Clinical trial • Phase IV • Oncology

MAGNESIUM HYDROXIDE for Advanced cancer

Phase IV trial of MAGNESIUM HYDROXIDE for Advanced cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Advanced cancer
Trial Stage
Phase IV
Drug Modality
Small molecule|Other

Key dates

Initial CTIS Submission Date
03-10-2024
First CTIS Authorization Date
28-10-2024

Trial design

Randomised, open-label, magnesiumhydroxide teva 724 mg chewable tablets (active substance: magnesium hydroxide; maxdailydoseamount: 724 mg; maxtotaldoseamount: 1448 mg; route: oral) versus movicolon naturel 13,7 g powder for oral solution (active substances include macrogol 3350 with electrolytes; maxdailydoseamount: 1448 mg; maxtotaldoseamount: 20272 mg; route: oral).-controlled Phase IV trial across 16 sites in Netherlands.

Randomised
Yes
Open Label
Yes
Comparator
Magnesiumhydroxide Teva 724 mg chewable tablets (active substance: magnesium hydroxide; maxDailyDoseAmount: 724 mg; maxTotalDoseAmount: 1448 mg; route: oral) versus Movicolon Naturel 13,7 g powder for oral solution (active substances include macrogol 3350 with electrolytes; maxDailyDoseAmount: 1448 mg; maxTotalDoseAmount: 20272 mg; route: oral).
Target Sample Size
250
Trial Duration For Participant
14

Eligibility

Recruits 250 No vulnerable populations selected; informed consent obtained from participants (see 'L1_SIS and ICF Main' document)..

Vulnerable Population
No vulnerable populations selected; informed consent obtained from participants (see 'L1_SIS and ICF Main' document).

Inclusion criteria

  • {"criterion_text":"- In order to be eligible to participate in this study, a subject must meet all of the following criteria: Patients with advanced cancer (≥18 years);\n- Starting with slow release or transdermal opioids for pain;\n- Able to complete a Dutch questionnaire."}

Exclusion criteria

  • {"criterion_text":"- A potential subject who meets any of the following criteria will be excluded from participation in this study: Patients with contra-indications for laxatives;\n- Maintenance treatment with laxatives during the last two weeks\n- Severely impaired renal function (serum creatinine >180 umol/l);\n- Diarrhea at the start of the study, defined as the passage of three or more loose or liquid stools per day (or more frequent passage than is normal for the individual).\n- Life expectancy < 1 month"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoint is constipation, defined as the percentage of patients with a score of <30 of the Bowel Function Index, measured on day 14.","definition_or_measurement_approach":"Constipation defined as percentage of patients with a Bowel Function Index (BFI) score <30, measured on day 14."}

Secondary endpoints

  • {"endpoint_text":"- Change of the Bowel Function Index Score between day 0 and day 14;","definition_or_measurement_approach":"Change in BFI score measured between day 0 and day 14."}
  • {"endpoint_text":"- Quality of life;","definition_or_measurement_approach":"Quality of life measured (secondary objectives specify measurement with the EQ-5D)."}
  • {"endpoint_text":"- Rome IV criteria for opioid-induced constipation as judged by professional care givers;","definition_or_measurement_approach":"Assessment of Rome IV criteria for OIC as judged by professional caregivers."}
  • {"endpoint_text":"- Cancer pain score;","definition_or_measurement_approach":"Pain score related to cancer as recorded per study assessments (no specific instrument stated in endpoint listing)."}
  • {"endpoint_text":"- Side effects of laxatives;","definition_or_measurement_approach":"Recording and comparison of laxative-related adverse events (no further measurement detail in endpoint listing)."}
  • {"endpoint_text":"- Cost-effectiveness of macrogol/electrolytes compared to magnesium hydroxide;","definition_or_measurement_approach":"Comparative cost-effectiveness analysis between macrogol/electrolytes and magnesium hydroxide (no further detail in endpoint listing)."}
  • {"endpoint_text":"- Patient satisfaction with laxative.","definition_or_measurement_approach":"Patient-reported satisfaction with laxative treatment (measurement instrument not specified in endpoint listing)."}

Recruitment

Digital Remote Recruitment
Yes
Planned Sample Size
250
Recruitment Window Months
36
Consent Approach
Written informed consent required from participants (age ≥18); consent materials and subject information available in Dutch (see 'L1_SIS and ICF Main'). A reported serious breach noted a case where verbal consent was used and written consent was obtained within 2 days.

