The purpose of this study is to evaluate the efficacy and safety of Clonidine Lauriad® to treat chemoradiation therapy induced severe oral mucositis in patients with head and neck cancer.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
183
50µg muco-adhesive buccal tablet once day every day up to 8 weeks
100µg muco-adhesive buccal tablets, once a day, every day up to 8 weeks
placebo muco-adhesive buccal tablets, once a day, every day up to 8 weeks
Cumulative Radiation Dose at Which Severe Oral Mucositis (World Health Organization [WHO] Score ≥ 3) Was First Observed
The primary endpoint planned in the protocol was the percentage of participants with an oral mucositis score greater than or equal to 3 using the WHO oral mucositis severity scale at a cumulative radiation dose of 50 Gy. This was modified by protocol amendment to the cumulative radiation dose at which a WHO score greater than or equal to 3 was first observed. This change was made to account for the fact that in real practice most patients receive a cumulative dose between 60 and 70 Gy. The presence of grade 3 or 4 oral mucositis was assessed twice weekly during the active phase (radiotherapy) by a trained radiation oncologist or an ear nose and throat specialist who took into account the field of radiation treatment. WHO score 3 = oral ulcers, liquid diet only; WHO score 4 = oral alimentation impossible. Each assessment was associated with the actual cumulative dose of radiotherapy.
Time frame: 8 weeks
At Least One Opioid Use (Class 3 Analgesic)
Opioid use was recorded twice weekly during the active phase (radiotherapy)
Time frame: 8 weeks
Opioid Use: Minimal Total Cumulative Dose Administered (Mean, Standard Deviation)
Opioid use was recorded twice weekly for up to 8 weeks during the active phase (radiotherapy). The sum of non-missing total cumulative doses across all class 3 analgesics recorded for the considered participant is reported.
Time frame: 8 weeks
Opioid Use: Minimal Total Cumulative Dose Administered (Median, Range)
Opioid use was recorded twice weekly for up to 8 weeks during the active phase (radiotherapy). The sum of non-missing total cumulative doses across all class 3 analgesics recorded for the considered participant is reported.
Time frame: 8 weeks
Overall Survival
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21st Century Oncology of Arizona
Sun City, Arizona, United States
Compassionate Cancer Care Medical Group
Corona, California, United States
City of Hope
Duarte, California, United States
California Cancer Associates for Researche and Excellence
Fresno, California, United States
Compassionate Cancer Care Medical Group
Riverside, California, United States
Central Coast Medical Oncology Corp.
Santa Maria, California, United States
Centura Health Research Center
Denver, Colorado, United States
University of Connectcut Health Center
Farmington, Connecticut, United States
AMPM Research Clinic
Miami, Florida, United States
Barbara Ann Karmonos Cancer Hospital
Detroit, Michigan, United States
...and 41 more locations
After the end-of study visit, the investigator center collects OS follow-up data for each patient who has consented to participate in the follow-up data collection. the OS follow-up period was still ongoing at time of the primary analysis and ended in Nov 2016. The analysis was condicted on the ITT population. The overall survival was evaluate every 6 months after last subject completed in patients who has consented to participate .
Time frame: 2 years