Trial Outcomes & Findings for Vitamin D Plus Celecoxib Therapy to Stimulate Intratumoral Immune Reactivity (NCT NCT00953849)

NCT ID: NCT00953849

Last Updated: 2017-03-07

Results Overview

Change in IL-2 stimulatory cytokine levels within tumor tissue.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

21 participants

Primary outcome timeframe

baseline and 3 weeks

Results posted on

2017-03-07

Participant Flow

Participant milestones

Participant milestones
Measure
Arm 1: Celecoxib
Treatment with Celecoxib
Arm 2: Calcitriol
Treatment with Calcitriol
Arm 3: Celecoxib Plus Calcitriol
Treatment with Celecoxib + Calcitriol
Arm 4: No Treatment
no treatment prior to surgery
Overall Study
STARTED
6
6
4
5
Overall Study
COMPLETED
6
6
4
5
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Vitamin D Plus Celecoxib Therapy to Stimulate Intratumoral Immune Reactivity

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1: Celecoxib
n=6 Participants
Celecoxib: Celecoxib (400 mg twice daily) oral cancer patients receiving new immunotherapy prior to surgery
Arm 2: Calcitriol
n=6 Participants
Calcitriol Calcitriol (1,25-dihydroxyvitamin D3): 3 week pre-surgical enteral treatment of Calcitriol (3 cycles of 4 microg Calcitriol for each of 3 sequential days followed by 4 days of no treatment)
Arm 3: Celecoxib Plus Calcitriol
n=4 Participants
Celecoxib + Calcitriol 3 week pre-surgical enteral treatment of Calcitriol (3 cycles of 4 microg 1,25-dihydroxyvitamin D3) for each of 3 sequential days followed by 4 days of no treatment) plus Celecoxib (400 mg twice daily)
Arm 4: No Treatment
n=5 Participants
oral cancer patients receiving no immunotherapy prior to surgery
Total
n=21 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=39 Participants
4 Participants
n=41 Participants
3 Participants
n=35 Participants
4 Participants
n=31 Participants
15 Participants
n=146 Participants
Age, Categorical
>=65 years
2 Participants
n=39 Participants
2 Participants
n=41 Participants
1 Participants
n=35 Participants
1 Participants
n=31 Participants
6 Participants
n=146 Participants
Sex: Female, Male
Female
0 Participants
n=39 Participants
3 Participants
n=41 Participants
1 Participants
n=35 Participants
0 Participants
n=31 Participants
4 Participants
n=146 Participants
Sex: Female, Male
Male
6 Participants
n=39 Participants
3 Participants
n=41 Participants
3 Participants
n=35 Participants
5 Participants
n=31 Participants
17 Participants
n=146 Participants

PRIMARY outcome

Timeframe: baseline and 3 weeks

Population: Patients with head and neck squamous cell carcinoma.

Change in IL-2 stimulatory cytokine levels within tumor tissue.

Outcome measures

Outcome measures
Measure
Arm 1: Celecoxib
n=6 Participants
Celecoxib treatment prior to surgery Celecoxib: Celecoxib (400 mg twice daily)
Arm 2: Calcitriol
n=6 Participants
Treatment with Calcitriol prior to surgery Calcitriol: 3 week pre-surgical enteral treatment of Calcitriol (1,25-dihydroxyvitamin D3) (3 cycles of 4 microg Calcitriol 3 for each of 3 sequential days followed by 4 days of no treatment)
Arm 3: Celecoxib Plus Calcitriol
n=4 Participants
Treatment with Celecoxib plus Calcitriol prior to surgery. Celecoxib plus Calcitriol: 3 week pre-surgical enteral treatment of Calcitriol (1,25-dihydroxyvitamin D3) (3 cycles of 4 microg Calcitriol for each of 3 sequential days followed by 4 days of no treatment) plus Celecoxib (400 mg twice daily)
Arm 4: No Treatment
n=5 Participants
no treatment prior to surgery
Change in IL-2 Levels
1.8 pg/100 gm protein
Standard Error 0.3
4.0 pg/100 gm protein
Standard Error 0.4
7.9 pg/100 gm protein
Standard Error 1.2
2.1 pg/100 gm protein
Standard Error 0.2

PRIMARY outcome

Timeframe: baseline and 3 weeks

Population: Patients with head and neck squamous cell carcinoma.

Change in IFN-gamma stimulatory cytokine levels within tumor tissue.

