Squamous Cell Carcinoma of the Hypopharynx
  • Stage III Squamous Cell Carcinoma of the Larynx
  • Stage III Squamous Cell Carcinoma of the Lip and Oral Cavity
  • Stage III Squamous Cell Carcinoma of the Nasopharynx
  • Stage III Squamous Cell Carcinoma of the Oropharynx
  • Stage III Squamous Cell Carcinoma of the Paranasal Sinus and Nasal Cavity
  • Stage IV Squamous Cell Carcinoma of the Hypopharynx
  • Stage IV Squamous Cell Carcinoma of the Larynx
  • Stage IV Squamous Cell Carcinoma of the Lip and Oral Cavity
  • Stage IV Squamous Cell Carcinoma of the Nasopharynx
  • Stage IV Squamous Cell Carcinoma of the Oropharynx
  • Stage IV Squamous Cell Carcinoma of the Paranasal Sinus and Nasal Cavity
  • Xerostomia
  • Carcinoma
  • Carcinoma, Squamous Cell
  • Head and Neck Neoplasms
  • Laryngeal Diseases
  • Xerostomia
  • Hypopharyngeal Neoplasms
  • Laryngeal Neoplasms
  • Radiation Injuries
  • Mucositis
  • Paranasal Sinus Neoplasms
  • Oropharyngeal Neoplasms
  • Nasopharyngeal Neoplasms

Name

Location

Roswell Park Cancer Institute Buffalo, New York  14263