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Octreotide in Preventing Diarrhea in Patients Who Are Undergoing Radiation Therapy to the Pelvis



Octreotide in Preventing Diarrhea in Patients Who Are Undergoing Radiation Therapy to the Pelvis

For Condition: Diarrhea,female reproductive cancer,Gastrointestinal Cancer,Endocrine Cancer,adult solid tumor,male reproductive cancer
Status: Recruiting
Sponsor(s): North Central Cancer Treatment Group , National Cancer Institute (NCI)
Synopsis: RATIONALE: Octreotide may be effective in preventing or controlling diarrhea in patients who are undergoing radiation therapy to the pelvis. It is not yet known whether octreotide is effective for diarrhea. PURPOSE: Randomizedphase III trial to determine the effectiveness of octreotide in preventing diarrhea in patients who are undergoing radiation therapy to the pelvis.
Details: OBJECTIVES: - Determine the effectiveness of octreotide in reducing acute treatment-related diarrhea in patients receiving external-beam radiotherapy to the pelvis. - Determine the effectiveness of this drug in reducing chronic treatment-related bowel dysfunction in these patients. - Determine the toxicity of this drug in these patients. - Assess the importance that these patients attach to various measures of bowel function. OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to prior anterior resection of the rectum (yes vs no), total planned cumulative dose of radiotherapy, including boost fields (4,500-5,350 cGy vs 5,351-6,000 cGy vs more than 6,000 cGy), use of concurrent fluorouracil (none vs bolus vs continuous infusion), use of concurrent leucovorin calcium (yes vs no), use of concurrent cisplatin (yes vs no), superior border of initial field (at or inferior to the L4-5 interspace vs superior to the L4-5 interspace), planned intracavitary brachytherapy (yes vs no), and primary site of disease (rectal cancer vs prostate cancer vs gynecological cancer vs other). Beginning no later than the fourth day of radiotherapy, patients are randomized to one of two treatment arms. - Arm I: Patients receive short-acting octreotide subcutaneously (SC) on day 1 and long-acting octreotide intramuscularly (IM) on days 2 and 29. - Arm II: Patients receive placebo SC on day 1 and IM on days 2 and 29. In both arms, treatment continues in the absence of unacceptable toxicity or the development of severe diarrhea. Patients complete a bowel function questionnaire at baseline, weekly during radiotherapy, and then weekly for 4 weeks and at 1 and 2 years after completion of radiotherapy. Patients are followed weekly for 4 weeks and then at 1 and 2 years. PROJECTED ACCRUAL: A minimum of 125 patients (62 per treatment arm) will be accrued for this study within 16 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed cancer in the pelvis - Plan to receive continuous definitive or adjuvant external-beam radiotherapy to the pelvis or pelvis and para-aortic lymph nodes (total planned dose of 4,500-5,350 cGy) - Entire pelvis must be encompassed by planned radiotherapy field (superior border not inferior to the most inferior aspect of sacroiliac joints) - Portions of rectum may have special blocking depending on disease site - Planned treatment for once-daily radiotherapy 4-5 times a week (planned daily dose 170-210 cGy) - No planned split-course radiotherapy - No planned interstitial brachytherapy prior to completion of external-beam radiotherapy - Planned intracavitary radiotherapy allowed - No planned cytotoxic chemotherapy agents concurrently with radiotherapy except fluorouracil with or without leucovorin calcium or cisplatin - Entered on study before the third radiotherapy fraction - No current or prior metastases beyond pelvic or para-aortic lymph nodes - No grade 3 or greater diarrhea, rectal bleeding, or abdominal cramping prior to radiotherapy - No incontinence of stool PATIENT CHARACTERISTICS: Age: - 18 and over Performance status: - ECOG 0-2 Life expectancy: - Not specified Hematopoietic: - Not specified Hepatic: - Not specified Renal: - No chronic renal failure - Creatinine less than 2 times upper limit of normal (for patients with history of renal disease) Other: - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - No known allergy to octreotide - No history of inflammatory bowel disease - No other concurrent medical condition that would preclude study participation - No history of cholecystitis unless prior cholecystectomy PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - See Disease Characteristics Endocrine therapy: - No other concurrent octreotide Radiotherapy: - See Disease Characteristics - No prior radiotherapy to the pelvis Surgery: - See Disease Characteristics - No prior abdominal-perineal resection, Hartmann procedure, or other surgical procedure resulting in non-functioning rectum
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
JamesMartenson,  Study Chair,  Mayo Clinic Cancer Center

