NCT02392039

Brief Summary

The goal of this clinical research study is to learn if loratadine can control bone pain caused by pegfilgrastim (a drug given after chemotherapy to help raise white blood cell counts).

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
1

participants targeted

Target at below P25 for early_phase_1 lymphoma

Timeline
Completed

Started Dec 2015

Shorter than P25 for early_phase_1 lymphoma

Geographic Reach
1 country

1 active site

Status
terminated

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

First Submitted

Initial submission to the registry

March 12, 2015

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 18, 2015

Completed
9 months until next milestone

Study Start

First participant enrolled

December 14, 2015

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 4, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 4, 2018

Completed
Last Updated

April 23, 2019

Status Verified

April 1, 2019

Enrollment Period

2.3 years

First QC Date

March 12, 2015

Last Update Submit

April 22, 2019

Conditions

Keywords

LymphomaDiffuse Large B-cell LymphomaMantle Cell LymphomaGrade 3B Follicular LymphomaBurkitt LymphomaPeripheral T cell Lymphoma NOSNK/T cell LymphomaTransformed LymphomaAggressive lymphomaBone painPegfilgrastimNeulastaPEG-G-CSFLoratadinePlaceboSugar pillQuestionnairesSurveys

Outcome Measures

Primary Outcomes (1)

  • Bone Pain Related Quality of Life (QOL) Measured by FACT-Bone Pain (FACT-BP) Questionnaire

    FACT-BP (range: 0 - 60) questionnaire used to measure patients bone pain. Participant considered having bone pain if the answer for question BP1 in the FACT-BP questionnaire is \>0.

    26 weeks

Study Arms (2)

Group 1 - Loratadine

EXPERIMENTAL

Pegfilgrastim 6 mg subcutaneously between 24 and 72 hours after completion of chemotherapy once per 21 day cycle. Cycle 1 and 3: Loratadine 10 mg by mouth daily, starting on the day of Pegfilgrastim administration and continuing for a total of 7 days. Cycle 2 and 4: Placebo by mouth daily, starting on the day of Pegfilgrastim administration and continuing for a total of 7 days. Three questionnaires completed about bone pain and quality of life. These are completed before Pegfilgrastim received during Cycles 1 - 4 (and if participant has pain, during Cycles 6 - 7), on Day 7, and 8 weeks after last dose of study drugs.

Drug: PegfilgrastimDrug: LoratadineOther: PlaceboBehavioral: Questionnaires

Group 2 - Placebo

EXPERIMENTAL

Pegfilgrastim 6 mg subcutaneously between 24 and 72 hours after completion of chemotherapy once per 21 day cycle. Cycle 1 and 3: Placebo by mouth daily, starting on the day of Pegfilgrastim administration and continuing for a total of 7 days. Cycle 2 and 4: Loratadine 10 mg by mouth daily, starting on the day of Pegfilgrastim administration and continuing for a total of 7 days. Three questionnaires completed about bone pain and quality of life. These are completed before Pegfilgrastim received during Cycles 1 - 4 (and if participant has pain, during Cycles 6 - 7), on Day 7, and 8 weeks after last dose of study drugs.

Drug: PegfilgrastimDrug: LoratadineOther: PlaceboBehavioral: Questionnaires

Interventions

6 mg subcutaneously between 24 and 72 hours after completion of chemotherapy once per 21 day cycle.

Also known as: Neulasta, PEG-G-CSF
Group 1 - LoratadineGroup 2 - Placebo

Group 1 - Cycles 1 and 3: Loratadine 10 mg by mouth daily, starting on the day of Pegfilgrastim administration and continuing for a total of 7 days. Group 2 - Cycle 2 and 4: Loratadine 10 mg by mouth daily, starting on the day of Pegfilgrastim administration and continuing for a total of 7 days.

Group 1 - LoratadineGroup 2 - Placebo
PlaceboOTHER

Group 1 - Cycle 2 and 4: Placebo by mouth daily, starting on the day of Pegfilgrastim administration and continuing for a total of 7 days. Group 2 - Cycle 1 and 3 : Placebo by mouth daily, starting on the day of Pegfilgrastim administration and continuing for a total of 7 days.

Also known as: Sugar Pill
Group 1 - LoratadineGroup 2 - Placebo
QuestionnairesBEHAVIORAL

Three questionnaires completed about bone pain and quality of life. These are completed before Pegfilgrastim received during Cycles 1 - 4 (and if participant has pain, during Cycles 6 - 7), on Day 7, and 8 weeks after last dose of study drugs.

Also known as: Surveys
Group 1 - LoratadineGroup 2 - Placebo

Eligibility Criteria

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

You may qualify if:

  • Patients must have newly diagnosed, previously untreated Diffuse Large B-cell Lymphoma, Mantle Cell Lymphoma, Grade 3B Follicular lymphoma, Burkitt Lymphoma, Peripheral T cell Lymphoma NOS, NK/T cell Lymphoma, or Transformed lymphoma.
  • Planned to receive chemotherapy for 6 cycles which the treating physician plans to utilize for pegfilgrastim to minimize risk for neutropenic fever, including but not limited to R-CHOP, R-EPOCH, and R-HyperCVAD, CHOP, and SMILE.
  • Age \>= 18 years old.
  • ECOG performance status 0-3.
  • Ability to provide informed consent for participation.

You may not qualify if:

  • Existing chronic bone pain prior to pegfilgrastim usage.
  • Creatinine clearance of \<50ml/minute by Cockcroft Gault equation.
  • Allergy to filgrastim, pegfilgrastim, or Loratadine.
  • Chronic daily usage of antihistamine without an acceptable alternative non-antihistamine medication.
  • Inability to swallow medications.
  • Inability to complete the survey instrumentation accurately.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Texas MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Related Links

MeSH Terms

Conditions

LymphomaLymphoma, Large B-Cell, DiffuseLymphoma, Mantle-CellBurkitt LymphomaLymphoma, T-CellLymphoma, Extranodal NK-T-Cell

Interventions

pegfilgrastimpegylated granulocyte colony-stimulating factor, humanLoratadineSugarsSurveys and Questionnaires

Condition Hierarchy (Ancestors)

Neoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesLymphoma, B-CellLymphoma, Non-HodgkinEpstein-Barr Virus InfectionsHerpesviridae InfectionsDNA Virus InfectionsVirus DiseasesInfectionsTumor Virus Infections

Intervention Hierarchy (Ancestors)

CyproheptadineDibenzocycloheptenesBenzocycloheptenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPiperidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsPolycyclic CompoundsCarbohydratesData CollectionEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health

Study Officials

  • Jason R. Westin, MD

    M.D. Anderson Cancer Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 12, 2015

First Posted

March 18, 2015

Study Start

December 14, 2015

Primary Completion

April 4, 2018

Study Completion

April 4, 2018

Last Updated

April 23, 2019

Record last verified: 2019-04

Locations