Status:

COMPLETED

Double Blind Phase III Trial of Effects of Low Dose 13-Cisretinoic Acid on Prevention of Second Primaries in Stages I-II Head and Neck Cancer

Lead Sponsor:

Eastern Cooperative Oncology Group

Conditions:

Stage I-II Head and Neck Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

In this trial the investigators propose to utilize 13-cRA to prevent dysplastic changes and second malignancies in patients with squamous cell carcinoma of the head and neck regions who have a high pr...

Eligibility Criteria

Inclusion

  • Informed consent i obtained, the approved form is signed, and on file at the institution.
  • Histologically confirmed squamous cell carcinoma.
  • All chest x-rays and cervical spine x-rays done after definitive treatment within 35 days prior to randomization and all hematology andchemistries done within 2 weeks prior to randomization.
  • The following sites and stages of cancers will be eligible. Oral Cavity
  • T1 NO
  • T2 NO 3.142 Oropharynx
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  • T1 NO
  • T2 NO 3.143 Hypopharynx
  • 1\. T1 NO 3.144 Larynx
  • T1 NO
  • T2 NO
  • Age greater than 18 years.
  • ECOG performance status 0 or 1.
  • Patients must have adequate bone marrow, hepatic and renal function defined as follows: WBC \>3,500/mm, Platelets \> 125,000/mm.3 Total Bilirubin \< 2 mg%, Serum creatinine \< 2.5 mg%. Serum SGOT \< 2x normal, Alkaline Phosphatase \< 2x normal. Fasting Serum triglyceride levels \< 210 mg %. Fasting cholesterol \< 350 mg %. Patient may not be under systemic therapy for hyperlipidemia or have symptomatic arteriosclerotic coronary artery disease or have undergone coronary bypass surgery.
  • The patient must have completed primary treatment of their cancer with surgery and/or radiation therapy within 730 days prior to randomization.
  • The patient has had surgery and/or radiation therapy as outlined in Sections 5.0 and 6.0, and has been rendered disease-free.
  • If currently receiving, patient must discontinue mega vitamin doses

Exclusion

  • Women of child bearing potential.
  • Patient with severe coronary artery disease (Class III-IV New York Heart Association.)
  • Histology other than squamous cell carcinoma.
  • Distant metastases.
  • Completion of previous treatment for their primary cancer with radiation, or surgery (except for biopsy) more than 730 days ago.
  • Prior, synchronous, or concurrent malignancy except basal cell skin cancer.
  • Failure to be rendered disease-free of primary tumor (includes positive surgical margins).
  • The patient has had prior therapy other than that outlined in Sections 5.0 and 6.0 of the protocol.

Key Trial Info

Start Date :

May 15 1989

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 14 2015

Estimated Enrollment :

189 Patients enrolled

Trial Details

Trial ID

NCT03370367

Start Date

May 15 1989

End Date

April 14 2015

Last Update

June 15 2023

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