Clinical trial NCT00548704: A Clinical Trial on Topotect® (Dexrazoxane) in the Treatment of Accidental Extravasation of Anthracyclines
Official title: A Clinical Trial on Topotect® (Dexrazoxane) in the Treatment of Accidental Extravasation of Anthracycline Anti-cancer Agents
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
PHASE3
Conditions: Extravasation
Keywords: Extravasation
Anthracyclines
Lead sponsor: Valerio Therapeutics
Sponsor class: INDUSTRY
First posted: 2007-10-24
Enrollment: 57
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The purpose of this study is

* To prevent progression of a lesion caused by anthracycline extravasation into necrosis, which would require surgical intervention
* To prevent development of deep tissue necrosis and destruction leading to impaired limb function and neurological deficit
* To prevent postponement of the scheduled cancer treatment due to the treatment of the extravasation

Detailed description: Accidental extravasation of anthracyclines, e.g. doxorubicin and its derivative epirubicin, may cause progressive tissue destruction including serious damage of the skin, the subcutaneous tissue, muscles, and nerves.

The patient may suffer from acute local symptoms such as pain and swelling, which may progress into blistering and necrosis. Subsequently dysesthesia, skin atrophy, disfigurement, and impaired limb function may be the consequence.

Surgical removal of all affected tissue is required and the debridement often necessitates split skin grafting. The patient is thus subjected to the distress of major surgery, which in turn leads to delay of further cytotoxic treatment.

Preclinical animal studies as well as a clinical multicenter phase II trial have demonstrated a highly significant efficacy of dexrazoxane in preventing tissue destruction caused by anthracyclines.

This confirmatory trial will determine the effect of Topotect® (dexrazoxane) as an acute antidote in patients with anthracycline extravasation.

Orphan drug status TopoTarget A/S was granted designation for Topotect® as an orphan medical product for the treatment of anthracycline extravasations by the European Commission in September 2001 and by the FDA in ???.

Purpose

Primary objectives:

• To prevent progression of the anthracycline extravasation lesion as tissue ulceration and necrosis requiring surgical intervention

Secondary objectives:

* To prevent development of deep tissue necrosis and destruction leading to late sequelae as impaired limb function and neurological deficit
* To prevent postponement of the scheduled cancer treatment due to the treatment of the extravasation
* To evaluate the tolerance to and/or toxicity of Topotect® used for this indication, according to the indicated schedule

Trial design This is an open-label, non-randomised phase II/III trial. Thirty -five evaluable patients with anthracycline extravasations will be treated.

Extravasation is determined by the presence of pain, and/or swelling, and/or redness at the site where anthracycline leakage is suspected to have occurred. The extravasations are subsequently confirmed in each patient by fluorescence microscopy of at least two punch biopsies at the time of the accident.

Success criteria The prevention of surgical intervention, necrosis and late sequelae evaluated 3 months after the extravasation.

Safety features

* Toxicity caused by Topotect® will be examined by haematology and blood chemistry, questions are asked on any discomfort. Scheduled clinical examinations are performed
* A systematic clinical evaluation of the marked area of skin covering the area of extravasation will be performed in order to evaluate the need for surgery
* Sequential colour photographs of the involved skin will be taken

Medical Treatment Patients are treated with intravenous infusion of Topotect® administered once daily on three consecutive days at the following doses: 1,000 mg/m2 + 1,000 mg/m2 + 500 mg/m2. The first dose is administered as soon as possible and within 6 hours of the extravasation and the next two doses at 24 and 48 hours after the first infusion.

Eligibility criteria: Inclusion Criteria:

1. All cancer patients treated with anthracyclines
2. Informed consent must be obtained from the patient
3. Patients suspected to have been exposed to extravasation (leakage) of anthracycline, defined as:

   1. A primary assessment by the physician on duty, which would activate the standard departmental procedure for treatment of anthracycline extravasation.
   2. The presence of at least one of the following symptoms: pain, swelling or redness at the site where the anthracycline leakage is suspected to have occurred.
4. Suspicion of anthracycline extravasation from a central venous access device
5. The Topotect® infusion must be started \< 6 hours after the accident
6. 18 years of age or older
7. Performance status (PS) \< 2

Exclusion Criteria:

