NAC to Prevent Cisplatin-induced Hearing Loss
NCT02094625 · Status: COMPLETED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 52
Last updated 2023-04-18
Summary
Cisplatin is a key chemotherapy agent for the treatment of multiple childhood cancers but causes permanent hearing loss. This study investigates the drug N-acetylcysteine (NAC) to determine the dose necessary to protect hearing and also how well tolerated NAC is when combined with chemotherapy.
Conditions
- Neuroectodermal Tumors, Primitive
- Liver Neoplasms
- Osteosarcoma
- Other Childhood Cancers Using Cisplatin-based Regimens
Interventions
- DRUG
-
N-Acetylcysteine
NAC will be administered intravenously over \~60 minutes starting 4 hours following completion of cisplatin chemotherapy. Three dose levels have been pre-determined: Dose Level 1: 225 mg/kg Dose Level 2: 300 mg/kg Dose Level 3: 450 mg/kg Should Dose Level 3 exceed the MTD, the study will examine blood levels of NAC and if below the target blood level necessary for hearing protection, the study will "de-escalate" from Dose Level 3 to an intermediate Dose Level 2.5 and test a dose of 375 mg/kg. As of August 2018: Dose escalation completed with MTD not reached. Dose level 3 (450mg/kg) selected for expansion with NAC.
Sponsors & Collaborators
-
Children's Hospital Los Angeles
lead OTHER
Principal Investigators
-
Etan Orgel, MD MS · Children's Hospital Los Angeles
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 1 Year
- Max Age
- 21 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-03-31
- Primary Completion
- 2020-09-30
- Completion
- 2021-08-31
Countries
- United States
Study Locations
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