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This is a phase 2b, double-blind, placebo-controlled, 4-arm, adaptive-design trial, initially stratified by cisplatin regimen, and then randomized 1:1:1:1. The study will be conducted in subjects receiving ChemoRT for the treatment of squamous cell carcinomas (SCCs) of the oral cavity, oropharynx, hypopharynx, or larynx. The study includes a treatment period of approximately 7 weeks, depending on the subject's prescribed radiation plan, and Week 1 and Week 4 post RT follow-up visits. It also includes a longer follow-up period of approximately 12 months to determine if there is an effect of SCV 07 on the tumor response to ChemoRT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator |
| |
| SCV-07 0.1mg/kg | Active Comparator |
| |
| SCV-07 0.3mg/kg | Active Comparator |
| |
| SCV-07 1.0mg/kg | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SCV-07 | Drug | clinical trial material; (placebo or SCV 07) at doses of 0 (placebo), 0.1, 0.3, and 1.0 mg/kg will be administered sc |
|
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy | The primary objective of the study is to evaluate the efficacy of SCV 07 in modifying the course of oral mucositis (OM) in subjects with head and neck cancer (HNC) receiving concurrent ChemoRT. | June 2012 |
| Measure | Description | Time Frame |
|---|---|---|
| Safety | The secondary objective of the study is to evaluate the safety and tolerability of SCV 07. | June 2012 |
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Inclusion Criteria:
Willing and able to understand and sign an informed consent form (ICF) for the study approved by the Investigator's local or a central Institutional Review Board (IRB)
Have recently diagnosed, pathologically confirmed, non-metastatic SCC of the oral cavity, oropharynx, hypopharynx, or larynx that will be treated with ChemoRT as first-line treatment; subjects with a history of surgical management are eligible
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 to 2.2 Gy, with a cumulative radiation dose between 50 and 72 Gy. Planned radiation treatment fields must include at least 2 oral sites (buccal mucosa, floor of oral cavity, tongue, or soft palate), with each site receiving ≥ 50 Gy
Have a plan to receive a standard cisplatin CT regimen administered tri-weekly (80 to 100 mg/m2, on Days 0, 21, and 42) or weekly (30 to 40 mg/m2)
Have an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
Have adequate hematopoietic, hepatic, and renal function at the screening visit:
Hematopoietic function
Hepatic function
Renal function: Serum creatinine concentration ≤ 2 mg/dL; if result is ≥ 1.4 mg/dL and ≤ 2.0 mg/dL, a 24-hour urinary creatinine clearance test must be performed by the site's local laboratory. To be eligible for the study, a subject must demonstrate a 24-hour urinary creatinine clearance ≥ 50 mL/min
Have a negative serum pregnancy test if a woman is of childbearing potential
Agree to use medically acceptable methods of birth control during study participation and for 30 days following the last CTM treatment if a woman is of childbearing potential
Males or females aged 18 years or older.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Israel Rios, MD | SciClone Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Arizona Center for Cancer Care | Peoria | Arizona | 85381 | United States | ||
| Arizona Oncology Services Foundation |
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| Label | URL |
|---|---|
| SciClone Pharmaceuticals, Inc. | View source |
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| Placebo | Drug | Placebo |
|
| Phoenix |
| Arizona |
| 85013 |
| United States |
| Arizona Clinical Research Center | Tucson | Arizona | 85715 | United States |
| University of Arkansas for Medical Sciences | Little Rock | Arkansas | 72205 | United States |
| Comprehensive Blood and Cancer Center | Bakersfield | California | 99309 | United States |
| Disney Family Cancer Center | Burbank | California | 91505 | United States |
| City of Hope National Medical Center | Duarte | California | 91010 | United States |
| VA Long Beach Health System | Long Beach | California | 90822 | United States |
| Pomona Valley Hospital | Pomona | California | 91767 | United States |
| Yale University School of Medicine | New Haven | Connecticut | 06520 | United States |
| The Whittingham Cancer Center, Norwalk Hospital | Norwalk | Connecticut | 06856 | United States |
| Helen F. Graham Cancer Center | Newark | Delaware | 19178 | United States |
| Washington Cancer Institute | Washington D.C. | District of Columbia | 20010 | United States |
| Lakeland Regional Cancer Center | Lakeland | Florida | 33805 | United States |
| Lake County Oncology and Hematology | Tavares | Florida | 32778 | United States |
| The University of Illinois at Chicago | Chicago | Illinois | 60612 | United States |
| St. John's Cancer Center | Anderson | Indiana | 46016 | United States |
| University of Kentucky | Lexington | Kentucky | 40536 | United States |
| University of Louisville | Louisville | Kentucky | 40202 | United States |
| Mary Bird Perkins Cancer Center | Baton Rouge | Louisiana | 70809 | United States |
| Louisiana State University Health Sciences Center | Shreveport | Louisiana | 71103 | United States |
| University of Maryland Medical Center | Baltimore | Maryland | 21201 | United States |
| St. Agnes Hospital | Baltimore | Maryland | 21229 | United States |
| Southcoast Hospital Group | Fairhaven | Massachusetts | 02719 | United States |
| Gershenson Radiation | Detroit | Michigan | 48201 | United States |
| University of Minnesota | Minneapolis | Minnesota | 55455 | United States |
| Washington University in St. Louis | St Louis | Missouri | 63110 | United States |
| The Nebraska Medical Center | Omaha | Nebraska | 68198 | United States |
| Veterans Administration NJ Health Care System | East Orange | New Jersey | 07018 | United States |
| New York Methodist Hospital | Brooklyn | New York | 11215 | United States |
| Long Island Jewish Medical Center | New Hyde Park | New York | 11040 | United States |
| Beth Israel Medical Center | New York | New York | 10003 | United States |
| Rochester University Medical Center | Rochester | New York | 14642 | United States |
| Montefiore Medical Center | The Bronx | New York | 10467 | United States |
| Wake Forest University Health Sciences | Winston-Salem | North Carolina | 27157 | United States |
| Summa Health System | Akron | Ohio | 44304 | United States |
| The Christ Hospital Cancer Center | Cincinnati | Ohio | United States |
| University of Oklahoma Health Science Center | Oklahoma City | Oklahoma | 73104 | United States |
| Providence Portland Medical Center | Portland | Oregon | 97213 | United States |
| Temple University Hospital | Philadelphia | Pennsylvania | 19140 | United States |
| Mount Nittany Medical Center | State College | Pennsylvania | 16803 | United States |
| Memorial Hospital of Rhode Island Cancer Center | Pawtucket | Rhode Island | 02860 | United States |
| Medical University of South Carolina | Charleston | South Carolina | 29425 | United States |
| Cookeville Regional Cancer Center | Cookeville | Tennessee | 38501 | United States |
| Kirkland Cancer Center/Jackson Madison County General Hospital | Jackson | Tennessee | 38301 | United States |
| Tyler Hematology Oncology | Tyler | Texas | 75701 | United States |
| Virginia Mason Medical Center | Seattle | Washington | 98101 | United States |
| Wheeling Hospital | Wheeling | West Virginia | 26003 | United States |
| Medical College of Wisconson | Milwaukee | Wisconsin | 53226 | United States |
| ID | Term |
|---|---|
| D013280 | Stomatitis |
| D006258 | Head and Neck Neoplasms |
| D052016 | Mucositis |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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| ID | Term |
|---|---|
| C470075 | golotimod |
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