- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03923998
Adjuvant ChemoRadiotherapy Prior to Surgery in Stage IVa Oral Cancers
Assessing Efficacy of Neoadjuvant Chemoradiotherapy as a Treatment Plan for Patients With Stage IVa Oral Cancer.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This study will assess the benefit of preoperative adjuvant chemoradiotherapy in patients with an Stage IVa oral squamous cell carcinoma (OSCC). The study population will consist of patients who have not been treated previously. Patients satisfying the inclusion-exclusion criteria will be included in the study after obtaining a valid, written and informed consent. After reviewing the histopathological report, the patients will be treated as per the study protocol. The patients will be under regular follow-up with 3 monthly intervals for a period of one year and 6 monthly period in the following years. At each follow-up, patients will be evaluated clinically for evidence of locoregional tumor recurrence. The locoregional recurrence-free survival will be calculated based on the difference between the date of inclusion and the date of biopsy-proven recurrence. We will also record the overall survival, parameters like trismus, osteonecrosis and xerostomia. Quality of life will be assessed at a regular interval of 1 year using the University of Washington Quality of Life Questionnaire (UW-QOL v.4)
Study protocol:
- Preoperative radiotherapy over 5 weeks- Dose 180-200cgys per day/ total 4500 cgys
- Three weekly concurrent chemotherapy with cisplatin 100 mg /m2
- Initial surgery in leg for Prefabrication of fibula - 2 weeks after starting of radiotherapy treatment. Delay is required for planning of implant position in the fibula.
- Definitive surgical procedure with reconstruction by prefabricated flap, 6 weeks post radiotherapy.
Study Type
Enrollment (Actual)
Phase
- Early Phase 1
Contacts and Locations
Study Locations
-
-
Maharshtra
-
Pune, Maharshtra, India, 412105
- Indrayani hospital and cancer institute
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Histologically confirmed stage IVa squamous cell carcinoma of the oral cavity.
- Surgically resectable oral squamous carcinoma with invasion of mandible or maxilla.
- Newly diagnosed or previously untreated squamous cell carcinoma of the oral cavity.
Exclusion Criteria:
- Patients with distant metastases.
- Patients with contraindication to radiotherapy.
- Patients with vascular disorders or ischemic heart disease. -
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Neoadjuvant chemoradiotherapy followed by surgery
Preoperative chemotherapy with concurrent radiotherapy followed by definitive surgery
|
Three weekly concurrent chemotherapy with cisplatin 100 mg /m2
Other Names:
Preoperative radiotherapy over 5 weeks- Dose 180-200cgys per day/ total 4500 cgys
Other Names:
Resection and reconstruction of mandibular/maxillary segment with prefabricated fibular graft
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Objective response rate
Time Frame: Upto 1 year
|
This will be deduced from pathological response in terms of complete and partial response.
Complete response is defined as no invasive and no in situ residuals present in the surgical specimen.
Partial response defined as at least a 30% reduction in the size of the lesion in the surgical specimen.
|
Upto 1 year
|
Disease free survival
Time Frame: 2 years
|
Disease-free survival will be calculated as the time interval (months) between primary treatment and the first recurrence (whether local, regional or distant).
|
2 years
|
Overall Survival
Time Frame: 2 years
|
Overall Survival will be calculated as the time interval (months) between primary treatment and death.
|
2 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quality of life assessment
Time Frame: 2 years
|
Patient reported quality of life will be assessed at a regular interval of 1 year using the University of Washington Quality of Life Questionnaire (UW-QOL v.4).
The minimum score is 0 which is indicative of worse outcome while 100 is the maximum score and indicative of better outcome.
Various parameters including chewing, pain, swallowing, saliva, appearance etc. are included in the questionnaire.
Average score for each parameter with standard deviation will be reported.
|
2 years
|
Collaborators and Investigators
Investigators
- Principal Investigator: Sanjay Deshmukh, MS, Indrayani hospital and cancer institute
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- OIT415
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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