1. Known allergy towards dexrazoxane
2. Reasonable suspicion of extravasation by other compounds than anthracyclines through the same intravenous access, e.g. vincristine, mitomycin, and vinorelbine, all of which may cause ulceration
3. AST (aspartate aminotransferase) or ALT (alanine aminotransferase), bilirubin, LDH (lactate dehydrogenase), alkaline phosphatase \>3 x upper normal value
4. Neutrophils CTC (common toxicity criteria) ≥ grade 2. (neutrophils 1.5 x 109/L, ≥1,500/mm3)
5. Platelets CTC ≥ grade 2. (platelets ≥75.0 x 109/L, \<75,000/mm3).
6. Topical use of DMSO (dimethylsulfoxide) at the area of the accident
7. Administration of dexrazoxane within the last 3 weeks
8. Pregnant or nursing women
9. Women of childbearing age and potential, who do not use an efficient contraceptive (e.g. the Pill or a diaphragm plus a spermicide) for at least 3 months prior to the start of trial medication

Primary outcomes:
Secondary outcomes:
Other outcomes:
Locations:
city: Aalborg
country: Denmark
facility: Aalborg Hospital South
city: Aarhus
country: Denmark
facility: Aarhus County Hospital
city: Aarhus
country: Denmark
facility: Aarhus Municipality Hospital
city: Copenhagen
country: Denmark
facility: Rigshospitalet, Haematology Department
city: Copenhagen
country: Denmark
facility: Rigshospitalet, Oncology Department
city: Esbjerg
country: Denmark
facility: Esbjerg District Hospital
city: Herlev
country: Denmark
facility: Herlev County Hospital, Haematology Department
city: Herlev
country: Denmark
facility: Herlev County Hospital, Oncology Department
city: Hilleroed
country: Denmark
facility: Hilleroed Hospital
city: Naestved
country: Denmark
facility: Naestved District Hospital
city: Odense
country: Denmark
facility: Odense University Hospital
city: Roskilde
country: Denmark
facility: Roskilde County Hospital
city: Soenderborg
country: Denmark
facility: Soenderborg Hospital
city: Vejle
country: Denmark
facility: Vejle Hospital
city: Viborg
country: Denmark
facility: Viborg Hospital
city: Essen Borbak Statt
country: Germany
facility: Evangelisches Bethesda Krankenhaus
city: Frankfurt am Main
country: Germany
facility: Klinik für Gynäkologie und Geburtshilfe
city: Hamburg
country: Germany
facility: Klinik und Poliklinik für Innere Medizin
city: Hannover
country: Germany
facility: Medizinische Hochschule Hannover
city: Kiel
country: Germany
facility: Universitäts Frauenklinik
city: Kiel
country: Germany
facility: Universitäts Medizinische Klinik
city: Munich
country: Germany
facility: Frauenklinik com Roten Kreuz
city: Rostock
country: Germany
facility: Universitäts Frauenklinik
city: Wiesbaden
country: Germany
facility: Klinik für Gynäkologie und Gynäkologische Onkologie
city: Forli
country: Italy
facility: Ospedale G.B. Morgagni L. Pierantoni
city: Ravenna
country: Italy
facility: Presidio Ospedaliero di Ravenna
city: Rimini
country: Italy
facility: Ospedale degli Infermi
city: Trieste
country: Italy
facility: Ospedali Riuniti
city: Amsterdam
country: Netherlands
facility: Netherland Cancer Institute
city: Groningen
country: Netherlands
facility: University Hospital
city: Hertogenbosch
country: Netherlands
facility: Willem Alexander Hospital
city: Krakow
country: Poland
facility: Centre of Oncology - Krakow Division
city: Warsaw
country: Poland
facility: Maria Sklodowska-Curie Memorial Cancer Center
city: Wroclaw
country: Poland
facility: Dolnoslaski Centrum Onkologii oddzial Chemoterapii
Study officials:
affiliation: Rigshospitalet, The Finsen Centre 5074, Blegdamsvej 9, DK-2100 Copenhagen
name: Henning T Mouridsen, MD, Dr. med.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Mouridsen HT, Langer SW, Buter J, Eidtmann H, Rosti G, de Wit M, Knoblauch P, Rasmussen A, Dahlstrom K, Jensen PB, Giaccone G. Treatment of anthracycline extravasation with Savene (dexrazoxane): results from two prospective clinical multicentre studies. Ann Oncol. 2007 Mar;18(3):546-50. doi: 10.1093/annonc/mdl413. Epub 2006 Dec 21.