Study of 0.1% Uracil Ointment (1UO) Ointment for the Prevention of Hand-Foot Syndrome
Recruitment status was Recruiting
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Purpose
The purpose of this research study is to see if combining uracil ointment (1UO) with capecitabine (Xeloda) can prevent Hand-Foot Syndrome. The study will also see what effects 1UO and capecitabine may have in patients with metastatic breast cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Palmar-Plantar Erythrodysesthesia Breast Cancer |
Drug: Ointment Drug: 0.1% Uracil Ointment |
Phase 1 Phase 2 |
| 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: Prevention |
| Official Title: | A Phase 1-2, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Efficacy, Safety, and Pharmacokinetic Profile of 0.1% Uracil Ointment (1UO)in the Prevention of Hand-Foot Syndrome (HFS) in Patients With Metastatic Breast Cancer Treated With Capecitabine |
- Incidence of Grade 2 and 3 HFS as graded by Roche Criteria [ Time Frame: Maximum of 6 months of therapy ] [ Designated as safety issue: Yes ]
- Time to first HFS event
- Requirements for capecitabine dose reduction/interruption due to HFS
- Digital Photos will be taken of the hands and feet at specific intervals
- Serum Pharmacokinetic Levels of Uracil will be drawn [ Time Frame: Maximum of 6 months of therapy ] [ Designated as safety issue: Yes ]Pharmacokinetic levels will be drawn at specific intervals
- Anti-Tumor efficacy of Capecitabine [ Time Frame: Maximum of 6 months of therapy ] [ Designated as safety issue: Yes ]RECIST - Radiologic Criteria for subjects with measurable disease
| Estimated Enrollment: | 100 |
| Study Start Date: | December 2009 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Placebo Comparator: Placebo Lotion |
Drug: Ointment
Twice daily lotion to prevent HFS
|
| Experimental: 0.1% Uracil |
Drug: 0.1% Uracil Ointment
Twice daily lotion to prevent HFS
|
Detailed Description:
Capecitabine is used in the treatment of human breast cancer among other human cancers. Following absorption, capecitabine is converted enzymatically to 5-fluorouracil (5-FU). The administration of capecitabine or 5-FU can cause a cutaneous toxicity known as hand-foot syndrome (HFS) or palmar-plantar erythrodysesthesia (PPE). HFS is progressive with dose and duration of exposure to 5-FU or capecitabine. HFS is characterized by progressive redness and cracking of hands and feet. Currently, there are no approved therapies for HFS.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Females, at least 18 years old
- Histologically or cytologically confirmed metastatic breast cancer
- You also cannot have any ulcerations or open wounds on palms of hands or soles of feet
Exclusion Criteria:
- Patients who have had chemotherapy or radiotherapy within 2 weeks (6 weeks for nitrosoureas or mitomycin C)prior to entering the study or if you have not recovered to Grade 1 or better (except for alopecia)from adverse events due to agents administered more than 2 weeks earlier.
- Use vitamin 6, chronic use of Cox-2 inhibitors, use full-dose anti- coagulants or use nicotine patches.
The above is not a complete list of eligibility criteria. Please see your study doctor for more information.
Contacts and Locations| Contact: Michael R Myers, BA, MA | 410-889-2221 | mmyers@rpsweb.com |
| Contact: Joi Stone | 866-877-7376 ext 3710 | jstone@rpsweb.com |
| United States, Alabama | |
| Bruno Cancer Center | Recruiting |
| Birmingham, Alabama, United States, 35205 | |
| Contact: Brittany White 205-939-7880 Brittany.White@bhoallc.com | |
| Principal Investigator: James Cantrell, MD | |
| United States, California | |
| Comprehensive Cancer Center | Not yet recruiting |
| Palm Springs, California, United States, 92262 | |
| Contact: Susan Sagle, RN 760-416-4734 ssagle@aptiumoncology.com | |
| Principal Investigator: Cynthia Leichman, MD | |
| United States, Indiana | |
| Research Institute of Deaconess Clinic | Recruiting |
| Evansville, Indiana, United States, 47713 | |
| Contact: Lou Ann Shoaff 812-426-9390 louann_shoaff@deaconess.com | |
| Principal Investigator: Maqbool Ahmed, MD | |
| Cancer Care Center | Recruiting |
| New Albany, Indiana, United States, 47150 | |
| Contact: Denette Grider, RN 812-945-4000 ext 113 | |
| Principal Investigator: Naveed Chowhan, MD | |
| United States, Kansas | |
| Kansas City Cancer Centers | Recruiting |
| Overland Park, Kansas, United States, 66210 | |
| Contact: Cathy Wight 913-541-4672 cathy.wight@usoncology.com | |
| Principal Investigator: Kelly Pendergrass, MD | |
| United States, Ohio | |
| Signal Point Clinical Research Center | Recruiting |
| Middleton, Ohio, United States, 45042 | |
| Contact: Heather Snowden 513-423-0504 hasnowden@swohio.twcbc.com | |
| Principal Investigator: Nandagopal S Vrindavanam, MD | |
| Principal Investigator: | James Cantrell, MD | Birmingham Hematology/Oncology Associates |
More Information
No publications provided
| Responsible Party: | James Cantrell, MD, Birmingham Hematology/Oncology Associates LLC |
| ClinicalTrials.gov Identifier: | NCT01100463 History of Changes |
| Other Study ID Numbers: | OIC-1UO-C001 |
| Study First Received: | April 6, 2010 |
| Last Updated: | April 8, 2010 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Cahaba Pharmaceuticals:
|
HFS, Hand-Foot Syndrome, Capecitabine, Breast Cancer |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Capecitabine |
Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Antineoplastic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 17, 2013