Clinical trial NCT04001010: Safety and Efficacy of Inhaled Synthetic THC/CBD for Improving Physical Functioning and for Modulating Cachexia Progression in Patients With Advanced Cancer and Associated Cachexia
Official title: Safety and Efficacy of PPP011-kit for Improving Physical Functioning and for Modulating Cachexia Progression in Patients With Advanced Cancer and Associated Cachexia: a Randomized, Double Blind, Placebo Controlled, Parallel Group Study
Study type: INTERVENTIONAL
Overall status: SUSPENDED
Phase: PHASE3
Conditions: Cannabis Use
Cachexia; Cancer
Advanced Cancer
Lead sponsor: Tetra Bio-Pharma
Sponsor class: INDUSTRY
First posted: 2019-06-27
Enrollment: 334
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: A large number of patients with advanced cancer also suffer from cachexia. Cachexia is a syndrome characterized by loss of skeletal muscle mass (with/or without loss of fat mass) that cannot be reversed by nutritional support and progressively leads to functional impairment. Patients who suffer from anorexia and cachexia have lower survival rates. Some patients with cancer use cannabis to improve the way they feel and relieve their pain. However, there is very sparse high-quality research to prove that cannabis products are truly effective. This study will investigate patients with advanced cancer who use inhaled therapeutic cannabinoid-based medication (PPP011), in addition to palliative care management, and will assess if these patients experience improvement in functional status as a surrogate endpoint for survivalquality

Detailed description: This is a 12-week randomized, double-blind, placebo-controlled, parallel group design trial to evaluate the safety and efficacy of inhaled PPP011 on physical functioning and cachexia progression in patients with cachexia related to advanced incurable cancer.

Eligibility criteria: Inclusion Criteria:

1. Written informed consent,
2. Adult male and female patients at least 18 years of age,
3. Patient agreed to follow the protocol,
4. Advanced cancer for which there is no known curative therapy,
5. The patient has a cachexia weight loss of Grade of 2 or Grade 3 cachexia as follow (based on Weight Loss Grading System) Weight loss accounts for the last 6 months before screening.
6. Patient's weight 6 months before screening must be available
7. Karnofsky Performance Status score ≥ 60 %
8. Life expectancy of at least 4 months, excluding refractory cachexia
9. No cognitive impairment according to Mini-Cog Negative confusion assessment according to CAM,
10. The patient is able to perform deep inhalations with FEV1 more than 60%,
11. Ability to read and respond to questions in French or English or French or Spanish,
12. A female volunteer must meet one of the following criteria:

If of childbearing potential - agrees to use one of the accepted contraceptive regimens from at least 28 days prior to the first drug administration, during the study and for at least 60 days after the last dose, If of non-childbearing potential - should be surgically sterile or in a menopausal state, A male volunteer with sexual partners who are pregnant, possibly pregnant, or who could become pregnant must be surgically sterile or agrees to use one of the accepted contraceptive regimens from first drug administration until 3 months after the last drug administration.

Primary outcomes:
measure: physical functioning related to advanced cancer will be measured using a patient self rating questionnaire.
timeFrame: Change from baseline in EORTC-QLQ-C15-PAL physical functioning in multi-item scales at week 4, 8 and 12 W4 W8 W12
measure: Cachexia grade will be measured as per Weight Loss Grading System
timeFrame: Change from baseline at week 4, 8 and 12.
Secondary outcomes:
measure: pain will be recorded: VAS
timeFrame: Observed and Change from baseline in a VAS on pain AND no increase in pain medications at week 4, 8 and, 12 and 24.
measure: Patient nutritional and functional assessment will be meseared using a patient self rating questionnaire
timeFrame: Observed and change from baseline in patient nutritional and functional assessment (PG-SGA) at baseline and week 4, 8 and, 12.
Other outcomes:
Locations:
city: Brampton
country: Canada
facility: William Osler Health Service Brampton
state: Ontario
Study officials:
affiliation: William Osler Health Service Brampton
name: Martin Chasen, MD
role: PRINCIPAL_INVESTIGATOR
References: