Efficacy and Safety Study of Clonidine Lauriad® to Treat Oral Mucositis

NCT ID: NCT01385748

Last Updated: 2017-11-28

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

183 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2014-12-31

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of Clonidine Lauriad® to treat chemoradiation therapy induced severe oral mucositis in patients with head and neck cancer.

Detailed Description

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Conditions

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Oral Mucositis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Clonidine Lauriad® 50µg

50µg muco-adhesive buccal tablets, once de day, every day up to 8 weeks

Group Type ACTIVE_COMPARATOR

Clonidine Lauriad® 50µg

Intervention Type DRUG

50µg muco-adhesive buccal tablet once day every day up to 8 weeks

Clonidine Lauriad® 100µg

100µg muco-adhesive buccal tablets, once a day, every day up to 8 weeks

Group Type ACTIVE_COMPARATOR

Clonidine Lauriad® 100µg

Intervention Type DRUG

100µg muco-adhesive buccal tablets, once a day, every day up to 8 weeks

Placebo Lauriad®

Placebo muco-adhesive buccal tablets, once a day, every day up to 8 weeks

Group Type PLACEBO_COMPARATOR

Placebo Lauriad®

Intervention Type DRUG

placebo muco-adhesive buccal tablets, once a day, every day up to 8 weeks

Interventions

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Clonidine Lauriad® 50µg

50µg muco-adhesive buccal tablet once day every day up to 8 weeks

Intervention Type DRUG

Clonidine Lauriad® 100µg

100µg muco-adhesive buccal tablets, once a day, every day up to 8 weeks

Intervention Type DRUG

Placebo Lauriad®

placebo muco-adhesive buccal tablets, once a day, every day up to 8 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female
* Aged \> 18 years
* Suffering from a newly diagnosed squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx or larynx histologically-confirmed and having undergone resective surgery
* Prior neoadjuvant chemotherapy allowed provided that, the patient did not experience a World Health Organization (WHO) grade \> 2 oral mucositis during the neoadjuvant therapy.
* Patient eligible to receive concurrent chemo-radiation defined as:

1. A continuous course of conventional external beam irradiation (IMRT eligible) with a minimum cumulative radiation dose of 50 Gy or a maximum of 70 Gy, based on a daily dosing between 1.8 and 2.2 Gy combined with platinum based chemotherapy on a weekly or tri-weekly cycles.
2. Planned radiation treatment fields must include at least two oral tissue sites (among right or left buccal mucosa, floor of mouth, tongue, right or left soft palate) with each site receiving a total of 50 Gy or a maximum of 70 Gy. The radiation treatment plan will be reviewed by a designated radiation oncologist.
* Eastern Cooperative Oncology Group (ECOG) performance status ≤2
* Screening laboratory tests:

1. Haemoglobin ≥ 10g/dL
2. Absolute neutrophil counts ≥ 1500 cells/mm3
3. Platelets ≥ 100.000/mm3
4. Conjugated bilirubin ≤ 2 times Upper Limit of Normal (ULN)
5. Serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 ULN
6. Negative serum pregnancy test
* Women of child bearing potential must have effective contraception method (oral or device)
* Signed written informed consent

Exclusion Criteria

* Tumours of the lips, sinuses, salivary glands
* Prior radiation of the head and neck area
* Curative surgery less than 2 weeks or more than 15 weeks prior to the initiation of radiation therapy-chemotherapy (RT-CT)
* Presence of active infectious disease
* Presence of active oral infectious disease, including oropharyngeal candidiasis and/or orofacial herpes
* Presence of oral mucositis
* Known or suspected chronic viral diseases including HIV
* Systolic blood pressure \< 100 mmHg and/or Diastolic blood pressure \< 50 mmHg
* Recent stroke within the last 6 months
* Bradyarrhythmia (\<60 b/min), including sinus node dysfunction or atrioventricular (AV) nodal conduction block 2nd or 3rd degree
* Subjects with orthostatic hypotension, defined by a decrease of systolic BP and/or diastolic BP above 20 mmHg when the patient stands up
* Renal insufficiency (creatinine blood level \> 1.5ULN)
* Ongoing heavy alcohol consumption (\>100g alcohol/day)
* Administration of any concomitant treatment likely to interfere with clonidine
* Known hypersensitivity to clonidine, history of allergy or intolerance to milk proteins or any other component of the product
* Presence of severe or uncontrolled depression
* Pregnant or breast-feeding women
* Inability to give informed consent or comply with study requirements
* Unable or unwilling to comply with follow-up visits
* Participation to a clinical trial within 30 days prior to randomization and during the entire duration of the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Valerio Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bérangère Vasseur, MD

