Efficacy of SNX-1012 in the Treatment of Oral Mucositis
A Phase 2, Randomized, Double-Masked, Placebo-Controlled Study to Evaluate the Efficacy of SNX-1012 in Reducing the Duration and Severity of Ulcerative Oral Mucositis in Patients Receiving Cytotoxic Chemotherapy for Breast or Lung Cancer
1 other identifier
interventional
81
2 countries
27
Brief Summary
Oral mucositis (OM) is a common and debilitating toxicity induced by many chemotherapy (CT) regimens and by radiation to the head and neck. The purpose of this study is to determine the effectiveness of SNX-1012 in decreasing the duration of Grade 2, 3, or 4 oral mucositis (OM) according to World Health Organization (WHO) criteria.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jun 2006
27 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2006
CompletedFirst Submitted
Initial submission to the registry
October 5, 2006
CompletedFirst Posted
Study publicly available on registry
October 9, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2008
CompletedResults Posted
Study results publicly available
March 18, 2009
CompletedMay 7, 2009
April 1, 2009
1.9 years
October 5, 2006
January 19, 2009
April 8, 2009
Conditions
Outcome Measures
Primary Outcomes (1)
Duration of Ulcerative Oral Mucositis
All randomized subjects were directly observed by trained evaluators for at least 10 consecutive days during the chemotherapy cycle to document the duration for those that developed recurrent ulcerative oral mucositis
At least 10 consecutive days beginning on Day 1 of a chemotherapy cycle
Secondary Outcomes (1)
Number of Participants With Ulcerative Oral Mucositis
At least 10 consecutive days beginning on Day 1 of a chemotherapy cycle
Study Arms (2)
1
EXPERIMENTALSNX-1012 (meclocyline sulfosalicylate) tablets dissolved in water for oral swish and expectorate; 30 mg 4 times daily for 10 days
2
PLACEBO COMPARATORplacebo (matched to SNX-1012) tablets dissolved in water for oral swish and expectorate; 4 times daily for 10 days
Interventions
tablets to be dissolved in water for oral swish and expectorate; 30 mg, 4 times daily for 10 days
Tablets to be dissolved in water for oral swish and expectorate; placebo, 4 times daily for 10 days
Eligibility Criteria
You may qualify if:
- Signed written informed consent
- Naive to focal radiation therapy in the head and neck regions for cancer prior to CT Cycle 1. Subjects with prior or concomitant radiation therapy to areas other than the head and neck may be enrolled.
- Histologically confirmed diagnosis of breast or lung cancer (NSCLC or SCLC)
- Chemotherapy regimen containing AC ± T or EC ± T (for breast cancer), cisplatin or carboplatin (for NSCLC or SCLC), or doxorubicin (for SCLC)
- Subjects will receive the same regimen and dose of CT in the OM Treatment CT Cycle as was administered in the immediately preceding CT Cycle.
- Subjects will have had OM of WHO Grade of greater than or equal to 2 during CT Cycle 1 or Cycle 2
- Subjects 18 years and older
- Karnofsky Performance Score \>=60
- Baseline laboratory assessments:
- Hemoglobin (Hgb) level \>= 9 g/dL Absolute neutrophil count (ANC) \>= 1.5 x 10 to the 9/L Platelet count \>= 100 x 10 to the 9/L Serum bilirubin level \<= 1.5 times institutional upper limit of normal (ULN) Serum aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) level \<= 2 times above ULN
- Females of childbearing potential must have a negative serum or urine pregnancy test result at the screening visit prior to the start of Cycle 1 and at the visit scheduled for \<= 48 hours prior to the start of the OM Treatment CT Cycle
- Subjects with reproductive capability must agree to practice adequate contraception methods (males must use condoms or be surgically sterilized; females must be surgically sterilized, post-menopausal for at least 1 year, or use an appropriate double barrier method, prescribed birth control oral contraceptive, patch, implant, or injection during the course of the study and for up to 30 days after completion of study assessments)
- Absence of other serious concurrent medical illness
- Psychologically able to participate and comply with study requirements
You may not qualify if:
- Prior history of oral mucositis with previous chemotherapy treatment
- Previous treatment with an anthracycline agent (other than low-dose neoadjuvant therapy)
- Active liver disease or serum AST and/or ALT level \> 2 times above ULN
- Currently receiving an investigational agent, planning to receive an investigational agent during the study period, or received an investigational agent within 30 days of the first dose of SNX-1012
- Use of an immunosuppressive regimen of systemic corticosteroids
- Unwilling/unable to receive periodic oral assessments by a study evaluator or unable to complete the daily self-reported outcome questionnaire
- Pregnant or breast-feeding women
- Bronchoalveolar carcinoma
- Metastases to the central nervous system
- Prior or planned focal radiation therapy in the head or neck regions for the treatment of cancer (prior radiation to areas other than the head and neck is permitted)
- Presence of active or history of chronic oral mucosal disease
- Presence or history of any other primary malignancy (curatively treated nonmelanoma skin cancer is allowed)
- History of chronic liver disease
- Active hepatitis A or B
- Unable to receive CT during the OM Treatment CT Cycle at the same regimen and/or dose as in the immediately preceding CT cycle.
