Complementary Treatment of PG2 to Improve Clinical Benefit Response and Quality of Life in Fatigue
Recruitment status was Recruiting
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Purpose
The objective of this study is to evaluate the efficacy and safety of PG2 as a complementary treatment to conventional chemotherapy among NSCLC patients. In reference to previous studies, "Clinical Benefit Response" and "Incidence of Grade III plus VI Neutropenia" will be used as the primary endpoints in this study. Clinical Benefit Response is a metric measurement including change in cancer or cancer treatment related "fatigue" which is related to chronic fatigue syndrome (CFS), change in karnofsky performance status and change in weight. The secondary endpoints include patient's global quality of life, and the blood c-reactive protein level which is related to weight change, tumor response, survival time, incidences of myelosuppression (including neutropenia, anemia and thrombocytopenia) and the related G-CSF and antibiotics consumption.
| Condition | Intervention | Phase |
|---|---|---|
|
Quality of Life Fatigue Complementary |
Drug: PG2 |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
- Clinical Benefit Response [ Time Frame: within and between each chemo-cycle (21 days) ] [ Designated as safety issue: No ]
- Incidence of Grade III plus IV Neutropenia [ Time Frame: within and between each chemo-cycle (21 days) ] [ Designated as safety issue: Yes ]
- Quality of Life Assessments [ Time Frame: within and between each chemo-cycle (21 days) ] [ Designated as safety issue: No ]
- The blood c-reactive protein level which is related to weight change [ Time Frame: within and between each chemo-cycle (21 days) ] [ Designated as safety issue: No ]
- Tumor Response [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Survival Time [ Time Frame: one year ] [ Designated as safety issue: No ]
- Incidences of myelosuppression and the related G-CSF consumption and antibiotics consumption [ Time Frame: within and beween each chemo-cycle (21 days) ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 210 |
| Study Start Date: | September 2007 |
| Estimated Study Completion Date: | December 2010 |
| Estimated Primary Completion Date: | June 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Treatment group
PG2 plus standard chemotherapies
|
Drug: PG2
500 mg PG2 / 500 ml normal saline IV infusion for 3 hours once daily for 4 doses in the 1st week, 3 doses in the 2nd week and 3 doses in the 3rd week of each chemo-cycle for three cycles. Total 10 doses will be given in each cycle even with skip days.
|
|
Placebo Comparator: Placeo group
Placebo plus standard chemotherapies
|
Drug: PG2
500 mg PG2 / 500 ml normal saline IV infusion for 3 hours once daily for 4 doses in the 1st week, 3 doses in the 2nd week and 3 doses in the 3rd week of each chemo-cycle for three cycles. Total 10 doses will be given in each cycle even with skip days.
|
Detailed Description:
This is a multi-center, double-blind, randomized and placebo-controlled study to evaluate complementary effect of PG2 in patients with advanced non-small-cell lung cancer under conventional chemotherapy. Patients with Stage IIIb-IV non-small-cell lung cancer will be screened by inclusion and exclusion criteria and only eligible patients will be enrolled into this study.
All enrolled patients will be randomized to PG2 or Placebo arm and will receive the cisplatin-based chemotherapy treatment (Cisplatin 75mg/m2 and Docetaxel 60mg/m2 on Day1) during the first three 21-day chemo-cycles. Chemo regimen modification is allowable, as usual, in case of disease progression or unacceptable toxicity (see Section 6). After randomization, each patient will be administered with PG2 or placebo for 4 days in the 1st week, 3 days in the 2nd week and 3 days in the 3rd week of each chemo-cycle for 3 cycles (Dosing Schedule in Section 6). Total 10 doses will be given in each cycle.
Eligibility| Ages Eligible for Study: | 17 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Signed the informed consent form.
- 18 ~ 75 years old
- Locally advanced or metastatic with inoperable stage IIIb-IV non-small-cell lung cancer.
- Chemo/Radio naive patient
- Karnofsky Performance Scores ≧ 70.
- Adequate bone marrow reserve.
- Adequate liver function.
- Adequate renal function.
- Women with childbearing potential are willing to take contraception measures through the whole treatment course.
- Life expectancy ≧ 3 months
- Patient must be willing and able to complete quality of life questionnaires.
Exclusion Criteria:
- Female patients are pregnant or breast-feeding
- Patients have brain metastases, stroke or major psychiatric disease.
- Patients with uncontrolled systemic disease such as active infection, severe heart disease, uncontrollable hypertension or diabetes mellitus.
- Patients have enrolled or have not yet completed other investigational drug trials within 30 days before randomization.