Role: STUDY_DIRECTOR

Valerio Therapeutics

Locations

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21st Century Oncology of Arizona

Sun City, Arizona, United States

Site Status

Compassionate Cancer Care Medical Group

Corona, California, United States

Site Status

City of Hope

Duarte, California, United States

Site Status

California Cancer Associates for Researche and Excellence

Fresno, California, United States

Site Status

Compassionate Cancer Care Medical Group

Riverside, California, United States

Site Status

Central Coast Medical Oncology Corp.

Santa Maria, California, United States

Site Status

Centura Health Research Center

Denver, Colorado, United States

Site Status

University of Connectcut Health Center

Farmington, Connecticut, United States

Site Status

AMPM Research Clinic

Miami, Florida, United States

Site Status

Barbara Ann Karmonos Cancer Hospital

Detroit, Michigan, United States

Site Status

Washington University School of medecine

St Louis, Missouri, United States

Site Status

Billings Clinic Montana

Billings, Montana, United States

Site Status

Winthrop University Hospital

Mineola, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Carolinas Medical Center- Carolinas Health Care System

Charlotte, North Carolina, United States

Site Status

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States

Site Status

Penn State Hershey Cancer Institut

Hershey, Pennsylvania, United States

Site Status

Vanderbilt Ingram Cancer Center

Nashville, Tennessee, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Hospital Jean Minjoz

Besançon, , France

Site Status

CHU Morvan

Brest, , France

Site Status

Centre François Baclesse

Caen, , France

Site Status

Clinique Pasteur

Évreux, , France

Site Status

Centre Oscar Lambret

Lille, , France

Site Status

Clinique Chénieux

Limoges, , France

Site Status

Clinique Hartmann

Neuilly-sur-Seine, , France

Site Status

CH Lyon Sud

Pierre-Bénite, , France

Site Status

CHU La Milétrie

Poitiers, , France

Site Status

CHP St gregoire

Saint-Grégoire, , France

Site Status

Centre de Cancérologie Etienne-Dolet

Saint-Nazaire, , France

Site Status

Hôpital Bretonneau

Tours, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Universitatsklinikum Erlangen Strahlenklinik

Erlangen, , Germany

Site Status

Universitatsklinikum Essen

Essen, , Germany

Site Status

Universitatsklinikum Freiburg Klinik fur Strahlentherapie

Freiburg im Breisgau, , Germany

Site Status

Universitatsklinikum Leipzig

Leipzig, , Germany

Site Status

Paracelsius- Klinik

Osnabrück, , Germany

Site Status

Bács-Kiskun Megyei Kórház Szegedi Tudományegyetem Általános Orvostudományi Kar Oktató Kórháza

Kecskemét, Nyíri U. 38, Hungary

Site Status

Jósa András Oktatókórház Egészségügyi Szolgáltató Nonprofit Kft.

Nyíregyháza, Szent István Út 68, Hungary

Site Status

Borsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató Kórház

Miskolc, Szentpéteri Kapu 72-76, Hungary

Site Status

Szent Imre Kórház

Budapest, Tétényi Út 12-16., Hungary

Site Status

Hospital Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Universitario de La princesa

Madrid, , Spain

Site Status

Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Hospital 12 de octubre

Madrid, , Spain

Site Status

Hospital Puerta de Hierro Majadahonda

Madrid, , Spain

Site Status

Hospital Universitario Ramon y cajal

Madrid, , Spain

Site Status

Hospital Carlos Haya

Málaga, , Spain

Site Status

Hospital Virgen de la Victoria

Málaga, , Spain

Site Status

Hospital de Navarra

Pamplona, , Spain

Site Status

Centre Hospitalier Universitaire

Lausanne, , Switzerland

Site Status

Countries

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United States France Germany Hungary Spain Switzerland

Other Identifiers

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BA2009/28/01

Identifier Type: -

Identifier Source: org_study_id