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临床试验/NCT00072540
NCT00072540撤回2 期

S0212: Phase IIb Randomized Study of Celecoxib in Patients With High-Grade Squamous Intraepithelial Lesions of the Cervix

SWOG Cancer Research Network0 个研究点开始时间: 2003年11月5日最近更新:
适应症
相关药物

试验速览

阶段
2 期
状态
撤回

研究概览

简要总结

RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development of cancer. Celecoxib may be effective in preventing cervical cancer.

PURPOSE: Randomized phase II trial to study the effectiveness of celecoxib in preventing cervical cancer in patients who have high-grade squamous intraepithelial lesions of the cervix.

详细描述

OBJECTIVES:

  • Compare the complete response rate in patients with high-grade squamous intraepithelial lesions of the cervix treated with celecoxib vs placebo.
  • Compare the toxicity of these drugs in these patients.
  • Determine, preliminarily, the effect of celecoxib on cyclooxygenase-2 expression and human papilloma virus expression in these patients.

OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to high-grade squamous intraepithelial lesion status (cervical intraepithelial neoplasia [CIN] 2 vs CIN 3). Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive oral celecoxib twice daily for 1 month.
  • Arm II: Patients receive oral placebo twice daily for 1 month. In both arms, treatment repeats monthly for 3 courses in the absence of disease progression or unacceptable toxicity. All patients then undergo loop electrosurgical excision procedure or cone biopsy to determine response.

PROJECTED ACCRUAL: A total of 100 patients (50 per treatment arm) will be accrued for this study within 1-2 years.

研究设计

研究类型
Interventional
主要目的
Treatment

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •DISEASE CHARACTERISTICS:
  • •Histologically confirmed high-grade squamous intraepithelial lesions (HGSIL) of the cervix
  • •Cervical intraepithelial neoplasia (CIN) 2 (moderate dysplasia) OR CIN 3 (severe dysplasia, carcinoma in situ)
  • •Must have remaining HGSIL after biopsy
  • •No suspicion of invasive cancer by colposcopy within the past 28 days
  • •No invasive or preinvasive high-grade intraepithelial neoplasia by endocervical curettage within the past 56 days
  • •PATIENT CHARACTERISTICS:
  • •18 and over
  • •Performance status
  • •Zubrod 0-1
  • •Life expectancy
  • •Not specified
  • •Hematopoietic
  • •Not specified
  • •SGOT and SGPT less than 2.0 times upper limit of normal (ULN)
  • •Bilirubin less than 2.0 times ULN
  • •Creatinine less than 2.0 mg/dL
  • •Immunologic
  • •No prior asthma, urticaria, or allergic-type reactions to aspirin or other NSAIDs
  • •No allergy to sulfonamides
  • •No known sensitivity to celecoxib
  • •No known AIDS or HIV-associated complex
  • •Not pregnant or nursing
  • •Fertile patients must use effective contraception
  • •No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or adequately treated stage I or II cancer currently in complete remission
  • •PRIOR CONCURRENT THERAPY:
  • •Biologic therapy
  • •Not specified
  • •Chemotherapy
  • •Not specified
  • •Endocrine therapy
  • •Not specified
  • •Radiotherapy
  • •No prior pelvic radiotherapy
  • •See Disease Characteristics
  • •More than 3 months since prior topical medications for genital condyloma
  • •No prior treatment for squamous intraepithelial lesions
  • •No concurrent topical medications for genital condyloma
  • •No other concurrent treatment
  • •No concurrent chronic (daily for more than 30 days) aspirin
  • •No other concurrent nonsteroidal anti-inflammatory drugs (NSAIDs)

排除标准

  • 未提供

研究者

申办方类型
Network
责任方
Sponsor

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