Trial Outcomes & Findings for Pioglitazone Hydrochloride in Preventing Head and Neck Cancer in Patients With Oral Leukoplakia (NCT NCT00099021)

NCT ID: NCT00099021

Last Updated: 2022-02-11

Results Overview

Overall Response= reviewing both the clinical and histological responses and assigning the worst category. Complete Response (CR) = Clinical CR and Histologic CR, or Histologic CR Partial Response (PR) = Clinical CR or PR and Histologic PR or Stable Disease (SD) Stable Disease (SD) = Clinical SD and Histologic PR or SD Progressive Disease (PD) = Clinical PD and/or Histologic PD

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

21 participants

Primary outcome timeframe

Week 16 (4 weeks post dose)

Results posted on

2022-02-11

Participant Flow

Participant milestones

Participant milestones
Measure
Pioglitazone Patients
Patients with measurable leukoplakia who received all study medication (oral pioglitazone once daily for 12 weeks) and completed the trial.
Overall Study
STARTED
21
Overall Study
COMPLETED
21
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pioglitazone Hydrochloride in Preventing Head and Neck Cancer in Patients With Oral Leukoplakia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pioglitazone Patients
n=21 Participants
Patients with measurable leukoplakia who received all study medication (oral pioglitazone once daily for 12 weeks) and completed the trial.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
19 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
Age, Continuous
56.1 years
n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
Region of Enrollment
United States
21 participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 16 (4 weeks post dose)

Overall Response= reviewing both the clinical and histological responses and assigning the worst category. Complete Response (CR) = Clinical CR and Histologic CR, or Histologic CR Partial Response (PR) = Clinical CR or PR and Histologic PR or Stable Disease (SD) Stable Disease (SD) = Clinical SD and Histologic PR or SD Progressive Disease (PD) = Clinical PD and/or Histologic PD

Outcome measures

Outcome measures
Measure
Pioglitazone Patients
n=21 Participants
Patients with measurable leukoplakia who received all study medication (oral pioglitazone once daily for 12 weeks) and completed the trial.
Patients' Overall Response
Complete Response
0 Participants
Patients' Overall Response
Partial Response
15 Participants
Patients' Overall Response
Stable Disease
2 Participants
Patients' Overall Response
Progressive Disease
4 Participants
Patients' Overall Response
Partial + Complete Response
15 Participants

SECONDARY outcome

Timeframe: Week 16 (4 weeks post dose)

Determined by measurement of lesions- Complete Response (CR)= disappearance of all lesions, Partial Response (PR)= \>or= 50% decrease in sum of lesions, Stable Disease (SD) = does not meet CR,PR or Progressive Disease (PD), and PD= \>or= 25% increase in sum of lesions

Outcome measures

Outcome measures
Measure
Pioglitazone Patients
n=21 Participants
Patients with measurable leukoplakia who received all study medication (oral pioglitazone once daily for 12 weeks) and completed the trial.
Patients' Clinical Response
Complete Response
3 Participants
Patients' Clinical Response
Partial Response
14 Participants
Patients' Clinical Response
Stable Disease
4 Participants
Patients' Clinical Response
Progressive Disease
0 Participants
Patients' Clinical Response
Partial + Complete
17 Participants

SECONDARY outcome

Timeframe: Week 16 (4 weeks post dose)

Determined by biopsy results before and 4 weeks after treatment: Complete Response (CR) =complete reversal of dysplasia or hyperplasia, Partial Response (PR) = \>or=50% decrease in sum of lesions, no increase in 1 or more lesions and no new lesion occurs, Stable Disease (SD0 = not CR, PR or Progressive Disease (PD), PD = \>or= 25% increase in sum of lesions or new lesion or progression to invasive carcinoma.

Outcome measures

Outcome measures
Measure
Pioglitazone Patients
n=21 Participants
Patients with measurable leukoplakia who received all study medication (oral pioglitazone once daily for 12 weeks) and completed the trial.
Patients' Histological (Tissue) Response
Complete Response
1 Participants
Patients' Histological (Tissue) Response
Partial Response
2 Participants
Patients' Histological (Tissue) Response
Stable Disease
14 Participants
Patients' Histological (Tissue) Response
Progressive Disease
4 Participants
Patients' Histological (Tissue) Response
Partial + Complete Response
3 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre (Day 0) and Post (Week 12) Treatment

Quantitative studies of serum and saliva components for a pre and post treatment possible biomarker.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre (Day 0) and Post (Week 12) Treatment

Immune histochemistry / tissue staining for a possible biomarker.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre (Day 0) and Post (Week 12) Treatment

Immune histochemistry / tissue staining for a possible biomarker.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre (Day 0) and Post (Week 12) Treatment

Immune histochemistry / tissue staining for a possible biomarker.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre (Day 0) and Post (Week 12) Treatment

Immune histochemistry / tissue staining for a possible biomarker.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre (Day 0) and Post (Week 12) Treatment

Immune histochemistry / tissue staining for a possible biomarker.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre (Day 0) and Post (Week 12) Treatment

Immune histochemistry / tissue staining for a possible biomarker.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre (Day 0) and Post (Week 12) Treatment

Immune histochemistry / tissue staining for a possible biomarker.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre (Day 0) and Post (Week 12) Treatment

Immune histochemistry / tissue staining for a possible biomarker.

