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Trial record 46 of 106 for:    "Kennedy disease"

Androgen Deprivation Therapy in Advanced Salivary Gland Cancer

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. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT01969578
Recruitment Status : Recruiting
First Posted : October 25, 2013
Last Update Posted : July 9, 2018
Information provided by (Responsible Party):
European Organisation for Research and Treatment of Cancer - EORTC

Brief Summary:

Salivary Gland (SG) Cancers are a rare and heterogeneous group of tumors, usually approached by multidisciplinary teams in high specialized centers. Until today no standard of care exists to treat these cancers. The identification of a target, the androgen receptor, in SG tumors has allowed for new treatment strategies options for this rare group of diseases. As a matter of fact, strong positivity for androgen expression has been found in salivary duct carcinoma and adenocarcinomas. The purpose of this study is therefore to evaluate the efficacy and safety of chemotherapy versus androgen deprivation therapy (ADT) in patients with recurrent and/or metastatic AR expressing SGCs.

The study will include two cohorts of patients: Cohort A, which comprises chemo-naïve patients, and Cohort B, which comprises pretreated patients.

Condition or disease Intervention/treatment Phase
Salivary Gland Cancer Drug: bicalutamide + triptorelin Drug: Cisplatin + Doxorubicin Drug: Carboplatin + Paclitaxel Phase 2

Detailed Description:
Patients in Cohort A will be randomized 1:1 at the study entry to receive ADT (triptorelin + bicalutamide 50 mg) or standard chemotherapy. Patients of Cohort A randomized to the control arm (chemotherapy arm) will be given the option to enter Cohort B at the time of disease progression. As long as Cohort A is open to recruitment, patients who will be treated by chemotherapy will be simultaneously enrolled in Cohort B. Accrual in Cohort B will be stopped when recruitment of 76 eligible patients in Cohort A is reached.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 152 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Randomized Phase II Study to Evaluate the Efficacy and Safety of Chemotherapy (CT) vs Androgen Deprivation Therapy (ADT) in Patients With Recurrent and/or Metastatic, Androgen Receptor (AR) Expressing, Salivary Gland Cancer (SGCs)
Study Start Date : February 2015
Estimated Primary Completion Date : June 2021
Estimated Study Completion Date : June 2021

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Active Comparator: Chemotherapy

Chemotherapy = either Cisplatin + Doxorubicin or Carboplatin + Paclitaxel

Patients from cohort A (chemonaïve) may be randomized in this arm to receive chemotherapy

Drug: Cisplatin + Doxorubicin
Drug: Carboplatin + Paclitaxel
Experimental: Androgen Deprivation Therapy (ADT)

ADT = bicalutamide + triptorelin

Patients from cohort A (chemonaive) may be randomized to receive ADT, and patients from cohort B (pre-treated) will receive ADT without having been randomized.

Drug: bicalutamide + triptorelin

Primary Outcome Measures :
  1. Progression Free Survival (PFS) [ Time Frame: 37 months after First Patient In ]
    PFS is a primary outcome for cohort A

  2. Response rate (RR) [ Time Frame: 37 months after First Patient In ]
    RR is a primary outcome for cohort B

Secondary Outcome Measures :
  1. Response Rate (RR) [ Time Frame: 37 months after First Patient In ]
    RR is a secondary outcome for cohort A

  2. Progression Free Survival (PFS) [ Time Frame: 37 months after First Patient In ]
    PFS is a secondary outcome for cohort B

Other Outcome Measures:
  1. Overall Survival (OS) [ Time Frame: 37 months after First Patient In ]
  2. Adverse Events according to CTCAE v4.0 [ Time Frame: 37 months after First Patient In ]
    adverse events will be recorded using International Common Terminology Criteria for Adverse Events (CTCAE), version 4.0, the investigator will assess whether those events are drug related (reasonable possibility, no reasonable possibility) and this assessment will be recorded in the database for all adverse events

