Orally Administrated JBM-TC4 Prevents Acute Radiodermatitis in Breast Cancer Patients
Phase 2 Study of Orally Administrated JBM-TC4 for the Prevention of Acute Radiation-induced Dermatitis in Breast Cancer Patients
2 other identifiers
interventional
120
1 country
3
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Nov 2014
3 active sites
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
CompletedFirst Submitted
Initial submission to the registry
November 5, 2014
CompletedFirst Posted
Study publicly available on registry
November 13, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedJune 15, 2016
June 1, 2016
2.1 years
November 5, 2014
June 14, 2016
Conditions
Keywords
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 COMPARATORTotally 3000 mg of PEG-400 per day. 3 capsules of 500 mg PEG-400 per time, twice a day.
Group II
EXPERIMENTALTotally 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.
Group III
EXPERIMENTALTotally 3000 mg of JBM-TC4 per day. 3 capsules of 500 mg JBM-TC4 per time, twice a 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.
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.
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.
Eligibility Criteria
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
- Joben Bio-Medical Co., Ltd.lead
- Kaohsiung Medical University Chung-Ho Memorial Hospitalcollaborator
- Taipei Veterans General Hospital, Taiwancollaborator
- Efficient Pharma Management Corp.collaborator
Study Sites (3)
Departmant of Radiotherapy, Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung, Taiwan, 80756, Taiwan
Department of Oncology, Taipei Verterans General Hospital
Taipei, Taiwan, 11217, Taiwan
Department of Radiation Oncology, China Medical University Hospital
Taichung, Taiwan
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: 12769541BACKGROUNDChen 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: 22353428BACKGROUNDChung 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: 21284381BACKGROUNDChung 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: 21517098BACKGROUNDHung 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: 14640580BACKGROUNDKuo 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: 11312897BACKGROUNDKuo 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: 24716141BACKGROUNDLee 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: 18331775BACKGROUNDLi 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: 21218491BACKGROUNDYao 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: 21395288BACKGROUNDZhan 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
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
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
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