Oxandrolone Compared With Megestrol in Preventing Weight Loss in Patients Receiving Chemotherapy for Cancer

Completed · Phase 3

Conditions studied: Unspecified Adult Solid Tumor, Protocol Specific, Weight Changes

In brief

RATIONALE: Oxandrolone and megestrol may help prevent weight loss and improve quality of life in patients with cancer. It is not yet known whether oxandrolone is more effective than megestrol in preventing weight loss and improving quality of life in patients who are receiving chemotherapy for solid tumors. PURPOSE: This randomized phase III trial is studying oxandrolone to see how well it works compared to megestrol in preventing weight loss and improving quality of life in patients who are receiving chemotherapy for solid tumors.

Key facts

Study ID

NCT00070148

Run by

Wake Forest University Health Sciences

People needed

155

Starts

2004-03-01

Expected to finish

2007-08-01

Last updated by the study team

2021-09-09

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age >18 years with no pre-existing or uncontrolled medical or psychological illness that would impair a patient's ability to provide informed consent or to complete protocol therapy or quality of life questionnaires.
• A minimum of one month planned chemotherapy remaining at the time Oxandrin or Megestrol acetate is begun. Oral chemotherapy medications, biologicals, and monoclonal antibodies are included in eligibility criteria.
• Histologically confirmed solid tumor (see exceptions in ineligibility list)
• Female patients with a history of breast cancer, gynecologic cancer, and hormonally responsive germ cell tumors must be disease free > 5 years to be eligible for this study
• Patients with non-melanoma skin cancers and carcinoma in situ of the cervix are eligible.
• History of weight loss of:
• > 5% total body weight during the previous 6 months OR
• > 3% in previous month OR
• Progressive weight loss on 2 consecutive visits despite attempts at dietary, behavioral, or pharmacologic intervention.
• ECOG Performance Status of 0-2
• Life expectancy > 6 months
• Serum creatinine < 2.5mg/dl, SGOT and SGPT < 2 times upper limit of normal, total bilirubin < 2.5 mg/dl
• Patients must be able to swallow 1 tablet twice a day or 20 cc of liquid each day
• Patients must be able to meet their nutritional requirements via the oral route with food and/or oral supplements or via enteral tube feedings. However, Oxandrin pills must be administered orally.
• Patients who are taking warfarin for maintenance of central venous catheter patency are eligible for this trial if their INR < 1.2. Because of the interaction between warfarin and Oxandrin, the maintenance dose of warfarin in eligible patients should be halved to keep the INR at 1-1.2. For example, if a patient is taking 1 mg of warfarin at study entry, it is recommended that the dose be decreased to 0.5 mg per day, their dose should be decreased to every other day, every third day, etc. to keep the INR at < 1.2. The INR must be checked weekly until stable at < 1.2.
• Patients can be receiving concurrent RT.

You may not qualify if…

• Ongoing or planned treatment with corticosteroid medications, estrogens, progestins (including Megestrol acetate) or any other steroid hormone during the study period. Patients who receive intermittent corticosteroids as part of a pre-chemotherapy antiemetic regimen are eligible for this study. Patients treated with Oxandrin or Megestrol acetate < 3 months before study entry are not eligible. Patients taking dronabinol or any other appetite stimulant must be off medication for a minimum of 3 days prior to start of study medication.
• Patients who have had the following are ineligible:
• Prostate cancer
• Male breast cancer
• Female breast, gynecologic, or hormonally responsive germ cell tumors in the last 5 years
• Primary or metastatic malignant brain tumors that have not been stable or demonstrate progressive disease in the last 6 months.
• Leukemia, lymphoma, myeloma or other hematologic malignancies
• Men > 40 years of age should have a prostate-specific antigen (PSA) level checked if not monitored in the past year. Those patients with PSA > 4 ng/mL will be excluded from participation in the study. If required, the PSA should be done within 2 weeks prior to registration.
• Patients with hypercalcemia, nephrosis or the nephrotic phase of nephritis or uncontrolled hypertension, congestive heart failure, pulmonary edema, unstable angina or Cushing's syndrome.
• Patients with recent (within 6 months) active thromboembolic disease or recent myocardial infarction (within 3 months of study entry).
• Systemic anticoagulation: Patients currently on oral anticoagulants (warfarin) are not eligible unless they are taking low doses of warfarin for catheter patency. If a patient develops thromboembolic disease while on treatment, they may remain on study. It is recommended that they receive a standard loading dose of coumadin on day 1. because of the interaction between Oxandrin and Coumadin (Oxandrin elevates the INR), patients will subsequently require a much lower dose of Coumadin. The effect of these combined medications should develop within 24 to 48 hours. The recommended Coumadin dose should be decreased to 20% of what is normally required for sufficient anticoagulation. (Example: If patient would normally receive 5 mg every day, they should only receive 1 mg every day.) PT/INR results should be monitored frequently with dosage adjustment as needed.
• Significant ascites, pleural effusions or edema which may inhibit oral food intake or invalidate weight determinations.
• Diabetic medications are allowed, however patients taking sulfonyureas are ineligible. Below is a list of commonly used sulfonyureas (Note: This is a helpful guide, not a complete list.):
• Glimepiride (Amaryl®), glyburide (DiaBeta®), chlorpropamide (Diabinese®), glipizide(Glucatrol®), combined glyburide and metformin (Glucovance®) and orinase (Tolbutamide®).
• There is no contraindication for concomitant use of insulin and oxandrolone (Oxandrin®) if required by the patient. Any patient on insulin or other oral hypoglycemics should self-monitor to prevent hypo \& hyperglycemia.
• Patients who are pregnant or nursing.
• Patients with history of priapism (persistant erections) and sickle cell anemia.
• Patients with a BMI(Body Mass Index) ≥ 35

Where it is running

• Helen F. Graham Cancer Center at Christiana Care — Newark, Delaware, United States
• CCOP - Mount Sinai Medical Center — Miami Beach, Florida, United States
• Kentuckiana Cancer Institute, PLLC — Louisville, Kentucky, United States
• Pennington Cancer Center at Baton Rouge General — Baton Rouge, Louisiana, United States
• MBCCOP - LSU Health Sciences Center — New Orleans, Louisiana, United States
• Mission Hospitals - Memorial Campus — Asheville, North Carolina, United States
• Alamance Cancer Center at Alamance Regional Medical Center — Burlington, North Carolina, United States
• Presbyterian Cancer Center at Presbyterian Hospital — Charlotte, North Carolina, United States
• CCOP - Southeast Cancer Control Consortium — Goldsboro, North Carolina, United States
• Southeastern Medical Oncology Center - Goldsboro — Goldsboro, North Carolina, United States
• Moses Cone Regional Cancer Center at Wesley Long Community Hospital — Greensboro, North Carolina, United States
• Leo W. Jenkins Cancer Center at ECU Medical School — Greenville, North Carolina, United States
• Pardee Memorial Hospital — Hendersonville, North Carolina, United States
• High Point Regional Hospital — High Point, North Carolina, United States
• Wake Forest University Comprehensive Cancer Center — Winston-Salem, North Carolina, United States
• CCOP - Columbus — Columbus, Ohio, United States
• CCOP - Greenville — Greenville, South Carolina, United States
• CCOP - Upstate Carolina — Spartanburg, South Carolina, United States
• Danville Regional Medical Center — Danville, Virginia, United States
• Ravenel Oncology Center at Memorial Hospital of Martinsville and Henry County — Martinsville, Virginia, United States

Full record on ClinicalTrials.gov

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