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Histologically proven diagnosis of recurrent and/or metastatic salivary duct cancer; adenocarcinoma, NOS; and AR expression in at least 70% of nuclei of neoplastic cells based on central review
  • Sufficient tissue must be available either historically or a biopsy must be done as a part of this study and sent to central review for patients enrolled in both cohorts
  • Presence of at least one uni-dimensional measurable lesion by CT-scan or MRI according to RECIST criteria version 1.1 (target lesion).
  • Patients older than 18 years old;
  • Performance Status ECOG 0-1;
  • Adequate bone marrow function:
  • WBC ≥ 3.5/10exp9L
  • absolute neutrophil count ≥ 1,5x10exp9/L
  • hemoglobin > 9 g/dL
  • platelet count ≥ 100x10exp9/L
  • Adequate liver function:
  • AST < 2.5 times upper limit of normal
  • ALT < 2.5 times upper limit of normal
  • bilirubin < 1.5 times upper limit of normal
  • the concomitant evidence of AST < 2.5 times upper limit of normal, ALT < 2.5 times upper limit of normal and bilirubin > 1.5 times upper limit of normal is not allowed
  • Adequate renal function:
  • serum creatinine level (≤ 1.3 mg/dL)
  • calculated creatinine clearance ≥ 60 mL/min based on the standard Cockcroft and Gault formula
  • Adequate cardiac function as demonstrated by a clinically normal 12 lead ECG; additionally for patients who will receive Cisplatin and Doxorubicin adequate cardiac function should be demonstrated by a left ventricular ejection fraction (LVEF) ≥ 50% (within 2 weeks prior to treatment start)

Exclusion Criteria:

  • Actively bleeding tumor if the patient is intended to be treated with carboplatin
  • Patients with bone disease or brain disease as the sole disease site; brain metastases are allowed in case of systemic disease, but must have been treated at least 4 weeks before enrollment and must be stable after that;
  • recent history of congestive heart failure, unstable angina within the past 3 months, cardiac arrhythmia, myocardial infarction, congenital long QTc prolongation, stroke, TIA within the past 6 months;
  • previous cardiac toxicity induced by another anthracycline or previous exposure to maximum cumulative dose of another anthracycline if the patient is intended to be treated with doxorubicin
  • history of allergic reactions attributed to compounds of similar chemical or biological composition to cis/carboplatin, paclitaxel, doxorubicin, bicalutamide or triptorelin;
  • concomitant medications with terfenadine, astemizole, cisaprid
  • use of phenytoin
  • Patients who received vaccine for yellow fever
  • active second malignancy during the last five years except non melanomatous skin cancer or carcinoma in situ of the cervix;
  • positive serum pregnancy test within 1 week prior to the first dose of study treatment for Women of child bearing potential (WOCBP);
  • no adequate birth control measures, as defined by the investigator, during the study treatment period and for at least 6 months after the last study treatment for patients of childbearing / reproductive potential.
  • psychological, familiar, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial;
  • written informed consent not given according to ICH/GCP, and national/local regulations, before patient registration
  • participation in another interventional clinical trial in the preceding 4 weeks prior to randomization
  • for cohort A patients: previous chemotherapy for recurrent/metastatic disease (previous chemotherapy given concomitantly with RT in the past is allowed, including cisplatin but it should be completed at least 6 months before enrollment).

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 identifier (NCT number): NCT01969578

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Contact: EORTC HQ +32 2 774 1611