Outcome measures

Outcome data not reported

Adverse Events

Pioglitazone Patients

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Pioglitazone Patients
n=21 participants at risk
Patients with measurable leukoplakia who received all study medication (oral pioglitazone once daily for 12 weeks) and completed the trial.
Metabolism and nutrition disorders
AST elevated
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Gastrointestinal disorders
Abdominal bloating
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Blood and lymphatic system disorders
Anemia
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Psychiatric disorders
Anxiety
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Respiratory, thoracic and mediastinal disorders
Asthma symptoms
4.8%
1/21 • Number of events 2 • From first dose of Pioglitazone through Week 16 (end of study).
Musculoskeletal and connective tissue disorders
Back pain
9.5%
2/21 • Number of events 2 • From first dose of Pioglitazone through Week 16 (end of study).
Gastrointestinal disorders
Black stools
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Blood and lymphatic system disorders
Bleeding gums, occasional
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Infections and infestations
Bronchitis
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
General disorders
Chest pain
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Respiratory, thoracic and mediastinal disorders
Cough
9.5%
2/21 • Number of events 2 • From first dose of Pioglitazone through Week 16 (end of study).
Metabolism and nutrition disorders
Decreased uric acid
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Psychiatric disorders
Depression
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Skin and subcutaneous tissue disorders
Diaphoresis
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Gastrointestinal disorders
Diarrhea
14.3%
3/21 • Number of events 3 • From first dose of Pioglitazone through Week 16 (end of study).
Gastrointestinal disorders
Dry mouth
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Ear and labyrinth disorders
Ear pain, right side
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Skin and subcutaneous tissue disorders
Eczema
4.8%
1/21 • Number of events 3 • From first dose of Pioglitazone through Week 16 (end of study).
Cardiac disorders
Facial edema
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
General disorders
Fatigue
14.3%
3/21 • Number of events 5 • From first dose of Pioglitazone through Week 16 (end of study).
Skin and subcutaneous tissue disorders
Groin pain right hernia site (wound)
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
General disorders
Headache
23.8%
5/21 • Number of events 5 • From first dose of Pioglitazone through Week 16 (end of study).
Metabolism and nutrition disorders
Hematuria
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Metabolism and nutrition disorders
Hypercholesterolemia
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Metabolism and nutrition disorders
Hypernatremia
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Metabolism and nutrition disorders
Hyponatremia
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Gastrointestinal disorders
Increased heartburn
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
General disorders
Insomnia
9.5%
2/21 • Number of events 2 • From first dose of Pioglitazone through Week 16 (end of study).
Musculoskeletal and connective tissue disorders
Joint pain
19.0%
4/21 • Number of events 5 • From first dose of Pioglitazone through Week 16 (end of study).
Infections and infestations
Left eye crusty, burning, reddened
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Nervous system disorders
Lightheadness, dizzy
14.3%
3/21 • Number of events 3 • From first dose of Pioglitazone through Week 16 (end of study).
Musculoskeletal and connective tissue disorders
Muscle stiffness, aches, myalgia
14.3%
3/21 • Number of events 5 • From first dose of Pioglitazone through Week 16 (end of study).
Skin and subcutaneous tissue disorders
Nail splitting
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Gastrointestinal disorders
Nausea
19.0%
4/21 • Number of events 5 • From first dose of Pioglitazone through Week 16 (end of study).
Gastrointestinal disorders
Oral canker sores
4.8%
1/21 • Number of events 2 • From first dose of Pioglitazone through Week 16 (end of study).
Gastrointestinal disorders
Oral cavity/gum pain
9.5%
2/21 • Number of events 2 • From first dose of Pioglitazone through Week 16 (end of study).
Nervous system disorders
Pain, mild stinging sensation
4.8%
1/21 • Number of events 3 • From first dose of Pioglitazone through Week 16 (end of study).
Blood and lymphatic system disorders
Peripheral edema
28.6%
6/21 • Number of events 7 • From first dose of Pioglitazone through Week 16 (end of study).
Reproductive system and breast disorders
Post menopausal spotting
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Cardiac disorders
Pounding pulse
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Blood and lymphatic system disorders
Puffy eyes
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Infections and infestations
Rhinitis
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Ear and labyrinth disorders
Ringing in ears
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Nervous system disorders
Shakey, tremor
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Gastrointestinal disorders
Sore throat
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Infections and infestations
Strep throat
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Eye disorders
Stye-inside corner, right eye
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Cardiac disorders
Transient elevated blood pressure
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Skin and subcutaneous tissue disorders
Ulcer at old gallbladder incision site
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Infections and infestations
Upper respiratory infection
19.0%
4/21 • Number of events 4 • From first dose of Pioglitazone through Week 16 (end of study).
Infections and infestations
Urinary tract infection
9.5%
2/21 • Number of events 2 • From first dose of Pioglitazone through Week 16 (end of study).
Renal and urinary disorders
WBCs in urine, asymptomatic
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
Musculoskeletal and connective tissue disorders
Weakness
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).
General disorders
Weight loss
4.8%
1/21 • Number of events 1 • From first dose of Pioglitazone through Week 16 (end of study).

Additional Information

Frank G. Ondrey, M.D.

Masonic Cancer Center, University of Minnesota

Phone: 612-625-3200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60