Trial Outcomes & Findings for Selenomethionine in Reducing Mucositis in Patients With Locally Advanced Head and Neck Cancer Who Are Receiving Cisplatin and Radiation Therapy (NCT NCT01682031)

NCT ID: NCT01682031

Last Updated: 2014-08-22

Results Overview

Will be compared as difference in proportions with 95% confidence intervals.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

18 participants

Primary outcome timeframe

Up to 5 years

Results posted on

2014-08-22

Participant Flow

Participant milestones

Participant milestones
Measure
Arm I (Placebo, Cisplatin, and Radiotherapy)
Patients receive placebo PO twice daily in week 1 and then once daily in weeks 2-11. Patients also receive cisplatin IV over 3 hours once in weeks 2, 5, and 8 and undergo radiotherapy 5 days a week in weeks 2-8. placebo: Given PO cisplatin: Given IV radiation therapy: Undergo radiotherapy quality-of-life assessment: Ancillary studies
Arm II (Selenomethionine, Cisplatin, and Radiotherapy)
Patients receive selenomethionine PO twice daily in week 1 and then once daily in weeks 2-11. Patients also receive cisplatin and undergo radiotherapy as in arm I. selenomethionine: Given PO cisplatin: Given IV radiation therapy: Undergo radiotherapy quality-of-life assessment: Ancillary studies
Overall Study
STARTED
8
10
Overall Study
COMPLETED
7
5
Overall Study
NOT COMPLETED
1
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm I (Placebo, Cisplatin, and Radiotherapy)
Patients receive placebo PO twice daily in week 1 and then once daily in weeks 2-11. Patients also receive cisplatin IV over 3 hours once in weeks 2, 5, and 8 and undergo radiotherapy 5 days a week in weeks 2-8. placebo: Given PO cisplatin: Given IV radiation therapy: Undergo radiotherapy quality-of-life assessment: Ancillary studies
Arm II (Selenomethionine, Cisplatin, and Radiotherapy)
Patients receive selenomethionine PO twice daily in week 1 and then once daily in weeks 2-11. Patients also receive cisplatin and undergo radiotherapy as in arm I. selenomethionine: Given PO cisplatin: Given IV radiation therapy: Undergo radiotherapy quality-of-life assessment: Ancillary studies
Overall Study
Withdrawal by Subject
0
1
Overall Study
Adverse Event
0
2
Overall Study
MRI results indicate increased nodul
0
1
Overall Study
Patient could not swallow tablets
1
0
Overall Study
Patient stopped selenium on his own
0
1

Baseline Characteristics

Selenomethionine in Reducing Mucositis in Patients With Locally Advanced Head and Neck Cancer Who Are Receiving Cisplatin and Radiation Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (Placebo, Cisplatin, and Radiotherapy)
n=8 Participants
Patients receive placebo PO twice daily in week 1 and then once daily in weeks 2-11. Patients also receive cisplatin IV over 3 hours once in weeks 2, 5, and 8 and undergo radiotherapy 5 days a week in weeks 2-8. placebo: Given PO cisplatin: Given IV radiation therapy: Undergo radiotherapy quality-of-life assessment: Ancillary studies
Arm II (Selenomethionine, Cisplatin, and Radiotherapy)
n=10 Participants
Patients receive selenomethionine PO twice daily in week 1 and then once daily in weeks 2-11. Patients also receive cisplatin and undergo radiotherapy as in arm I. selenomethionine: Given PO cisplatin: Given IV radiation therapy: Undergo radiotherapy quality-of-life assessment: Ancillary studies
Total
n=18 Participants
Total of all reporting groups
Age, Continuous
56.6 years
STANDARD_DEVIATION 6.6 • n=5 Participants
57.4 years
STANDARD_DEVIATION 8.2 • n=7 Participants
57.1 years
STANDARD_DEVIATION 7.3 • n=5 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
10 Participants
n=7 Participants
18 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 5 years

Population: Due to the study's early termination and inadequate number of patients, no patients were analyzed.

Will be compared as difference in proportions with 95% confidence intervals.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 5 years post-treatment

Population: Due to the study's early termination and inadequate number of patients, no patients were analyzed.

Will be compared as difference in proportions with 95% confidence intervals. Disease will be measured according to the Response Evaluation Criteria in Solid Tumors (RECIST).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At 1 year

Population: Due to the study's early termination and inadequate number of patients, no patients were analyzed.