Contacts and Locations| Contact: WenHan Chen | 886-2-25453697 ext 333 | whchen@phytohealth.com.tw |
| Taiwan | |
| Changhua Christian Hospital | Recruiting |
| Changhua, Taiwan | |
| Principal Investigator: Cheng-Shyong Chang, M.D. | |
| Sub-Investigator: Ming-Lin Ho, M.D. | |
| Chang-Gung Memorial Hospital - Kaoshiung | Recruiting |
| Kaoshiung, Taiwan | |
| Principal Investigator: Meng-Chih Lin, M.D. | |
| Sub-Investigator: Yi-Hsi Wang, M.D. | |
| Kaoshiung Medical University Hospital | Recruiting |
| Kaoshiung, Taiwan | |
| Principal Investigator: Ming-Shyan Huang, M.D., Ph.D. | |
| Sub-Investigator: Jen-Yu Hung, M.D. | |
| Chang-Gung Memorial Hospital, Linkou | Recruiting |
| Linkou, Taiwan | |
| Principal Investigator: Ying-Huang Tsai, M.D. | |
| Taichung Veterans General Hospital | Recruiting |
| Taichung, Taiwan | |
| Principal Investigator: Gee-Chen Chang, M.D., Ph.D. | |
| Sub-Investigator: Tsung-Ying Yang, M.D. | |
| China Medical University Hospital | Recruiting |
| Taichung, Taiwan | |
| Principal Investigator: Te-Chun Hsia, M.D. | |
| Sub-Investigator: Jian-Jung Chen, M.D., Ph.D. | |
| Sub-Investigator: Hung-Jen Chen, M.D. | |
| National Cheng-Kung University Hospital | Recruiting |
| Tainan, Taiwan | |
| Principal Investigator: Wu-Chou Su, M.D. | |
| Tri-Service General Hospital | Not yet recruiting |
| Taipei, Taiwan | |
| Principal Investigator: Woei-Yau Kao, M.D., Ph.D. | |
| Principal Investigator: Tsu-Yi Chao, M.D., Ph.D. | |
| Sub-Investigator: Yeu-Chin Chen, M.D. | |
| Sub-Investigator: Nai-Shun Yao, M.D. | |
| Sub-Investigator: Ching-Liang Ho, M.D. | |
| Taipei Veterans General Hospital | Recruiting |
| Taipei, Taiwan | |
| Principal Investigator: Yuh-Min Chen, M.D., Ph.D. | |
| Principal Investigator: Reury-Perng Perng, M.D., Ph.D. | |
| Mackay Memorial Hospital | Recruiting |
| Taipei, Taiwan | |
| Principal Investigator: Ruey Kuen Hsieh, M.D. | |
| Study Chair: | Reury-Perng Perng, M.D., Ph.D. | Taipei Veterans General Hospital, Tawian |
| Principal Investigator: | Yuh-Min Chen, M.D., Ph.D. | Taipei Veterans General Hospital,Taiwan |
| Principal Investigator: | Ying-Huang Tsai, M.D. | Chang-Gung Memorial Hospital, Linkou, Taiwan |
| Principal Investigator: | Woei-Yau Kao, M.D., Ph.D. | Tri-Service General Hospital |
| Principal Investigator: | Ruey Kuen Hsieh, M.D. | Mackay Memorial Hospital |
| Principal Investigator: | Cheng-Shyong Chang, M.D. | Changhua Christian Hospital, Taiwan |
| Principal Investigator: | Gee-Chen Chang, M.D., Ph.D. | Taichung Veterans General Hospital, Taiwan |
| Principal Investigator: | Te-Chun Hsia, M.D. | China Medical University Hospital, Taiwan |
| Principal Investigator: | Ming-Shyan Huang, M.D., Ph.D. | Kaoshiung Medical University Hospital, Taiwan |
| Principal Investigator: | Meng-Chih Lin, M.D. | Chang-Gung Memorial Hospital, Kaoshiung, Taiwan |
| Principal Investigator: | Wu-Chou Su, M.D. | National Cheng-Kung University Hospital, Taiwan |
More Information
No publications provided
| Responsible Party: | Reury-Perng Perng, M.D., Ph.D., Taipei Veterans General Hospital, Tawian |
| ClinicalTrials.gov Identifier: | NCT00518869 History of Changes |
| Other Study ID Numbers: | PH-CP010 |
| Study First Received: | August 18, 2007 |
| Last Updated: | June 9, 2009 |
| Health Authority: | Taiwan: Institutional Review Board Taiwan: Department of Health |
Keywords provided by PhytoHealth Corporation:
|
Non-Small Cell Lung Cancer (NSCLC) Complementary and Alternative Medicine (CAM) Chemotherapy Myelosuppression |
Quality of Life Fatigue EORTC QLQ-C30 and LC13 |
Additional relevant MeSH terms:
|
Fatigue Signs and Symptoms |
ClinicalTrials.gov processed this record on June 17, 2013