Last reviewed · How we verify

NCT00293462

GM-CSF Mouthwash for Preventing and Treating Mucositis in Patients Undergoing Radiation Therapy for Head and Neck Cancer

Completed Phase 3 Results posted Last updated 30 July 2021
What this trial tests

Phase 3 trial testing sargramostim in Head and Neck Cancer in 91 participants. Completed in 31 December 2009.

Timeline
7 June 2005
Primary endpoint
31 December 2009
31 December 2009

Quick facts

Lead sponsorMarilyn Dodd
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingdouble
Primary purposesupportive care
Enrollment91
Start date7 June 2005
Primary completion31 December 2009
Estimated completion31 December 2009
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Marilyn Dodd

Who can join

18 and older, any sex, with Head and Neck Cancer or Mucositis Oral. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Comparison of Number of Participants With Grade 1 or 2 Oral Mucositis (GM-CSF and SS Groups Only) Primary · From baseline to onset of mucositis, approximately 16 days

The number of participants with recorded grade 1 (mild; Irritation, may experience slight pain, not requiring analgesic) or grade 2 (moderate; Patchy mucositis that may produce inflammatory serosanguinitis discharge; may experience moderate pain requiring analgesia) oral mucositis using the Radiation Therapy Oncology Group (RTOG) Acute Radiation Morbidity Scoring Criteria Oral Mucosa Assessment Scale at baseline and during radiotherapy will be recorded. The RTOG grading is reliant on a clinician's ability to judge the anatomical changes associated with oral mucositis (size and characteristics

GroupValue95% CI
Arm I: GM-CSF Group (GG)28
Arm II: Salt & Soda Group (SS)46
Comparison of the Mean Number of Days for Mucositis to Heal Across by Group Primary · From onset of mucositis to healing of mucositis, approximately 80 days

The mean number of days for mucositis to heal will be used to evaluate the effectiveness of the two mouthwashes in treating oral mucositis as defined by the incidence of Radiation Therapy Oncology Group Acute Radiation Morbidity Scoring.

GroupValue95% CI
Arm I: GM-CSF Group (GG)81.5± 63.43
Arm II: Salt & Soda Group (SS)79.4± 31.24
Arm III: Salt & Soda Switched to GM-CSF (SG)77.4± 37.40
Comparison of the Combined Mean Score on the Overall Quality of Life Questionnaires by Group Secondary · Up to 3 months

Quality of life at baseline, during radiotherapy, and once a month for 3 months after radiotherapy. The items on the quality of life questionnaire developed for the study range in scores from 0-10 with higher scores indicating a better quality of life. Scores at all time points were combined to compute one mean score for overall quality of life during the study.

GroupValue95% CI
Arm I: GM-CSF Group (GG)6.91± 1.59
Arm II: Salt & Soda Group (SS)6.80± 1.46
Arm III: Salt & Soda Switched to GM-CSF (SG)6.77± 1.53
Comparison of Combined Mean Score on the Karnofsky Performance Status Scale (KPS) by Group Secondary · Up to 3 months

Functional status of participants was measured by administering the KPS which contains items asking about performing daily activities. The scores are grouped in 10s ranging from 100 (Normal, no complaints) to 0 (Dead), with higher scores indicating better functional status. The KPS was administered at baseline, during radiotherapy, and once a month for 3 months after radiation therapy. Scores at all time points were combined to compute one mean to determine overall performance status during the course of the study.

