COX-2 Inhibitor With Concurrent Chemoradiation in Locally Advanced Head & Neck Carcinoma
Recruitment status was Active, not recruiting
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Purpose
chemotherapy- and radiotherapy-induced oral mucositis represents a therapeutic challenge frequently encountered in cancer patients.This side effect causes significant morbidity and may delay or interrupt the treatment plan, as well reduce therapeutic index. cyclo-oxygenase 2 (COX-2) is an inducible enzyme primarily expressed in inflamed tissues and tumor. COX-2 inhibitors have shown promise as radio- and chemosensitizer and reduce radio-induced toxicities.
we have conducted a phase III, randomized double blind clinical trial to evaluate the toxicity and efficacy of celecoxib, a selective COX-2 inhibitor, administered concurrently with chemotherapy, and radiation for locally advanced head and neck cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Head and Neck Cancer |
Drug: celecoxib Drug: placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | the Role of COX-2 Inhibitor(CELECOXIB) in Combination With Chemoradiation in Locally Advanced Head & Neck Carcinoma, Phase III Randomized Clinical Trial |
- efficacy of celecoxib (response rate and local control) [ Time Frame: 30 months ] [ Designated as safety issue: Yes ]
- toxicity of celecoxib [ Time Frame: 30 months ] [ Designated as safety issue: Yes ]
| Enrollment: | 122 |
| Study Start Date: | April 2006 |
| Estimated Study Completion Date: | August 2009 |
| Primary Completion Date: | August 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: 1 |
Drug: celecoxib
100 mg qid
|
| Placebo Comparator: 2 |
Drug: placebo
1 cap qid
|
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- stage III/IV (locally advanced) carcinoma of oropharynx, oral cavity, hypopharynx, larynx, or nasopharynx
- primary treatment with chemoradiation
Exclusion Criteria:
- distant metastasis
- incomplete treatment
- adjuvant chemoradiation after surgery without apparent tumor
Contacts and Locations| Iran, Islamic Republic of | |
| Department of Chemoradiation | |
| Tehran, Iran, Islamic Republic of, 1419733141 | |
| Study Chair: | Mahdi Aghili, MD | cancer institute center |
More Information
No publications provided
| Responsible Party: | Dr mahdi Aghili, department of radiation and oncology |
| ClinicalTrials.gov Identifier: | NCT00603759 History of Changes |
| Other Study ID Numbers: | 3058 |
| Study First Received: | January 16, 2008 |
| Last Updated: | January 16, 2008 |
| Health Authority: | Iran: Ministry of Health |
Keywords provided by Tehran University of Medical Sciences:
|
COX2 inhibitor head and neck cancer chemoradiation |
Additional relevant MeSH terms:
|
Carcinoma Head and Neck Neoplasms Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Neoplasms by Site Celecoxib Cyclooxygenase 2 Inhibitors Cyclooxygenase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
Pharmacologic Actions Anti-Inflammatory Agents, Non-Steroidal Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Anti-Inflammatory Agents Therapeutic Uses Central Nervous System Agents Antirheumatic Agents |
ClinicalTrials.gov processed this record on May 16, 2013