Assessed by Kaplan-Meier RFS curves and the proportion with an event at 1 year for RFS will be compared simultaneously to obtain more global sensitivity to differences in time-to-event.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 5 years post-treatment

Population: Due to the study's early termination and inadequate number of patients, no patients were analyzed.

Estimated using the Kaplan-Meier method. Log-rank tests will be used for the comparison of survival distributions among study groups. Continuous endpoints will be summarized using means, standard deviations and percentiles.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 1 year post-treatment

Population: Due to the study's early termination and inadequate number of patients, no patients were analyzed.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 5 years post-treatment

Population: All treated and eligible patients

Will be compared as difference in proportions with 95% confidence intervals.

Outcome measures

Outcome measures
Measure
Arm I (Placebo, Cisplatin, and Radiotherapy)
n=8 Participants
Patients receive placebo PO twice daily in week 1 and then once daily in weeks 2-11. Patients also receive cisplatin IV over 3 hours once in weeks 2, 5, and 8 and undergo radiotherapy 5 days a week in weeks 2-8. placebo: Given PO cisplatin: Given IV radiation therapy: Undergo radiotherapy quality-of-life assessment: Ancillary studies
Arm II (Selenomethionine, Cisplatin, and Radiotherapy)
n=10 Participants
Patients receive selenomethionine PO twice daily in week 1 and then once daily in weeks 2-11. Patients also receive cisplatin and undergo radiotherapy as in arm I. selenomethionine: Given PO cisplatin: Given IV radiation therapy: Undergo radiotherapy quality-of-life assessment: Ancillary studies
Incidence of Grade 3 or 4 Treatment-related Toxicities, Including Xerostomia
1 number of xerostomia events
0 number of xerostomia events

SECONDARY outcome

Timeframe: Up to 8 weeks

Population: Due to the study's early termination and inadequate number of patients, no patients were analyzed.

This characteristic will be included in Cox models.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 3 months post-treatment

Population: Due to the study's early termination and inadequate number of patients, no patients were analyzed.

Descriptive statistics will be used to describe the mean plasma cisplatin and selenium at each time point. Repeated measures analysis of variance will be used to evaluate the changes in plasma cisplatin and selenium over time. Analysis of pharmacodynamic markers will be conducted using statistical methods appropriate for within-patient sequential analyses, such as repeated measures analysis of variance.

Outcome measures

Outcome data not reported

Adverse Events

Arm I (Placebo, Cisplatin, and Radiotherapy)

Serious events: 4 serious events
Other events: 8 other events
Deaths: 0 deaths

Arm II (Selenomethionine, Cisplatin, and Radiotherapy)

Serious events: 2 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm I (Placebo, Cisplatin, and Radiotherapy)
n=8 participants at risk
Patients receive placebo PO twice daily in week 1 and then once daily in weeks 2-11. Patients also receive cisplatin IV over 3 hours once in weeks 2, 5, and 8 and undergo radiotherapy 5 days a week in weeks 2-8. placebo: Given PO cisplatin: Given IV radiation therapy: Undergo radiotherapy quality-of-life assessment: Ancillary studies
Arm II (Selenomethionine, Cisplatin, and Radiotherapy)
n=10 participants at risk
Patients receive selenomethionine PO twice daily in week 1 and then once daily in weeks 2-11. Patients also receive cisplatin and undergo radiotherapy as in arm I. selenomethionine: Given PO cisplatin: Given IV radiation therapy: Undergo radiotherapy quality-of-life assessment: Ancillary studies
Blood and lymphatic system disorders
Leukopenia
12.5%
1/8 • Number of events 3
0.00%
0/10
Cardiac disorders
Ventricular tachycardia
12.5%
1/8 • Number of events 3
0.00%
0/10
Gastrointestinal disorders
Abdominal pain
12.5%
1/8 • Number of events 3
0.00%
0/10
Gastrointestinal disorders
Stomatitis
12.5%
1/8 • Number of events 3
0.00%
0/10
General disorders
Mucosal inflammation
12.5%
1/8 • Number of events 3
10.0%
1/10 • Number of events 3
General disorders
Pyrexia
12.5%
1/8 • Number of events 3
0.00%
0/10
Investigations
Blood creatine increased
12.5%
1/8 • Number of events 3
0.00%
0/10
Investigations
Blood sodium abnormal
12.5%
1/8 • Number of events 3
0.00%
0/10
Investigations
Haemoglobin decreased
12.5%
1/8 • Number of events 3
0.00%
0/10
Investigations
Neutrophil count decreased
12.5%
1/8 • Number of events 3
0.00%
0/10
Metabolism and nutrition disorders
Dehydration
12.5%
1/8 • Number of events 3
10.0%
1/10 • Number of events 3
Nervous system disorders
Cerebrovascular accident
12.5%
1/8 • Number of events 3
0.00%
0/10
Nervous system disorders
Dizziness
0.00%
0/8
10.0%
1/10 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
12.5%
1/8 • Number of events 6
0.00%
0/10
Vascular disorders
Orthostatic hypotension
0.00%
0/8
10.0%
1/10 • Number of events 3

