Phase I study of oral artesunate in colorectal cancer

ISRCTN ISRCTN05203252
DOI https://doi.org/10.1186/ISRCTN05203252
Secondary identifying numbers 07.0195, protocol v2.3 (9 September 2008)
Submission date
03/12/2008
Registration date
16/01/2009
Last edited
27/11/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Prof Devinder Kumar
Scientific

Department of Colorectal Surgery
St George's NHS Healthcare Trust
Blackshaw Road
London
SW17 0RS
United Kingdom

Study information

Study designSingle-centre randomised double-blind placebo-controlled interventional study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titlePhase I placebo controlled, randomised, double-blind tolerability and efficacy study of oral artesunate in patients with colorectal carcinoma
Study hypothesisThe primary objective of the study is to determine the anti-cancer effect of oral artesunate in colorectal adenocarcinoma defined as the proportion of malignant cells undergoing apoptosis.

Secondary outcome measures are to establish the tolerability of oral artesunate in colorectal cancer.
Ethics approval(s)Wandsworth Research Ethics Committee approved on 18th March 2008 (ref: 08/H0803/3)
ConditionColorectal adenocarcinoma
InterventionSubjects will be randomised to receive 200 mg artesunate or placebo orally once daily for 14 days whilst awaiting surgery for colorectal adenocarcinoma with curative intent.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase I
Drug / device / biological / vaccine name(s)Artesunate
Primary outcome measureA significant difference in the proportion of cells that exhibit apoptosis between the two treatment groups (placebo and artesunate), assessed at the time of surgery, after two weeks of drug treatment.
Secondary outcome measures1. Tolerability of artesunate compared with placebo. Tolerability will be assessed according to conventional criteria used in clinical trials, and scored on standardised pro-formas.
2. Comparisons will also be made between baseline haematological and biochemical variables (full blood count, liver function tests, urea and electrolytes), and these measures repeated once treatment stops and before surgery

Assessed after one week and at the end of drug treatment.
Overall study start date01/03/2009
Overall study end date01/03/2010

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants22 subjects
Participant inclusion criteria1. Aged 21 - 80 years, male or female
2. With biopsy confirmed single primary site colorectal adenocarcinoma
3. With stages I - IIIb (defined according to conventional criteria)
4. With planned curative resection
5. With written, informed consent
Participant exclusion criteria1. Contraindication to use of artesunate due to hypersensitivity
2. Pregnancy (of any stage)
3. History of hearing or balance problems
4. Immunosuppression or concomitant medication known to interact with artesunate
5. Weight less than 50 kg or greater than 100 kg
6. Severe anaemia (haemoglobin less than 8 g/dl)
7. Other planned intervention, apart from standard of care
8. Inability to give informed consent
9. Inability or unwillingness to take effective contraception in women of child-bearing age
10. Chronic kidney disease of NKF D/QOFI stage 3 or above (estimated glomerular filtration rate [eGFR] less than 60 ml/min)
11. Bilirubin greater than 2 x upper limit of normal in the absence of haemolysis, or known chronic liver disease
Recruitment start date01/03/2009
Recruitment end date01/03/2010

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Department of Colorectal Surgery
London
SW17 0RS
United Kingdom

Sponsor information

St George's, University of London (UK)
University/education

Cranmer Terrace
London
SW17 0RE
England
United Kingdom

Website http://www.sgul.ac.uk
ROR logo "ROR" https://ror.org/040f08y74

Funders

Funder type

University/education

St George's, University of London (UK)
Private sector organisation / Universities (academic only)
Alternative name(s)
St. George's
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 15/11/2014 Yes No

Editorial Notes

27/11/2015: Publication reference added.