Minocycline for Reduction of Radiation Therapy Treatment-Related Symptom Burden in Oropharynx Cancer: A Randomized Study.
The Study Drug:
Minocycline is an antibiotic and has been shown to interrupt cytokine production, which may
help to reduce multiple symptoms.
If you agree to take part in this study, you will be randomly assigned (as in the flip of a
coin) to 1 of 2 groups. Group 1 will take minocycline. Group 2 will take a placebo. A
placebo is a substance that looks like the study drug but has no active ingredients.
Neither you nor the study staff will know if you are receiving the study drug or the
placebo. However, if needed for your safety, the study staff will be able to find out what
you are receiving.
Study Drug Administration:
You will take the study drug/placebo, by mouth, every day for 7 weeks starting at the first
week of radiation therapy. You may take the study drug/placebo with a full glass (8 ounces)
of water. You may take it with or without food. If it causes an upset stomach, you should
take it with food. If you have trouble swallowing the dose of study drug/placebo, you can
open the capsule right before you take them. You should not lie down for at least 30
minutes after taking the study drug/placebo to prevent possible irritation of the inside of
the esophagus, a known side effect. You will be given pamphlets with more information about
how to take the study drug/placebo.
You will be given a daily diary to write down what time you take the study drug/placebo.
You must bring the diary with you to every study visit for the study doctor and research
staff to review.
You must bring the study drug/placebo container to every study visit.
Before you start your radiation treatment:
- You will have blood (about 2 teaspoons) drawn to check your liver function, if this
test has not been done in the last 3 months.
- If you are able to become pregnant, you will have a urine pregnancy test. The study
staff will give you the pregnancy test kit, and will review and record the results of
the test before you can pick up the study drug from the pharmacy. If you are pregnant,
you will not be given the study drug.
- You will also complete 5 questionnaires about pain and other symptoms, your alcohol and
tobacco history, your health status, and your quality of life. It should take about 15
minutes to complete all of the questionnaires.
During radiation treatment (approximately Weeks 1- 7 of radiation):
You will complete the symptom questionnaire in the clinic or by telephone 2 times a week.
You will be asked about symptoms you may be experiencing and how they may be interfering
with your normal daily activities. You will complete the symptom questionnaire during one
of your regular clinic visits. If you do not have a clinic visit scheduled around the time
that the questionnaire needs to be completed, a member of the study staff will call you at
your home at a time that is convenient for you. The symptom questionnaire should take about
5 minutes to complete each time.
At about Week 4 of radiation, you will complete 4 additional questionnaires about pain and
other symptoms, your tobacco use, and a quality of life questionnaire. It should take about
5 minutes to complete all of the questionnaires.
During the last week of radiation (about Week 6-7), you will complete 4 additional
questionnaires about pain and other symptoms, your health status, and your quality of life.
It should take about 10 minutes to complete all of the questionnaires.
Starting after the last week of radiation (about Weeks 7-10), the study staff will call you
2 times each week to check on you. This phone call should last about 5 minutes. If you
have had several side effects from the radiation therapy, this phone call may take longer.
Follow-Up Phone Calls:
During Weeks 11-15, you will complete the pain and other symptoms questionnaire 1 time a
week by phone. A member of the study staff will call you at your home at a time that is
convenient for you. The symptom questionnaire should take about 5 minutes to complete by
phone each time.
End of Study Visit:
Your last study visit will be the same day that you have your last clinic visit with the
radiation doctor (around Weeks 13-15). At this visit, you will complete the pain and other
symptoms questionnaire, your health status and the 2 smoking questionnaires. It should take
about 5 minutes to complete both questionnaires.
Length of Study:
You will be on study for up to 15 weeks. You will take the study drug/placebo for up to 7
weeks and continue to complete the symptom survey until 15 weeks. You will be taken off
study early if you experience intolerable side effects or the study doctor thinks it is in
your best interest.
This is an investigational study. Minocycline is FDA approved and commercially available
for the treatment of bacterial infection. Using minocycline for the treatment of the
symptoms of radiation treatment for oropharynx cancer, nasopharynx cancer, or unknown
primary cancer of head and neck, is investigational.
Up to 60 patients will take part in this research study. All will be enrolled at MD
Anderson main campus as well as the regional care centers.
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
Combined AUC for Selected Patient Symptoms
7-week (+/- 5 days) area under the curve (AUC) for select MDASI-HNC symptoms namely fatigue, pain, sleep disturbance, difficulty swallowing and lack of appetite reported in the symptom survey.
7 weeks. They will take the study drug/placebo for up to 7 weeks and continue to complete the symptom survey until 15 weeks.
Gary B. Gunn, MD
UT MD Anderson Cancer Center
United States: Food and Drug Administration
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