NCT03049358

Brief Summary

This randomized phase I trial studies how well olfactory training works in improving sense of smell after radiation therapy in patients with paranasal sinus or nasopharyngeal cancer. Olfactory training may improve smell function after radiation therapy in patients with paranasal sinus or nasopharyngeal cancer.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
15

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Dec 2016

Typical duration for not_applicable

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

Study Start

First participant enrolled

December 1, 2016

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

February 6, 2017

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 10, 2017

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2018

Completed
Last Updated

February 5, 2019

Status Verified

February 1, 2019

Enrollment Period

1.8 years

First QC Date

February 6, 2017

Last Update Submit

February 1, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in olfactory function in patients with paranasal sinus or nasopharyngeal carcinoma after completion of radiation therapy as measured by UPSIT score

    T-test or Mann-Whitney U test, where appropriate, will be used for comparing continuous variables, and chi-squared test will be used for comparing categorical variables. Continuous UPSIT score will be summarized using the following statistics: number of subjects, arithmetic mean, standard deviation, median, first quartile, third quartile, minimum, and maximum values. The dependent variable UPSIT score will be either the percent change from baseline or change from baseline in the endpoint. Mixed model repeated measures (MMRM) analysis will be used and the model will included fixed effect terms

    Baseline to 12 weeks

Secondary Outcomes (3)

  • Efficacy of olfactory training during radiation therapy as measured by change in UPSIT scores

    Baseline

  • Improvement in quality of life related to olfactory dysfunction as measured by change in the Questionnaire of Olfactory Disorders (QOD) score

    Baseline to 12 weeks

  • Severity of olfactory dysfunction after completion of radiation therapy as measured by UPSIT score

    Baseline

Study Arms (2)

Arm I (olfactory training)

EXPERIMENTAL

Patients undergo olfactory training by smelling 4 essential oils in vials (rose, lemon, clove, and eucalyptus) over 15 seconds each, twice daily for 12 weeks.

Other: Physiologic TestingOther: Quality-of-Life AssessmentProcedure: Therapeutic ProcedureOther: rose essential oilOther: lemon essential oilOther: clove essential oilOther: eucalyptus essential oil

Arm II (sham training)

SHAM COMPARATOR

Patients undergo sham training by smelling canola oil in 4 vials over 15 seconds each, twice daily for 12 weeks.

Other: Physiologic TestingOther: Quality-of-Life AssessmentProcedure: Sham InterventionOther: canola oil placebo

Interventions

Undergo UPSIT smell test

Also known as: Physiologic Test, Study of Physiologic Variables
Arm I (olfactory training)Arm II (sham training)

Ancillary studies

Also known as: Quality of Life Assessment
Arm I (olfactory training)Arm II (sham training)

Undergo sham training

Arm II (sham training)

Undergo olfactory training

Also known as: Therapeutic Interventions, Therapeutic Method, Therapeutic Technique, Therapy, TREAT, Treatment
Arm I (olfactory training)

patient smells rose oil in vial

Arm I (olfactory training)

patient smells lemon oil in vial

Arm I (olfactory training)

patient smells clove oil in vial

Arm I (olfactory training)

patient smells eucalyptus oil in vial

Arm I (olfactory training)

patient smells canola oil in vial

Arm II (sham training)

Eligibility Criteria

Age19 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Eligible disease(s)/stage(s): nasopharyngeal carcinoma, paranasal sinus cancers/any stage
  • Patients with paranasal sinus or nasopharyngeal carcinoma who are about to undergo radiation therapy; patients with paranasal sinus or nasopharyngeal carcinoma who have completed radiation therapy 3-6 months prior to enrollment who then show olfactory loss on a screening test (University of Pennsylvania Smell Identification Test \[UPSIT\] - score of 34 or 33 or lower out of 40, depending on female/male); both those patients undergoing chemotherapy and those who did not will be eligible, and this factor will be assessed as a possible confounder/contributor in a multi-regression analysis
  • No race-ethnic restriction
  • No life expectancy restriction
  • No need for Karnofsky performance status
  • Only requirement for organ function is for patients to have competency to consent and participate in the study; in the arm of the study which requires patients to have olfactory dysfunction before enrollment, an UPSIT score will be used to identify these patients
  • Ability to understand and the willingness to sign a written informed consent document

You may not qualify if:

  • No therapy restrictions
  • No restrictions on use of other investigational agents
  • Co-morbid disease or incurrent illness such as:
  • History of head trauma
  • History of nasal surgery other than biopsy (before cancer was diagnosed)
  • History of sinus surgery other than biopsy (before cancer was diagnosed)
  • Chronic rhinosinusitis with or without polyp
  • Pregnancy
  • Cognitive dysfunction
  • History of brain surgery
  • Psychiatric or neurologic diseases interfering with sense of smell
  • Congenital disorders of olfactory dysfunction
  • Olfactory loss prior to onset of nasopharyngeal carcinoma
  • Pregnant women will be excluded; nursing patients will be included

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Stanford University, School of Medicine

Palo Alto, California, 94304, United States

Location

MeSH Terms

Conditions

Nasopharyngeal CarcinomaParanasal Sinus Neoplasms

Interventions

Coal TarTherapeuticsEucalyptus Oil

Condition Hierarchy (Ancestors)

CarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsNasopharyngeal NeoplasmsPharyngeal NeoplasmsOtorhinolaryngologic NeoplasmsHead and Neck NeoplasmsNeoplasms by SiteNasopharyngeal DiseasesPharyngeal DiseasesStomatognathic DiseasesOtorhinolaryngologic DiseasesNose NeoplasmsNose DiseasesRespiratory Tract DiseasesParanasal Sinus DiseasesRespiratory Tract Neoplasms

Intervention Hierarchy (Ancestors)

TarsComplex MixturesPlant OilsOilsLipidsPlant PreparationsBiological Products

Study Officials

  • Zara Patel

    Stanford University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 6, 2017

First Posted

February 10, 2017

Study Start

December 1, 2016

Primary Completion

October 1, 2018

Study Completion

October 1, 2018

Last Updated

February 5, 2019

Record last verified: 2019-02

Data Sharing

IPD Sharing
Will not share

Locations