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Amifostine

Phase 2

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

Success Probability

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment58

FDA Designations

No designations recorded

Clinical trial landscape

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 a small molecule being studied for chemotherapeutic agent toxicity and esophagitis in oncology. It is being investigated to prevent radiochemotherapy-induced esophagitis and pneumonitis in patients with unresectable non-small cell lung cancer, and for chemotherapeutic agent toxicity, mucositis, radiation toxicity, and xerostomia in head and neck cancer.

Who makes Amifostine?

Amifostine is being developed by AstraZeneca PLC, which trades under the ticker AZN. The company is conducting clinical trials to evaluate the drug's safety and efficacy in oncology settings.

What phase is Amifostine in?

Amifostine is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA. Two Phase 2 trials have been completed, with a total enrollment of 130 and 58 participants respectively.

What clinical trials is Amifostine in?

Amifostine has two completed Phase 2 trials: NCT00081315, studying subcutaneous amifostine for radiochemotherapy-induced esophagitis and pneumonitis in unresectable non-small cell lung cancer, and NCT00095927, a randomized trial for head and neck cancer. Both were conducted in the United States.

Is Amifostine the same as Ethyol?

Amifostine is also known as Ethyol. In clinical trial NCT00081315, the drug is referred to as subcutaneous Amifostine (Ethyol®), confirming that these names refer to the same drug.

What does Amifostine target?

Amifostine is a small molecule, but its specific molecular target is not disclosed in the available information. It is being studied for its potential to protect against chemotherapy and radiation therapy side effects in oncology patients.