Drug Use for Unapproved Schedule Clinical Trial
Official title:
Randomized Phase III Study in EBV Positive Locally Advanced Nasopharyngeal Carcinoma Treated With Concurrent Chemo-radiotherapy With or Without Anti-Viral Drug
Verified date | August 2018 |
Source | Kuwait Cancer Control Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
PCR-DNA of EBV test is a good prognostic indicator for survival after treatment (report:
Prognostic Impact of Plasma, Epstein-Barr Virus DNA in Patients with Nasopharyngeal Carcinoma
Treated using Intensity-Modulated Radiation Therapy.
The chances of the local recurrence or metastasis are higher in the patients at same stage
with positive PCR-DNA of EBV in Nasopharyngeal carcinoma after same treatment.(ref.)
Antiviral drugs have been used to inhibit EBV replication and target viral DNA polymerase are
Foscarnet and phosphonoacetic acid both interact directly with the pyrophosphate-binding site
of the enzyme, where Acyclovir as antiviral drug act at two levels: as competitive
alternative substrates, competing with GTP on the substrate-binding site, and as DNA chain
terminators, by incorporating into the growing DNA chain and blocking its elongation due to
their acyclic structure.
Status | Active, not recruiting |
Enrollment | 50 |
Est. completion date | May 2021 |
Est. primary completion date | May 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Confirmed histopathologic diagnosis of nasopharyngeal squamous cell carcinoma, types WHO II-III. - Stage II-IVB - Requiring primary concomitant Radiotherapy and Chemotherapy. - No head and neck surgery of the primary tumor or lymph nodes except for incisional or excisional biopsies. - Positive PCR-DNA EBV - = 18 years of age - ECOG performance status 0-1 - WBC = 4,000/µl, platelets = 100,000/µl; serum creatinine = 1.6 mg/dl or 24 hr. calculated creatinine clearance = 60 ml/min (see Section 3.1.6). - Pre-treatment evaluation of tumor extent and tumor measurement. - Nutritional and general physical condition must be considered compatible with the proposed radio-therapeutic treatment. - Signed study-specific consent form prior to study entry Assessment. Exclusion Criteria: - Prior radiotherapy to the head and neck or any prior chemotherapy = 6 months prior to study entry. - Other malignancy except non-melanoma skin cancer or a carcinoma not of head and neck origin = 5 years - Evidence of distant metastasis. - on any experimental therapeutic cancer treatment. - major medical or psychiatric illness. - pregnant females. - Age = 18 years old |
Country | Name | City | State |
---|---|---|---|
Kuwait | Kuwait Cancer Control Center | Kuwait |
Lead Sponsor | Collaborator |
---|---|
Kuwait Cancer Control Center |
Kuwait,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of participants with Eliminated EBV titre as assessed by quantitative PCR-DNA in patients with NPC. | 3 months |