Status:

COMPLETED

Octreotide in Preventing or Reducing Diarrhea in Patients Receiving Chemoradiotherapy for Anal or Rectal Cancer

Lead Sponsor:

Radiation Therapy Oncology Group

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Anal Cancer

Colorectal Cancer

Eligibility:

All Genders

18-120 years

Phase:

PHASE3

Brief Summary

RATIONALE: Octreotide may be effective in preventing or controlling diarrhea in patients who are undergoing chemoradiotherapy for anal or rectal cancer. It is not yet known whether octreotide is effec...

Detailed Description

OBJECTIVES: Primary * Determine the ability of octreotide to prevent the incidence of moderate, severe, or life-threatening chemoradiotherapy-induced diarrhea (grades 2-4) in patients with anal or r...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed primary anal or rectal cancer
  • No metastasis beyond the pelvic regional nodes
  • Must be scheduled to receive chemoradiotherapy
  • PATIENT CHARACTERISTICS:
  • Age
  • 18 and over
  • Performance status
  • Not specified
  • Life expectancy
  • Not specified
  • Hematopoietic
  • Not specified
  • Hepatic
  • Liver function tests \< 3 times upper limit of normal
  • No prior hepatic disease
  • Renal
  • Not specified
  • Gastrointestinal
  • No prior chronic or acute regional enteritis
  • No malabsorption syndrome
  • No prior inflammatory bowel disease that may exacerbate the radiotherapy toxicity
  • No grade 2 or greater uncontrollable diarrhea at baseline
  • No prior cholecystitis or gallstones, unless a cholecystectomy has been performed
  • No prior incontinence of stool
  • Other
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • HIV negative
  • No uncontrolled diabetes (e.g., fasting glucose \> 250 mg/dL)
  • No prior allergy or hypersensitivity to study drug or other related drug or compound
  • No other medical condition or mental impairment that would preclude study treatment and compliance
  • PRIOR CONCURRENT THERAPY:
  • Biologic therapy
  • Not specified
  • Chemotherapy
  • See Disease Characteristics
  • Prior chemotherapy allowed
  • Endocrine therapy
  • At least 6 months since prior administration of any of the following:
  • Glucocorticoid therapy
  • Insulin sensitizers (e.g., metformin, pioglitazone, or rosiglitazone)
  • Exogenous growth hormone therapy
  • Radiotherapy
  • See Disease Characteristics
  • No prior pelvic radiotherapy
  • No prior intensity-modulated radiotherapy
  • No concurrent radiotherapy for abdominal cancer
  • No concurrent hyperfractionated, split-course, or intensity-modulated radiotherapy
  • No brachytherapy prior to or after completion of all external beam radiotherapy
  • Surgery
  • No prior abdominal-perineal resection or other surgical procedure leaving the patient without a functioning rectum
  • No colostomy
  • Other
  • More than 30 days since other prior investigational drugs
  • No prior octreotide for cancer therapy-related diarrhea
  • No concurrent prophylactic antidiarrheal medication

Exclusion

    Key Trial Info

    Start Date :

    December 1 2003

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    Estimated Enrollment :

    233 Patients enrolled

    Trial Details

    Trial ID

    NCT00075868

    Start Date

    December 1 2003

    Last Update

    November 17 2015

    Active Locations (112)

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    Page 1 of 28 (112 locations)

    1

    Mobile Infirmary Medical Center

    Mobile, Alabama, United States, 36652-2144

    2

    Foundation for Cancer Research and Education

    Phoenix, Arizona, United States, 85013

    3

    Enloe Cancer Center at Enloe Medical Center

    Chico, California, United States, 95926

    4

    Saint Agnes Medical Center

    Fresno, California, United States, 93720-3397