Study of the Effects of Brilacidin Oral Rinse on Radiation-induced Oral Mucositis in Patients With Head and Neck Cancer

NCT ID: NCT02324335

Last Updated: 2019-01-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-08-14

Study Completion Date

2017-11-22

Brief Summary

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Oral Mucositis (OM) is a painful and debilitating side effect of many of the drug/radiation regimens used to treat cancer. This study examines the investigational drug brilacidin and its possible application in prevention of oral mucositis in patients undergoing chemoradiation for treatment of head and neck cancer.

Detailed Description

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This study will examine whether daily oral rinses with a solution containing brilacidin will prevent the occurrences of OM or lessen the severity of OM if it occurs. Patients will use an oral rinse 3 times daily for up to seven weeks during chemoradiation for head and neck cancer.

Conditions

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Head and Neck Neoplasms Mucositis

Keywords

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Oral Mucositis Brilacidin Chemoradiation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo Comparator Oral Rinse

Water for Injection

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Active Comparator Oral Rinse

Brilacidin 3 mg/mL in Water for Injection

Group Type ACTIVE_COMPARATOR

Brilacidin

Intervention Type DRUG

Oral Rinse used 3 times daily for 7 weeks

Interventions

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Brilacidin

Oral Rinse used 3 times daily for 7 weeks

Intervention Type DRUG

Placebo

Intervention Type OTHER

Other Intervention Names

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PMX30063 Water for Injection

Eligibility Criteria

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Inclusion Criteria

1. Willing and able to read, understand and sign an informed consent form (ICF)
2. Have recently diagnosed (within previous 6 months) pathologically confirmed, non-metastatic squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, or supraglottic larynx that will be treated with CRT therapy as first line non-surgical treatment. Scans (CT, PET, and/or MRI) obtained within 120 days prior to consent for screening can be used to determine the subject's eligibility.
3. Have a plan to receive a continuous course of conventional external beam irradiation delivered by intensity-modulated radiotherapy (IMRT) as single daily fractions of 2.0 Gy to 2.2 Gy with a cumulative radiation dose ≥55 Gy and ≤72 Gy. Planned radiation treatment fields must include at least two oral sites (buccal mucosa, floor of mouth, ventral/lateral tongue, soft palate). \[Note: the independent RTQA consultant must confirm that the planned radiation treatment meets the protocol criteria\]
4. Have a plan to receive a standard cisplatin chemotherapy regimen administered weekly (30-40 mg/m2) or approximately every 21 days (80-100 mg/m2)
5. Have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2. However, potential subjects with an ECOG of 3 may be enrolled provided their condition does not preclude performing the actions required by study participation (e.g., opening medication bottles, swishing the oral rinse and spitting out, completing or participating in completion of daily diaries and FACT-H\&N forms).
6. Have adequate hematopoietic, hepatic, and renal function at a screening visit
7. Urine or serum pregnancy test: negative for female patients of childbearing potential
8. Agree to utilize medically accepted methods of birth control during study participation and for 90 days following the last treatment with study drug if a female subject is of childbearing potential or if a male subject has an opposite sex partner of child bearing potential.
9. Males or females aged ≥18 years on day of consent.

Exclusion Criteria

1. Has tumor(s) of the lips, sinuses, salivary glands, nasopharynx, glottic larynx, subglottic larynx or unknown primary tumor
2. Has metastatic disease (M1) Stage IV C
3. Has had prior radiation to the head and neck
4. Plan to be treated with cetuximab (Erbitux®)
5. Planned use of cisplatin as induction chemotherapy.
6. Has a history of other malignant tumors within the last 5 years, except non melanoma skin cancer or in situ cervical carcinoma curatively excised
7. Has had a major surgical procedure, other than for HNC, or significant traumatic injury within 4 weeks prior to the initiation of RT; anticipation of need for major surgical procedure during the course of the study
8. Has incompletely healed sites of dental extractions
9. Has an 12-lead ECG obtained at screening visit which shows medically significant abnormality(ies) (e.g. left bundle branch block, frequent premature ventricular contractions, QTc interval prolongation \> 450 msec for males and \> 470 msec for females)
10. Has untreated hypertension or has hypertension under treatment that meets protocol definitions.
11. Has active infectious disease undergoing systemic treatment excluding oral candidiasis
12. Has oral mucositis (of any severity) prior to initiation of radiation therapy
13. Has a diagnosis of an immunosuppressive illness or a condition requiring chronic immunosuppression
14. Has known seropositivity for HIV or hepatitis C antibody, or known to be hepatitis B surface antigen positive (testing for these serologic markers is not required for enrollment in this protocol)
15. Use of any investigational agent within 30 days of randomization
16. Is pregnant or breastfeeding
17. Has known allergies or intolerance to brilacidin, cisplatin or carboplatin
18. Has inability to give informed consent or comply with study requirements
19. Has any other condition or prior therapy that in the opinion of the Investigator would make the patient unsuitable for the study and/or unable to comply with requirements for follow-up visits.
20. Is unwilling or unable to agree to swish and spit the study oral rinse three times per day during the study period
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Innovation Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Gilbert, Arizona, United States

Site Status

Lakeland, Florida, United States

Site Status

Columbus, Georgia, United States

Site Status

Louisville, Kentucky, United States

Site Status

Shreveport, Louisiana, United States

Site Status

St Louis, Missouri, United States

Site Status

Albuquerque, New Mexico, United States

Site Status

Cheektowaga, New York, United States

Site Status

Poughkeepsie, New York, United States

Site Status

Rochester, New York, United States

Site Status

Stony Brook, New York, United States

Site Status

Cleveland, Ohio, United States

Site Status

Toledo, Ohio, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Charleston, South Carolina, United States

Site Status

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CTIX-BRI-205

Identifier Type: -

Identifier Source: org_study_id