Other adverse events

Other adverse events
Measure
Arm I (Placebo, Cisplatin, and Radiotherapy)
n=8 participants at risk
Patients receive placebo PO twice daily in week 1 and then once daily in weeks 2-11. Patients also receive cisplatin IV over 3 hours once in weeks 2, 5, and 8 and undergo radiotherapy 5 days a week in weeks 2-8. placebo: Given PO cisplatin: Given IV radiation therapy: Undergo radiotherapy quality-of-life assessment: Ancillary studies
Arm II (Selenomethionine, Cisplatin, and Radiotherapy)
n=10 participants at risk
Patients receive selenomethionine PO twice daily in week 1 and then once daily in weeks 2-11. Patients also receive cisplatin and undergo radiotherapy as in arm I. selenomethionine: Given PO cisplatin: Given IV radiation therapy: Undergo radiotherapy quality-of-life assessment: Ancillary studies
Blood and lymphatic system disorders
Leukopenia
12.5%
1/8 • Number of events 3
20.0%
2/10 • Number of events 9
Blood and lymphatic system disorders
Lymphopenia
25.0%
2/8 • Number of events 18
30.0%
3/10 • Number of events 27
Blood and lymphatic system disorders
White blood cell disorder
12.5%
1/8 • Number of events 3
10.0%
1/10 • Number of events 3
Cardiac disorders
Angina pectoris
12.5%
1/8 • Number of events 3
0.00%
0/10
Ear and labyrinth disorders
Deafness
12.5%
1/8 • Number of events 3
10.0%
1/10 • Number of events 3
Ear and labyrinth disorders
Ear pain
25.0%
2/8 • Number of events 6
0.00%
0/10
Ear and labyrinth disorders
Hypoacusis
12.5%
1/8 • Number of events 3
0.00%
0/10
Ear and labyrinth disorders
Otorrhoea
0.00%
0/8
10.0%
1/10 • Number of events 3
Ear and labyrinth disorders
Tinnitus
12.5%
1/8 • Number of events 3
30.0%
3/10 • Number of events 12
Eye disorders
Diplopia
0.00%
0/8
10.0%
1/10 • Number of events 3
Gastrointestinal disorders
Abdominal discomfort
12.5%
1/8 • Number of events 3
0.00%
0/10
Gastrointestinal disorders
Constipation
62.5%
5/8 • Number of events 24
60.0%
6/10 • Number of events 30
Gastrointestinal disorders
Diarrhoea
12.5%
1/8 • Number of events 3
30.0%
3/10 • Number of events 21
Gastrointestinal disorders
Dry mouth
62.5%
5/8 • Number of events 15
50.0%
5/10 • Number of events 15
Gastrointestinal disorders
Dysphagia
62.5%
5/8 • Number of events 21
50.0%
5/10 • Number of events 15
Gastrointestinal disorders
Glossodynia
12.5%
1/8 • Number of events 3
0.00%
0/10
Gastrointestinal disorders
Lip disorder
0.00%
0/8
10.0%
1/10 • Number of events 3
Gastrointestinal disorders
Mouth ulceration
12.5%
1/8 • Number of events 3
10.0%
1/10 • Number of events 3
Gastrointestinal disorders
Nausea
62.5%
5/8 • Number of events 24
80.0%
8/10 • Number of events 27
Gastrointestinal disorders
Odynophagia
0.00%
0/8
20.0%
2/10 • Number of events 6
Gastrointestinal disorders
Oesophageal stenosis
12.5%
1/8 • Number of events 3
10.0%
1/10 • Number of events 3
Gastrointestinal disorders
Oral pain
12.5%
1/8 • Number of events 3
0.00%
0/10
Gastrointestinal disorders
Reflux gastritis
0.00%
0/8
10.0%
1/10 • Number of events 6
Gastrointestinal disorders
Salivary hypersecretion
25.0%
2/8 • Number of events 9
0.00%
0/10
Gastrointestinal disorders
Stomatitis
12.5%
1/8 • Number of events 3
20.0%
2/10 • Number of events 6
Gastrointestinal disorders
Vomiting
37.5%
3/8 • Number of events 9
20.0%
2/10 • Number of events 6
General disorders
Asthenia
