Trial Outcomes & Findings for Sulindac in Preventing Melanoma in Healthy Participants Who Are at Increased Risk of Melanoma (NCT NCT00841204)

NCT ID: NCT00841204

Last Updated: 2017-12-26

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

50 participants

Primary outcome timeframe

8 weeks

Results posted on

2017-12-26

Participant Flow

Participant milestones

Participant milestones
Measure
Sulindac
Participants receive oral sulindac twice daily for 8 weeks in the absence of unacceptable toxicity.
Placebo
Participants receive oral placebo twice daily for 8 weeks in the absence of unacceptable toxicity.
Overall Study
STARTED
25
25
Overall Study
COMPLETED
25
25
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Sulindac in Preventing Melanoma in Healthy Participants Who Are at Increased Risk of Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sulindac
n=25 Participants
Participants receive oral sulindac twice daily for 8 weeks in the absence of unacceptable toxicity.
Placebo
n=25 Participants
Participants receive oral placebo twice daily for 8 weeks in the absence of unacceptable toxicity.
Total
n=50 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
25 Participants
n=93 Participants
25 Participants
n=4 Participants
50 Participants
n=27 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Continuous
46.2 years
STANDARD_DEVIATION 10.0 • n=93 Participants
45.9 years
STANDARD_DEVIATION 8.59 • n=4 Participants
46.0 years
STANDARD_DEVIATION 9.24 • n=27 Participants
Sex: Female, Male
Female
12 Participants
n=93 Participants
10 Participants
n=4 Participants
22 Participants
n=27 Participants
Sex: Female, Male
Male
13 Participants
n=93 Participants
15 Participants
n=4 Participants
28 Participants
n=27 Participants
Region of Enrollment
United States
25 participants
n=93 Participants
25 participants
n=4 Participants
50 participants
n=27 Participants

PRIMARY outcome

Timeframe: 8 weeks

Population: All randomized participants were included in the analysis except one participant in the sulindac arm did not provide nevi sample for analysis

Outcome measures

Outcome measures
Measure
Sulindac
n=24 Participants
Participants receive oral sulindac twice daily for 8 weeks in the absence of unacceptable toxicity.
Placebo
n=25 Participants
Participants receive oral placebo twice daily for 8 weeks in the absence of unacceptable toxicity.
Sulindac Concentration in the Nevi (Moles)
0.51 µg/g tissue
Standard Deviation 1.05
0 µg/g tissue
Standard Deviation 0

PRIMARY outcome

Timeframe: 8 weeks

Population: All randomized participants were included in the analysis except one participant in the sulindac arm did not provide nevi sample for analysis

Outcome measures

Outcome measures
Measure
Sulindac
n=24 Participants
Participants receive oral sulindac twice daily for 8 weeks in the absence of unacceptable toxicity.
Placebo
n=25 Participants
Participants receive oral placebo twice daily for 8 weeks in the absence of unacceptable toxicity.
Sulindac Sulfone, an Active Metabolite of Sulindac, Concentration in the Nevi
1.38 µg/g tissue
Standard Deviation 2.86
0 µg/g tissue
Standard Deviation 0

PRIMARY outcome

Timeframe: 8 weeks

Population: All randomized participants were included in the analysis except one participant in the sulindac arm did not provide nevi sample for analysis

Outcome measures

Outcome measures
Measure
Sulindac
n=24 Participants
Participants receive oral sulindac twice daily for 8 weeks in the absence of unacceptable toxicity.
Placebo
n=25 Participants
Participants receive oral placebo twice daily for 8 weeks in the absence of unacceptable toxicity.
Sulindac Sulfide, an Active Metabolite of Sulindac, Concentration in the Nevi
0.12 µg/g tissue
Standard Deviation 0.12
0 µg/g tissue
Standard Deviation 0

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Change in the expression of a marker of apoptosis, cleaved caspase 3, in melanocytic junctional component

Outcome measures

Outcome measures
Measure
Sulindac
n=20 Participants
Participants receive oral sulindac twice daily for 8 weeks in the absence of unacceptable toxicity.
Placebo
n=21 Participants
Participants receive oral placebo twice daily for 8 weeks in the absence of unacceptable toxicity.
Sulindac Effects on Apoptosis in Atypical Nevi
3 % of stained cells * intensity score
Interval -8.0 to 32.0
-25 % of stained cells * intensity score
Interval -55.0 to -10.0

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Change in VEGF expression in melanocytic junctional component

Outcome measures

Outcome measures
Measure
Sulindac
n=20 Participants
Participants receive oral sulindac twice daily for 8 weeks in the absence of unacceptable toxicity.
Placebo
n=21 Participants
Participants receive oral placebo twice daily for 8 weeks in the absence of unacceptable toxicity.
Sulindac Effects on Vascular Endothelial Growth Factor (VEGF) Expression in Atypical Nevi
23 % of stained cells * intensity score
Interval -13.0 to 50.0
0 % of stained cells * intensity score
Interval -50.0 to 35.0

SECONDARY outcome

Timeframe: 8 weeks

Population: The correlation between plasma and target tissue sulindac levels was analyzed for Arm I only because participants in Arm 2 did not have any measurable drug levels.

