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Phase 2 N=5 Randomized Double-blind Supportive Care

A Study of Palifermin for the Reduction of Oral Mucositis in Patients With Locally Advanced Head and Neck Cancer Receiving Postoperative Radiotherapy and Concurrent Chemotherapy

Mucositis · Head and Neck Cancer

Enrolled (actual)
5
Serious AEs
40.0%
Results posted
Mar 2014
Primary outcome: Primary: Number of Participants With Adverse Events (AEs) — 2; 3; 0; 2 participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Placebo (Drug); palifermin (Drug); Radiotherapy (Radiation); Cisplatin (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Swedish Orphan Biovitrum
Primary completion
May 2007

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Adverse Events (AEs)
2; 3; 0; 2; 0; 2
PRIMARY
Ratio of Ki67-positive Cells Before and After Palifermin Treatment
PRIMARY
Pharmacokinetics of Palifermin
SECONDARY
Number of Participants With Severe Oral Mucositis (OM) (Adapted RTOG/EORTC Grade ≥3)
SECONDARY
Patient-Reported Mouth and Throat Soreness Score
SECONDARY
Number of Participants With Disease Progression by Week 12
1; 0
SECONDARY
Overall Survival
2; 2

Summary

Oral Mucositis associated with adjuvant radiation and concurrent chemotherapy in postoperative Head and Neck setting

Eligibility Criteria

Inclusion Criteria

  • History of newly diagnosed histologically confirmed squamous cell carcinoma (American Joint Committee on Cancer [AJCC] Stage II, III, IVA, or IVB) involving either the oral cavity, oropharynx, nasopharynx, hypopharynx, or larynx, post surgical resection (R0, R1)
  • Scheduled to receive adjuvant concurrent chemoradiation treatment within 12 weeks of surgery
  • High-risk subject defined by presence of at least one of the following: R1 resection margins; T3 or T4 tumor stage; 3 or more positive lymph node metastases; <3 lymph node metastases with extracapsular extension of the disease
  • Radiation treatment field to receive planned dose of at least 50Gy to areas of the oral cavity/oropharynx mucosa that can be visualized

Exclusion Criteria

  • Tumors of the lips, paranasal sinuses, salivary glands, or of unknown primary tumors
  • Metastatic disease (M1) / Stage IV C
  • Presence or history of any other primary malignancy
  • History of pancreatitis
  • Prior radiotherapy to the site of disease
  • Prior chemotherapy
  • Other investigational procedures
  • Thirty days or less since receiving an investigational product or device in another clinical trial. Current enrollment in another clinical trial is not permitted unless the sole purpose of the trial is for long-term follow-up/survival data
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00626639). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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