Methods

  • Website recruitment material (document: 'K2_recruitment material website wwwomamastudienl') — digital outreach targeting patients with advanced cancer in the Netherlands.
  • Information letters and patient-facing materials (documents: 'K2_recruitment material information letter OMAMA studie', patient-facing questionnaires and diaries) distributed to potential participants at participating sites.
  • Recruitment procedure document ('K1_Recruitment procedure' / 'K_Recruitment Procedure tracked changes') describing site-level recruitment process at participating hospitals in the Netherlands.

Geography

Total Number Of Sites
16
Total Number Of Participants
250

Netherlands

Earliest CTIS Part Ii Submission Date
16-10-2024
Latest Decision Or Authorization Date
19-03-2025
Processing Time Days
154
Number Of Sites
16
Number Of Participants
250

Sites

Site Name
Amsterdam UMC Stichting
Department Name
Medical Oncology
Contact Person Name
Lia van Zuylen
Contact Person Email
ctis@amsterdamumc.nl
Site Name
Flevoziekenhuis Stichting
Department Name
Oncologie
Contact Person Name
Dirkje Sommeijer
Site Name
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Department Name
Oncologie
Contact Person Name
Sannine Buma
Contact Person Email
s.buma@nki.nl
Site Name
Stichting Martini Ziekenhuis
Department Name
Medische Oncologie
Contact Person Name
Annette van der Velden
Contact Person Email
a.vandervelden@mzh.nl
Site Name
Spaarne Gasthuis Stichting
Department Name
Oncologie
Contact Person Name
Aart Beeker
Site Name
Isala Klinieken Stichting
Department Name
Oncologie
Contact Person Name
Annet Jansen-Mager
Contact Person Email
al.jansen@isala.nl
Site Name
Radboud universitair medisch centrum Stichting
Department Name
Pain and palliative medicine
Contact Person Name
Evelien Kuip
Contact Person Email
evelien.kuip@radboudumc.nl
Site Name
Groene Hart Ziekenhuis
Department Name
Oncologie
Contact Person Name
Marissa Cloos - van Balen
Contact Person Email
Marissa.Cloos@ghz.nl
Site Name
Universitair Medisch Centrum Utrecht
Department Name
Medische Oncologie
Contact Person Name
Filip de Vos
Site Name
Bernhoven B.V.
Department Name
Gastroenterology
Contact Person Name
Ruud Schrauwen
Contact Person Email
r.schrauwen@bernhoven.nl
Site Name
Universitair Medisch Centrum Groningen
Department Name
Medische Oncologie
Contact Person Name
An Reyners
Contact Person Email
a.k.l.reyners@umcg.nl
Site Name
Jeroen Bosch Ziekenhuis Stichting
Department Name
Medische Oncologie
Contact Person Name
Jolien Tol
Contact Person Email
j.tol@jbz.nl
Site Name
Rijnstate Ziekenhuis Stichting
Department Name
Medische Oncologie
Contact Person Name
Maurice van der Vorst
Contact Person Email
mvandervorst@rijnstate.nl
Site Name
Leids Universitair Medisch Centrum (LUMC)
Department Name
Oncologie
Contact Person Name
Marije Slingerland
Contact Person Email
trials@lumc.nl
Site Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Department Name
Medische Oncologie
Contact Person Name
Carolina van der Rijt
Contact Person Email
c.vanderrijt@erasmusmc.nl
Site Name
Haaglanden Medisch Centrum Stichting
Department Name
Medische Oncologie
Contact Person Name
Anouk Jochems
Contact Person Email
a.jochems@haaglandenmc.nl

Sponsor

Primary sponsor

Full Name
Amsterdam UMC
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
Magnesiumhydroxide Teva 724 mg, kauwtabletten
Active Substance
MAGNESIUM HYDROXIDE
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL
Authorisation Status
Authorised (marketing authorisation RVG 52077, NL)
Maximum Dose
maxDailyDoseAmount: 724 mg; maxTotalDoseAmount: 1448 mg
Investigational Product Name
Movicolon Naturel 13,7 g, poeder voor drank
Active Substance
MACROGOL 3350; sodium hydrogen carbonate; potassium chloride; sodium chloride
Modality
Other
Routes Of Administration
ORAL USE
Route
ORAL
Authorisation Status
Authorised (marketing authorisation RVG 31960, NL)
Maximum Dose
maxDailyDoseAmount: 1448 mg; maxTotalDoseAmount: 20272 mg

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