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
- Contact Person Email
- studiesoncohema@flevoziekenhuis.nl
- 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
- Contact Person Email
- WetenschapsBureau@spaarnegasthuis.nl
- 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
- Contact Person Email
- oncology-trials-secretariat@umcutrecht.nl
- 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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