A Randomized, Masked, Placebo Controlled, Phase II Trial Of Concurrent Chemoradiation With BMX-001 In Patients With Head And Neck Squamous Cell Carcinoma Receiving Concurrent Chemoradiation
NRG Oncology
Summary
This phase II trial compares the effectiveness of adding BMX-001 to usual symptom management versus usual symptom management alone for reducing oral mucositis in patients who are receiving chemoradiation for head and neck cancer. Oral mucositis (inflammation and mouth sores) is a common side effect of chemoradiation that can cause pain and difficulty swallowing. Usual management of these side effects typically consists of using mouth rinses and pain medications during treatment and for several weeks after completion of treatment. BMX-001 neutralizes harmful substances in the body, preventing damage to macromolecules such as DNA and minimizes free radical-related toxicity in normal tissues. Adding BMX-001 to usual symptom management may be more effective than usual symptom management alone at reducing oral mucositis in patients receiving chemoradiation for head and neck cancer.
Description
PRIMARY OBJECTIVE: I. To compare the incidence of severe oral mucositis (SOM) between manganese superoxide dismutase (MnSOD) mimetic BMX-001 (BMX-001) and placebo, defined as \>= grade 3 per World Health Organization (WHO) criteria from the start of radiation through 4 weeks after completion of study treatment, with additional assessments at 6, 8 and 12 weeks after completion of study treatment. SECONDARY OBJECTIVES: I. To compare the duration of SOM in the BMX-001 arm versus (vs.) placebo arm. II. To assess the difference between arms in the Oral Mucositis Weekly Questionnaire-Head and Nec…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Patients must be planned to receive radiation and concurrent cisplatin chemotherapy as definitive therapy. Patients planned to receive concurrent cisplatin and radiation therapy in the adjuvant setting are not eligible. * At least two subsites (buccal mucosa, lips, retromolar trigone, floor of mouth, oral tongue, tonsil, soft palate, or hard palate) must have at least 1cc or 1% of the subsite volume receiving \>= 50 Gy. In cases of uncertainty, the enrolling clinician can ensure coverage by inspecting the 50 Gy isodose line and using the table describing the anatomic bou…
Interventions
- OtherBest Practice
Receive usual symptom management
- ProcedureBiospecimen Collection
Undergo collection of blood, serum, and/or plasma samples
- DrugCisplatin
Given cisplatin
- ProcedureComputed Tomography
Undergo CT
- RadiationImage Guided Radiation Therapy
Undergo image-guided radiation therapy
- RadiationIntensity-Modulated Radiation Therapy
Undergo intensity-modulated radiation therapy
- ProcedureMagnetic Resonance Imaging
Locations (149)
- Arizona Center for Cancer Care - GilbertGilbert, Arizona
- Arizona Center for Cancer Care-PeoriaPeoria, Arizona
- Arizona Center for Cancer Care - PhoenixPhoenix, Arizona
- Arizona Center for Cancer Care - ScottsdaleScottsdale, Arizona
- Arizona Center for Cancer Care-SurpriseSurprise, Arizona
- Arizona Center for Cancer CareTempe, Arizona