ClinicalTrials.gg
CompletedNCT03476330Updated Apr 20, 2026Results posted

Quercetin Chemoprevention for Squamous Cell Carcinoma in Patients With Fanconi Anemia

A Phase 2 interventional study of Quercetin (dietary supplement) in Fanconi Anemia and Squamous Cell Carcinoma, sponsored by Children's Hospital Medical Center, Cincinnati. Completed at 1 site in United States. Open to participants aged 2 Years and older. Per ClinicalTrials.gov, last updated 2026-04-20.

Sponsored by Children's Hospital Medical Center, Cincinnati · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
48
Allocation
Not applicable
Ages
2 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 68 studies in Fanconi Anemia with a site in United States — 14 open to participants now, 18 under way, none of them phase 3. Fanconi Anemia · United States.

Enrollment
7th of 48
48 · median 21
Started
2018
with 4 others
Phase 2
15 of 68
3 open now
Registered
53rd of 68
by date
Lead sponsor
7 of 68
Children's Hospital Medical Center, Cincinnati

Among the 68 studies in Fanconi Anemia with a site in United States, this one is the 7th largest by enrollment of the 48 interventional ones that give a count, is one of 5 that started in 2018, is one of 15 in phase 2, and was the 53rd registered.

Fanconi Anemia

95 studies on the registry are indexed under Fanconi Anemia; 20 are open to participants now.

Browse Fanconi Anemia studies →

Open to participants now

14 of the 68 studies in Fanconi Anemia with a site in United States are open now. Recruiting first, the newest first:

9 more — sign in →

All 14 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 15 Fanconi Anemia studies recruiting now, 8 (53%) set no upper age limit and 5 (33%) stop at 75 or younger; 11 take children under 18; 2 take healthy volunteers.

This study: 2 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Fanconi anemia (FA) is an autosomal recessive disease characterized by progressive bone marrow failure, variable congenital abnormalities and a predisposition to malignancy, particularly acute myeloid leukemia (AML) and squamous cell carcinoma (SCC). Improved transplant outcomes are modifying the natural history of Fanconi Anemia. Improved transplant survival, no radiation exposure, and almost no GVHD increases the importance of addressing later SCC even further. The investigators hypothesize that quercetin will prevent or delay the development of SCC and associated complications, there by ameliorating or delaying the need for potentially lethal treatment with chemotherapy and/or radiation therapy for the same.

Funding Source - FDA Office of Orphan Products Development (OOPD)

Read the detailed description

Fanconi anemia (FA) is an autosomal recessive disease characterized by progressive bone marrow failure, variable congenital abnormalities and a predisposition to malignancy, particularly acute myeloid leukemia (AML) and squamous cell carcinoma (SCC). Currently, the only curative treatment option for the hematological complications of FA include hematopoietic cell transplantation (HCT). The investigators hypothesize that quercetin will prevent or delay the development of SCC and associated complications, there by ameliorating or delaying the need for potentially lethal treatment with chemotherapy and/or radiation therapy for the same.

This study is an open-label, single arm study. This study will enroll approximately 45 post-HCT patients with FA, and approximately 10 patients with FA without history of HCT. In both groups, patients with or without existing pre-malignant lesions or history of SCC will be allowed to participate, if they wish so and at the discretion of the PI. All patients will be treated with oral quercetin.

The investigators will determine the efficacy of Quercetin in reducing buccal micronuclei (a surrogate marker of DNA damage and susceptibility to squamous cell carcinoma due to genomic instability) in post-HCT patients with fanconi anemia (FA).

03

Conditions studied

  • Fanconi Anemia
  • Squamous Cell Carcinoma

Keywords

  • Hematopoietic cell transplantation
04

Who can participate

Ages eligible
2 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

  • Diagnosis of FA
  • Able to take enteral medication
  • Patients ≥2 years

Exclusion criteria

Exclusion Criteria:

  • Renal failure requiring dialysis
  • Total >3 mg/dl and/or >200 at time of enrollment
  • Patients receiving digoxin therapy, who are unable to discontinue either treatment due to medical reasons
  • Patients who are pregnant or breastfeeding or are at risk of pregnancy or fathering a baby and are unable to use acceptable methods of during the length of the study
  • Patients who have received quercetin supplementation or other antioxidants within the last 30 days
  • Patients receiving radiation therapy, chemotherapy or immunotherapy for treatment of SCC.
Terms in these criteria, in plain language(3)

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    Quercetin

    All patients will be treated with oral quercetin.