Outcome measures

Outcome measures
Measure
Arm 1: Celecoxib
n=6 Participants
Celecoxib treatment prior to surgery Celecoxib: Celecoxib (400 mg twice daily)
Arm 2: Calcitriol
n=6 Participants
Treatment with Calcitriol prior to surgery Calcitriol: 3 week pre-surgical enteral treatment of Calcitriol (1,25-dihydroxyvitamin D3) (3 cycles of 4 microg Calcitriol 3 for each of 3 sequential days followed by 4 days of no treatment)
Arm 3: Celecoxib Plus Calcitriol
n=4 Participants
Treatment with Celecoxib plus Calcitriol prior to surgery. Celecoxib plus Calcitriol: 3 week pre-surgical enteral treatment of Calcitriol (1,25-dihydroxyvitamin D3) (3 cycles of 4 microg Calcitriol for each of 3 sequential days followed by 4 days of no treatment) plus Celecoxib (400 mg twice daily)
Arm 4: No Treatment
n=5 Participants
no treatment prior to surgery
Change in IFN-gamma Levels
1.9 pg/100 gm protein
Standard Error 0.6
2.8 pg/100 gm protein
Standard Error 1.1
6.3 pg/100 gm protein
Standard Error 2.2
2.0 pg/100 gm protein
Standard Error 0.3

PRIMARY outcome

Timeframe: baseline and 3 weeks

Population: Patients with head and neck squamous cell carcinoma.

Change in GM-CSF stimulatory cytokine levels within tumor tissue.

Outcome measures

Outcome measures
Measure
Arm 1: Celecoxib
n=6 Participants
Celecoxib treatment prior to surgery Celecoxib: Celecoxib (400 mg twice daily)
Arm 2: Calcitriol
n=6 Participants
Treatment with Calcitriol prior to surgery Calcitriol: 3 week pre-surgical enteral treatment of Calcitriol (1,25-dihydroxyvitamin D3) (3 cycles of 4 microg Calcitriol 3 for each of 3 sequential days followed by 4 days of no treatment)
Arm 3: Celecoxib Plus Calcitriol
n=4 Participants
Treatment with Celecoxib plus Calcitriol prior to surgery. Celecoxib plus Calcitriol: 3 week pre-surgical enteral treatment of Calcitriol (1,25-dihydroxyvitamin D3) (3 cycles of 4 microg Calcitriol for each of 3 sequential days followed by 4 days of no treatment) plus Celecoxib (400 mg twice daily)
Arm 4: No Treatment
n=5 Participants
no treatment prior to surgery
Change in GM-CSF
3.8 pg/100 gm protein
Standard Error 1.4
8.1 pg/100 gm protein
Standard Error 1.9
14.3 pg/100 gm protein
Standard Error 3.4
3.2 pg/100 gm protein
Standard Error 0.9

PRIMARY outcome

Timeframe: baseline and 3 weeks

Population: Patients with head and neck squamous cell carcinoma.

Change in levels of immune inhibitory/inflammatory mediator IL-6 in tumor tissue.

Outcome measures

Outcome measures
Measure
Arm 1: Celecoxib
n=6 Participants
Celecoxib treatment prior to surgery Celecoxib: Celecoxib (400 mg twice daily)
Arm 2: Calcitriol
n=6 Participants
Treatment with Calcitriol prior to surgery Calcitriol: 3 week pre-surgical enteral treatment of Calcitriol (1,25-dihydroxyvitamin D3) (3 cycles of 4 microg Calcitriol 3 for each of 3 sequential days followed by 4 days of no treatment)
Arm 3: Celecoxib Plus Calcitriol
n=4 Participants
Treatment with Celecoxib plus Calcitriol prior to surgery. Celecoxib plus Calcitriol: 3 week pre-surgical enteral treatment of Calcitriol (1,25-dihydroxyvitamin D3) (3 cycles of 4 microg Calcitriol for each of 3 sequential days followed by 4 days of no treatment) plus Celecoxib (400 mg twice daily)
Arm 4: No Treatment
n=5 Participants
no treatment prior to surgery
Change in IL-6 Levels.
39 pg/100 gm protein
Standard Error 18
46 pg/100 gm protein
Standard Error 21
29 pg/100 gm protein
Standard Error 8
132 pg/100 gm protein
Standard Error 46

Adverse Events

Arm 1: Celecoxib

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm 2: Calcitriol

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm 3: Celecoxib Plus Calcitriol

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm 4: No Treatment

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

M. Rita I. Young, Ph.D.

Ralph H. Johnson VA Medical Center, Charleston, SC

Phone: 843-792-9953

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place