NCT02289365

Brief Summary

This trial is designed as a multicenter, double-blinded, randomized, placebo controlled study to assess the safety and efficacy of JBM-TC4 for the prevention and treatment of acute radiation-induced dermatitis in breast cancer patients receiving radiotherapy.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
120

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Nov 2014

Geographic Reach
1 country

3 active sites

Status
unknown

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

November 1, 2014

Completed
4 days until next milestone

First Submitted

Initial submission to the registry

November 5, 2014

Completed
8 days until next milestone

First Posted

Study publicly available on registry

November 13, 2014

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2016

Completed
Last Updated

June 15, 2016

Status Verified

June 1, 2016

Enrollment Period

2.1 years

First QC Date

November 5, 2014

Last Update Submit

June 14, 2016

Conditions

Keywords

RadiodermatitisBreast cancerRadiotherapy

Outcome Measures

Primary Outcomes (1)

  • Radiation Dermatitis Severity Scale (RDS)

    During each weekly visit (Day 0,8, 15, 22, 29, 36, 43, 50, 57, 64, 71, 78, 86 and 92), starting from baseline evaluation at Day 0, the severity of radiodermatitis in breast cancer patients at the radiotherapy site will be assess by the investigator using the RDS (CTCAE 4.03), which the ranges from 0 to 5 with increments of 1.

    baseline to 92 days

Secondary Outcomes (8)

  • Presence of Moist Desquamation

    baseline to 92 days

  • Redness Scale

    baseline to 92 days

  • Worst Pain Related to Radiodermatitis at the site

    baseline to 92 days

  • Improve Quality of Life

    92 days

  • Vital sign

    baseline to 92 days

  • +3 more secondary outcomes

Study Arms (3)

Group I

PLACEBO COMPARATOR

Totally 3000 mg of PEG-400 per day. 3 capsules of 500 mg PEG-400 per time, twice a day.

Drug: 3000 mg of PEG-400 per day

Group II

EXPERIMENTAL

Totally 2000 mg of JBM-TC4 per day. 2 capsules of 500 mg JBM-TC4 plus 1 capsule of 500 mg PEG-400 per time, twice a day.

Drug: 2000 mg of JBM-TC4 per day

Group III

EXPERIMENTAL

Totally 3000 mg of JBM-TC4 per day. 3 capsules of 500 mg JBM-TC4 per time, twice a day.

Drug: 3000 mg of JBM-TC4 per day

Interventions

2 capsules of 500 mg JBM-TC4 plus 1 capsule of 500 mg PEG-400, oral route per time twice a day in Day (-7) prior to radiotherapy and continue through the radiotherapy period for additional 11 weeks.

Group II

3 capsules of 500 mg JBM-TC4, oral route per time twice a day in Day (-7) prior to radiotherapy and continue through the radiotherapy period for additional 11 weeks.

Group III

3 capsules of 500 mg polyethylene glycol 400 (PEG-400), oral route per time twice a day in Day (-7) prior to radiotherapy and continue through the radiotherapy period for additional 11 weeks.

Group I

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • males or non-pregnant females at least 20 year of age.
  • Diagnosis of, non-inflammatory breast adenocarcinoma and be referred for post-operative radiotherapy without concurrent chemotherapy.
  • Breast adenocarcinoma previously treated by lumpectomy with or without adjuvant or neoadjuvant chemotherapy or hormonal treatment.
  • With in situ breast cancer are also eligible
  • Prescribed concurrent hormone treatment with radiation treatment
  • Participants must be scheduled to receive 5 sessions of radiotherapy per week (1 session per day) for at least 5 weeks using standard (1.8 Gy to 2.0 Gy per session) for total dose of at least 45 Gy.
  • A time period of 3 weeks must elapse after chemotherapy and surgery before beginning this study.
  • Must be able to swallow medication.
  • Participant must give informed consent.

You may not qualify if:

  • Bilateral breast cancer
  • Previous radiotherapy to the breast or chest.
  • Chemotherapy cocurrent with radiation treatment.
  • Receiving treatment with anti-coagulants, or anti-human epidermal growth factor receptor drugs, e.g., Iressa (gefitinib), Erbitux (cetuximab, C225), concurrently with their radiotherapy.
  • Prior breast reconstructions, implants, and/or expanders.
  • Known radiosensitivity syndromes, e.g., Ataxia-telangiectasia.
  • Collagen vascular disease, vasculitis, unhealed surgical sites, breast infections, or systemic lupus erythematosus.
  • Baseline blood tests that meet the following criteria:
  • Grade 2 change in hemoglobin (i.e., 25% decease from baseline);
  • Grade 1 change in platelets (i.e., \< 75'000/mm3);
  • Grade 2 change in prothrombin time and partial thromboplastin time (i.e., 1.5-2x upper limit of normal);
  • Grade 1 change in aspartate transaminase, alanine transaminase (i.e., \> 2.5x upper limit of normal);
  • Grade 1 change in bilirubin (i.e., \> 1.5x upper limit of normal);
  • Grade 1 change in Creatinine (i.e., \> 2x upper limit of normal).
  • Conditions affecting the absorption for oral medications.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Departmant of Radiotherapy, Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung, Taiwan, 80756, Taiwan

Location

Department of Oncology, Taipei Verterans General Hospital

Taipei, Taiwan, 11217, Taiwan

Location

Department of Radiation Oncology, China Medical University Hospital

Taichung, Taiwan

Location

Related Publications (11)

  • Chang HC, Huang YC, Hung WC. Antiproliferative and chemopreventive effects of adlay seed on lung cancer in vitro and in vivo. J Agric Food Chem. 2003 Jun 4;51(12):3656-60. doi: 10.1021/jf021142a.

