ClinicalTrials.gg
CompletedNCT00003825Updated Oct 19, 2020

Pentosan Polysulfate in Treating Patients With Gastrointestinal Disturbance Caused by Radiation Therapy

A Phase 3 interventional study of pentosan polysulfate sodium and quality-of-life assessment in Diarrhea and Radiation Enteritis, sponsored by Radiation Therapy Oncology Group. Completed at 260 sites in 2 countries. Open to participants aged 0 Years to 120 Years. Per ClinicalTrials.gov, last updated 2020-10-19.

Sponsored by Radiation Therapy Oncology Group · Phase 3, Interventional, and Supportive care

Phase
Phase 3
Study type
Interventional
Enrollment
174
Allocation
Randomized
Ages
0 Years to 120 Years
Sex
All
01

Study summary

RATIONALE: Pentosan polysulfate may be effective in treating side effects of radiation therapy to the abdomen or pelvis. It is not yet known whether pentosan polysulfate is more effective than no further therapy for treating gastrointestinal disturbance caused by previous radiation therapy.

PURPOSE: Randomized phase III trial to determine the effectiveness of pentosan polysulfate in treating patients who have inflammation of the rectum, diarrhea, or blood in stools caused by previous radiation therapy to the abdomen and pelvis.

Read the detailed description

OBJECTIVES: I. Evaluate the efficacy of pentosan polysulfate in patients with gastrointestinal tract sequelae after radiotherapy to the abdomen and pelvis. II. Determine the toxic effects of this drug in these patients. III. Determine the effect of this drug on symptoms and quality of life of these patients.

OUTLINE: This is a randomized study. Patients are randomized to 1 of 2 treatment arms. Arm I: Patients receive oral pentosan polysulfate three times a day for 2-6 months. Arm II: Patients receive oral placebo three times a day for 2-6 months. Both arms: Patients may receive retreatment for two months if symptoms return and last for at least 2 weeks. Quality of life is assessed before treatment, and at each follow up visit. Patients are followed every 2 months for 6 months, then every 3 months for 18 months, then annually for 3 years.

PROJECTED ACCRUAL: A total of 174 patients will be accrued for this study within 3 years.

02

Conditions studied

  • Diarrhea
  • Radiation Enteritis

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Keywords

  • radiation enteritis
  • diarrhea
03

In context

Diarrhea

877 studies on the registry are indexed under Diarrhea; 76 are open to participants now.

This study's planned enrollment of 174 is above the median of 137 across 738 interventional studies indexed under Diarrhea.

Browse Diarrhea studies →

Lead sponsor

Radiation Therapy Oncology Group is the lead sponsor of 155 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS: Must have received prior radiotherapy to the abdomen and pelvis and now have radiation related gastrointestinal symptoms (which were not present before the radiotherapy and/or attributed to other causes) Proctitis Diarrhea Melena (blood in stools) Severity of symptoms classified as grade 1, 2, or 3

PATIENT CHARACTERISTICS: Age: Any age Performance status: Not specified : Not specified Hematopoietic: Not specified Hepatic: Not specified Renal: Not specified Other: No bleeding ulcers No bleeding diathesis

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: At least 1 month since prior chemotherapy No concurrent chemotherapy Endocrine therapy: Concurrent hormonal therapy for prostate cancer allowed Radiotherapy: See Disease Characteristics At least 4 weeks since prior radiotherapy Surgery: No prior bowel resection At least 3 weeks since prior surgery Other: No concurrent anticoagulation therapy (except aspirin)

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Enrollment
174 participants (estimated)