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Medical University Vienna - General Hospital AKH Recruiting
Vienna, Austria, 1090
Principal Investigator: Thorsten Fuereder         
ZNA Middelheim Recruiting
Antwerp, Belgium, 2020
Principal Investigator: Dirk Schrijvers         
Hopitaux Universitaires Bordet-Erasme - Institut Jules Bordet Recruiting
Brussels, Belgium, 1000
Principal Investigator: Yassine Lalami         
Cliniques Universitaires Saint-Luc Recruiting
Brussels, Belgium, 1200
Principal Investigator: Jean-Pascal Machiels         
Universitair Ziekenhuis Antwerpen Recruiting
Edegem, Belgium, 2650
Principal Investigator: Pol Specenier         
U.Z. Leuven - Campus Gasthuisberg Recruiting
Leuven, Belgium
Principal Investigator: Paul Clement         
CHU de Bordeaux - Groupe Hospitalier Saint-André - Hopital Saint-Andre Recruiting
Bordeaux, France, 33075
Principal Investigator: Laurence Digue         
Institut régional du Cancer Montpellier Recruiting
Montpellier, France
Principal Investigator: Didier Cupissol         
Institut de Cancerologie de l'Ouest (ICO) - Centre Rene Gauducheau Recruiting
Nantes, France, 44805
Principal Investigator: Frederic Rolland         
CHU de Nantes - Hotel Dieu Recruiting
Nantes, France
Principal Investigator: Olivier Malard         
Centre Antoine Lacassagne Recruiting
Nice, France, 06189
Principal Investigator: Joel Guigay         
Assistance Publique - Hopitaux de Paris - Hopital Tenon Recruiting
Paris, France, 75020
Principal Investigator: Bertrand Baujat         
Institut Universitaire du Cancer de Toulouse (IUCT) Oncopole - Institut Claudius Regaud Recruiting
Toulouse, France, 31059
Principal Investigator: Jean Pierre Delord         
Institut de Cancérologie de Lorraine Recruiting
Vandoeuvre-Les-Nancy, France, 54519
Principal Investigator: Marie-Christine Kaminsky-Forrett         
Gustave Roussy Recruiting
Villejuif, France
Principal Investigator: Caroline Even         
Charite - Universitaetsmedizin Berlin - Campus Benjamin Franklin Recruiting
Berlin, Germany, 12200
Principal Investigator: Sebastian Ochsenreither         
Universitaetsklinikum Jena-Radiation Therapy and Radiooncology Clinic Recruiting
Jena, Germany, 07747
Principal Investigator: Orlando Guntinas-Lichius         
Universitaetsklinikum Leipzig-Ambulanzen/Sprechstunden Recruiting
Leipzig, Germany
Principal Investigator: Andreas Dietz         
Athens University - Attikon University General Hospital Recruiting
Athens, Greece, 12462
Principal Investigator: Amanda Psyrri         
National Institute Of Oncology Recruiting
Budapest, Hungary, 1122
Principal Investigator: Erika Hitre         
Azienda Ospedaliera Papa Giovanni XXIII Recruiting
Bergamo, Italy, 24127
Principal Investigator: Cecilia Moro         
Fondazione IRCCS Istituto Nazionale dei Tumori Recruiting
Milan, Italy
Principal Investigator: Laura Locati         
Azienda Provinciale per i Servizi Sanitari - Ospedale Santa Chiara Recruiting
Trento, Italy, 38100
Principal Investigator: Alessia Caldara         
Spaarne Gasthuis - Vrije Universiteit Medisch Centrum Recruiting
Amsterdam, Netherlands, 1007MB
Principal Investigator: Jan Buter         
University Medical Center Groningen (UMCG) Recruiting
Groningen, Netherlands, 9713 GZ
Principal Investigator: Sjoukje Oosting-Lenstra         
Radboud University Medical Center Nijmegen Recruiting
Nijmegen, Netherlands
Principal Investigator: Carla van Herpen         
Sponsors and Collaborators
European Organisation for Research and Treatment of Cancer - EORTC
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Principal Investigator: Lisa Licitra Fondazione IRCCS Istituto Nazionale Tumori
Study Chair: Kevin Harrington The Royal Marsden

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Responsible Party: European Organisation for Research and Treatment of Cancer - EORTC Identifier: NCT01969578     History of Changes
Other Study ID Numbers: EORTC-1206
2013-000314-38 ( EudraCT Number )
First Posted: October 25, 2013    Key Record Dates
Last Update Posted: July 9, 2018
Last Verified: July 2018
Keywords provided by European Organisation for Research and Treatment of Cancer - EORTC:
salivary duct cancer
adenocarcinoma, NOS
androgen deprivation
androgen receptor
Additional relevant MeSH terms:
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Salivary Gland Neoplasms
Mouth Neoplasms
Head and Neck Neoplasms
Neoplasms by Site
Mouth Diseases
Stomatognathic Diseases
Salivary Gland Diseases
Ascorbic Acid
Liposomal doxorubicin
Triptorelin Pamoate
Estrogens, Conjugated (USP)
Antineoplastic Agents, Phytogenic
Antineoplastic Agents
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action
Antibiotics, Antineoplastic
Topoisomerase II Inhibitors
Topoisomerase Inhibitors
Enzyme Inhibitors