    PMID: 12769541BACKGROUND
  • Chen HJ, Lo YC, Chiang W. Inhibitory effects of adlay bran (Coix lachryma-jobi L. var. ma-yuen Stapf) on chemical mediator release and cytokine production in rat basophilic leukemia cells. J Ethnopharmacol. 2012 May 7;141(1):119-27. doi: 10.1016/j.jep.2012.02.009. Epub 2012 Feb 14.

    PMID: 22353428BACKGROUND
  • Chung CP, Hsu CY, Lin JH, Kuo YH, Chiang W, Lin YL. Antiproliferative lactams and spiroenone from adlay bran in human breast cancer cell lines. J Agric Food Chem. 2011 Feb 23;59(4):1185-94. doi: 10.1021/jf104088x. Epub 2011 Feb 1.

    PMID: 21284381BACKGROUND
  • Chung CP, Hsia SM, Lee MY, Chen HJ, Cheng F, Chan LC, Kuo YH, Lin YL, Chiang W. Gastroprotective activities of adlay (Coix lachryma-jobi L. var. ma-yuen Stapf) on the growth of the stomach cancer AGS cell line and indomethacin-induced gastric ulcers. J Agric Food Chem. 2011 Jun 8;59(11):6025-33. doi: 10.1021/jf2009556. Epub 2011 May 5.

    PMID: 21517098BACKGROUND
  • Hung WC, Chang HC. Methanolic extract of adlay seed suppresses COX-2 expression of human lung cancer cells via inhibition of gene transcription. J Agric Food Chem. 2003 Dec 3;51(25):7333-7. doi: 10.1021/jf0340512.

    PMID: 14640580BACKGROUND
  • Kuo CC, Shih MC, Kuo YH, Chiang W. Antagonism of free-radical-induced damage of adlay seed and its antiproliferative effect in human histolytic lymphoma U937 monocytic cells. J Agric Food Chem. 2001 Mar;49(3):1564-70. doi: 10.1021/jf001215v.

    PMID: 11312897BACKGROUND
  • Kuo CC, Chen HH, Chiang W. Adlay ( yi yi; "soft-shelled job's tears"; the seeds of Coix lachryma-jobi L. var. ma-yuen Stapf) is a Potential Cancer Chemopreventive Agent toward Multistage Carcinogenesis Processes. J Tradit Complement Med. 2012 Oct;2(4):267-75. doi: 10.1016/s2225-4110(16)30112-2.

    PMID: 24716141BACKGROUND
  • Lee MY, Lin HY, Cheng F, Chiang W, Kuo YH. Isolation and characterization of new lactam compounds that inhibit lung and colon cancer cells from adlay (Coix lachryma-jobi L. var. ma-yuen Stapf) bran. Food Chem Toxicol. 2008 Jun;46(6):1933-9. doi: 10.1016/j.fct.2008.01.033. Epub 2008 Feb 12.

    PMID: 18331775BACKGROUND
  • Li SC, Chen CM, Lin SH, Chiang W, Shih CK. Effects of adlay bran and its ethanolic extract and residue on preneoplastic lesions of the colon in rats. J Sci Food Agric. 2011 Feb;91(3):547-52. doi: 10.1002/jsfa.4219. Epub 2010 Nov 19.

    PMID: 21218491BACKGROUND
  • Yao HT, Lin JH, Chiang MT, Chiang W, Luo MN, Lii CK. Suppressive effect of the ethanolic extract of adlay bran on cytochrome P-450 enzymes in rat liver and lungs. J Agric Food Chem. 2011 Apr 27;59(8):4306-14. doi: 10.1021/jf200117m. Epub 2011 Mar 18.

    PMID: 21395288BACKGROUND
  • Zhan YP, Huang XE, Cao J, Lu YY, Wu XY, Liu J, Xu X, Xiang J, Ye LH. Clinical safety and efficacy of Kanglaite(R) (Coix Seed Oil) injection combined with chemotherapy in treating patients with gastric cancer. Asian Pac J Cancer Prev. 2012;13(10):5319-21. doi: 10.7314/apjcp.2012.13.10.5319.

    PMID: 23244156BACKGROUND

MeSH Terms

Conditions

RadiodermatitisBreast Neoplasms

Condition Hierarchy (Ancestors)

DermatitisSkin DiseasesSkin and Connective Tissue DiseasesRadiation InjuriesWounds and InjuriesNeoplasms by SiteNeoplasmsBreast Diseases

Study Officials

  • Chih-Jen Huang, MD-PhD

    Kaohsiung Medical University Chung-Ho Memorial Hospital

    PRINCIPAL INVESTIGATOR
  • Cheng-Ying Shiau, MD

    Taipei Verterans General Hospital

    PRINCIPAL INVESTIGATOR
  • Chin-Nan Chu, MD

    China Medical University Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 5, 2014

First Posted

November 13, 2014

Study Start

November 1, 2014

Primary Completion

December 1, 2016

Study Completion

December 1, 2016

Last Updated

June 15, 2016

Record last verified: 2016-06

Locations