Outcome measures

Outcome measures
Measure
Sulindac
n=24 Participants
Participants receive oral sulindac twice daily for 8 weeks in the absence of unacceptable toxicity.
Placebo
Participants receive oral placebo twice daily for 8 weeks in the absence of unacceptable toxicity.
Association Between Plasma and Target Tissue Sulindac Levels
0.41 correlation coefficient

SECONDARY outcome

Timeframe: 8 weeks

Population: The correlation between plasma and target tissue sulindac sulfone levels was analyzed for Arm I only because participants in Arm 2 did not have any measurable drug levels.

Outcome measures

Outcome measures
Measure
Sulindac
n=24 Participants
Participants receive oral sulindac twice daily for 8 weeks in the absence of unacceptable toxicity.
Placebo
Participants receive oral placebo twice daily for 8 weeks in the absence of unacceptable toxicity.
Association Between Plasma and Target Tissue Sulindac Sulfone Levels
0.13 correlation coefficient

SECONDARY outcome

Timeframe: 8 weeks

Population: The correlation between plasma and target tissue sulindac sulfide levels was analyzed for Arm I only because participants in Arm 2 did not have any measurable drug levels.

Outcome measures

Outcome measures
Measure
Sulindac
n=24 Participants
Participants receive oral sulindac twice daily for 8 weeks in the absence of unacceptable toxicity.
Placebo
Participants receive oral placebo twice daily for 8 weeks in the absence of unacceptable toxicity.
Association Between Plasma and Target Tissue Sulindac Sulfide Levels
0.33 correlation coefficient

Adverse Events

Sulindac

Serious events: 1 serious events
Other events: 22 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 23 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Sulindac
n=25 participants at risk
Participants receive oral sulindac twice daily for 8 weeks in the absence of unacceptable toxicity.
Placebo
n=25 participants at risk
Participants receive oral placebo twice daily for 8 weeks in the absence of unacceptable toxicity.
Cardiac disorders
Vasovagal episode
4.0%
1/25
0.00%
0/25

Other adverse events

Other adverse events
Measure
Sulindac
n=25 participants at risk
Participants receive oral sulindac twice daily for 8 weeks in the absence of unacceptable toxicity.
Placebo
n=25 participants at risk
Participants receive oral placebo twice daily for 8 weeks in the absence of unacceptable toxicity.
Gastrointestinal disorders
Constipation
12.0%
3/25
0.00%
0/25
Gastrointestinal disorders
Diarrhea
16.0%
4/25
0.00%
0/25
Gastrointestinal disorders
Flatulence
8.0%
2/25
0.00%
0/25
Gastrointestinal disorders
Heartburn
16.0%
4/25
12.0%
3/25
Gastrointestinal disorders
Nausea
20.0%
5/25
4.0%
1/25
Skin and subcutaneous tissue disorders
Prutitus
8.0%
2/25
12.0%
3/25
Skin and subcutaneous tissue disorders
Other skin disorders
8.0%
2/25
0.00%
0/25
Gastrointestinal disorders
Oral pain
8.0%
2/25
0.00%
0/25
Gastrointestinal disorders
Stomach pain
4.0%
1/25
8.0%
2/25
Immune system disorders
Allergic reaction
4.0%
1/25
8.0%
2/25
Infections and infestations
Sinus infection
0.00%
0/25
8.0%
2/25
Infections and infestations
Urinary tract infection
8.0%
2/25
0.00%
0/25
Infections and infestations
Other infection
16.0%
4/25
16.0%
4/25
Musculoskeletal and connective tissue disorders
Bone pain
0.00%
0/25
8.0%
2/25
Musculoskeletal and connective tissue disorders
Extremity/Limb pain
0.00%
0/25
8.0%
2/25
Musculoskeletal and connective tissue disorders
Muscle pain
12.0%
3/25
4.0%
1/25
Respiratory, thoracic and mediastinal disorders
Nasal/Paranasal congestion
8.0%
2/25
4.0%
1/25
Respiratory, thoracic and mediastinal disorders
Larynx/Pharynx/Throat pain
12.0%
3/25
8.0%
2/25
Psychiatric disorders
Insomnia
0.00%
0/25
8.0%
2/25
Reproductive system and breast disorders
Uterus pain
16.0%
4/25
8.0%
2/25
Skin and subcutaneous tissue disorders
Skin pain
16.0%
4/25
12.0%
3/25
General disorders
Fatigue
12.0%
3/25
12.0%
3/25
General disorders
Fever
8.0%
2/25
0.00%
0/25
Nervous system disorders
Headache
56.0%
14/25
56.0%
14/25
General disorders
Flu-like syndromes
20.0%
5/25
20.0%
5/25
General disorders
Other pain
20.0%
5/25
12.0%
3/25

Additional Information

H-H. Sherry Chow, Ph.D.

The University of Arizona

Phone: 520-626-3358

Results disclosure agreements

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

Restriction type: LTE60