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (27)
Desert Hematology Oncology Medical Group
Rancho Mirage, California, 92270, United States
Bridgeport Hospital
Bridgeport, Connecticut, 06610, United States
Eastern Connecticut Hematology & Oncology Associates
Norwich, Connecticut, 06360, United States
Florida Research Cancer Institute
Davie, Florida, 33328, United States
Park Nicollet Clinic
Saint Louis Park, Minnesota, 55416, United States
Capitol Comprehensive Cancer Care Clinic
Jefferson City, Missouri, 65109, United States
Cancer Specialists of South Texas
Corpus Christi, Texas, 78412, United States
Cancer Outreach Associates
Abingdon, Virginia, 24211, United States
Morgantown Internal Medicine Group
Morgantown, West Virginia, 26505, United States
Vedanta Institute of Medical Sciences
Navrangpura, Ahmedabad, Gujarat, 380009, India
Jawaharlal Nehru Cancer Hospital and Research Centre
Post Box No. 32, Idgah Hills, Bhopal, Madhya Pradesh, 462001, India
Apollo Speciality Hospital
320, Mount Road, Teynampet, Chennai, Tamil Nadu, 600035, India
Dharamshila Cancer Hospital and Research Centre,
Dharamshila Marg, Vasundhara Enclave, Dehli, 110096, India
Apollo Hospitals
Jubilee Hills, Hyderabad, Andhra Pradesh, 500033, India
Nizams Institute of Medical Sciences
Punjagutta, Hyderabad, Andhra Pradesh, 500082, India
Bhagwan Mahavir Cancer Hospital and Research Centre,
Jawaharlal Nehru Marg, Jaipur, Rajasthan, 302017, India
S.K Sony Hospital, Vidyadhar Nagar,
Sector-5 Sikar Road, Jaipur, Rajasthan, 302013, India
Netaji Subhash Chandra Bose Cancer Hospital & Research Institute
16A Park Lane, Kolkatta, West Bengal, 700016, India
Chittaranjan National Cancer Institute
37, S.P. Mukherjee Rd., Kolkatta, West Bengal, 700026, India
Dayanand Medical College & Hospital
Tagore Nagar, Civil Lines, Ludhiana, Punjab, 141001, India
Jaslok Hospital & Research Centre
15-Dr. G. Deshmukh Marg, Mumbai, Maharashtra, 400026, India
Jehangir Hospital,
32 Sassoon Road, Pune, Maharashtra, 411001, India
Ruby Hall Clinic,
40, Sassoon Road, Pune, Maharashtra, 411001, India
Seth Ramdas Shah Memorial Hospital & Research Centre
Fp-402, Gokhle Nagar Road, Shivaji Nagar, Pune, Maharashtra, 411016, India
North Bengal Oncology Centre,
Pradhan Nagar, Siliguri, Dist- Darjeeling, West Bengal, 734003, India
Regional Cancer Centre
Medical College Campus, Post Bag No. 2417, Trivandrum, Kerala, 695011, India
Christian Medical College & Hospital
IDA Scuddar Road, Vellore, Tamil Nadu, 632004, India
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Eward G. Fey, PhD
- Organization
- Mucosal Therapeutics, LLC
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
October 5, 2006
First Posted
October 9, 2006
Study Start
June 1, 2006
Primary Completion
May 1, 2008
Study Completion
July 1, 2008
Last Updated
May 7, 2009
Results First Posted
March 18, 2009
Record last verified: 2009-04