Trial Outcomes & Findings for Chemoprevention of Gastric Carcinogenesis (NCT NCT02794428)

NCT ID: NCT02794428

Last Updated: 2024-10-16

Results Overview

The cell DNA damage is measured using the percent positive gastric epithelial cells assessed by IHC for gamma H2AX.The mean difference between the two groups at 6 months will be calculated, accounting for their baseline measurements.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

91 participants

Primary outcome timeframe

at 6 months

Results posted on

2024-10-16

Participant Flow

Participant milestones

Participant milestones
Measure
Eflornithine
Eflornithine: Eflornithine\*, 2 tablets, Oral, Daily for 18 months
Eflornithine Placebo
Eflornithine placebo: Eflornithine placebo, 2 tablets, Oral, Daily for 18 months
6 Months (Primary End Point)
STARTED
45
46
6 Months (Primary End Point)
COMPLETED
36
42
6 Months (Primary End Point)
NOT COMPLETED
9
4
18 Months (Secondary Endpoint)
STARTED
36
42
18 Months (Secondary Endpoint)
COMPLETED
31
38
18 Months (Secondary Endpoint)
NOT COMPLETED
5
4
24 Months (End of Study)
STARTED
31
38
24 Months (End of Study)
COMPLETED
26
29
24 Months (End of Study)
NOT COMPLETED
5
9

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Chemoprevention of Gastric Carcinogenesis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Eflornithine
n=45 Participants
Eflornithine: Eflornithine\*, 2 tablets, Oral, Daily for 18 months
Eflornithine Placebo
n=46 Participants
Eflornithine placebo: Eflornithine placebo, 2 tablets, Oral, Daily for 18 months
Total
n=91 Participants
Total of all reporting groups
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
White
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
45 Participants
n=99 Participants
46 Participants
n=107 Participants
91 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
Puerto Rico
2 participants
n=99 Participants
3 participants
n=107 Participants
5 participants
n=206 Participants
Region of Enrollment
Honduras
43 participants
n=99 Participants
43 participants
n=107 Participants
86 participants
n=206 Participants
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
45 Participants
n=99 Participants
45 Participants
n=107 Participants
90 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Sex: Female, Male
Female
34 Participants
n=99 Participants
33 Participants
n=107 Participants
67 Participants
n=206 Participants
Sex: Female, Male
Male
11 Participants
n=99 Participants
13 Participants
n=107 Participants
24 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
45 Participants
n=99 Participants
46 Participants
n=107 Participants
91 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants

PRIMARY outcome

Timeframe: at 6 months

The cell DNA damage is measured using the percent positive gastric epithelial cells assessed by IHC for gamma H2AX.The mean difference between the two groups at 6 months will be calculated, accounting for their baseline measurements.

Outcome measures

Outcome measures
Measure
Eflornithine
n=32 Participants
Eflornithine: Eflornithine\*, 2 tablets, Oral, Daily for 18 months
Eflornithine Placebo
n=37 Participants
Eflornithine placebo: Eflornithine placebo, 2 tablets, Oral, Daily for 18 months
The Difference in Cell DNA Damage, Based on Percent Positive Cells, Between Patients Treated With DFMO and Patients Treated With Placebo at 6 Months.
5.07 Percentage of positive cells
Standard Deviation 21.05
7.32 Percentage of positive cells
Standard Deviation 21.60

SECONDARY outcome

Timeframe: at 18 and 24 months

The cell DNA damage is measured using the percent positive gastric epithelial cells assessed by IHC for gamma H2AX. The mean difference between the two groups at 18 and 24 months will be calculated, accounting for their baseline measurements.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: at 6, 18 and 24 months

The gastritis histopathology score is measured with a quantitative scale 0.0-6.0, for atrophy, intestinal metaplasia, and dysplasia. The mean differences between the two groups at 6, 18, and 24 months will be calculated using mixed models, accounting for their baseline measurements.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: at 6, 18, and 24 months

Toxicities will be assessed per CTCAE criteria, and each toxicity will be assigned an adverse event (AE) term according to CTCAE definitions (each AE term = unique representation of a specific event used for medical documentation and scientific analyses), and graded as defined by CTCAE (grade 1 = mild; grade 2 = moderate; grade 3 = severe or significant but not immediately life-threatening; grade 4 = life-threatening; grade 5 = death).

Outcome measures

Outcome data not reported

Adverse Events

Eflornithine

Serious events: 2 serious events
Other events: 2 other events
Deaths: 0 deaths

Eflornithine Placebo

Serious events: 2 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Eflornithine
n=45 participants at risk
Eflornithine: Eflornithine\*, 2 tablets, Oral, Daily for 18 months
Eflornithine Placebo
n=46 participants at risk
Eflornithine placebo: Eflornithine placebo, 2 tablets, Oral, Daily for 18 months
Cardiac disorders
Hypertensive urgency
0.00%
0/45 • 24 months
2.2%
1/46 • Number of events 1 • 24 months
Gastrointestinal disorders
Appendicitis
0.00%
0/45 • 24 months
2.2%
1/46 • Number of events 1 • 24 months
Infections and infestations
COVID-19
2.2%
1/45 • Number of events 1 • 24 months
0.00%
0/46 • 24 months
Gastrointestinal disorders
Diverticulitis
2.2%
1/45 • Number of events 1 • 24 months
0.00%
0/46 • 24 months

Other adverse events

Other adverse events
Measure
Eflornithine
n=45 participants at risk
Eflornithine: Eflornithine\*, 2 tablets, Oral, Daily for 18 months
Eflornithine Placebo
n=46 participants at risk
Eflornithine placebo: Eflornithine placebo, 2 tablets, Oral, Daily for 18 months
Gastrointestinal disorders
Diarrhea
4.4%
2/45 • Number of events 2 • 24 months
6.5%
3/46 • Number of events 3 • 24 months

Additional Information

Douglas Morgan

Vanderbilt-Ingram Cancer Center

Phone: 615-936-7423

Results disclosure agreements

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