- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00025298
Chemotherapy Plus Radiation Therapy With or Without Amifostine in Treating Patients With Locally Advanced Cancer of the Nasopharynx
A Feasibility Study Of Primary Chemotherapy Followed By Concomitant Chemoradiation With And Without Amifostine In Patients With Locally Advanced Undifferentiated Nasopharyngeal Cancer (UNPC)
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining radiation therapy with chemotherapy may kill more tumor cells. Giving chemoprotective drugs such as amifostine may protect normal cells from the side effects of chemotherapy and radiation therapy.
PURPOSE: Randomized phase II trial to compare the effectiveness of paclitaxel and carboplatin followed by cisplatin plus radiation therapy with or without amifostine in treating patients who have locally advanced cancer of the nasopharynx.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
OBJECTIVES:
- Compare the overall incidence of grade 3 or 4 mucositis in patients with locally advanced undifferentiated nasopharyngeal cancer treated with paclitaxel and carboplatin followed by cisplatin and radiotherapy with or without amifostine.
- Compare the feasibility and activity of these regimens in these patients.
- Determine the toxicity of paclitaxel and carboplatin in these patients.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to WHO performance status (0 vs 1 vs 2), response to induction chemotherapy (complete vs partial vs stable disease vs not evaluable), and participating center.
Patients receive induction chemotherapy comprising paclitaxel IV over 3 hours and carboplatin IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity.
Patients with a complete or partial response after 2 courses of induction chemotherapy receive 2 additional courses before randomization. Patients with stable disease after 2 courses of induction chemotherapy or who cannot be evaluated after 1 course proceed directly to randomization. Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive cisplatin IV on days 1, 22, and 43. Patients also undergo radiotherapy daily 5 days a week for 6.5 weeks.
- Arm II:Patients receive amifostine subcutaneously daily. Patients receive chemotherapy and radiotherapy as in arm I.
Patients are followed every 3 months for 2 years, every 6 months for 2 years, and then annually thereafter.
PROJECTED ACCRUAL: A total of 41-93 patients will be accrued for this study.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Brussels, Belgium, 1000
- Institut Jules Bordet
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Edegem, Belgium, B-2650
- Universitair Ziekenhuis Antwerpen
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Leuven, Belgium, B-3000
- U.Z. Gasthuisberg
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Nantes-Saint Herblain, France, 44805
- CRLCC Nantes - Atlantique
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Nice, France, 06189
- Centre Antoine Lacassagne
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Cuneo, Italy, 12100
- Ospedale Santa Croce
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Genoa (Genova), Italy, 16132
- Istituto nazionale Per la Ricerca sul Cancro
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Milano (Milan), Italy, 20133
- Istituto Nazionale Per Lo Studio E La Cura Dei Tumori
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Naples, Italy, 80131
- Istituto Nazionale Per Lo Studio E La Cura Dei Tumori
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Jerez, Spain, 11407
- Hospital General de Jerez
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Madrid, Spain, 28041
- Hospital Universitario 12 De Octubre
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Istanbul, Turkey, 34390
- Istanbul University-Institute of Oncology
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Scotland
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Glasgow, Scotland, United Kingdom, G11 6NT
- Beatson Oncology Centre
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
DISEASE CHARACTERISTICS:
Histologically confirmed undifferentiated nasopharyngeal cancer (UNPC)
Locoregionally advanced disease
- T2b, N1 (greater than 3 cm) or N2
- T3, N1 (greater than 3 cm) or N2
- T4, N1 (greater than 3 cm) or N2
- Any T, N3
- No squamous cell histology
At least 1 unidimensionally measurable target lesion
- At least 20 mm by conventional techniques OR
- At least 10 mm by spiral CT scan
- No evidence of distant metastases
- No signs or symptoms of CNS metastases
PATIENT CHARACTERISTICS:
Age:
- 15 to 70
Performance status:
- WHO 0-2
Life expectancy:
- Not specified
Hematopoietic:
- Absolute neutrophil count at least 2,000/mm^3
- Platelet count at least 150,000/mm^3
- Hemoglobin at least 12 g/dL
Hepatic:
- Bilirubin no greater than 1.5 times upper limit of normal (ULN)
- AST/ALT no greater than 2.5 times ULN
Renal:
- Creatinine clearance at least 70 mL/min
- Calcium normal
Cardiovascular:
- No hypotension or hypertension requiring therapy
- No prior myocardial infraction
- No pre-existing uncontrolled cardiac disease
- No signs of cardiac failure
- No rhythm disturbances requiring medication
Other:
- No sensory neuropathy grade 2 or greater unless due to cranial nerve
- No uncontrolled infections
- No sensitivity to aminothiol compounds
- No other malignancy within the past 5 years except adequately controlled carcinoma in situ of the cervix or basal cell or squamous cell skin cancer
- No psychological, familial, sociological, or geographical condition that would preclude study
- Fertile patients must use effective contraception during and for 3 months after study
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- No concurrent immunotherapy
Chemotherapy:
- No prior chemotherapy for UNPC
Endocrine therapy:
- No concurrent hormonal therapy except corticosteroids for antiemetic prophylaxis
Radiotherapy:
- No prior radiotherapy for UNPC
Surgery:
- No prior surgery for UNPC except cervical lymphadenectomy
Other:
- At least 1 month since prior investigational agent
- No other concurrent anticancer drugs
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
Collaborators and Investigators
Investigators
- Study Chair: Lisa Licitra, MD, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Chemically-Induced Disorders
- Neoplasms
- Neoplasms by Site
- Pharyngeal Neoplasms
- Otorhinolaryngologic Neoplasms
- Head and Neck Neoplasms
- Nasopharyngeal Diseases
- Pharyngeal Diseases
- Stomatognathic Diseases
- Otorhinolaryngologic Diseases
- Nasopharyngeal Neoplasms
- Drug-Related Side Effects and Adverse Reactions
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Protective Agents
- Antineoplastic Agents, Phytogenic
- Radiation-Protective Agents
- Carboplatin
- Paclitaxel
- Cisplatin
- Amifostine
Other Study ID Numbers
- EORTC-24981
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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