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A randomized, double-blind, placebo-controlled, parallel-group phase III clinical study to assess the efficacy and safety of soluble beta 1,3/1,6 glucan (SBG) on oral mucositis in head and neck cancer patients undergoing radiation therapy with or without chemotherapy

Phase 1
Conditions
Oral mucositis
MedDRA version: 9.1Level: LLTClassification code 10028130Term: Mucositis oral
Registration Number
EUCTR2008-005565-54-SK
Lead Sponsor
Biotec Pharmacon ASA
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
120
Inclusion Criteria

1.=18 years of age;
2.Patients with histologically confirmed carcinoma of the oral cavity, oropharynx, hypopharynx, supraglottic larynx, salivary glands or maxillary sinus;
3.Scheduled to receive an either conventional or altered fractionation external beam radiotherapy regimen for their head and neck cancer with or without concurrent chemotherapy;
4.At least two visible oral cavity anatomical sites must be included in the radiotherapy treatment volume and planned to receive a total radiation dose of 54 Gy or higher;
5.Normal oral mucosa at baseline (i.e. National Cancer Institute Common Toxicity Criteria [NCI-CTC] oral mucositis grade 0);
6.Karnofsky score performance status =70%
7.Female patients must have a negative serum pregnancy test prior to receiving study medication, unless they have had a hysterectomy, or have been post-menopausal for at least 1 year. Women with child bearing capacity must agree to use a medically accepted form of contraception throughout the study period;
8.Willing and able to provide written informed consent for study participation;
9.Willing and able to complete other protocol-specified evaluations according to the study schedule.

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

1.Previous head and neck cancer;
2.History of, or clinical evidence of active significant acute or chronic conditions that may compromise the ability to evaluate or interpret the effects of the study treatment on mucositis:
i.Symptomatic and/or uncontrolled cardiac disease, New York Heart Association (NYHA) grade III/IV, transmural myocardial infarction or stroke within the last 6 months;
ii.Known sero-positivity for hepatitis B or hepatitis C virus (testing not required for study entry);
iii.Known sero-positivity for human immunodeficiency virus (HIV) or patients with acquired immune deficiency syndrome (AIDS) (testing not required for study entry);
iv.Acute bacterial or fungal infection requiring intravenous antibiotics at study entry;
v.Immunology disorders such as scleroderma or any other medical condition requiring chronic use of systemic corticosteroids.
3.Patients expected to receive other oral mucositis treatment or preventative agents during the study as described in Section ?7.3 Prohibited Medication;
4.Patients who received previous radiotherapy in the head and neck area;
5.Patients who received chemotherapy within the past 6 months before screening;
6.Receipt of any investigational product within 30 days prior to this study;
7.Any patient who, in the opinion of the Investigator, is unlikely to comply with the study procedures, or is unlikely to complete the study due to different reasons e.g. language barriers or mental incapacity;
8.Pregnancy or breastfeeding.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To evaluate the efficacy and safety of SBG when administered from 1 day prior to 5 days after completion of radiotherapy.;Secondary Objective: •Compare the time from commencement of radiotherapy to onset of oral mucositis grade 3 or 4 in the SBG and placebo groups.<br>•Compare the duration of oral mucositis grade 3 or 4 in the SBG and placebo groups.<br>•Compare the overall incidence of oral mucositis grade 2, 3 and 4 in the SBG and placebo groups.<br>;Primary end point(s): Incidence of oral mucositis CTC grade 3 or 4 at any time from commencement of radiotherapy up to 5 days after radiotherapy ceases
Secondary Outcome Measures
NameTimeMethod
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