NCT00527319

Brief Summary

Cachexia is a presentation of a chronic manifestation of acute metabolic stress, a hypercatabolic nutritional state in which the normal fat and protein sparing mechanisms are not functioning and increased nutrition is not utilized. To switch the nutritional system from a hypercatabolic to a normal nutritional state, therapy must block multi-factorial stress signaling a threshold of activation. Consistent with the synergistic hypothesis, propranolol and etodolac have been evaluated in subjects with advanced cancer demonstrating cachexia. This trial will evaluate the safety and efficacy of VT-122 in subjects with NSCLC who have hypercatabolic cachexia.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
37

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Jan 2007

Geographic Reach
2 countries

8 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2007

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

August 30, 2007

Completed
11 days until next milestone

First Posted

Study publicly available on registry

September 10, 2007

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2008

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2008

Completed
4.4 years until next milestone

Results Posted

Study results publicly available

January 30, 2013

Completed
Last Updated

January 30, 2013

Status Verified

December 1, 2012

Enrollment Period

1.6 years

First QC Date

August 30, 2007

Results QC Date

November 8, 2012

Last Update Submit

December 19, 2012

Conditions

Keywords

NSCLCanorexiacachexiagrip strengthlean body mass

Outcome Measures

Primary Outcomes (2)

  • Proportion of Subjects With a Positive Change From Baseline to Week 4 in Lean Body Mass

    4 weeks

  • Proportion of Subjects With a Positive Change From Baseline to Week 4 in Grip Strength

    4 weeks

Study Arms (3)

Group A, control group

NO INTERVENTION

Supportive care only

Group B, Low Dose VT-122

ACTIVE COMPARATOR

VT-122 (dose of etodolac: 400 mg/day) + supportive care

Drug: VT-122 low dose

Group C, High Dose VT-122

ACTIVE COMPARATOR

VT-122 (dose of etodolac: 800 mg/day) + supportive care

Drug: VT-122 high dose

Interventions

VT-122 low dose, dose escalated

Group B, Low Dose VT-122

VT-122 high dose, dose escalated

Group C, High Dose VT-122

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subjects with NSCLC
  • Demonstrating average weight loss of 5% within 2 months prior to enrollment
  • Heart rate of 72 bpm or greater
  • Negative pregnancy test (female patients of child bearing age)
  • Able to give informed consent
  • Able to be administered medication
  • Able to take food and defined nutritional support
  • Have not been on beta-blockers for a minimum of 1 week prior to administration of the medication screening dose
  • Have not undergone surgery for at least 2 weeks prior to entry into trial
  • Have not been on chemotherapy, immunotherapy, biologic therapy, radio therapy, and experimental therapy for a minimum of two weeks prior to medication screening dose and during their participation in this trial
  • An expected survival for a minimum of 12 weeks

You may not qualify if:

  • Contraindication to nonsteroidal antiinflammatory drugs (NSAIDs) and beta blockers
  • Blood pressure less than 100/65
  • Weight loss of 15% within 2 months prior to recruitment
  • Hypersensitivity reaction to the active components in VT-122
  • History of myocardial infraction within the past 3 months
  • Congestive heart failure (as determined by symptoms and ECG)
  • A-V block of second or third degree
  • Unstable angina
  • Uncontrolled diabetes
  • Unable to be assessed for grip strength
  • A positive pregnancy test
  • Chronic infection or sepsis
  • History of bleeding disorders
  • Patients with peripheral edema
  • Patients on digoxin or other chronotropic drugs
  • +2 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

First Dynamic Health Care Services, Inc.

Waco, Texas, 76708, United States

Location

Rajalakshmi Nursing Home

Bangalore, India

Location

Nizam Institute of Medical Sciences

Hyderabaad, India

Location

Orchid Nursing Home

Kolkata, India

Location

Shatabdi Super Specialty Hospital

Nashik, India

Location

All India Institute of Medical Sciences

New Delhi, India

Location

Indraprastha Apollo Hospital

New Delhi, India

Location

Deenanath Mangeshkar Hospital

Pune, India

Location

MeSH Terms

Conditions

CachexiaAnorexia

Condition Hierarchy (Ancestors)

Weight LossBody Weight ChangesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsThinnessSigns and Symptoms, Digestive

Results Point of Contact

Title
Dr. Richard Guarino
Organization
Oxford Pharmaceutical Resources, Inc.

Study Officials

  • Richard A Guarino, MD

    Oxford Pharmaceutical Resources, Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
LTE60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
FACTORIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 30, 2007

First Posted

September 10, 2007

Study Start

January 1, 2007

Primary Completion

August 1, 2008

Study Completion

September 1, 2008

Last Updated

January 30, 2013

Results First Posted

January 30, 2013

Record last verified: 2012-12

Locations