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Atorvastatin for Hearing Loss in Head and Neck Cancer

Phase 2
Recruiting
Led By Lisa L Cunningham, Ph.D.
Research Sponsored by National Institute on Deafness and Other Communication Disorders (NIDCD)
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Ability to take oral medication by mouth or by feeding tube and willingness to adhere to the daily atorvastatin or placebo regimen
Be older than 18 years old
Must not have
Patients already taking a statin drug
Current use of cimetidine, spironolactone, ketoconazole, cyclosporine, or protease inhibitors
Timeline
Screening 3 weeks
Treatment Varies
Follow Up the overall survival and disease-free survival will be assessed at 3 months, 1 and 2 years after cisplatin-based crt. overall complete clinical response, comparing subjects taking atorvastatin (40 mg) vs those taking placebo.

Summary

This trial will study whether atorvastatin reduces hearing loss in people treated with cisplatin and radiation for head and neck squamous cell carcinoma.

Who is the study for?
This trial is for adults with squamous cell carcinoma of the head and neck who will undergo cisplatin-based chemotherapy and radiation. They must be able to take oral medication, agree to use effective contraception if applicable, and not be on statins or have certain medical conditions that could interfere with the study.
What is being tested?
The trial is testing whether atorvastatin can prevent hearing loss in patients treated with cisplatin for head and neck cancer. Participants are randomly assigned to receive either atorvastatin or a placebo daily during treatment and for three months after.
What are the potential side effects?
Atorvastatin may cause side effects like muscle pain, digestive issues, increased liver enzymes, headache, insomnia, flushing of the skin, or rash. However, specific side effects related to this trial's context aren't detailed.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I can take pills by mouth or feeding tube and will follow the daily medication plan.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I am currently taking a statin medication.
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I am currently taking cimetidine, spironolactone, ketoconazole, cyclosporine, or protease inhibitors.
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I have been treated with platinum-based chemotherapy before.
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I will be taking aminoglycoside antibiotics soon.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~the overall survival and disease-free survival will be assessed at 3 months, 1 and 2 years after cisplatin-based crt. overall complete clinical response, comparing subjects taking atorvastatin (40 mg) vs those taking placebo.
This trial's timeline: 3 weeks for screening, Varies for treatment, and the overall survival and disease-free survival will be assessed at 3 months, 1 and 2 years after cisplatin-based crt. overall complete clinical response, comparing subjects taking atorvastatin (40 mg) vs those taking placebo. for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Squamous cell carcinoma
Secondary study objectives
To compare the incidence of grade (Bullet)3 AEs through 4 weeks after CRT with atorvastatin versus placebo.
To determine the effectiveness of atorvastatin (40 mg) at reducing changes in hearing sensitivity relative to baseline, as defined by ASHA criteria, in subjects treated with cisplatin- based CRT for head and neck squamous cell carcinoma (HNSCC).
To examine the extent to which atorvastatin 40 mg alters overall survival and disease-free survival.

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: 1Experimental Treatment2 Interventions
Atorvasatatin (40 mg)
Group II: 2Placebo Group1 Intervention
Placebo
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Atorvastatin
1998
Completed Phase 4
~10900

Find a Location

Who is running the clinical trial?

National Institute on Deafness and Other Communication Disorders (NIDCD)Lead Sponsor
353 Previous Clinical Trials
181,263 Total Patients Enrolled
1 Trials studying Neonatal Hearing Loss
236 Patients Enrolled for Neonatal Hearing Loss
Lisa L Cunningham, Ph.D.Principal InvestigatorNational Institute on Deafness and Other Communication Disorders (NIDCD)
1 Previous Clinical Trials
32 Total Patients Enrolled

Media Library

1 Clinical Trial Eligibility Overview. Trial Name: NCT04915183 — Phase 2
Neonatal Hearing Loss Research Study Groups: 1, 2
Neonatal Hearing Loss Clinical Trial 2023: 1 Highlights & Side Effects. Trial Name: NCT04915183 — Phase 2
1 2023 Treatment Timeline for Medical Study. Trial Name: NCT04915183 — Phase 2
~143 spots leftby Aug 2028