The Effect of Cancer Treatments on Speech Perception in Noise, Cognition, and Quality of Life

2024-513437-21-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 2 Oct 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 250
Countries 1
Sites 1

Cancer

To assess the short-term effect of different cancer treatments on speech perception in noise.

Key facts

Sponsor
Turku University Hospital
Participant type
Healthy volunteers, Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
2 Oct 2024 → ongoing
Decision date (initial)
2024-07-26
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
Other non-profit foundations supporting scientific research · Turku University Hospital Foundation · The Wellbeing Services County of South West Finland State research funding · Finnish Audiological Society Research Funding · The Finnish ORL-HNS Foundation (Korvatautien tutkimussäätiö)

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety

To assess the short-term effect of different cancer treatments on speech perception in noise.

Secondary objectives 5

  1. To investigate the long-term (1 and 3 years post-treatment) effects of four different type of cancer treatments in speech perception in noise.
  2. To investigate the effects of different cancer treatments on high frequency (8-16kHz) hearing.
  3. To investigate the effects of different cancer treatments on hearing-related quality of life.
  4. To investigate the effects of head and neck cancer treatments on brain in the FDG PET images.
  5. To investigate to effect of different cancer treatments on cognition by translating the Functional Assessment of Cancer Therapy - Cognitive Function (FACT-Cog) in Finnish and comparing the results to standard neuropsychological assessments.

Conditions and MedDRA coding

Cancer

VersionLevelCodeTermSystem organ class
20.0 PT 10005003 Bladder cancer 100000004864
20.0 PT 10062124 Testicular seminoma (pure) 100000004864
21.1 PT 10067821 Head and neck cancer 100000004864
21.1 LLT 10029557 Non-seminoma testicular cancer 10029104
26.1 LLT 10018017 Gastrointestinal tract cancer NOS 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Age 18-75
  2. Diagnosis of a cancer that will be treated with a curative intent with either cisplatin, oxaliplatin, cisplatin-based chemoradiation therapy of the head and neck region or radiation therapy of the head and neck region (subjects in the treatment groups)
  3. Age-normative hearing (according to the ISO standard 7029:2017)
  4. Ability to provide written informed consent
  5. Native Finnish speaker

Exclusion criteria 9

  1. Inability to provide written informed consent
  2. Current or prior major otological condition that has affected or had the potential to affect hearing
  3. Conductive hearing loss or asymmetric hearing loss of any severity
  4. Severe sensorineural hearing loss
  5. Prior malignancy that has been treated with chemotherapeutics and/or radiation therapy
  6. Prior use of ototoxic medication
  7. Any condition that, in the opinion of the investigator, would interfere with adherence to study requirements
  8. Pregnancy, breast-feeding, or aim of becoming pregnant during the study
  9. Allergy or hypersensitivity to study medications or their ingredients

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The change in speech perception in noise (measured with the Finnish matrix sentece test) from the baseline to the first follow-up visit at 3-4 months after the end the initial treatment

Secondary endpoints 4

  1. Long-term change in the speech perception in noise
  2. Short- and long-term change in extended high frequency hearing
  3. Hearing-related quality of life
  4. Changes in Functional Assessment of Cancer Therapy - Cognitive Function questionnaire and in standardized neuropsychological tests

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Cisplatin Accord 1 mg/ml infuusiokonsentraatti, liuosta varten

PRD1951579 · Product

Active substance
Cisplatin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
75 mg/m2 milligram(s)/sq. meter
Max total dose
800 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
L01XA01 — CISPLATIN
Marketing authorisation
27103
MA holder
ACCORD HEALTHCARE B.V.
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Oxaliplatin Accord 5 mg/ml, infuusiokonsentraatti, liuosta varten.

PRD1785481 · Product

Active substance
Oxaliplatin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
130 mg/m2 milligram(s)/sq. meter
Max total dose
1040 mg/m2 milligram(s)/sq. meter
Max treatment duration
24 Week(s)
Authorisation status
Authorised
ATC code
L01XA03 — OXALIPLATIN
Marketing authorisation
26943
MA holder
ACCORD HEALTHCARE B.V.
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 6

Gemcitabine Accord 100 mg/ml infuusiokonsentraatti, liuosta varten

PRD1980152 · Product

Active substance
Gemcitabine
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
1000 mg/m2 milligram(s)/sq. meter
Max total dose
8000 mg/m2 milligram(s)/sq. meter
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
L01BC05 — GEMCITABINE
Marketing authorisation
29406
MA holder
ACCORD HEALTHCARE B.V.
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Capecitabine Orion 500 mg kalvopäällysteiset tabletit

PRD1625261 · Product

Active substance
Capecitabine
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
2000 mg/m2 milligram(s)/sq. meter
Max total dose
224000 mg/m2 milligram(s)/sq. meter
Max treatment duration
24 Week(s)
Authorisation status
Authorised
ATC code
L01BC06 — CAPECITABINE
Marketing authorisation
31392
MA holder
ORION CORPORATION
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Holoxan injektio-/infuusiokuiva-aine, liuosta varten

PRD310936 · Product

Active substance
Ifosfamide
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
1200 mg/m2 milligram(s)/square meter
Max total dose
24000 mg/m2 milligram(s)/square meter
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
L01AA06 — IFOSFAMIDE
Marketing authorisation
10120
MA holder
BAXTER OY
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Uromitexan cum conservans 100 mg/ml injektioneste, liuos

PRD321536 · Product

Active substance
Mesna
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
1200 mg/m2 milligram(s)/sq. meter
Max total dose
24000 mg/m2 milligram(s)/sq. meter
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
V03AF01 — MESNA
Marketing authorisation
15581
MA holder
BAXTER OY
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Bleomycin Baxter 15 000 KY injektio-/infuusiokuiva-aine, liuosta varten

PRD344825 · Product

Active substance
Bleomycin Sulfate Ph. Eur.
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
30000 IU international unit(s)
Max total dose
360000 IU international unit(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
L01DC01 — BLEOMYCIN
Marketing authorisation
6412
MA holder
BAXTER OY
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Etoposide Accord 20 mg/ml Infuusiokonsentraatti, liuosta varten

PRD1800151 · Product

Active substance
Etoposide
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
200 mg milligram(s)
Max total dose
4000 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
L01CB01 — ETOPOSIDE
Marketing authorisation
31358
MA holder
ACCORD HEALTHCARE B.V.
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Turku University Hospital

15 Total trials 6 Recruiting
Academic / Non-commercial
Sponsor organisation
Turku University Hospital
Address
Savitehtaankatu 1
City
Turku
Postcode
20520
Country
Finland

Scientific contact point

Organisation
Turku University Hospital
Contact name
Tytti Willberg

Public contact point

Organisation
Turku University Hospital
Contact name
Tytti Willberg

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Ongoing, recruiting 250 1
Rest of world 0

Investigational sites

Finland

1 site · Ongoing, recruiting
Turku University Hospital
Otorhinolaryngology / Hearing Center, Savitehtaankatu 1, 20520, Turku

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Finland 2024-10-02 2024-10-18

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-04-14 Finland Acceptable
2024-07-18
2024-07-26