Treatment of Radiation and Cisplatin Induced Toxicities With Tempol
Mucositis, Nephrotoxicity, Ototoxicity
About this trial
This is an interventional treatment trial for Mucositis focused on measuring cisplatin toxicity
Eligibility Criteria
Inclusion Criteria:
- Be ≥18 years of age with medically diagnosed squamous cell cancer of the head and neck (SCCHN);
- Be scheduled to receive radiotherapy or proton therapy administered with a curative intent;
- If female and of child bearing potential, be using an effective birth-control method with a history of reliability for the individual participant;
- If male and of child bearing potential, adequate methods of contraception must be employed including use of condoms with spermicide. No sperm donation for 90 days until after the conclusion of the study;
- Must be receiving cisplatin for chemotherapy;
- Be properly informed of the nature and risks of the clinical investigation, comply with all clinical investigation-related procedures, and sign an Informed Consent Form prior to entering the clinical investigation;
- Must have a score 2 or less on the ECOG performance status;
- Participant life expectancy ≥ 6 months; and
- Adequate baseline organ function (hematologic, liver, renal, nutritional and metabolic):
Haematology:
Absolute neutrophil count (ANC) ≥1.5 Hemoglobin ≥ 10 g/dL Platelets ≥ 100,000 per microliter of blood
Hepatic:
Total bilirubin ≤ 2 X (Upper limit normal) ULN Alanine amino transferase (ALT) and Aspartate aminotransferase (AST) ≤5 x ULN
Renal:
Serum creatinine ≤ ULN or, if > ULN calculated creatinine clearance (CrCl) ≥ 60 mL/min.
Nutritional and metabolic:
Urine Albumin < 3.0 mg/dl
Exclusion Criteria:
- Prior radiotherapy of the head and neck;
- Have a clinically significant infection defined as any acute viral, bacterial or fungal infection, which requires specific therapy. Anti-infectious therapy must have been completed within 14 days of starting study treatment;
- Be taking any non-approved therapy for oral mucositis, including β-carotene, tocopherol, laser irradiation, brushing the oral mucosa with silver-nitrate prophylactically, systemic TGF-β (transforming growth factor beta), or systemic KGF (keratinocyte growth factor) during or within 14 days of starting treatment;
- Be taking mugard;
- Be taking prostaglandins, pentoxifylline or leucovorin during or within 14 days of starting treatment;
- Be rinsing with allopurinol, hydrogen peroxide, sucralfate, or chlorhexidine mouthwashes during or within 14 days of starting treatment;
- Have had a recent, serious, non-malignant medical complication that, in the opinion of the investigator, makes the individual unsuitable for study participation;
- Have used an investigational drug within 28 days of the initiation of study treatment;
- Have a history of a positive blood test for HIV;
- At the time of screening, having a significant active medical illness which, in the opinion of the investigator, would preclude completion of the study;
- Participants with a treatment plan consisting of chemoradiation followed by further chemotherapy;
- Participants with body weight less than 35 kg, 77 lbs;
- Women who are pregnant or who are breastfeeding;
- Participants with known intolerance to platin drugs;
- History of insulin-dependent Diabetes Mellitus; and
- Participants with Hepatitis B/C.
Sites / Locations
- UCSDRecruiting
- Mercy Medical CenterRecruiting
- UCSF Helen Diller Family Comprehensive Cancer Center
- Central Coast Medical OncologyRecruiting
- Mission Hope Health CenterRecruiting
- Montefiore Medical Center-Einstein CampusRecruiting
- Wake Forest University Health SciencesRecruiting
- Seattle Cancer Care AllianceRecruiting
- University of Washington Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Placebo Comparator
Active 1000 mg Tempol Solution
Placebo Solution
Patients will take 1000 mg of Tempol a day for the duration of radiation treatment (6-8 weeks)
Patients will take placebo solution everyday for the duration of radiation treatment (6-8 weeks)