Alternate Title
Basic Trial Information
Objectives
Entry Criteria
Expected Enrollment
Outcomes
Outline
Trial Contact Information
Registry Information

Alternate Title

Celecoxib in Preventing Basal Cell Carcinoma in Patients With Basal Cell Nevus Syndrome

Basic Trial Information

Phase Type Status Age Sponsor Protocol IDs Phase II Prevention Completed 18 to 75 NCI UCSF-U19-CA81888-BC UCSF-H473-16531-02B, NCI-P01-0190, NCT00023621

Objectives

1. Determine whether celecoxib prevents the development of basal cell carcinoma in patients with basal cell nevus syndrome.

Entry Criteria

Disease Characteristics:

• Histologically confirmed basal cell carcinoma (BCC)
  • At least 5 prior BCCs

    AND

  • At least 4 BCCs within the past year



• Meets diagnostic criteria for basal cell nevus syndrome (BCNS)
  • Any 1 of the following:
    • More than 2 BCCs or 1 before age 20
    • Histologically confirmed odontogenic keratocysts of the jaw
    • 3 or more palmar and/or plantar pits
    • Bilamellar calcification of the falx cerebri (if less than 20 years of age)
    • Fused, bifid, or markedly splayed ribs
    • First degree relative with BCNS
    • PTC gene mutation in normal tissue

    OR

  • Any 2 of the following:
    • Macrocephaly determined after adjustment for height
    • Congenital malformations (e.g., cleft lip or palate, frontal bossing, "coarse face", or moderate or severe hypertelorism)
    • Skeletal abnormalities (e.g., Sprengel deformity, marked pectus deformity, or marked syndactyly of the digits)
    • Radiological abnormalities (e.g., bridging of the sella turcica, vertebral anomalies, modeling defects of the hands and feet, or flame-shaped lucencies of the hands or feet)
    • Ovarian fibroma
    • Medulloblastoma

Prior/Concurrent Therapy:

Biologic therapy:

• Not specified

Chemotherapy:

• At least 2 weeks since prior topical agents as chemoprevention
• At least 1 year since other prior chemotherapy

Endocrine therapy:

• At least 1 month since prior oral or IV corticosteroids
• At least 6 months since prior inhaled corticosteroid use for longer than 4 weeks
• At least 2 weeks since prior topical glucocorticoids
• No concurrent topical glucocorticoids
• Concurrent oral and IV corticosteroid use of less than 2 weeks within 6 months allowed
• Concurrent inhaled corticosteroid use of less than 4 weeks within 6 months allowed

Radiotherapy:

• Not specified

Surgery:

• Not specified

Other:

• At least 2 weeks since prior topical retinoids or alpha-hydroxy acids (e.g., glycolic acid or lactic acid)
• At least 2 weeks since prior topical medications
• At least 30 days since prior investigational agents
• At least 2 months since prior NSAIDs given more than 3 times/week
• At least 2 months since prior aspirin dose of more than 100 mg/day given more than 3 times/week
• At least 6 months since prior oral retinoids
• No concurrent chronic NSAIDs (more than 3 times per week for at least 2 weeks)
• No concurrent aspirin dose of more than 100 mg/day
• No concurrent topical medications
• No concurrent fluconazole
• No concurrent lithium
• No concurrent retinoids (including topical administration) or alpha-hydroxy acids
• No other concurrent investigational agents

Patient Characteristics:

Age:

• 18 to 75

Performance status:

• Not specified

Life expectancy:

• Not specified

Hematopoietic:

• WBC greater than 3,000/mm³
• Platelet count greater than 125,000/mm³
• Hemoglobin greater than 12.0 g/dL (women)
• Hemoglobin greater than 13.0 g/dL (men)
• No significant coagulation defect

Hepatic:

• Bilirubin normal
• ALT/AST no greater than 1.5 times upper limit of normal (ULN)
• No chronic or acute hepatic disorder

Renal:

• Creatinine no greater than 1.5 times ULN
• BUN normal
• Electrolytes within normal
• No chronic or acute renal disorder

Cardiovascular:

• No congestive heart failure

Gastrointestinal:

• No active gastrointestinal disease
• No inflammatory bowel disease
• No chronic or acute pancreatic disorder
• No history of gastrointestinal ulceration allowed except with permission of primary care physician
• No esophageal, gastric, pyloric channel, or duodenal ulceration within the past 30 days
• Stool hematest normal

Other:

• No prior invasive malignancy within the past 5 years except nonmelanoma skin cancer, stage I cervical cancer, stage 0 chronic lymphoblastic leukemia, or medulloblastoma
• No hypersensitivity to COX-2 inhibitors, nonsteroidal anti-inflammatory drugs (NSAIDs), salicylates, or sulfonamides
• No other condition that would preclude study involvement
• Not pregnant or nursing
• Negative pregnancy test
• Fertile patients must use effective contraception

Expected Enrollment

A total of 60 patients (30 per arm) will be accrued for this study.

Outcomes

Prevention of the development of basal cell carcinoma

Outline

This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are randomized to 1 of 2 arms.

• Arm I: Patients receive oral celecoxib twice daily.



• Arm II: Patients receive oral placebo twice daily.

Treatment continues for 2 years in the absence of unacceptable toxicity.

Patients are followed every 3 months for 3 years.

Trial Contact Information

Trial Lead Organizations

UCSF Helen Diller Family Comprehensive Cancer Center

Ervin Epstein, MD, Protocol chair(Contact information may not be current)		Ph: 415-647-3992; 800-888-8664 Email: epsteine@derm.ucsf.edu

Registry Information
Official Title		A Phase II Randomized, Double-Blind, Placebo-Controlled Clinical Trial of Celecoxib in Subjects with Basal Cell Nevus Syndrome
Trial Start Date		2001-02-06
Registered in ClinicalTrials.gov		NCT00023621
Date Submitted to PDQ		2001-06-15
Information Last Verified		2007-07-03
NCI Grant/Contract Number		CA82103, CA81888

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