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Toxicities Associated With Subcutaneous Administration of Ethyol (Amifostine) for the Prevention of Radiation-Induced Toxicities

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00130143
First Posted: August 15, 2005
Last Update Posted: December 9, 2005
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
MedImmune LLC
Information provided by:
The Dale & Frances Hughes Cancer Center
  Purpose
Dry mouth occurs very often in patients who receive radiation treatment. Amifostine is a drug approved to reduce the short and long-term occurrence of dry mouth when patients receive radiation treatment for head and neck cancer. Some studies have shown that Amifostine reduces the side effects of radiation treatment for lung cancer. The use of Amifostine is still being investigated in lung malignancies. Amifostine is found to be a protectant from radiation side effects of such normal tissues as bone marrow, skin, oral mucosal, esophagus, kidney and testes. Patients that receive radiation treatments for lung cancer may experience side effects involving the esophagus. It is hoped that patients will benefit from the protection of their esophagus and avoid delays in radiation treatment due to side effects of the radiation.

Condition Intervention
Head and Neck Cancer Lung Cancer Drug: Ethyol (Amifostine)

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Open-Label Prospective Trial Evaluating the Toxicities Associated With Subcutaneous Administration of Ethyol (Amifostine) for the Prevention of Radiation-Induced Toxicities

Resource links provided by NLM:


Further study details as provided by The Dale & Frances Hughes Cancer Center:

Primary Outcome Measures:
  • Primary endpoint: To evaluate how amifostine is given subcutaneously at each institution
  • To determine treatment related toxicities and safety of subcutaneous administration of amifostine for the prevention of radiation-induced toxicities

Secondary Outcome Measures:
  • Secondary endpoints: Evaluate efficacy of amifostine in reducing radiation induced toxicities in these patients

Estimated Enrollment: 20
Study Start Date: June 2003
Estimated Study Completion Date: September 2004
Detailed Description:

The protective capacity of thio-containing compounds against normal tissue damage from radiation have been recognized for over 40 years..

Although intravenous administration is the approved standard route, because of practical advantages there has been increasing interest in the subcutaneous administration of Ethyol, which presents multiple advantages when used for radioprotection.

Based on the data that has been presented, as well as the personal experience of this and other physicians/centers with subcutaneous administration of amifostine, the researchers are proposing an open-label study evaluating the rate and severity of toxicities associated with this route of administration. Toxicities to be assessed include nausea/vomiting, hypotension, and skin/fever reactions.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Criteria

Inclusion Criteria:

  • Patient is eligible to receive subcutaneous amifostine under site’s current practice guidelines for radioprotection.
  • Eastern Cooperative Oncology Group (ECOG) performance status < 2
  • Age > 18
  • Patient receiving radiation therapy or combined modality therapy to treat malignancy.
  • No evidence of distant metastatic disease.
  • Granulocyte count (segs & bands) > 2000/mm3 and platelet count > 100,000/mm3
  • Serum creatinine <2.0mg/dL
  • Total bilirubin <2.0mg%, SGOT < times the upper limit of normal.
  • Patients may not be entered on investigational therapeutic trials.
  • Patients or guardians must be informed of and understand the investigational nature of this study and give written informed consent prior to any study procedures.

Exclusion Criteria:

  • Life expectancy of <6 months
  • Patients receiving only chemotherapy to treat malignancy.
  • Patients who have been treated with any investigational drugs <4 weeks prior to study entry.
  • General medical or psychological conditions which would not permit the patient to complete the study or sign the informed consent.
  • Pregnancy; Women of childbearing potential should use an effective (for them) method of birth control throughout their participation in this study.
  • Patients who are currently receiving or have received amifostine for radioprotection within the prior 6 months are excluded.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00130143


Locations
United States, Pennsylvania
The Dale & Frances Hughes Cancer Center
East Stroudsburg, Pennsylvania, United States, 18301
Sponsors and Collaborators
The Dale & Frances Hughes Cancer Center
MedImmune LLC
Investigators
Principal Investigator: Michael J. Greenberg, M.D. The Dale & Frances Hughes Cancer Center
  More Information

ClinicalTrials.gov Identifier: NCT00130143     History of Changes
Other Study ID Numbers: Ethyol Study #ETH156-03D
First Submitted: August 12, 2005
First Posted: August 15, 2005
Last Update Posted: December 9, 2005
Last Verified: August 2005

Additional relevant MeSH terms:
Head and Neck Neoplasms
Neoplasms by Site
Neoplasms
Amifostine
Radiation-Protective Agents
Protective Agents
Physiological Effects of Drugs