Interventions

06

Study locations

260 sites
  • University of Alabama Comprehensive Cancer Center
    Birmingham, Alabama 35294, United States
  • Comprehensive Cancer Institute of Huntsville
    Huntsville, Alabama 35801, United States
  • Huntsville Hospital System
    Huntsville, Alabama 35801, United States
  • Mobile Infirmary Medical Center
    Mobile, Alabama 36640-0460, United States
  • Urology Associates - Mobile AL
    Mobile, Alabama 36640, United States
  • MBCCOP - University of South Alabama
    Mobile, Alabama 36688, United States
  • Alabama Oncology, LLC
    Montgomery, Alabama 36106-2801, United States
  • Radiation Oncology Associates of West Alabama
    Tuscaloosa, Alabama 35401, United States
  • Providence Cancer Therapy Center
    Anchorage, Alaska 99508, United States
  • Arizona Cancer Center
    Tucson, Arizona 85724, United States
  • Mount Diablo Medical Center
    Concord, California 94524-4110, United States
  • California Cancer Center
    Fresno, California 93720, United States
  • Saint Agnes Cancer Center
    Fresno, California 93720, United States
  • Glendale Memorial Hospital and Health Center
    Glendale, California 91204, United States
  • Sutter Health Western Division Cancer Research Group
    Greenbrae, California 94904, United States
  • University of California San Diego Cancer Center
    La Jolla, California 92093-0658, United States
  • Loma Linda University Medical Center
    Loma Linda, California 92354, United States
  • Veterans Affairs Medical Center - Long Beach
    Long Beach, California 90822, United States
  • Kaiser Permanente Medical Center - Los Angeles
    Los Angeles, California 90027, United States
  • USC/Norris Comprehensive Cancer Center
    Los Angeles, California 90033-0800, United States
  • Jonsson Comprehensive Cancer Center, UCLA
    Los Angeles, California 90095-1781, United States
  • Beckman Research Institute, City of Hope
    Los Angeles, California 91010, United States
  • CCOP - Bay Area Tumor Institute
    Oakland, California 94609-3305, United States
  • Cancer Care Center
    Pomona, California 91767, United States
  • Radiation Oncology Center - Sacramento
    Sacramento, California 95816, United States
  • Radiation Medical Group, Inc.
    San Diego, California 92101-1492, United States
  • UCSF Cancer Center and Cancer Research Institute
    San Francisco, California 94115-0128, United States
  • O'Connor Hospital
    San Jose, California 95128, United States
  • CCOP - Santa Rosa Memorial Hospital
    Santa Rosa, California 95403, United States
  • Stanford University
    Stanford, California 94305, United States
  • Memorial Hospital Cancer Center
    Colorado Springs, Colorado 80909, United States
  • University of Colorado Cancer Center
    Denver, Colorado 80262, United States
  • Bridgeport Hospital
    Bridgeport, Connecticut 06610, United States
  • Whittingham Cancer Center
    Norwalk, Connecticut 06856, United States
  • CCOP - Christiana Care Health Services
    Wilmington, Delaware 19899, United States
  • Walter Reed Army Medical Center
    Washington, District of Columbia 20307-5000, United States
  • Lykes Center for Radiation Therapy
    Clearwater, Florida 33757-0210, United States
  • Halifax Medical Center
    Daytona Beach, Florida 32114, United States
  • Radiation Therapy Associates - Fort Myers
    Fort Myers, Florida 33901, United States
  • University of Florida Health Science Center
    Gainesville, Florida 32610-0296, United States
  • Health First Holmes Regional Medical Center
    Melbourne, Florida 32901, United States
  • CCOP - Mount Sinai Medical Center
    Miami Beach, Florida 33140, United States
  • Veterans Affairs Medical Center - Miami
    Miami, Florida 33125, United States
  • Sylvester Cancer Center, University of Miami
    Miami, Florida 33136, United States
  • Baptist Hospital of Miami
    Miami, Florida 33176-2197, United States
  • Florida Radiation Oncology Group
    Orange Park, Florida 32073, United States
  • MD Anderson Cancer Center Orlando
    Orlando, Florida 32806, United States
  • Bay Medical Center
    Panama City, Florida 32401, United States
  • Gulf Coast Cancer Treatment Center
    Panama City, Florida 32405-4587, United States
  • West Florida Cancer Institute - Pensacola
    Pensacola, Florida 32514, United States
  • Bayfront Medical Center
    Saint Petersburg, Florida 33701, United States
  • Sarasota Radiation and Medical Oncology Center
    Sarasota, Florida 34233, United States
  • Tallahassee Memorial Healthcare
    Tallahassee, Florida 32308, United States
  • H. Lee Moffitt Cancer Center and Research Institute
    Tampa, Florida 33612, United States
  • Emory University Hospital - Atlanta
    Atlanta, Georgia 30322, United States
  • CCOP - Atlanta Regional
    Atlanta, Georgia 30342-1701, United States
  • Medical Center/John B. Amos Community Cancer Center
