PENTOCLORandomized Clinical Trial Evaluating Combined Pentoxifylline-tocopherol-clodronate vs Placebo in Radiation-induced Brachial Plexopathy: the PENTOCLO Trial
Pentoxifylline placebo
+ Tocopherol placebo
+ Clodronate placebo
Treatment Study
Summary
Study start date: March 1, 2011
Actual date on which the first participant was enrolled.The aim of this phase III randomized clinical trial is to show PENTOCLO efficiency and its tolerance in long survival patients irradiated before for cancer and presenting with partial RIP of upper or lower legs. We calculated to include 60 patients to show a significant clinical difference between the two groups after 18 months of treatment: PENTOCLO \[Pentoxifylline 400 (2x/d) + vitamine E 500 (2x/d) + intermittent Clodronate 800 (2/d, 5d/7)\] versus triple placebo, with prednisone 20 (2d/7) for all patients. RIP is assessed before treatment and every 6 months by a standardized sensory-motor neurological (SOMA 95 modified by NCI-CTC 99) score used for main criteria at M18, and various neurological scales of assessment (Visual Analog Scale \[VAS\] for pain / VAS for paresthesia, Neuropathic Pain Symptom Inventory \[NPSI\], Overall Disability Sum Score \[ODSS\], muscle testing, Nine hole peg test / Timed 25-Foot Walk), quality of life (SF36, Patient Global Impression of Change and Clinical Global impression of Change \[PGIC/ CGIC\]) and electrophysiology.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.59 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.From 18 to 74 Years
Range of ages for which participants are eligible to join.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Criteria
Inclusion Criteria: * Past-history of post-operative or exclusive irradiation (RT) for currently in remission cancer, in particular * breast cancer with breast or thoracic anterior wall RT; axilla-subclavicular lymph nodes RT; sometimes lung or head/neck cancer * Lymphoma (Hodgkin or non Hodgkin) with axilla-subclavicular RT (upper limb) or lumbar-aortic (lower limbs) or testis tumor * Delay RT-RIP more than 6 months, but partial RIP * Neurological injury in irradiated volume confirmed by EMG * Patient living within distance compatible with day-hospitalization * Use of effective contraception for fertile women * Signed written informed consent (in case of motor paralysis informed consent is signed by a witness) Exclusion Criteria: * Localized or metastatic cancer recurrence (axillar MRI or PET scan) * Complete plexus injury with total motor paralysis of upper/ lower limb for more than 2 years * Associated neurological disease that may interferer with the assessment of endpoints * Hemorrhage, disease with hemorrhagic risk, unbalanced diabetes * Known hypersensitivity to Pentoxifylline, one of the excipients or biphosphonates * Renal failure, liver failure or decompensated heart failure * Taking another biphosphonate * Evolving virosis (hepatitis, herpes, zona) or live vaccine (influenza) * Uncontrolled psychotic condition * Informed consent not obtained * Fertile women who do not want or cannot use effective contraception during the administration of study drugs * Women pregnant or nursing
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.2 intervention groups are designated in this study
50% chance of being blinded to the placebo group
Treatment Groups
Group I
PlaceboGroup II
ExperimentalStudy Objectives
Primary Objectives
Secondary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 2 locations
Groupe Hospitalier Pitié-Salpêtrière
Paris, FranceOpen Groupe Hospitalier Pitié-Salpêtrière in Google MapsHôpital Saint-Louis
Paris, France