Clinical Trial Results:
Prospective, randomized, controlled, open-label study evaluating quality of life in patients with advanced malignant tumors with and without “add-on” homeopathy
Summary
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EudraCT number |
2011-000739-97 |
Trial protocol |
AT |
Global end of trial date |
20 Jul 2014
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Results information
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Results version number |
v1(current) |
This version publication date |
22 Dec 2019
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First version publication date |
22 Dec 2019
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Other versions |
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Summary report(s) |
Abstract Publication |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
HINC
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT01509612 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Medical University of Vienna
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Sponsor organisation address |
Spitalgasse 23, Vienna, Austria, 1090
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Public contact |
Prof. Frass, Med. Univ. Wien, 0043 1404004506, michael.frass@meduniwien.ac.at
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Scientific contact |
Prof. Frass, Med. Univ. Wien, 0043 1404004506, michael.frass@meduniwien.ac.at
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
20 Jul 2014
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
20 Jul 2014
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Global end of trial reached? |
Yes
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Global end of trial date |
20 Jul 2014
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
Reveal and describe the difference in Qol and SWB, in patient groups receiving standard treatment and “add on” homeopathic treatment. The null hypothesis is that “add-on” homeopathic treatment does not create a benefit for cancer patients with regard to QoL and SWB.
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Protection of trial subjects |
No specific measures that were put in place to protect trial subjects.
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Background therapy |
Classical conventional anti-cancer therapy in NSCLC patients | ||
Evidence for comparator |
Comparator used in the trial was placebo in order to identify any influence of a placebo. | ||
Actual start date of recruitment |
01 Sep 2011
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Austria: 150
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Worldwide total number of subjects |
150
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EEA total number of subjects |
150
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
105
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From 65 to 84 years |
45
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85 years and over |
0
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Recruitment
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Recruitment details |
The newly diagnosed patients are recruited at the participating centers. | ||||||||||||
Pre-assignment
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Screening details |
Inclusion criteria are: Patients older than 18 years suffering from NSCLC stage IV or IIIB, IIIC diagnosed within the last 8 weeks. Exclusion criteria are: Patients not willing to sign informed consent and pregnant patients; major surgery within 4 weeks or chest irradiation wit | ||||||||||||
Period 1
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Period 1 title |
overall trial (overall period)
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Is this the baseline period? |
Yes | ||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | ||||||||||||
Roles blinded |
Subject, Investigator, Monitor, Data analyst, Carer, Assessor | ||||||||||||
Blinding implementation details |
placebo controlled trial. no difference between verum and placebo in the physicochemical properties of the study drugs.
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Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Verum | ||||||||||||
Arm description |
participants received homeopathic globules and dilutions for treatment | ||||||||||||
Arm type |
Experimental | ||||||||||||
Investigational medicinal product name |
Homeopathic globules and dilutions
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Oral liquid, Granules
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Routes of administration |
Sublingual use
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Dosage and administration details |
one dose daily
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Arm title
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placebo | ||||||||||||
Arm description |
placebo control | ||||||||||||
Arm type |
Placebo | ||||||||||||
Investigational medicinal product name |
Homeopathic globules and dilutions
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Granules, Oral liquid
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Routes of administration |
Sublingual use
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Dosage and administration details |
one dose daily, placebo controle
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Arm title
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No Intervention arm | ||||||||||||
Arm description |
Control group for placebo and verum group | ||||||||||||
Arm type |
No intervention | ||||||||||||
Investigational medicinal product name |
No investigational medicinal product assigned in this arm
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Baseline characteristics reporting groups
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Reporting group title |
overall trial
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Subject analysis sets
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Subject analysis set title |
ITT
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Subject analysis set type |
Intention-to-treat | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
Intention to treat population was analyzed
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End points reporting groups
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Reporting group title |
Verum
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Reporting group description |
participants received homeopathic globules and dilutions for treatment | ||
Reporting group title |
placebo
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Reporting group description |
placebo control | ||
Reporting group title |
No Intervention arm
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Reporting group description |
Control group for placebo and verum group | ||
Subject analysis set title |
ITT
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Subject analysis set type |
Intention-to-treat | ||
Subject analysis set description |
Intention to treat population was analyzed
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End point title |
EORTC Quality of life [1] | ||||||||||||||||
End point description |
baseline - 9 weeks - 18weeks
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End point type |
Primary
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End point timeframe |
18 weeks per subject
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Notes [1] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: This Endpoint was not recorded for the No-Intervention group. Only mortality was investigated for this group. |
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Statistical analysis title |
Primary Endpoint | ||||||||||||||||
Statistical analysis description |
T-Test
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Comparison groups |
Verum v placebo
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Number of subjects included in analysis |
98
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||||||
P-value |
= 0.397 | ||||||||||||||||
Method |
t-test, 2-sided | ||||||||||||||||
Confidence interval |
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End point title |
Mortality | |||||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
24 months
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Statistical analysis title |
Verum vs. placebo | |||||||||||||||
Comparison groups |
Verum v placebo v ITT
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Number of subjects included in analysis |
248
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||
P-value |
= 0.02 | |||||||||||||||
Method |
Chi-squared | |||||||||||||||
Confidence interval |
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Statistical analysis title |
verum vs. no Intervention | |||||||||||||||
Comparison groups |
Verum v No Intervention arm v ITT
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Number of subjects included in analysis |
253
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||
P-value |
< 0.001 | |||||||||||||||
Method |
Chi-squared | |||||||||||||||
Confidence interval |
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Statistical analysis title |
Placebo vs. No Intervention | |||||||||||||||
Comparison groups |
placebo v No Intervention arm v ITT
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Number of subjects included in analysis |
249
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||
P-value |
= 0.154 | |||||||||||||||
Method |
Chi-squared | |||||||||||||||
Confidence interval |
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Statistical analysis title |
Placebo and Verum vs. no intervention | |||||||||||||||
Statistical analysis description |
combined analysis of all subjects who received either placebo or verum versus no intervention
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Comparison groups |
No Intervention arm v placebo v Verum v ITT
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Number of subjects included in analysis |
300
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Analysis specification |
Pre-specified
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Analysis type |
superiority | |||||||||||||||
P-value |
= 0.004 | |||||||||||||||
Method |
Chi-squared | |||||||||||||||
Confidence interval |
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Adverse events information [1]
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Timeframe for reporting adverse events |
24 months
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Adverse event reporting additional description |
On the basis of the investigated products (additive globules and dilutions to regular anticancer therapy) only adverse drug reactions have been recorded and documented. Adverse as such were not recorded and documented. Mortality was defined as a secondary endpoint and therefore presented in the endpoint section.
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Assessment type |
Non-systematic | ||
Dictionary used for adverse event reporting
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Dictionary name |
ICd | ||
Dictionary version |
10
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Frequency threshold for reporting non-serious adverse events: 5% | |||
Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: As mentioned in the explanation. Based on the nature of the additives used in this trial (globules and dilution) only adverse drug reactions, but no adverse events were documented in the course of the trial. However, mortality was defined as an endpoint and is presented in the respective section. |
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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06 Dec 2011 |
Patients with high-risk mutations were excluded from participation in the trial.
The No-Intervention group was added to the study design to demonstrate the possible influence of placebo treatment itself |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
The study duration was projected for 7 years. Recruitment was stopped thereafter. | |||
Online references |
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http://www.ncbi.nlm.nih.gov/pubmed/26051564 |