    Columbus, Georgia 31902, United States
  • InterCommunity Cancer Center at Rome
    Rome, Georgia 30161, United States
  • Northwest Community Hospital
    Arlington Heights, Illinois 60005, United States
  • Northwestern Memorial Hospital
    Chicago, Illinois 60611, United States
  • University of Chicago Cancer Research Center
    Chicago, Illinois 60637, United States
  • CCOP - Central Illinois
    Decatur, Illinois 62526, United States
  • Provena St. Joseph Hospital- Regional Cancer Care Center
    Elgin, Illinois 60123, United States
  • Ingalls Memorial Hospital
    Harvey, Illinois 60426, United States
  • Loyola University Medical Center
    Maywood, Illinois 60153, United States
  • Lutheran General Cancer Care Center
    Park Ridge, Illinois 60068, United States
  • Methodist Medical Center of Illinois
    Peoria, Illinois 61636, United States
  • St. John's Medical Center
    Anderson, Indiana 46016, United States
  • Veterans Affairs Medical Center - Indianapolis (Roudebush)
    Indianapolis, Indiana 46202, United States
  • Clarion Health Partners Inc.
    Indianapolis, Indiana 46206-1367, United States
  • Community Hospitals of Indianapolis - Regional Cancer Center
    Indianapolis, Indiana 46219, United States
  • Ball Memorial Hospital
    Muncie, Indiana 47303-3499, United States
  • Memorial Hospital of South Bend
    South Bend, Indiana 46601, United States
  • St. Joseph's Radiation Oncology Center
    South Bend, Indiana 46617, United States
  • Wendt Regional Cancer Center of Finley Hospital
    Dubuque, Iowa 52001, United States
  • University of Iowa Hospitals and Clinics
    Iowa City, Iowa 52242, United States
  • Veterans Affairs Medical Center - Lexington
    Lexington, Kentucky 40511-1093, United States
  • Albert B. Chandler Medical Center, University of Kentucky
    Lexington, Kentucky 40536-0084, United States
  • James Graham Brown Cancer Center
    Louisville, Kentucky 40202, United States
  • Louisville Radiation Oncology
    Louisville, Kentucky 40215, United States
  • Merle M. Mahr Cancer Center
    Madisonville, Kentucky 42431, United States
  • Western Baptist Hospital
    Paducah, Kentucky 42001, United States
  • Mary Bird Perkins Cancer Center
    Baton Rouge, Louisiana 70809, United States
  • Romagosa Radiation Oncology Center
    Lafayette, Louisiana 70501, United States
  • MBCCOP - LSU Medical Center
    New Orleans, Louisiana 70112, United States
  • Tulane University School of Medicine
    New Orleans, Louisiana 70112, United States
  • CCOP - Ochsner
    New Orleans, Louisiana 70121, United States
  • Maine Medical Center
    Portland, Maine 04102, United States
  • Anne Arundel Oncology Center
    Annapolis, Maryland 21401, United States
  • Greater Baltimore Medical Center and Cancer Center
    Baltimore, Maryland 21204, United States
  • Harbor Hospital Center
    Baltimore, Maryland 21225, United States
  • Sinai Hospital of Baltimore
    Baltimore, Maryland 21225, United States
  • Johns Hopkins Oncology Center
    Baltimore, Maryland 21231, United States
  • Radiation Oncology Affiliates of Maryland, P.A.
    Baltimore, Maryland 21237, United States
  • Peninsula Regional Medical Center
    Salisbury, Maryland 21801, United States
  • Cape Cod Hospital
    Hyannis, Massachusetts 02601, United States
  • Veterans Affairs Medical Center - Boston (Jamaica Plain)
    Jamaica Plain, Massachusetts 02130, United States
  • CCOP - Ann Arbor Regional
    Ann Arbor, Michigan 48106, United States
  • Saint Josephs Mercy Hospital
    Ann Arbor, Michigan 48106, United States
  • University of Michigan Comprehensive Cancer Center
    Ann Arbor, Michigan 48109-0752, United States

Showing the first 100 of 260 sites across 2 countries. Choose a country and city above to see the rest.

07

References and documents

Publications

  • Pilepich MV, Paulus R, St Clair W, Brasacchio RA, Rostock R, Miller RC. Phase III study of pentosanpolysulfate (PPS) in treatment of gastrointestinal tract sequelae of radiotherapy. Am J Clin Oncol. 2006 Apr;29(2):132-7. doi: 10.1097/01.coc.0000203758.77490.fd. PubMed 16601430 ↗
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 1999 and a primary completion of Apr 2006. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 1, 1999
First posted
May 3, 2004
Start
Jun 1999
Primary completionActual
Apr 2006
Last update
Oct 19, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 19, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00003825
Responsible party
Sponsor
First posted
May 3, 2004
Start date
Jun 1999
Primary completion
Apr 2006
Last update
Oct 19, 2020

Study contacts

Miljenko V. Pilepich, MD
study chair · Saint Joseph Mercy Cancer Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2013. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Pentosan Sulfuric Polyester

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