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Fruit and Vegetable Extracts in Treating Patients With Stage I, Stage II, or Stage III Head and Neck Cancer



Fruit and Vegetable Extracts in Treating Patients With Stage I, Stage II, or Stage III Head and Neck Cancer

For Condition: Hypopharyngeal Cancer,Oropharyngeal Cancer,Laryngeal Cancer,lip and oral cavity cancer
Status: Recruiting
Sponsor(s): Comprehensive Cancer Center of Wake Forest University , National Cancer Institute (NCI)
Synopsis: RATIONALE: Chemoprevention therapy is the use of certain substances to try to prevent the development or recurrence of cancer. Fruit and vegetable extracts may be effective in preventing the recurrence or further development of head and neck cancer. PURPOSE: Randomizedphase II trial to study the effectiveness of fruit and vegetable extracts in preventing the recurrence of stage I, stage II, or stage III head and neck cancer.
Details: OBJECTIVES: - Compare the disease-free survival of patients with stage I-III head and neck cancer treated with fruit and vegetable extracts vs placebo. - Compare the effect of these extracts on biomarkers (p27 expression, cell proliferation of Ki-67, DNA damage, and T-cell function) in these patients. - Correlate changes in biomarkers with other factors (e.g., site and stage of the original tumors, tobacco/alcohol use, or depression) in patients treated with these extracts. - Compare serum carotenoids and antioxidant levels (vitamins A, C, and E) at baseline and posttreatment in patients treated with these extracts. OUTLINE: This is a randomized, placebo-controlled, double-blind study. Patients are stratified according to tobacco use (yes vs no), alcohol consumption (yes vs no), and tumor stage at diagnosis (I vs II vs III). Patients are randomized to 1 of 2 treatment arms. - Arm I: Patients receive oral fruit and vegetable extracts twice daily. - Arm II: Patients receive oral placebo twice daily. Treatment in both arms continues for 12 weeks in the absence of disease progression or unacceptable toxicity. Patients are followed annually for 5 years. PROJECTED ACCRUAL: A total of 200 patients (100 per treatment arm) will be accrued for this study within 18 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Curatively treated stage I-III squamous cell carcinoma of the upper aerodigestive tract of 1 of the following primary sites: - Oral cavity - Oropharynx - Hypopharynx - Larynx - Disease-free for at least 6 months and no more than 3 years after completion of surgery, radiotherapy, and/or chemotherapy - No synchronous tumors PATIENT CHARACTERISTICS: Age - 18 and over Performance status - Karnofsky 70-100% OR - Zubrod 0-1 Life expectancy - At least 6 months Hematopoietic - Hemoglobin greater than 10 g/dL - WBC at least 3,000/mm^3 - Platelet count at least 100,000/mm^3 Hepatic - Bilirubin no greater than 1.5 mg/dL - SGOT less than 40 U/L - SGPT no greater than 56 U/L Renal - Creatinine no greater than 1.5 mg/dL Other - No other concurrent malignancy - No other serious medical or psychiatric illness that would preclude giving informed consent - No nausea grade 2 or greater PRIOR CONCURRENT THERAPY: Biologic therapy - Not specified Chemotherapy - See Disease Characteristics - More than 24 weeks since prior chemotherapy - No concurrent chemotherapy - No other concurrent chemopreventive agents Endocrine therapy - More than 24 weeks since prior hormonal therapy Radiotherapy - See Disease Characteristics - More than 24 weeks since prior radiotherapy - No concurrent radiotherapy Surgery - See Disease Characteristics - More than 24 weeks since prior surgery - No concurrent surgery Other - More than 6 months since prior investigational agents - More than 2 months since prior high-dose vitamins (i.e., 10 times the recommended daily allowance [8,000-10,000 IU of vitamin A, 600 mg of vitamin C, or 80-100 IU of vitamin E])
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
JenniferHu,  Study Chair,  Comprehensive Cancer Center of Wake Forest University

CCOP - Southeast Cancer Control Consortium *Recruiting*
Winston Salem,  North Carolina,  27104-4241
United States
Recruiting James  Atkins 336-777-3036

CCOP - Central Illinois *Recruiting*
Decatur,  Illinois,  62526
United States
Recruiting James  Wade 217-876-6617

Comprehensive Cancer Center at Wake Forest University *Recruiting*
Winston Salem,  North Carolina,  27157-1030
United States
Recruiting Edward  Shaw 336-716-4647

CCOP - Upstate Carolina *Recruiting*
Spartanburg,  South Carolina,  29303
United States
Recruiting James  Bearden 864-560-7050

CCOP - Greenville *Recruiting*
Greenville,  South Carolina,  29615
United States
Recruiting Jeffrey  Giguere 864-241-6251


Additional Information:
Study ID Numbers:
  CDR0000310184;  CCCWFU-0112,CCCWFU-60A02,CCCWFU-BG03-161
Study Start Date: 
Record last reviewed: December 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00064298

Other Hypopharyngeal Cancer Studies:
1. Gefitinib and Radiation Therapy With or Without Cisplatin in Treating Patients With Stage III or Stage IV Head and Neck Cancer

2. Combination Chemotherapy Plus Radiation Therapy in Treating Patients With Advanced and/or Recurrent Head and Neck Cancer

3. Paclitaxel and Cisplatin Plus Radiation Therapy Followed by Filgrastim in Treating Patients With Recurrent Head and Neck Cancer or Lung Cancer

4. EF5 Prior to Surgery or Biopsy in Patients With Breast, Prostate, or Cervical Cancer or High Grade Soft Tissue Sarcoma

5. Fluconazole in Preventing Mucositis in Patients Undergoing Radiation Therapy for Head and Neck Cancer

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