Head and Neck Cancer Clinical Trial
Official title:
A Randomized, Double Blind, Placebo-Controlled Phase II Clinical Trial of N(4-Hydroxy-phenyl)Retinamide (Fenretinide, 4HPR) in Oral Leukoplakia
RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the
development of or treat early cancer. Fenretinide may be an effective drug in treating
leukoplakia.
PURPOSE: Randomized phase II trial to study the effectiveness of fenretinide in treating
patients who have leukoplakia of the mouth.
OBJECTIVES: I. Determine modulation by fenretinide of surrogate endpoint markers of oral
mucosal carcinogenesis in patients with oral dysplastic leukoplakia. II. Determine whether
fenretinide will cause significant modulation of intermediate endpoint markers and
significant regression of oral dysplastic leukoplakia in this patient population. III.
Compare the ability of fenretinide and placebo to modulate surrogate endpoint biomarkers in
this patient population. IV. Document the degree of recurrence of oral dysplastic
leukoplakia after the administration of fenretinide, both at the same site and at new sites.
OUTLINE: This is a randomized, double blind, placebo controlled study. Patients are
randomized to 1 of 2 treatment arms: Arm I: Patients receive oral fenretinide daily (except
days 1-3 each month) for 6 months. Arm II: Patients receive oral placebo daily (except days
1-3 each month) for 6 months. Patients then receive oral fenretinide daily (except days 1-3
each month) for 6 months. Patients are followed every 3 months.
PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Prevention
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