Trial Outcomes & Findings for Metformin Hydrochloride in Affecting Cytokines and Exosomes in Patients With Head and Neck Cancer (NCT NCT03109873)

NCT ID: NCT03109873

Last Updated: 2025-04-30

Results Overview

Mixed effects linear regression will be used to model longitudinal measurements of each cytokine.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

9 participants

Primary outcome timeframe

Up to 1 year

Results posted on

2025-04-30

Participant Flow

Participant milestones

Participant milestones
Measure
Arm I (EBRT, Metformin Hydrochloride)
Patients undergo External Beam Radiation Therapy (EBRT). Beginning 1 week prior to start of EBRT, patients receive metformin hydrochloride PO QD for 3 days and BID thereafter until 2 weeks after completion of EBRT. External Beam Radiation Therapy: Undergo External Beam Radiation Therapy Metformin Hydrochloride: Given orally
Arm II (EBRT, Placebo)
Patients undergo External Beam Radiation Therapy (EBRT). Beginning 1 week prior to start of EBRT, patients receive placebo PO QD for 3 days and BID thereafter until 2 weeks after completion of EBRT. External Beam Radiation Therapy: Undergo External Beam Radiation Therapy Placebo: Given orally
Overall Study
STARTED
5
4
Overall Study
COMPLETED
5
4
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Metformin Hydrochloride in Affecting Cytokines and Exosomes in Patients With Head and Neck Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (EBRT, Metformin Hydrochloride)
n=5 Participants
Patients undergo External Beam Radiation Therapy (EBRT). Beginning 1 week prior to start of EBRT, patients receive metformin hydrochloride PO QD for 3 days and BID thereafter until 2 weeks after completion of EBRT. External Beam Radiation Therapy: Undergo External Beam Radiation Therapy Metformin Hydrochloride: Given orally
Arm II (EBRT, Placebo)
n=4 Participants
Patients undergo External Beam Radiation Therapy (EBRT). Beginning 1 week prior to start of EBRT, patients receive placebo PO QD for 3 days and BID thereafter until 2 weeks after completion of EBRT. External Beam Radiation Therapy: Undergo External Beam Radiation Therapy Placebo: Given orally
Total
n=9 Participants
Total of all reporting groups
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
3 Participants
n=99 Participants
2 Participants
n=107 Participants
5 Participants
n=206 Participants
Age, Categorical
>=65 years
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Sex: Female, Male
Male
3 Participants
n=99 Participants
3 Participants
n=107 Participants
6 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=99 Participants
4 Participants
n=107 Participants
8 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
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
5 Participants
n=99 Participants
4 Participants
n=107 Participants
9 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 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
United States
5 participants
n=99 Participants
4 participants
n=107 Participants
9 participants
n=206 Participants

PRIMARY outcome

Timeframe: Up to 1 year

Population: Due to insufficient accrual, statistical results cannot be reported.

Mixed effects linear regression will be used to model longitudinal measurements of each cytokine.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 1 year

Population: Due to insufficient accrual, statistical results cannot be reported.

Analysis will be primarily descriptive. The distribution of swallowing function and mucositis scores will be summarized by arm using means, medians, standard deviations, and ranges.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 2 years

Population: Due to insufficient accrual, statistical results cannot be reported.

The objective response rate will be estimated by arm along with an exact 95% binomial confidence interval

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 1 year

Population: Due to insufficient accrual, statistical results cannot be reported.

Longitudinal measurements of exosomes will also be modeled using mixed effects linear regression. This analysis is treated as separate from the cytokine questions and the p-value will not be adjusted.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 2 years

Population: Due to insufficient accrual, statistical results cannot be reported.

Evaluated according to National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0

Outcome measures

Outcome data not reported

Adverse Events

Arm I (EBRT, Metformin Hydrochloride)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Arm II (EBRT, Placebo)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Arm I (EBRT, Metformin Hydrochloride)
n=5 participants at risk
Patients undergo External Beam Radiation Therapy (EBRT). Beginning 1 week prior to start of EBRT, patients receive metformin hydrochloride PO QD for 3 days and BID thereafter until 2 weeks after completion of EBRT. External Beam Radiation Therapy: Undergo External Beam Radiation Therapy Metformin Hydrochloride: Given orally
Arm II (EBRT, Placebo)
n=4 participants at risk
Patients undergo External Beam Radiation Therapy (EBRT). Beginning 1 week prior to start of EBRT, patients receive placebo PO QD for 3 days and BID thereafter until 2 weeks after completion of EBRT. External Beam Radiation Therapy: Undergo External Beam Radiation Therapy Placebo: Given orally
General disorders
Xerostomia
80.0%
4/5 • baseline through one year after completion of treatment
50.0%
2/4 • baseline through one year after completion of treatment
General disorders
Dysphagia
80.0%
4/5 • baseline through one year after completion of treatment
50.0%
2/4 • baseline through one year after completion of treatment
General disorders
Fatigue
80.0%
4/5 • baseline through one year after completion of treatment
75.0%
3/4 • baseline through one year after completion of treatment
General disorders
Dysgeusia
80.0%
4/5 • baseline through one year after completion of treatment
75.0%
3/4 • baseline through one year after completion of treatment

Additional Information

Dr. Adam Luginbuhl

Sidney Kimmel Cancer Center at Thomas Jefferson University

Phone: 215-240-0748

Results disclosure agreements

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