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CompletedNCT00365768Updated Sep 9, 2016Results posted

Glutamine in Treating Neuropathy Caused by Vincristine in Young Patients With Lymphoma, Leukemia, or Solid Tumors

A Phase 2 interventional study of Glutamine and Placebo in Kidney Cancer, Leukemia and Lymphoma, sponsored by Columbia University. Completed at 1 site in United States. Open to participants aged 5 Years to 21 Years. Per ClinicalTrials.gov, last updated 2016-09-09.

Sponsored by Columbia University · Phase 2, Interventional, and Supportive care

Phase
Phase 2
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
5 Years to 21 Years
Sex
All
01

Study summary

RATIONALE: Glutamine may help lessen neuropathy caused by chemotherapy. It is not yet known whether glutamine is more effective than a placebo in treating neuropathy caused by vincristine.

PURPOSE: This randomized phase II trial is studying glutamine to see how well it works compared to a placebo in treating neuropathy caused by vincristine in young patients with lymphoma, leukemia, or solid tumors.

Read the detailed description

OBJECTIVES:

Primary

  • Determine the incidence of vincristine-induced peripheral neuropathy in pediatric patients with lymphoma, leukemia, or solid tumors.

Secondary

  • Compare the safety of glutamine vs placebo in these patients.
  • Compare the efficacy of glutamine vs placebo in reducing the progression and/or resolution of vincristine-induced peripheral neuropathy in these patients.
  • Compare the effect of glutamine supplementation vs placebo on chemotherapy-related toxicities in these patients.
  • Compare the effect of glutamine vs placebo on measures of quality of life in these patients.
  • Compare the effect of glutamine supplementation vs placebo on serum nerve growth factor and glutamine levels in these patients.
  • Determine the effect of glutamine on vincristine-mediated antitumor efficacy in vitro.

OUTLINE: This is a randomized, double-blind, placebo-controlled, pilot study. Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Beginning 1 week after administration of vincristine chemotherapy, patients receive oral glutamine twice daily on days 1-21.
  • Arm II: Beginning 1 week after administration of vincristine chemotherapy, patients receive oral placebo twice daily on days 1-21.

Patients in both arms undergo neuropsychological and clinical neurological assessment, blood collection for serum marker (e.g., serum glutamine and nerve growth factor) analysis, and quality of life assessment on days 1, 21, and 42.

After completion of study treatment, patients are followed for an additional 21 days.

PROJECTED ACCRUAL: A total of 100 patients will be accrued for this study.

02

Conditions studied

  • Kidney Cancer
  • Leukemia
  • Lymphoma
  • Neurotoxicity
  • Peripheral Neuropathy
  • Sarcoma

Keywords

  • stage II childhood lymphoblastic lymphoma
  • stage III childhood lymphoblastic lymphoma
  • stage II childhood small noncleaved cell lymphoma
  • stage I Wilms tumor
  • stage II Wilms tumor
  • stage III Wilms tumor
  • stage IV Wilms tumor
  • stage V Wilms tumor
  • childhood grade III lymphomatoid granulomatosis
  • childhood diffuse large cell lymphoma
  • childhood immunoblastic large cell lymphoma
  • stage I childhood large cell lymphoma
  • stage I childhood lymphoblastic lymphoma
  • stage I childhood small noncleaved cell lymphoma
  • stage II childhood large cell lymphoma
  • stage III childhood large cell lymphoma
  • stage IV childhood large cell lymphoma
  • stage IV childhood lymphoblastic lymphoma
  • stage IV childhood small noncleaved cell lymphoma
  • childhood Burkitt lymphoma
  • stage III childhood small noncleaved cell lymphoma
  • untreated childhood acute lymphoblastic leukemia
  • childhood nasal type extranodal NK/T-cell lymphoma
  • previously untreated childhood rhabdomyosarcoma
  • localized Ewing sarcoma/PNET
  • metastatic Ewing sarcoma/PNET
  • neurotoxicity
  • peripheral neuropathy
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 56 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Columbia University is the lead sponsor of 1,103 studies on the registry; 193 are open to participants now.

Of its 172 completed or terminated interventional studies of FDA-regulated products, 142 (83%) have results posted.

