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Traumeel® S in Preventing and Treating Mucositis in Young Patients Undergoing Stem Cell Transplantation

This study is ongoing, but not recruiting participants.

Sponsors and Collaborators: Children's Oncology Group
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00080873
  Purpose

RATIONALE: Traumeel® S (a mouth rinse) may be effective in preventing or decreasing the severity of oral mucositis caused by chemotherapy in young patients who are undergoing stem cell transplantation.

PURPOSE: This randomized clinical trial is studying how well Traumeel® S works in preventing or treating mucositis in young patients who are receiving chemotherapy with or without total-body irradiation before undergoing stem cell transplantation.


Condition Intervention
Kidney Cancer
Leukemia
Lymphoma
Neuroblastoma
Oral Complications of Cancer and Cancer Therapy
Sarcoma
Drug: Traumeel S

MedlinePlus related topics:   Cancer    Kidney Cancer    Leukemia, Adult Acute    Leukemia, Adult Chronic    Leukemia, Childhood    Lymphoma    Neuroblastoma    Soft Tissue Sarcoma   

ChemIDplus related topics:   Traumeel S   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Supportive Care, Randomized, Double-Blind, Placebo Control
Official Title:   A Randomized Double Blind Placebo Controlled Clinical Trial to Assess the Efficacy of Traumeel® S (IND#66649) for the Prevention and Treatment of Mucositis in Children Undergoing Hematopoietic Stem Cell Transplantation

Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment:   180
Study Start Date:   April 2004

Detailed Description:

OBJECTIVES:

  • Compare the efficacy of Traumeel® S vs placebo in reducing the severity and duration of chemotherapy-induced (with or without total body irradiation) mucositis in pediatric patients undergoing hematopoietic stem cell transplantation.
  • Determine the safety of this drug in these patients.

OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to treatment with total body irradiation during conditioning chemotherapy (yes vs no), type of transplantation (autologous vs allogeneic), and participating institution (COG vs foreign). Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive oral Traumeel® S mouth rinse 5 times daily beginning on day -1 before transplantation.
  • Arm II: Patients receive oral placebo mouth rinse 5 times daily beginning on day -1 before transplantation.

In both arms, treatment continues until day 20 post-transplantation OR until mucositis resolves to Walsh score ≤ 1 for 2 consecutive days.

Patients are followed until day 100 post-transplantation.

PROJECTED ACCRUAL: A total of 180 patients (90 per treatment arm) will be accrued for this study within 2 years.

  Eligibility
Ages Eligible for Study:   3 Years to 25 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

DISEASE CHARACTERISTICS:

  • Planned treatment with allogeneic or autologous hematopoietic stem cell transplantation

    • Conditioning chemotherapy regimen for transplantation must be myeloablative
    • Source of stem cells from any of the following:

      • Bone marrow
      • Placental cord
      • Cytokine-mobilized peripheral blood
  • Availability of 1 of the following donor types:

    • HLA-matched sibling or parent
    • Related donor mismatched for a single HLA locus (class I or II)
    • Unrelated marrow or peripheral blood stem cell donor
    • Unrelated umbilical cord blood HLA-matched or mismatched (class I) donor

PATIENT CHARACTERISTICS:

Age

  • 3 to 25

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Other

  • No known allergy to Echinacea
  • Not pregnant or nursing
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • See Disease Characteristics

Chemotherapy

  • See Disease Characteristics

Endocrine therapy

  • Not specified

Radiotherapy

  • Not specified

Surgery

  • Not specified

Other

  • No concurrent oral vancomycin paste
  • No concurrent oral glutamine supplementation
  • No other mouth care or oral medications within 30 minutes after administration of study drugs
  • No other concurrent treatment to prevent mouth sores
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00080873

Show 44 study locations  Show 44 Study Locations

Sponsors and Collaborators
Children's Oncology Group
National Cancer Institute (NCI)

Investigators
Study Chair:     Susan F. Sencer, MD     Children's Hospitals and Clinics of Minnesota - Minneapolis    
Investigator:     Indira Sahdev, MD     Schneider Children's Hospital    
  More Information


Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
 
Featured trial article  This link exits the ClinicalTrials.gov site
 

Study ID Numbers:   CDR0000356179, COG-ACCL0331
First Received:   April 7, 2004
Last Updated:   July 23, 2008
ClinicalTrials.gov Identifier:   NCT00080873
Health Authority:   United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
oral complications of cancer and cancer therapy  
disseminated neuroblastoma  
previously treated childhood rhabdomyosarcoma  
recurrent Wilms tumor and other childhood kidney tumors  
recurrent/refractory childhood Hodgkin lymphoma  
recurrent childhood acute lymphoblastic leukemia  
recurrent childhood acute myeloid leukemia  
recurrent childhood large cell lymphoma  
recurrent childhood lymphoblastic lymphoma  
recurrent childhood rhabdomyosarcoma
recurrent childhood small noncleaved cell lymphoma
untreated childhood acute lymphoblastic leukemia
untreated childhood acute myeloid leukemia and other myeloid malignancies
childhood acute lymphoblastic leukemia in remission
childhood acute myeloid leukemia in remission
childhood chronic myelogenous leukemia
juvenile myelomonocytic leukemia
recurrent neuroblastoma

Study placed in the following topic categories:
Juvenile myelomonocytic leukemia
Neuroectodermal Tumors, Primitive
Chronic myelogenous leukemia
Malignant mesenchymal tumor
Urogenital Neoplasms
Urologic Neoplasms
Small non-cleaved cell lymphoma
Neuroepithelioma
Kidney Diseases
Hodgkin Disease
Rhabdomyosarcoma
Lymphoma, Large B-Cell, Diffuse
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Immunoproliferative Disorders
Mucositis
Myeloproliferative Disorders
Acute myelogenous leukemia
Leukemia, Myeloid
Renal cancer
Carcinoma
Neuroectodermal Tumors
Hodgkin lymphoma, childhood
Sarcoma
Neoplasms, Glandular and Epithelial
Leukemia, Lymphoid
Hodgkin's disease
Leukemia, Myeloid, Acute
Kidney cancer
Neuroblastoma
Soft tissue sarcomas

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Neoplasms by Histologic Type
Immune System Diseases
Neoplasms, Nerve Tissue
Neoplasms, Neuroepithelial

ClinicalTrials.gov processed this record on October 15, 2008




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