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Safety Study of the Chemotherapy Modulator PHY906 in Patients With Advanced Colorectal Cancer

Primary Purpose

Colorectal Neoplasms, Diarrhea

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PHY906
Sponsored by
PhytoCeutica
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colorectal Neoplasms focused on measuring Stage III and Stage IV colorectal cancer, diarrhea, reduce, alleviate, modulate, Saltz regimen, CPT-11, irinotecan, camptosar, 5-fluorouracil, leucovorin, 5-FU, LV, chemotherapy, side effect, toxicity, botanical drug, herbal medicine, chinese herbal medicine, traditional chinese medicine, TCM, oral dose, oral administration, concomitant use

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria Patients must: be between 18 and 75 years of age, inclusive, at the time of enrollment. have advanced colorectal carcinoma, which may be either measurable or non-measurable. not have received either CPT-11, FU, or other cytotoxic chemotherapy agents in any setting (including adjuvant) within 1 year prior to screening. have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. use an effective contraceptive method if the patients are of reproductive potential while enrolled in the study, since the potential effects of the herbs on a developing fetus are unknown. have an estimated life expectancy of at least 20 weeks. provide written informed consent. have adequate organ function as indicated by the following laboratory values; these laboratory values must be obtained within 14 days prior to study enrollment: Bone marrow reserve: absolute granulocyte count (AGC) more than or equal to 1.5 X 10(to the power of 9)/L, platelet count more than or equal to 100 X 10 (to the power of 9)/L, and hemoglobin level more than or equal to 9 g/dL. Hepatic function: serum total bilirubin concentration no greater than 1.5 mg/dL, aspartate transaminase (AST or serum glutamic-oxaloacetic transaminase [SGOT]), and alanine transaminase (ALT or serum glutamic-pyruvic transaminase [SGPT]) levels no greater than grade 2 toxicity as determined from the NCI-CTC version 2.0. Renal function: serum creatinine level no greater than grade 2 toxicity as determined from the CTC version 2.0. Exclusion Criteria Patients who have or are: Gilbert syndrome (familial, non-hemolytic, acholuric jaundice). patients with enterostomies. untreated brain metastases or deteriorating neurological function after the completion of cranial irradiation. a woman who is currently pregnant and/or breast-feeding. active infections or any serious systemic disorder that, in the opinion of the principal investigator, are incompatible with the study product and/or procedures. used an investigational agent within 4 weeks of study entry. a known hypersensitivity to the study medication, its excipients, its analogs, or any of the component herbs.

Sites / Locations

  • VA CT Cancer Center
  • Weill Cornell Medical Center
  • Cancer Centers of the Carolinas

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
May 10, 2002
Last Updated
June 23, 2005
Sponsor
PhytoCeutica
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1. Study Identification

Unique Protocol Identification Number
NCT00036517
Brief Title
Safety Study of the Chemotherapy Modulator PHY906 in Patients With Advanced Colorectal Cancer
Official Title
A Phase I/IIA, Multicenter, Double-Blind, Randomized, Placebo-Controlled, Crossover, Dose Escalation, Safety Study of the Chemotherapy Modulator PHY906 in Patients With Advanced Colorectal Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
September 2004
Overall Recruitment Status
Terminated
Study Start Date
February 2002 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
March 2003 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
PhytoCeutica

4. Oversight

5. Study Description

Brief Summary
The triple combination chemotherapy of irinotecan, 5-fluorouracil and leucovorin (CPT-11/5-FU/LV or Saltz regimen) is the treatment of choice for patients with advanced colorectal cancer. Severe diarrhea, unfortunately, is a side effect of such treatment. Preclinical studies have indicated that the botanical drug PHY906 can reduce such diarrhea without compromising the effectiveness of the chemotherapy. The primary purpose of this clinical study is to evaluate the safety, tolerability and minimum effective dose of PHY906 when administered in conjunction with the Saltz regimen.
Detailed Description
CPT-11/5-FU/LV is an active combination agent in the treatment of colorectal cancer, but one of its dose-limiting toxicities is diarrhea. PHY906 has been shown to reduce the severity of CPT-11-induced toxicity without compromising antitumor efficacy in in vivo animal models. Additionally, there has been a long historical experience in the Far East demonstrating safety of PHY906 in humans. Thus, we are conducting this double-blind, placebo-controlled study to evaluate the safety and tolerability of PHY906. This dose escalation study will also examine the effect of PHY906 (1.2, 2.4, and 3.6 g/day) on the pharmacokinetics of CPT-11 and 5-FU after concomitant administration with CPT-11, 5-FU, and LV, and on the severity of CPT-11-induced toxicities such as diarrhea.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Neoplasms, Diarrhea
Keywords
Stage III and Stage IV colorectal cancer, diarrhea, reduce, alleviate, modulate, Saltz regimen, CPT-11, irinotecan, camptosar, 5-fluorouracil, leucovorin, 5-FU, LV, chemotherapy, side effect, toxicity, botanical drug, herbal medicine, chinese herbal medicine, traditional chinese medicine, TCM, oral dose, oral administration, concomitant use

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Crossover Assignment
Masking
Double
Allocation
Randomized
Enrollment
30 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
PHY906

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Patients must: be between 18 and 75 years of age, inclusive, at the time of enrollment. have advanced colorectal carcinoma, which may be either measurable or non-measurable. not have received either CPT-11, FU, or other cytotoxic chemotherapy agents in any setting (including adjuvant) within 1 year prior to screening. have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. use an effective contraceptive method if the patients are of reproductive potential while enrolled in the study, since the potential effects of the herbs on a developing fetus are unknown. have an estimated life expectancy of at least 20 weeks. provide written informed consent. have adequate organ function as indicated by the following laboratory values; these laboratory values must be obtained within 14 days prior to study enrollment: Bone marrow reserve: absolute granulocyte count (AGC) more than or equal to 1.5 X 10(to the power of 9)/L, platelet count more than or equal to 100 X 10 (to the power of 9)/L, and hemoglobin level more than or equal to 9 g/dL. Hepatic function: serum total bilirubin concentration no greater than 1.5 mg/dL, aspartate transaminase (AST or serum glutamic-oxaloacetic transaminase [SGOT]), and alanine transaminase (ALT or serum glutamic-pyruvic transaminase [SGPT]) levels no greater than grade 2 toxicity as determined from the NCI-CTC version 2.0. Renal function: serum creatinine level no greater than grade 2 toxicity as determined from the CTC version 2.0. Exclusion Criteria Patients who have or are: Gilbert syndrome (familial, non-hemolytic, acholuric jaundice). patients with enterostomies. untreated brain metastases or deteriorating neurological function after the completion of cranial irradiation. a woman who is currently pregnant and/or breast-feeding. active infections or any serious systemic disorder that, in the opinion of the principal investigator, are incompatible with the study product and/or procedures. used an investigational agent within 4 weeks of study entry. a known hypersensitivity to the study medication, its excipients, its analogs, or any of the component herbs.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wayne D Brenckman, Jr., MD
Organizational Affiliation
Inveresk Research
Official's Role
Study Director
Facility Information:
Facility Name
VA CT Cancer Center
City
West Haven
State/Province
Connecticut
ZIP/Postal Code
06516
Country
United States
Facility Name
Weill Cornell Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
Cancer Centers of the Carolinas
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29615
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Safety Study of the Chemotherapy Modulator PHY906 in Patients With Advanced Colorectal Cancer

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