GroupValue95% CI
Arm I: GM-CSF Group (GG)84.52± 12.61
Arm II: Salt & Soda Group (SS)82.93± 10.92
Arm III: Salt & Soda Switched to GM-CSF (SG)83.49± 12.49
Comparison of Combined Mean Score on the Pain Questionnaire by Group Secondary · Up to 3 months

Severity and quality of pain was measured using a pain questionnaire developed for this study with total scores ranging from 0 (no pain) to 10 (most intense pain) with higher scores indicating a greater level of pain. The questionnaire was administered at baseline, during radiotherapy, and once a month for 3 months after radiotherapy. Scores at all time points were combined to compute one mean to determine overall pain intensity score during the course of the study

GroupValue95% CI
Arm I: GM-CSF Group (GG)2.15± 2.40
Arm II: Salt & Soda Group (SS)1.72± 2.26
Arm III: Salt & Soda Switched to GM-CSF (SG)2.15± 2.65

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 3 months. Reporting threshold: 3%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm I: GM-CSF Group (GG)
Serious: 1/29 (3%)
Deaths: 1/29
Arm II: Salt & Soda Group (SS)
Serious: 2/28 (7%)
Deaths: 0/28
Arm III: Salt & Soda Switched to GM-CSF (SG)
Serious: 2/28 (7%)
Deaths: 0/28

Serious adverse events (5 terms)

ReactionSystemArm I: GM-CSF Group (GG)Arm II: Salt & Soda Group …Arm III: Salt & Soda Switc…
OtherGeneral disorders
Mucositis OralGastrointestinal disorders
Lower gastrointestinal hemorrhageGastrointestinal disorders
Thromboembolic eventVascular disorders
Allergic reactionImmune system disorders
Other adverse events (33 terms — click to expand)

ReactionSystemArm I: GM-CSF Group (GG)Arm II: Salt & Soda Group …Arm III: Salt & Soda Switc…
DehydrationMetabolism and nutrition disorders
TransfusionBlood and lymphatic system disorders
OtherSurgical and medical procedures
AnemiaBlood and lymphatic system disorders
Febrile neutropeniaBlood and lymphatic system disorders
Sinus TachycardiaCardiac disorders
Stomach painGastrointestinal disorders
ConstipationGastrointestinal disorders
FatigueGeneral disorders
PainGeneral disorders
OtherGeneral disorders
Wound infectionInfections and infestations
SinusitisInfections and infestations
InfectionInfections and infestations
FallInjury, poisoning and procedural complications
Radiation dermatitisInjury, poisoning and procedural complications
Weight lossInvestigations
ExostosisMusculoskeletal and connective tissue disorders
Ischemia CerebrovascularNervous system disorders
Acute kidney InjuryRenal and urinary disorders
PneumoniaRespiratory, thoracic and mediastinal disorders
OtherRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Laryngopharyngeal DyesthesiaRespiratory, thoracic and mediastinal disorders
Laryngeal obstructionRespiratory, thoracic and mediastinal disorders
Laryngeal edemaRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
Rash acne formSkin and subcutaneous tissue disorders
OtherSurgical and medical procedures
OtherSurgical and medical procedures
OtherSurgical and medical procedures
OtherSurgical and medical procedures
OtherSurgical and medical procedures

Most-reported serious reactions: Other, Mucositis Oral, Lower gastrointestinal hemorrhage, Thromboembolic event, Allergic reaction.

Data from ClinicalTrials.gov NCT00293462 adverse events section.

Sponsor's own description

GM-CSF may protect normal cells from the side effects, such as mucositis, of radiation therapy and may help damaged tissue heal faster after radiation therapy. This randomized clinical trial is studying how well GM-CSF works in preventing and treating mucositis in patients who are undergoing radiation therapy for head and neck cancer.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Radiation-Induced Oral Mucositis.
    Maria OM, Eliopoulos N, Muanza T. · · 2017 · cited 253× · PMID 28589080 · DOI 10.3389/fonc.2017.00089
  2. Interventions for preventing oral mucositis in patients with cancer receiving treatment: cytokines and growth factors.
    Riley P, Glenny AM, Worthington HV, Littlewood A, et al · · 2017 · cited 33× · PMID 29181845 · DOI 10.1002/14651858.cd011990.pub2

Verify or expand the search:

Other trials of sargramostim

Trials testing the same drug.

Other recruiting trials for Head and Neck Cancer

Currently open trials in the same condition.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00293462.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing