Study to Evaluate the Safety of Colchicine

NCT ID: NCT05335148

Last Updated: 2023-11-09

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-10

Study Completion Date

2024-06-01

Brief Summary

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Currently, there are no approved medications for the prevention and treatment of radiation-induced dermatitis, or skin discoloration/burning due to radiation therapy, because there is little evidence to guide treatment.

The purpose of the research is to better understand the factors associated with radiation-induced dermatitis and to explore the efficacy of low-dose colchicine in reducing the proportion of patients with radiation-induced dermatitis who undergo radiation treatment for head and neck cancer. If you take part in the research, you will be asked to take 0.6 mg once a day by mouth. The participants time in the study will take less than a minute a day to take the pill and 20 minutes to complete survey questions during follow-up visits.

Detailed Description

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A phase I study for evaluating the safety of oral colchicine in preventing and treating radiation-induced dermatitis among head and neck cancer patients who will receive RT for HNC. Prior to receiving RT, each subject will be receiving either the standard of care or low-dose oral colchicine (No randomization). There will be a comparison of the proportion of radiation-induced dermatitis in the two study arms. The individuals in the standard of care arm will receive a placebo colchicine pill once a day. Those who are in the experimental arm will receive 0.6 mg of oral colchicine once a day. The primary endpoint is the safety and tolerability of oral colchicine. The proportions of grade 2-4 radiation-induced dermatitis at the end of Radiation therapy (RT) and at the first follow-up three-four weeks post-treatment in these two study arms are the secondary study endpoints. In addition, pain, erythema, and health-related quality-of-life will be evaluated.

The study subjects will receive radiation therapy (RT) as scheduled and will meet with their clinicians for their follow-up visits.

Conditions

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Radiation Therapy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Perform a phase I study for evaluating the safety of oral colchicine in preventing and treating radiation-induced dermatitis among head and neck cancer patients.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Standard of care arm - placebo colchicine pill

The standard of care arm will receive a placebo colchicine pill once a day

Group Type NO_INTERVENTION

No interventions assigned to this group

Experimental arm - oral colchicine once a day

The experimental arm will receive 0.6 mg of oral colchicine once a day

Group Type EXPERIMENTAL

oral colchicine(0.6 mg) once a day

Intervention Type DRUG

The standard of care arm will receive a placebo colchicine pill once a day

Interventions

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oral colchicine(0.6 mg) once a day

The standard of care arm will receive a placebo colchicine pill once a day

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Eight years or older with HNC diagnosis confirmed histologically

o Stage 1-3 HNC pathologically confirmed diagnosis of squamous cell carcinoma of the oropharynx, larynx, hypopharynx, nasopharyngeal, or oral cavity
* Plan to receive radiotherapy (\>60 Gy), chemo-irradiation or bio-radiation either as primary or as a post-operative treatment to the head and neck region
* Eastern Cooperative Oncology Group Performance Status (ECOGPS) performance status 0 or 1
* Comply with the study protocol
* Capable of signing a written informed consent

Exclusion Criteria

* An allergy, intolerance, or contraindication to colchicine
* Current treatment with colchicine for medical conditions, e.g. gout and Familial Mediterranean Fever (FMF)
* Estimated glomerular filtration rate (GFR) \< 55 ml/min since colchicine should not be given
* Severe liver disease or current aminotransferase levels of more than 1.5 times the upper limit of the normal range
* Previous irradiation to the head and/or neck region
* Distant metastatic disease or locally recurrent disease
* Pre-existing skin rashes, ulcerations, or open wounds in the treatment area
* Known allergic and other systemic skin diseases even when not directly affecting irradiated fields
* Substance abuse, medical conditions, and/or social issues that would limit conduct or follow-up in the research study, in the opinion of the investigator
* Any condition that is unstable or could affect the safety of the patient and their compliance in the study as judged by the investigator
* Using high doses of non-steroidal anti-inflammatory drugs
* Pregnant and lactating women
* Psychiatric illness that would prevent the patient from giving informed consent
* Taking cetuximab or other radiosensitizing agents.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rutgers, The State University of New Jersey

OTHER

Sponsor Role lead

Responsible Party

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Bruce G Haffty

Associate Vice Chancellor Cancer Programs Professor and Chairman Department of Radiation Oncology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bruce Haffty, MD

Role: PRINCIPAL_INVESTIGATOR

Rutgers Cancer Institute of New Jersey

Locations

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RWJBarnabas Health - Cooperman Barnabas

Livingston, New Jersey, United States

Site Status RECRUITING

Robert Wood Johnson University Hospital

New Brunswick, New Jersey, United States

Site Status RECRUITING

Rutgers, The State University of New Jersey Board Contact:

New Brunswick, New Jersey, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Bruce Haffty, MD

Role: CONTACT

732-235-5203

Naomi Schlesinger

Role: CONTACT

732-235-7217

Facility Contacts

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Bruce Haffty, MD

Role: primary

732-235-5203

Bruce Haffty, MD

Role: primary

Bruce Haffty, MD

Role: primary

732-235-5203

Naomi Schlesinger, MD

Role: backup

732-235-7217

Other Identifiers

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Pro2022000357

Identifier Type: OTHER

Identifier Source: secondary_id

032112

Identifier Type: -

Identifier Source: org_study_id

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