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Glutamine

Phase 3

Colorectal Neoplasms | Small molecule | Oncology |Sanofi|Last Updated: Jun 21, 2013

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment200
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01087658Oral Glutamine in the Prevention of Oxaliplatin-induced NeurotoxicityPHASE3 COMPLETED 200Feb 1, 2010Mar 1, 2013Jun 21, 201314 Canada
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Study Endpoints
Primary Endpoints
Occurence of peripheral sensory neuropathy (PSN) grade 2, 3 and 4 assessed by the National Cancer Institute Common Terminology Criteria for Adverse Event (NCI-CTCAE)
Every cycle i.e. 2 or 3 weeks according to the treatment arm
Secondary Endpoints
Cumulative dose of oxaliplatin and time of onset when the first PSN grade 2, 3 or 4 occurs
Every cycle i.e. 2 or 3 weeks according to the treatment arm
Dose-reduction, dose-delay and discontinuation of oxaliplatin due to PSN grade 3 or 4
Every cycle i.e. 2 or 3 weeks according to the treatment arm
Patient self-reported neurotoxicity scale for chronic peripheral neuropathy
Every cycle i.e. 2 or 3 weeks according to the treatment arm
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Glutamine and calcium magnesiumEXPERIMENTALGlutamine 10g p.o. 3-times a day beginning at day -2 for 7 consecutive days during each chemotherapy cycle. 1g of calcium and 1g of magnesium i.v. over 30 minutes just before the chemotherapy and repeated at the same dose after the completion of the oxaliplatine infusion. All patients will receive an oxaliplatin based chemotherapy with XELOX, FOLFOX-4 or mFOLFOX-6.
Calcium magnesiumACTIVE_COMPARATOR1g of calcium and 1g of magnesium i.v. over 30 minutes just before the chemotherapy and repeated at the same dose after the completion of the oxaliplatine infusion. All patients will receive an oxaliplatin based chemotherapy with XELOX, FOLFOX-4 or mFOLFOX-6.
Interventions
NameTypeDescription
GlutamineDRUGPer os
Calcium and MagnesiumDRUGIntravenous
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites14

Inclusion criteria: 1. Histologically- or cytologically- proven adenocarcinoma of the colon or rectum. 2. Disease either in adjuvant or 1st line metastatic setting. 3. Eastern Cooperation Oncology Group (ECOG) performance status inferior or equal to 2. 4. At least 4 weeks following any major surgic...

Countries:Canada
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