Soy Isoflavone in Combination With Radiation Therapy and Cisplatin in SCC of the Head and Neck

NCT ID: NCT02075112

Last Updated: 2019-12-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-30

Study Completion Date

2019-09-30

Brief Summary

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The purpose of this study is to determine if soy supplementation during chemotherapy and radiation therapy will decrease side effects caused by treatment. Long-lasting dry mouth is a side effect of the standard treatment, and we are testing whether soy supplementation during treatment may reduce this symptom and other side effects of chemoradiation.

Detailed Description

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Concurrent chemoradiation is the standard of care for locally advanced squamous cell carcinoma of the head and neck (SCCHN). Improving the outcome for patients with this disease remains a major challenge.

Conditions

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Cancer of Head and Neck

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Soy isoflavone

Study treatment: Soy isoflavone in combination with radiation therapy \& cisplatin

Group Type EXPERIMENTAL

Soy isoflavone

Intervention Type DRUG

Patients will receive genistein 150 mg daily for the duration of radiation treatment. If a patient is experiencing significant side effects attributable to genistein, the treating physician has the option to reduce genistein to 150 mg every other day.

Radiation

Intervention Type RADIATION

All patients will undergo computed tomography (CT) simulation with intravenous (IV) contrast unless medical contraindications to IV contrast exist. Gross disease will be treated to 70 Gy in 2 Gy/day.

Cisplatin

Intervention Type DRUG

Cisplatin chemotherapy 100 mg/m² on days 1, 22, and 43 of radiation treatment.

Interventions

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Soy isoflavone

Patients will receive genistein 150 mg daily for the duration of radiation treatment. If a patient is experiencing significant side effects attributable to genistein, the treating physician has the option to reduce genistein to 150 mg every other day.

Intervention Type DRUG

Radiation

All patients will undergo computed tomography (CT) simulation with intravenous (IV) contrast unless medical contraindications to IV contrast exist. Gross disease will be treated to 70 Gy in 2 Gy/day.

Intervention Type RADIATION

Cisplatin

Cisplatin chemotherapy 100 mg/m² on days 1, 22, and 43 of radiation treatment.

Intervention Type DRUG

Other Intervention Names

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Genistein Platinol

Eligibility Criteria

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Inclusion Criteria

* Biopsy proven squamous cell carcinoma of the head and neck (SCCHN)
* Primary disease site involving the oropharynx
* Clinical stage III or IV
* Age ≥ 18
* Karnofsky Performance Status (KPS) ≥ 70
* Adequate bone marrow, kidney, and hepatic function (no laboratory value \> 2 times the normal limit)
* Amylase (0-160 U/L) and lipase (0-130 U/L) levels within 1.5 times the range of normal

Exclusion Criteria

* Prior history of SCCHN
* Prior history of radiation to the head and neck region
* KPS \< 70
* Soy allergy
* Contraindication to cisplatin chemotherapy or plans to alter or reduce cisplatin therapy
* Any head and neck cancer of non-squamous histology
* Any head and neck subsite other than oropharynx (including unknown primary site)
* Patients who are pregnant or lactating
* Patients who may benefit from surgical resection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Radiation Therapy Oncology Group

NETWORK

Sponsor Role collaborator

Emory University

OTHER

Sponsor Role lead

Responsible Party

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Kristin Higgins, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kristin Higgins, MD

Role: PRINCIPAL_INVESTIGATOR

Emory University

Locations

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Emory University Hospital Midtown

Atlanta, Georgia, United States

Site Status

Emory University Winship Cancer Institute

Atlanta, Georgia, United States

Site Status

Countries

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United States

Other Identifiers

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RAD2412-13

Identifier Type: OTHER

Identifier Source: secondary_id

IRB00065591

Identifier Type: -

Identifier Source: org_study_id

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