    Drug: Quercetin (dietary supplement)

Interventions

  • Quercetin will be administered twice daily at an adjusted dose based on weight for a maximum total daily dose of 4000mg/day. If the patient is 70 kg or more, the dose will automatically be assigned at the maximum dose of 4000mg/day.

06

What researchers measure

Primary outcomes

  1. Number of Participants With at Least 20% Reduction of Buccal Micronuclei

    Efficacy of Quercetin in reducing buccal micronuclei. A 20% reduction in the average total number of micronuclei will be considered a success of the intervention.

    Time frame: 1 year

07

Results

Posted Apr 20, 2026

Participant flow

Participant flow — Overall Study
MilestoneQuercetin
Started48
Completed29
Not completed19
Withdrew: Lost to follow-up2
Withdrew: Physician decision2
Withdrew: Withdrawal by subject15

Outcome measures

PrimaryNumber of Participants With at Least 20% Reduction of Buccal Micronuclei

Efficacy of Quercetin in reducing buccal micronuclei. A 20% reduction in the average total number of micronuclei will be considered a success of the intervention.

Time frame:
1 year
Reported as:
Count of participants · Participants
Number of Participants With at Least 20% Reduction of Buccal Micronuclei
ParticipantsQuercetin
Number of Participants With at Least 20% Reduction of Buccal Micronuclei13

Adverse events

Collected over Participants were monitored for up to 30 days following the final dose of quercetin. The timing of the final dose varied based on duration of participation. 17 participants were on study for less than 1 year, the average number of months was 6.8. 31 participants completed 1-year study period. Two of these participants discontinued drug prior to 2-year time point, the average number of months was 17. 29 participants completed the full 2-year study period, the average number of months was 26.6.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Quercetin0/47 (0%)3/47 (6.4%)10/47 (21.3%)
Most frequent serious events
Most frequent serious events
EventQuercetin
Other: Crohn's disease flareGastrointestinal disorders1/47
Lung infectionInfections and infestations1/47
Urinary tract infectionInfections and infestations1/47
Upper respiratory infectionInfections and infestations1/47
PneumonthoraxRespiratory, thoracic and mediastinal disorders1/47
Respiratory distressRespiratory, thoracic and mediastinal disorders1/47
Most frequent other events
Most frequent other events
EventQuercetin
Weight GainInvestigations6/47
DiarrheaGastrointestinal disorders2/47
Worsening gastritisGastrointestinal disorders1/47
VomitingGastrointestinal disorders1/47
Other: Biliary dyskinesiaHepatobiliary disorders1/47
AnorexiaMetabolism and nutrition disorders1/47
InsomniaPsychiatric disorders1/47
Rash maculo (legs)Skin and subcutaneous tissue disorders1/47
Rash maculo-papular (back)Skin and subcutaneous tissue disorders1/47
PruritusSkin and subcutaneous tissue disorders1/47

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Quercetin
<=18 years36
Between 18 and 65 years12
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Quercetin
Female24
Male24
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Quercetin
American Indian or Alaska Native1
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American2
White44
More than one race0
Unknown or Not Reported0
08

Study locations

1 site
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2018 to primary completion in Mar 2025, 81 months.

Results were first posted in Apr 2026, 1 year 1 month after primary completion.

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

Registered
Mar 19, 2018
First posted
Mar 26, 2018
StartActual
May 8, 2018
Primary completionActual
Mar 6, 2025
CompletionActual
Jan 9, 2026
Results first posted
Apr 20, 2026
Last update
Apr 20, 2026
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.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
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 Apr 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03476330
Responsible party
Sponsor
First posted
Mar 26, 2018
Start date
May 8, 2018
Primary completion
Mar 6, 2025
Completion
Jan 9, 2026
Results posted
Apr 20, 2026
Last update
Apr 20, 2026

Study contacts

Parinda A Mehta, MD
principal investigator · Cincinnati Children's Hosptial Medical Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Quercetin

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