CCOP - Cedar Rapids Oncology Project *Recruiting*
Cedar Rapids,  Iowa,  52403-1206
United States
Recruiting Martin  Wiesenfeld 319-363-8303

CCOP - Metro-Minnesota *Recruiting*
St. Louis Park,  Minnesota,  55416
United States
Recruiting Patrick  Flynn 952-993-15175

CCOP - Mayo Clinic Scottsdale Oncology Program *Recruiting*
Scottsdale,  Arizona,  85259-5404
United States
Recruiting Tom  Fitch 480-301-9875

CCOP - St. Vincent Hospital Cancer Center, Green Bay *Recruiting*
Green Bay,  Wisconsin,  54301
United States
Recruiting Anthony  Jaslowski 920-884-3135

Rapid City Regional Hospital *Recruiting*
Rapid City,  South Dakota,  57709
United States
Recruiting Larry  Ebbert 605-341-8704

Mayo Clinic Cancer Center *Recruiting*
Rochester,  Minnesota,  55905
United States
Recruiting Kathleen  Shide 507-284-2511

CCOP - Michigan Cancer Research Consortium *Recruiting*
Ann Arbor,  Michigan,  48106
United States
Recruiting Philip  Stella 734-712-2000

CentraCare Health Plaza *Recruiting*
St. Cloud,  Minnesota,  56303
United States
Recruiting Harold  Windschitl 320-229-5199

Mayo Clinic Scottsdale *Recruiting*
Scottsdale,  Arizona,  85259
United States
Recruiting Michele  Halyard 480-301-8120

Mayo Clinic *Recruiting*
Jacksonville,  Florida,  32224
United States
Recruiting Edith  Perez 904-953-0118

Altru Cancer Center *Recruiting*
Grand Forks,  North Dakota,  58201
United States
Recruiting Todor  Dentchev 701-780-6363

MBCCOP - Howard University Cancer Center *Recruiting*
Washington D.C.,  District of Columbia,  20060
United States
Recruiting Lucile  Adams-Campbell 202-806-7697

Allan Blair Cancer Centre *Recruiting*
Regina,  Saskatchewan,  S4T 7T1
Canada
Recruiting Muhammad  Salim 306-766-2203

CCOP - Wichita *Recruiting*
Wichita,  Kansas,  67214-3882
United States
Recruiting Shaker  Dakhil 316-268-5784

CCOP - Missouri Valley Cancer Consortium *Recruiting*
Omaha,  Nebraska,  68106
United States
Recruiting James  Mailliard 402-280-4364

CCOP - Duluth *Recruiting*
Duluth,  Minnesota,  55805
United States
Recruiting Daniel  Nikcevich 218-786-3625

CCOP - Iowa Oncology Research Association *Recruiting*
Des Moines,  Iowa,  50309-1016
United States
Recruiting Roscoe  Morton 515-244-7586

CCOP - Merit Care Hospital *Recruiting*
Fargo,  North Dakota,  58122
United States
Recruiting Preston  Steen 701-234-6161

CCOP - Ochsner *Recruiting*
New Orleans,  Louisiana,  70121
United States
Recruiting Carl  Kardinal 504-842-3910

Siouxland Hematology-Oncology *Recruiting*
Sioux City,  Iowa,  51101-1733
United States
Recruiting Donald  Wender 712-252-0088

Allegheny General Hospital *Recruiting*
Pittsburgh,  Pennsylvania,  15212-4772
United States
Recruiting Jane  Raymond 412-359-6147

CCOP - Geisinger Clinic and Medical Center *Recruiting*
Danville,  Pennsylvania,  17822-2001
United States
Recruiting Suresh  Nair 570-271-6413

Medcenter One Health System *Recruiting*
Bismark,  North Dakota,  58501-5505
United States
Recruiting Edward  Wos 701-323-5741

CCOP - Sioux Community Cancer Consortium *Recruiting*
Sioux Falls,  South Dakota,  57104
United States
Recruiting Loren  Tschetter 605-328-8044

CCOP - Illinois Oncology Research Association *Recruiting*
Peoria,  Illinois,  61602
United States
Recruiting John  Kugler 309-636-3605

CCOP - Toledo Community Hospital *Recruiting*
Toledo,  Ohio,  43623-3456
United States
Recruiting Paul  Schaefer 419-843-6147

CCOP - Carle Cancer Center *Recruiting*
Urbana,  Illinois,  61801
United States
Recruiting Kendrith  Rowland 217-383-4083


Additional Information:
Study ID Numbers:
  CDR0000069304;  NCCTG-N00CA,NCI-P02-0221
Study Start Date: 
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00033605

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