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WithdrawnNCT00540332Updated Mar 2, 2009

A Study of Palifermin for the Reduction of Oral Mucositis in Subjects With Locally Advanced Head and Neck Cancer Receiving Postoperative Radiotherapy

A Phase 1/2 interventional study of Placebo and palifermin in Head and Neck Cancer, sponsored by Swedish Orphan Biovitrum. Withdrawn. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2009-03-02.

Sponsored by Swedish Orphan Biovitrum · Phase 1/2, Interventional, and Supportive care

Why this study was withdrawn
The 20070201 study was terminated based on evaluation of Palifermin solid tumor data.
Phase
Phase 1/2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy, safety and tolerability of palifermin on the incidence of oral mucositis in subjects with locally advanced head and neck cancer receiving postoperative radiotherapy.

02

Conditions studied

  • Head and Neck Cancer

Keywords

  • Oncology
  • KGF
  • HNC
  • head and neck
  • oral mucositis
  • OM
  • proteinurea
  • palifermin
  • clinical trial
03

In context

Head and Neck Neoplasms

2,403 studies on the registry are indexed under Head and Neck Neoplasms; 559 are open to participants now.

Browse Head and Neck Neoplasms studies →

Lead sponsor

Swedish Orphan Biovitrum is the lead sponsor of 80 studies on the registry; 4 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 15 (88%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • History of newly diagnosed histologically confirmed squamous cell carcinoma (AJCC Stage II, III or IVA) involving either the oral cavity, oropharynx, hypopharynx, larynx and post surgical resection (R0 or R1)
  • Candidates for postoperative RT-only treatment and scheduled to receive RT within 12 weeks of surgery
  • Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2
  • Urinary protein-creatinine ratio (random sample, spot PCR) ≤ 0.2 mg/mg

Exclusion criteria

Exclusion Criteria:

  • Tumors of the lips, paranasal sinuses, salivary glands, or of unknown primary tumors and R2 resection margins
  • Metastatic disease (M1)
  • Presence or history of any other primary malignancy, other than curatively treated in situ cervical cancer, or basal cell carcinoma of the skin without evidence of disease for > 3 years
  • History of pancreatitis
  • Prior radiotherapy to the site of disease
  • Prior chemotherapy or requiring chemotherapy during treatment phase of study
  • Prior treatment with palifermin, or other fibroblast or keratinocyte growth factors
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Approximately 17 subjects to receive palifermin. Subjects will be enrolled as follows: * PK cohort will be randomized in a 3:1 ratio \[palifermin: placebo\] in at least 12 subjects * Non-PK cohort will be randomized in a 1:1 ratio \[palifermin: placebo\] in up to 28 subjects.

    Drug: Placebo

  • Experimental
    Palifermin

    Approximately 23 subjects to receive palifermin. Subjects will be enrolled as follows: * PK cohort will be randomized in a 3:1 ratio \[palifermin: placebo\] in at least 12 subjects * Non-PK cohort will be randomized in a 1:1 ratio \[palifermin: placebo\] in up to 28 subjects.

    Drug: palifermin

Interventions

  • DrugPlacebo

    Single IV dose of placebo, 3 days before the start of RT, then once weekly placebo doses at the same dose during a planned 6 week RT course.

  • 120μg/kg, single IV, 3 days before the start of Radiotherapy (RT), then once weekly at the same dose during a planned 6-week RT course

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-emergent proteinuria

    Time frame: 11 weeks

  2. Duration of treatment-emergent proteinuria

    Time frame: 11 weeks

  3. Incidence of chronic proteinuria

    Time frame: 11 weeks

  4. Time (days) to onset of treatment-emergent proteinuria

    Time frame: 11 weeks

  5. Maximum protein-to-creatinine ratio values during the treatment period

    Time frame: 11 weeks

  6. Pharmacokinetic profile to include Systemic clearance, volume of distribution at steady state, estimated initial concentration, area under the conc-time curve, terminal half-life and mean residual time

    Time frame: in Week 1

Secondary outcomes

  1. Time (days) to onset of severe Oral Mucositis WHO grade 3 or 4

    Time frame: 11 weeks

  2. Disease status at End of Treatment visit

    Time frame: 11 weeks

  3. Incidence of serum anti-palifermin antibody formation

    Time frame: 11 weeks

  4. Incidence of second primary tumors

    Time frame: up to 10 years (Long-Term Follow-Up phase)

  5. Incidence of other malignancies

    Time frame: up to 10 years (Long-Term Follow-Up phase)

  6. Progression-free survival

    Time frame: up to 10 years (Long-Term Follow-Up phase)

  7. Overall survival

    Time frame: up to 10 years (Long-Term Follow-Up phase)

  8. Incidence of adverse events and laboratory abnormalities

    Time frame: 11 weeks

  9. Incidence (%) and duration (days) of severe Oral Mucositis WHO grade 3 or 4

    Time frame: 11 weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 2, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00540332
Collaborators
Amgen
First posted
Oct 8, 2007
Start date
Oct 2007
Primary completion
Sep 2008
Completion
Sep 2008 (estimated)
Last update
Mar 2, 2009

Study contacts

MD
study director · Biovitrum AB (publ)
View the source record on ClinicalTrials.gov ↗

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