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Trial registered on ANZCTR
Registration number
ACTRN12619001051134
Ethics application status
Approved
Date submitted
24/06/2019
Date registered
26/07/2019
Date last updated
26/07/2019
Date data sharing statement initially provided
26/07/2019
Date results provided
26/07/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Testing whether prochlorperazine can be safely used to move anti-cancer therapy targets temporarily to tumour cell surfaces.
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Scientific title
A pilot study of an old drug with a new use – prochlorperazine to improve anti-EGFR therapy in squamous cell carcinoma of the mucosa
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Secondary ID [1]
298567
0
None
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Universal Trial Number (UTN)
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Trial acronym
None
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Linked study record
Not applicable
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Health condition
Health condition(s) or problem(s) studied:
Squamous Cell Carcinoma
313403
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Condition category
Condition code
Cancer
311836
311836
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0
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Head and neck
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Prochlorperazine 0.8mg/kg by intravenous infusion over 20-30 mins; tissue biopsy from tumour areas accessible without surgery occurred prior to start of infusion and 60-90 minutes post-infusion.
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Intervention code [1]
314822
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Treatment: Drugs
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
320510
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Objective primary outcome: Change in available cetuximab binding sites on patient tumour as measure by EGF-Alexa 488 uptake in live ex-vivo biopsy as per assay published Joseph et al 2019 Journal of Investigative Dermatology DOI: doi:10.1016/j.jid.2018.06.190
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Assessment method [1]
320510
0
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Timepoint [1]
320510
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Live ex-vivo tumours were assessed for EGF uptake within 30 minutes of removal from patient. Tumours were fixed overnight and processed the following day before confocal analysis was undertaken as described in Joseph et al 2019 10.1016/j.jid.2018.06.190. Thus assessment was usually completed within 3 days of biopsy.
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Primary outcome [2]
320806
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Safety: The Investigator and designated research nurse will monitor each Participant for adverse events during the study. The Investigator or designee will ask the Participant non-leading questions in an effort to detect adverse events. The investigator will exercise his or her medical and scientific judgement in deciding whether an abnormal laboratory finding or other abnormal assessment is clinically significant.Abnormal assessments (e.g. ECG, vital signs) that are judged by the investigator as clinically significant will be recorded as AEs or SAEs. Adverse events will be assessed for intensity, causality and expectedness. All AEs and SAEs will be followed until resolution, until the condition stabilises, until the event is otherwise explained.
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Assessment method [2]
320806
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Timepoint [2]
320806
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From initial i.v. infusion, up to 1 week.
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Secondary outcome [1]
371850
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Nil
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Assessment method [1]
371850
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Timepoint [1]
371850
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Nil
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Eligibility
Key inclusion criteria
Histologically confirmed squamous cell carcinoma of head and neck mucosa
Tumour of any stage amenable to biopsy
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Eastern Cooperative Oncology Group (ECOG) performance status equal to or greater than 2; On drugs that cause long QTc ; History of prolonged QT interval or prolonged QT interval on baseline ECG; Systolic blood pressure less than 90mmHg and/or diastolic blood pressure < 50 mmHg in two consecutive blood pressure readings within the 1 hour prior to study drug administration; Previous reaction to antipsychotic medications requiring medical intervention; Pregnant or breast feeding
Excluded if Parkinson’s disease.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
3/11/2015
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Date of last participant enrolment
Anticipated
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Actual
13/04/2016
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Date of last data collection
Anticipated
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Actual
22/04/2016
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Sample size
Target
8
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Accrual to date
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Final
5
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
14058
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Princess Alexandra Hospital - Woolloongabba
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Recruitment postcode(s) [1]
26849
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4102 - Woolloongabba
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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The University of Queensland
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Address [1]
303106
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Level 7, General Purpose South Building (Building 78)
Staff House Road
The University of Queensland
Brisbane, Queensland 4072
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Country [1]
303106
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Australia
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Primary sponsor type
University
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Name
University Of Queensland
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Address
Level 7, General Purpose South Building (Building 78)
Staff House Road
The University of Queensland
Brisbane, Queensland 4072
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Country
Australia
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Secondary sponsor category [1]
303118
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None
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Name [1]
303118
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n/a
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Address [1]
303118
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n/a
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Country [1]
303118
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303651
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Metro South Hospital and Health Service HREC
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Ethics committee address [1]
303651
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Centres for Health Research Level 7, Translational Research Institute 37 Kent Street Woolloongabba QLD 4102
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Ethics committee country [1]
303651
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Australia
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Date submitted for ethics approval [1]
303651
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16/01/2015
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Approval date [1]
303651
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12/03/2015
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Ethics approval number [1]
303651
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Summary
Brief summary
The purpose of this study is to test if a chemical called prochlorperazine (Stemetil) can move the target of a chemotherapy drug called cetuximab to the surface of cancer cells. Who is it for? You may be eligible for this study of you are aged 18 or over and have a squamous cell carcinoma of head and neck which is amenable to biopsy Study details All participants in this study will have a small biopsy of their tumour then an infusion of the study drug (prochlorperazine) through a needle in their arm 60-90 minutes before another biopsy of their tumour. The biopsy sample will be analysed in a laboratory to see the effect of the drug on a receptor on the surface of cancer cells. It is hoped this research will demonstrate that prochlorperazine makes cancer cells more sensitive to the chemotherapy drug cetuximab.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Ben Panizza
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Address
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Princess Alexandra Hospital
199 Ipswich Road
Woolloongabba QLD 4102
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Country
94402
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Australia
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Phone
94402
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+61 7 31763219
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Fax
94402
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Email
94402
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[email protected]
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Contact person for public queries
Name
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Melissa Brauer
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Address
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Princess Alexandra Hospital
199 Ipswich Road
Woolloongabba QLD 4102
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Country
94403
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Australia
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Phone
94403
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+61 731763219
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Fax
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Email
94403
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[email protected]
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Contact person for scientific queries
Name
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Fiona Simpson
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Address
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Translational Research Institute
University of Queensland
37 Kent St
Woolloongabba
QLD 4102
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Country
94404
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Australia
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Phone
94404
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+61 422721656
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Fax
94404
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Email
94404
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Endocytosis Inhibition in Humans to Improve Responses to ADCC-Mediating Antibodies.
2020
https://dx.doi.org/10.1016/j.cell.2020.02.019
N.B. These documents automatically identified may not have been verified by the study sponsor.
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