Unique ID issued by UMIN | UMIN000010370 |
---|---|
Receipt number | R000012135 |
Scientific Title | Phase II study on reduction of mucous membrane inflammation by the nutritional supplement Elental in concurrent chemoradiotherapy for head and neck squamous cell carcinoma |
Date of disclosure of the study information | 2013/04/01 |
Last modified on | 2018/04/24 10:13:31 |
Phase II study on reduction of mucous membrane inflammation by the nutritional supplement Elental in concurrent chemoradiotherapy for head and neck squamous cell carcinoma
Reduction of mucous membrane inflammation by Elental in concurrent chemoradiotherapy
Phase II study on reduction of mucous membrane inflammation by the nutritional supplement Elental in concurrent chemoradiotherapy for head and neck squamous cell carcinoma
Reduction of mucous membrane inflammation by Elental in concurrent chemoradiotherapy
Japan |
Head and neck cancer
Oto-rhino-laryngology |
Malignancy
NO
Concurrent chemoradiotherapy (CCRT) is effective in treating head and neck cancer, but adverse effects, ie, inflammation of oral and pharyngeal mucosa, are common. A treatment to prevent such inflammation during CCRT has not been established.
The nutritional supplement "Medicine Combined With Elental" (hereafter Elental) inhibits mucous membrane inflammation via the action of amino acids (ie, glutamine, histidine), and may thus be useful in reducing such inflammation during cancer treatment. We examined the effect of Elental on oral/pharyngeal mucosal inflammation during CCRT for head and neck cancer.
Pharmacodynamics
Exploratory
Pragmatic
Phase II
CTCAE score for inflammation of oral/pharyngeal mucosa
Rate of CCRT completion, duration of cessation of oral-intake, duration and dosage of opioids, days of Elental administration, days of hospitalization after CCRT, body weight, total protein, albumin decrease (%)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
No treatment
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
YES
Central registration
2
Treatment
Medicine |
Elental (1 pack per day) from day 1 to 7 days after end of radiation therapy
No administration of Elental
20 | years-old | <= |
75 | years-old | > |
Male and Female
1) Pathologic or cytologic diagnosis of head and neck squamous cell carcinoma treated with radical CCRT, ie, 3 courses of CDDP every 3 weeks plus whole-neck irradiation, including bilateral levels II-IV
2) Initial chemotherapy
3) Measurable or evaluable lesions
4) Performance status (PS) 0-1
5) Age 20-75 years
6) No complications that might affect treatment
7) No other cancer
8) Normal liver, kidney, and marrow function
White blood cells >3,000/mm3
Neutrophils >1,500/mm3
Blood platelet >100,000mm3
Total bilirubin normal
AST and ALT normal
Creatinine normal
Ccr or eGFR >60 ml/min
9) Written informed consent
1) Past history of serious drug hypersensitivity
2) Presence of other cancer
3) Clinically problematic infectious disease
4) >1 complication that might affect treatment
5) Nonradical treatment indicated
6) Pregnant or nursing women and those with the possibility of pregnancy
7) Mental or neurologic disease that might affect participation
8) Abnormality in amino acid metabolism
9) Severe diabetes or possibility of glucose metabolism abnormality due to high-dose steroid treatment
10) Participation judged by physician to be inadvisable
50
1st name | |
Middle name | |
Last name | Hiroshi Matsuyama |
Niigata University, Faculty of Medicine
Otolaryngology, Head and Neck
1-757 Asahimachi-dori, Chuo-ku, Niigata-shi, Niigata-ken
+81-25-227-2306
matsuhiroshi@med.niigata-u.ac.jp
1st name | |
Middle name | |
Last name | Hiroshi Matsuyama |
Niigata University, Faculty of Medicine
Otolaryngology, Head and Neck
1-757 Asahimachi-dori, Chuo-ku, Niigata-shi, Niigata-ken
+81-25-227-2306
matsuhiroshi@med.niigata-u.ac.jp
Niigata University, Faculty of Medicine
None
Self funding
Niigata Cancer Center Hospital
Niigata City General Hospital
Nagaoka Red Cross Hospital
NO
新潟大学医歯学総合病院(新潟県)
新潟県立がんセンター新潟病院(新潟県)
新潟市民病院(新潟県)
長岡赤十字病院(新潟県)
2013 | Year | 04 | Month | 01 | Day |
Partially published
Completed
2013 | Year | 04 | Month | 01 | Day |
2015 | Year | 03 | Month | 01 | Day |
2017 | Year | 03 | Month | 31 | Day |
2017 | Year | 08 | Month | 31 | Day |
2017 | Year | 08 | Month | 31 | Day |
2017 | Year | 08 | Month | 31 | Day |
2013 | Year | 03 | Month | 31 | Day |
2018 | Year | 04 | Month | 24 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012135