0.00%
0/8
10.0%
1/10 • Number of events 3
General disorders
Fatigue
62.5%
5/8 • Number of events 21
60.0%
6/10 • Number of events 39
General disorders
Fibrosis
12.5%
1/8 • Number of events 3
0.00%
0/10
General disorders
Localised oedema
0.00%
0/8
20.0%
2/10 • Number of events 6
General disorders
Mucosal inflammation
50.0%
4/8 • Number of events 24
60.0%
6/10 • Number of events 30
General disorders
Oedema peripheral
12.5%
1/8 • Number of events 3
10.0%
1/10 • Number of events 3
General disorders
Pain
12.5%
1/8 • Number of events 3
10.0%
1/10 • Number of events 3
General disorders
Pyrexia
25.0%
2/8 • Number of events 6
20.0%
2/10 • Number of events 6
General disorders
Secretion discharge
12.5%
1/8 • Number of events 3
0.00%
0/10
Infections and infestations
Infection
0.00%
0/8
10.0%
1/10 • Number of events 3
Infections and infestations
Oral candidiasis
12.5%
1/8 • Number of events 3
10.0%
1/10 • Number of events 3
Infections and infestations
Perianal abscess
0.00%
0/8
10.0%
1/10 • Number of events 3
Injury, poisoning and procedural complications
Radiation skin injury
50.0%
4/8 • Number of events 15
30.0%
3/10 • Number of events 9
Investigations
Alanine aminotransferase increased
0.00%
0/8
10.0%
1/10 • Number of events 3
Investigations
Aspartate aminotransferase increased
0.00%
0/8
10.0%
1/10 • Number of events 3
Investigations
Blood bilirubin abnormal
0.00%
0/8
10.0%
1/10 • Number of events 6
Investigations
Blood creatine increased
0.00%
0/8
10.0%
1/10 • Number of events 3
Investigations
Blood creatinine increased
12.5%
1/8 • Number of events 6
0.00%
0/10
Investigations
Blood sodium abnormal
12.5%
1/8 • Number of events 3
0.00%
0/10
Investigations
Haemoglobin
12.5%
1/8 • Number of events 3
0.00%
0/10
Investigations
Haemoglobin decreased
25.0%
2/8 • Number of events 9
40.0%
4/10 • Number of events 27
Investigations
Neutrophil count decreased
25.0%
2/8 • Number of events 6
10.0%
1/10 • Number of events 3
Investigations
Platelet count decreased
12.5%
1/8 • Number of events 3
20.0%
2/10 • Number of events 9
Investigations
Weight decreased
25.0%
2/8 • Number of events 6
20.0%
2/10 • Number of events 9
Investigations
White blood cell count decreased
0.00%
0/8
10.0%
1/10 • Number of events 3
Metabolism and nutrition disorders
Anorexia
50.0%
4/8 • Number of events 18
30.0%
3/10 • Number of events 12
Metabolism and nutrition disorders
Decreased appetite
12.5%
1/8 • Number of events 3
0.00%
0/10
Metabolism and nutrition disorders
Dehydration
12.5%
1/8 • Number of events 3
30.0%
3/10 • Number of events 9
Metabolism and nutrition disorders
Hyperkalaemia
25.0%
2/8 • Number of events 15
0.00%
0/10
Metabolism and nutrition disorders
Hypermagnesaemia
12.5%
1/8 • Number of events 3
0.00%
0/10
Metabolism and nutrition disorders
Hypoalbuminaemia
25.0%
2/8 • Number of events 6
0.00%
0/10
Metabolism and nutrition disorders
Hypocalcaemia
12.5%
1/8 • Number of events 3
10.0%
1/10 • Number of events 3
Metabolism and nutrition disorders
Hypokalaemia
25.0%
2/8 • Number of events 6
10.0%
1/10 • Number of events 6
Metabolism and nutrition disorders
Hypomagnesaemia
12.5%
1/8 • Number of events 21
0.00%
0/10
Metabolism and nutrition disorders
Hyponatraemia
12.5%
1/8 • Number of events 6
40.0%
4/10 • Number of events 18
Metabolism and nutrition disorders
Oral intake reduced
0.00%
0/8
10.0%