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

04

Who can participate

Ages eligible
5 Years to 21 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients between the age of 5 and 21 years old.
  • Patients who demonstrate the ability to complete the assessment instruments at baseline.
  • Patients who are diagnosed with leukemia or solid tumors and are expected to receive a cumulative dose of > or = to 6mg/m2 of vincristine, or > 6mg if individual vincristine doses are capped at 2mg according to primary cancer treatment protocol, over a 30-week period.

Exclusion criteria

Exclusion Criteria:

  • Patients with primary CNS tumors other than medulloblastoma or patients with CNS metastasis.
  • Patients with recurrent disease.
  • Patients with Grade II, III or IV neurological status by the NCI CTC (Ver. 3.0) on clinical exam.
  • Patients who have already received > 8mg/m2 of vincristine, or > 8mg if individual vincristine doses are capped at 2mg according to primary cancer treatment protocol, during their course of therapy at time of consent.
  • Patients with hepatic encephalopathy or hyperammonemia.
  • Patients with a focally abnormal neurologic exam.
05

Study design

Phase
Phase 2
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
56 participants (actual)

Study arms

  • Experimental
    Arm I: Glutamine

    Beginning 1 week after administration of vincristine chemotherapy, patients receive oral glutamine twice daily on days 1-21.

    Drug: Glutamine

  • Placebo comparator
    Arm II: Placebo

    Beginning 1 week after administration of vincristine chemotherapy, patients receive oral placebo twice daily on days 1-21.

    Other: Placebo

Interventions

  • DrugGlutamine

    Administered orally twice daily for 21 days

    Also known as: Nutritional Supplement

  • OtherPlacebo

    Administered orally twice daily for 21 days

06

What researchers measure

Primary outcomes

  1. Incidence of Vincristine-induced Peripheral Neuropathy

    Time frame: Up to 30 weeks from baseline while on Vincristine treatment

Secondary outcomes

  1. Number of Participants With Progression of Neuropathy

    Time frame: 42 days

07

Results

Posted Sep 9, 2016

Participant flow

All subjects were consented according to Institutional Review Board approved guidelines during out routine outpatient or inpatient stay. The period of recruitment was from January 2007 to July 2011.

Participant flow — Overall Study
MilestoneArm I: GlutamineArm II: Placebo
Started2425
Completed2425
Not completed00

Outcome measures

PrimaryIncidence of Vincristine-induced Peripheral Neuropathy
Time frame:
Up to 30 weeks from baseline while on Vincristine treatment
Reported as:
Number · participants
Incidence of Vincristine-induced Peripheral Neuropathy
participantsArm I: GlutamineArm II: Placebo
Incidence of Vincristine-induced Peripheral Neuropathy2425
SecondaryNumber of Participants With Progression of Neuropathy
Time frame:
42 days
Reported as:
Number · participants
Number of Participants With Progression of Neuropathy
participantsArm I: GlutamineArm II: Placebo
Number of Participants With Progression of Neuropathy1119

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm I: Glutamine—0/24 (0%)0/24 (0%)
Arm II—0/25 (0%)0/25 (0%)

Baseline characteristics

Fifty-six patients were enrolled and 49 were evaluable.

Age, Continuous
Age, Continuous(years)Arm I: GlutamineArm II: PlaceboTotal
Median11 (5 to 19)10 (4 to 17)11 (4 to 19)
Sex: Female, Male
Sex: Female, Male(Participants)Arm I: GlutamineArm II: PlaceboTotal
Female141226
Male101323
Region of Enrollment
Region of Enrollment(participants)Arm I: GlutamineArm II: PlaceboTotal
United States242549
08

Study locations

1 site
  • Herbert Irving Comprehensive Cancer Center at Columbia University Medical Center
    New York, New York 10032, United States
09

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 9, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00365768
Lead sponsor
Columbia University
Responsible party
Julia Glade Bender (Irving Assistant Professor of Clinical Pediatrics, Columbia University) — Principal investigator
First posted
Aug 17, 2006
Start date
Oct 2004
Primary completion
Jun 2012
Completion
Jun 2012
Results posted
Sep 9, 2016
Last update
Sep 9, 2016

Study contacts

Julia L. Glade-Bender, MD
principal investigator · Herbert Irving Comprehensive Cancer Center

Oversight

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

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This study is completed, as verified in Jul 2016. You cannot join it, but the record below documents what was studied.

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