Safety and Effectiveness Study of Pre-operative Artesunate in Stage II/III Colorectal Cancer (NeoART-V)

NCT ID: NCT03093129

Last Updated: 2018-01-09

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-08

Study Completion Date

2022-12-31

Brief Summary

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This is a Phase II randomized, double-blind, placebo-controlled trial of neoadjuvant artesunate given orally as a dose of 200 mg once a day for 14 days to patients with histologically confirmed Stage II/III colorectal cancer (CRC) awaiting surgical treatment with curative intent.

Detailed Description

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Colorectal cancer (CRC) is the third most common cancer worldwide and represents a significant health care burden with an incidence of one million new cases per year. In Vietnam, Colorectal cancer is the third most common cause of cancer deaths in men and fourth in women. Artesunate is a safe and effective antimalarial with evidence of anticancer properties across a range of cancer cell lines. Results from a pilot feasibility study in colorectal cancer patients in the UK showed that artesunate was safe and well tolerated. These findings provided the basis for a Phase II clinical trial investigating the effects of neoadjuvant artesunate on progression free survival and overall survival in Stage II/III Colorectal Cancer in Vietnamese Patients.

Artesunate given orally as a dose of 200 mg once a day for 14 days to patients with histologically confirmed Stage II/III colorectal cancer (CRC) awaiting surgical treatment with curative intent.

Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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artesunate

Patients will receive 200 mg artesunate (Arinate®) per oral (PO) once daily (OD) for fourteen days prior to their planned surgery and then be followed up for 5 years following surgery.

Group Type ACTIVE_COMPARATOR

artesunate

Intervention Type DRUG

Artesunate (Trade name : Arinate®)

Artemisinins are a family of sesquiterpene trioxane anti-malarial agents derived from Sweet wormwood (Artemisia annua L) that have been used in traditional Chinese medicine for centuries to treat fevers. Artesunate, artemether and arteether are derivatives of artemisinin that are converted into their active metabolite dihydroartemisinin (DHA). Artesunate is approved for the treatment of uncomplicated and multidrug-resistant malaria and is on the WHO list of Essential Medicines (WHO., 2015).

placebo

Patients will receive matching placebo tablets per oral (PO) once daily (OD) for fourteen days prior to their planned surgery and then be followed up for 5 years following surgery.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type OTHER

The matching placebo tablets contain lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, colloidal anhydrous silica and a magnesium stearate blend.

Interventions

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artesunate

Artesunate (Trade name : Arinate®)

Artemisinins are a family of sesquiterpene trioxane anti-malarial agents derived from Sweet wormwood (Artemisia annua L) that have been used in traditional Chinese medicine for centuries to treat fevers. Artesunate, artemether and arteether are derivatives of artemisinin that are converted into their active metabolite dihydroartemisinin (DHA). Artesunate is approved for the treatment of uncomplicated and multidrug-resistant malaria and is on the WHO list of Essential Medicines (WHO., 2015).

Intervention Type DRUG

placebo

The matching placebo tablets contain lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, colloidal anhydrous silica and a magnesium stearate blend.

Intervention Type OTHER

Other Intervention Names

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Arinate®

Eligibility Criteria

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Inclusion Criteria

* Aged 18 or over
* Histologically proven single primary site colorectal adenocarcinoma
* Stage II/III colorectal cancer planned for surgical resection and no clinical indication for neoadjuvant preoperative chemotherapy/chemoradiation therapy
* WHO performance status 0,1 or 2
* Adequate full blood count: White Cell Count (WCC) \>3.0 x 109 /l; Platelets \>100 x 109/l; Haemoglobin (Hb) \>8g/dL
* Adequate renal function : Glomerular Filtration Rate \>30ml/min by Cockcroft-Gault formula
* Adequate hepatobiliary function : Bilirubin \< 3 x Upper limit normal
* Female participants of child bearing potential must have a negative pregnancy test \< 72 hours prior to initiating study intervention and agree to avoid pregnancy using contraceptive precautions for up to 6 weeks after the last dose of study treatment intervention
* Male participants with a partner of childbearing potential must agree to use contraceptive precautions during and for up to 6 weeks after the last dose of the study treatment intervention
* Patient able and willing to provide written, informed consent for the study

Exclusion Criteria

* Contraindication to the use of artesunate due to hypersensitivity
* Pregnancy or lactation
* History of immunosuppression
* History of hearing or balance problems
* Weight \< 42 kg or \> 110 kg
* Other planned intervention, apart from Vietnamese standard of care
* Any other malignant disease diagnosis within the preceding 2 years with the exception of non-melanomatous skin cancer and carcinoma in situ
* Lactose intolerance
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institute of Tropical Medicine, University of Tuebingen

OTHER

Sponsor Role collaborator

The 108 Military Central Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Le Huu Song

Associate Professor MD,PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mai Hong Bang, MD,PhD

Role: STUDY_DIRECTOR

108 Military Central Hospital

Locations

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108 Military Central Hospital

Hanoi, , Vietnam

Site Status RECRUITING

Countries

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Vietnam

Central Contacts

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Le Huu Song, MD, PhD

Role: CONTACT

+84-974845270

Bui Tien Sy, MD, PhD

Role: CONTACT

+84-974552943

Facility Contacts

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Le Huu Song, MD, PhD

Role: primary

+84 (0) 974845270

Bui Tien Sy, MD, PhD

Role: backup

+84 (0) 974552943

References

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Krishna S, Ganapathi S, Ster IC, Saeed ME, Cowan M, Finlayson C, Kovacsevics H, Jansen H, Kremsner PG, Efferth T, Kumar D. A Randomised, Double Blind, Placebo-Controlled Pilot Study of Oral Artesunate Therapy for Colorectal Cancer. EBioMedicine. 2014 Nov 15;2(1):82-90. doi: 10.1016/j.ebiom.2014.11.010. eCollection 2015 Jan.

Reference Type BACKGROUND
PMID: 26137537 (View on PubMed)

Other Identifiers

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NeoArt-V

Identifier Type: -

Identifier Source: org_study_id

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