1/10 • Number of events 3
Musculoskeletal and connective tissue disorders
Arthralgia
12.5%
1/8 • Number of events 3
0.00%
0/10
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/8
10.0%
1/10 • Number of events 3
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.00%
0/8
10.0%
1/10 • Number of events 3
Musculoskeletal and connective tissue disorders
Neck pain
12.5%
1/8 • Number of events 3
20.0%
2/10 • Number of events 6
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/8
10.0%
1/10 • Number of events 3
Musculoskeletal and connective tissue disorders
Trismus
12.5%
1/8 • Number of events 3
0.00%
0/10
Nervous system disorders
Ageusia
0.00%
0/8
10.0%
1/10 • Number of events 3
Nervous system disorders
Dizziness
0.00%
0/8
20.0%
2/10 • Number of events 6
Nervous system disorders
Dysarthria
0.00%
0/8
10.0%
1/10 • Number of events 3
Nervous system disorders
Dysgeusia
50.0%
4/8 • Number of events 12
60.0%
6/10 • Number of events 21
Nervous system disorders
Facial paresis
12.5%
1/8 • Number of events 3
0.00%
0/10
Nervous system disorders
Headache
25.0%
2/8 • Number of events 12
10.0%
1/10 • Number of events 3
Nervous system disorders
Peripheral sensory neuropathy
0.00%
0/8
10.0%
1/10 • Number of events 3
Psychiatric disorders
Anxiety
12.5%
1/8 • Number of events 3
0.00%
0/10
Psychiatric disorders
Insomnia
12.5%
1/8 • Number of events 3
0.00%
0/10
Renal and urinary disorders
Urinary retention
12.5%
1/8 • Number of events 6
0.00%
0/10
Respiratory, thoracic and mediastinal disorders
Aspiration
0.00%
0/8
20.0%
2/10 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Cough
25.0%
2/8 • Number of events 6
20.0%
2/10 • Number of events 9
Respiratory, thoracic and mediastinal disorders
Dysphonia
25.0%
2/8 • Number of events 6
20.0%
2/10 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/8
10.0%
1/10 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/8
10.0%
1/10 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Hiccups
25.0%
2/8 • Number of events 6
10.0%
1/10 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Increased upper airway secretion
0.00%
0/8
50.0%
5/10 • Number of events 18
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
50.0%
4/8 • Number of events 18
60.0%
6/10 • Number of events 24
Skin and subcutaneous tissue disorders
Drug eruption
12.5%
1/8 • Number of events 3
0.00%
0/10
Skin and subcutaneous tissue disorders
Dry skin
12.5%
1/8 • Number of events 3
20.0%
2/10 • Number of events 6
Skin and subcutaneous tissue disorders
Erythema
50.0%
4/8 • Number of events 18
70.0%
7/10 • Number of events 30
Skin and subcutaneous tissue disorders
Exfoliative rash
0.00%
0/8
10.0%
1/10 • Number of events 3
Skin and subcutaneous tissue disorders
Rash
12.5%
1/8 • Number of events 3
10.0%
1/10 • Number of events 3
Skin and subcutaneous tissue disorders
Rash generalised
12.5%
1/8 • Number of events 3
0.00%
0/10
Vascular disorders
Hypertension
12.5%
1/8 • Number of events 3
0.00%
0/10
Vascular disorders
Orthostatic hypotension
25.0%
2/8 • Number of events 6
0.00%
0/10
Vascular disorders
Thrombosis
12.5%
1/8 • Number of events 3
0.00%
0/10

Additional Information

Senior Administrator, Compliance - Clinical Research Services

Roswell Park Cancer Institute

Phone: 716-845-2300

Results disclosure agreements

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