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Amifostine

Phase 2

Chemotherapeutic Agent Toxicity | Small molecule | Oncology |AstraZeneca PLC|Trials Updated: Jan 4, 2017

Amifostine development status

Highest phase Phase 2
Registered trials 2 across 2 sponsors since Apr 2004

Amifostine target and mechanism

ModalitySmall molecule

Also known as Ethyo

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment188

FDA Designations

No designations recorded

Amifostine clinical trials

Amifostine · 2 trials · 8 indications

Phase 2 2
NCT00095927Randomized Amifostine For SCCHNChemotherapeutic Agent Toxicity
COMPLETED58 Analytics
NCT00081315Subcutaneous Amifostine (Ethyol®) in the Prevention of Radiochemotherapy-Induced Esophagitis and Pneumonitis in Patients With Unresectable Non-Small Cell Lung CancerEsophagitis
COMPLETED130 Analytics
PHASE2COMPLETED
Randomized Amifostine For SCCHN
Chemotherapeutic Agent ToxicityUnlock trial analytics
PHASE2COMPLETED
Subcutaneous Amifostine (Ethyol®) in the Prevention of Radiochemotherapy-Induced Esophagitis and Pneumonitis in Patients With Unresectable Non-Small Cell Lung Cancer
EsophagitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Rate of local/regional control (LRC) 1 year after beginning treatment
One year after beginning of treatment
Proportion of patients with grade 2 or 3 chronic xerostomia at 3, 6 months
3, 6 Months
Proportion of patients with grade 3 and 4 mucositis as assessed by RTOG criteria once weekly during and after completion of radiotherapy
End of Radiotherapy
Median duration of dependence on percutaneous endoscopic gastrectomy (PEG) for adequate nutrition at 8, 12, 24, and 52 weeks after completion of study treatment
8,12, 24 and 52 weeks
- Acute radiochemotherapy-induced esophagitis will be assessed from the time of randomization through up to 3 months after completion of radiochemotherapy treatment.

Secondary Endpoints

Duration of grade 3 and 4 mucositis once weekly during treatment and at 8, 12, 24, and 52 weeks after completion of study treatment
8, 12, 24, and 52 weeks
Proportion of patients with PEG dependency
3, 6, and 12 months after completion of study treatment
Time to disease progression
baseline to disease progression
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm A AmifostineACTIVE_COMPARATORPatients with newly diagnosed, locally advanced stage ill or IV SCCHN received; * 4 weekly doses of carboplatin (area under the curve, 1.5) and paclitaxel (45 mg/m 2) concurrently with concomitant boost radiation consisting of 72 grays in 42 fractions over 6 weeks (every day for 18 days, twice a day for 12 days) (grading determined according to the TNM staging system). * Subcutaneous daily amifostine at a dose of 500 mg
Arm B No-AmifostineEXPERIMENTALPatients with newly diagnosed, locally advanced stage ill or IV SCCHN \- 4 weekly doses of carboplatin (area under the curve, 1.5) and paclitaxel (45 mg/m 2) concurrently with concomitant boost radiation consisting of 72 grays in 42 fractions over 6 weeks (every day for 18 days, twice a day for 12 days) (grading determined according to the TNM staging system).

Interventions

NameTypeDescription
AmifostineDRUGGiven subcutaneously
CarboplatinDRUGGiven IV
PaclitaxelDRUGGiven IV
radiationRADIATIONGiven once daily for 4 weeks and then twice daily for 2 weeks.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria * Histologically or cytologically proven squamous cell carcinoma of the head and neck. Biopsy is preferred unless medically contraindicated. * Primary tumor sites eligible: oral cavity, oropharynx, hypopharynx or larynx. Tumors of the nasal and paranasal cavities will also be inc...

Countries:United States
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Frequently asked questions about Amifostine

What is Amifostine used for?

Amifostine is being studied to reduce toxicity caused by chemotherapy and radiation therapy. Its investigated uses include chemotherapeutic agent toxicity, esophagitis, mucositis, xerostomia, radiation toxicity, and pneumonitis in patients with head and neck cancer or unresectable non-small cell lung cancer.

Who is developing Amifostine?

AstraZeneca PLC, which trades under the ticker AZN, is the developer associated with Amifostine. The company is listed as the sponsor of the clinical program evaluating the drug in oncology settings, including prevention of treatment-related toxicities from chemotherapy and radiation.

What phase is Amifostine in?

Amifostine is in Phase 2 clinical development. It is investigational and has not been approved for the studied uses. The program includes completed Phase 2 trials, with no active trials currently listed, and the studies together enrolled 130 patients.

What clinical trials is Amifostine in?

Amifostine has been evaluated in two completed Phase 2 trials. NCT00095927 was a randomized study of Amifostine for squamous cell carcinoma of the head and neck, enrolling 58 patients. NCT00081315 studied subcutaneous Amifostine in patients with unresectable non-small cell lung cancer, enrolling 130 patients.

How does Amifostine work in chemotherapeutic agent toxicity?

Amifostine is a small molecule studied for reducing toxicity from chemotherapy and radiation. In the Phase 2 program it was given to patients with head and neck cancer or unresectable non-small cell lung cancer to evaluate prevention of esophagitis, mucositis, xerostomia, radiation toxicity, and pneumonitis.

What did the Amifostine trials study?

The Amifostine trials studied prevention of treatment-related toxicities. NCT00095927 examined Amifostine in squamous cell carcinoma of the head and neck, while NCT00081315 tested subcutaneous Amifostine for radiochemotherapy-induced esophagitis and pneumonitis in unresectable non-small cell lung cancer. Both were randomized, active-controlled Phase 2 studies conducted in the United States.