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Randomized, Double-Blind, Phase III Trial of Chemotherapy Plus the Transcriptional Therapy Hydralazine and Magnesium Valproate Versus Chemotherapy Plus Placebo in Recurrent and Metastatic Cervical Cancer.


Phase 3
18 Years
N/A
Open (Enrolling)
Female
Metastatic Cervical Cancer

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Trial Information

Randomized, Double-Blind, Phase III Trial of Chemotherapy Plus the Transcriptional Therapy Hydralazine and Magnesium Valproate Versus Chemotherapy Plus Placebo in Recurrent and Metastatic Cervical Cancer.


Randomized, double-blind phase III trial. A total of 143 patients (alpha 0.5, power 0.8)with
metastatic, persistent or recurrent cervical cancer without previous systemic treatment will
be randomized to cisplatin topotecan + placebo or cisplatin topotecan hydralazine valproate
for 6 courses every 3 weeks. Patients will receive an oral dose of hydralazine of 182mg
(rapid) or 83mg (slow) according to the acetylator phenotype in a single daily dose and
magnesium valproate at an oral dose of 40mg/Kg t.i.d. Both drugs in a slow-release
formulation. Experimental drugs or placebo will start from seven days before day 1 of
chemotherapy until the end of the sixth course.


Inclusion Criteria:



- informed consent, histological diagnosis of persistent, recurrent or metastatic
cervical carcinoma; measurable disease by physical examination, CT Scan, MRI or
PET-CT. Biopsy is required for confirmation only if the lesion is unique, has less
than 2cm in the longest diameter or has no clearly defined borders.

- Patients should have no previous systemic treatment (could have received chemotherapy
as radiosensitization to the pelvis and or para-aortic field.

- Aged >18 years, performance status 0-2 according to ECOG classification, and adequate
liver, hematological and renal function, as defined by: hemoglobin >10 g/L,
leukocytes >4000/mm3, platelets >100 000mm3; normal creatinine value and creatinine
clearance >60 mL/min; total bilirubin < 1.5 upper normal limit value.

Exclusion Criteria:

- History of allergy to hydralazine or valproate; past or present condition of
rheumatic disease, central nervous system disease, heart failure from aortic stenosis
and postural hypotension as diagnosed by a physician; newly diagnosed hypertension
patients with or without pharmacological treatment are allowed as long as their
treatment do not include hydralazine.

- Previous use of the experimental drugs (hydralazine and magnesium valproate) as well
as if patients were pregnant or breast-feeding. Other exclusion criteria are
uncontrolled systemic disease or infection.

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Outcome Measure:

Progression-free survival

Outcome Time Frame:

2-years

Safety Issue:

Yes

Principal Investigator

Myrna Candelaria, MD

Investigator Role:

Study Chair

Investigator Affiliation:

Instituto Nacional de Cancerologia, Columbia

Authority:

Mexico: Ethics Committee

Study ID:

006/027/ICI

NCT ID:

NCT00532818

Start Date:

July 2007

Completion Date:

December 2010

Related Keywords:

  • Metastatic Cervical Cancer
  • Epigenetic therapy
  • Hydralazine
  • Valproate
  • Cervical cancer
  • Randomized
  • Phase III
  • Uterine Cervical Neoplasms

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