- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04356170
Trial Evaluating Adapted Chemotherapy in Patients With Squamous Carcinoma (TPFmORL)
A Phase II Randomized Trial, Non Comparative, Evaluating Chemotherapy Associated Cisplatin, 5-fluorouracil and Docetaxel at Adapted Doses in Patients With Locally Advanced Squamous Cell Carcinoma
The objective of this study is to evaluate the efficacity of the combination of cisplatin-5-FU and docetaxel in adapted doses in term of response to treatment without toxicity
.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
-
Lyon, France, 69008
- Centre Leon Berard
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Histologically proven squamous cell carcinoma of the head and neck from one or more of the following primary sites: oral cavity, oropharynx, hypopharynx or larynx, lymphadenopathy without front door
Inoperable tumor or tumor whose surgery would be multilating.
The non-operability criteria are:
- Technically impossible resection: fixation / invasion of the tumor at the base of the skull or at the cervical vertebrae, nasopharynx involved, lymph nodes
- Medical selection based on low surgical curability. This category includes all T3-T4 and all N2-N3 (AJCC 8th edition, June 2018)
- Medical selection based on an organ preservation strategy
- Patient not previously treated for ORL cancer
- Age > 18 and < 75 years
- PS 0 or 1 according to WHO
- At least one lesion measurable according to the RECIST 1.1 criteria
Patient who can receive TPF according to the following criteria:
- Adequate hematological function: neutrophils ³ 1.5 x 109 / l, platelets *100 x 109 / l, hemoglobin 10 g / dl (or 6.2 mmol / l)
- Adequate renal function: calculated creatinine clearance (Cockroft & Gault) or measured ³ 60 ml / min.
- Adequate liver function: normal total bilirubin; ASAT and ALAT less than or equal to 1.5 ´ LNS; PAL less than or equal to 2.5 X LNS
- Grade <2 peripheral neuropathy according to NCI CTCAE v5.0
- No clinical impairment of hearing function
- For patients aged 71 to 74, PS at 0 and considered non-geriatrically fragile (G8 questionnaire and multidimensional assessments proposed by the GERICO group (ADL, MMSE, GDS scale, nutrition, motor skills and balance, geographic and personal situation and assessments) thymic))
- Estimated life expectancy greater than or equal to 3 months
- Weight loss of less than 10% during the 3 months before randomization
- Patient understanding French and able to complete quality of life questionnaires
- Patient having given written consent before any specific protocol procedure
- Affiliation to a social security scheme or beneficiary of such a scheme
- Women of childbearing potential and sexually active men agreeing to use effective contraceptive methods for the duration of treatment and at least 6 months after the last administration of study treatments
- Patient agrees not to donate sperm for the duration of the treatment and at least 6 months after the last administration of the study treatments
- Absence of deficiency in dihydropyrimidine dehydrogenase activity determined by uracilemia assay (Uracilemia < 16 ng/mL)
Exclusion Criteria:
- Cancers of the nasopharynx, sinuses or nasal cavities, and any histology other than squamous cell carcinoma
- Vaccination against recent or planned yellow fever
- Known deficiency in dihydropyrimidine dehydrogenase (DPD) or determined by the determination of uricemia.
- History of other cancer except in situ cervical cancer or controlled basal cell carcinoma. Patients in remission from cancer treated more than 3 years ago are eligible. Patients treated by surgery alone for ORL cancer in the previous 3 years are eligible.
- Previous treatment of an ORL cancer by chemotherapy or radiotherapy. Patients treated by surgery alone for ORL cancer in the previous 3 years are eligible).
- Presence of distant metastasis.
- Participation in a therapeutic trial in the 30 days preceding randomization
- Concomitant anticancer treatment
- Patient under chronic treatment (3 months) with corticosteroid whose daily dosage is 10 mg / day of methylprednisolone or equivalent
Other existing serious medical pathologies (non-exhaustive list):
- Uncontrolled cardiac pathology despite adequate treatment
- Myocardial infarction in the 6 months preceding randomization
- Neurological or psychiatric history such as dementia, convulsions
- Active infection
- Significant gastrointestinal abnormalities, including those that require parenteral nutrition, active peptic ulcer, and history of surgeries affecting absorption
- Obstructive pulmonary disease requiring hospitalization in the year preceding randomization
- Uncontrolled type II diabetes or other corticosteroid contraindications.
- Moderate or severe eczema
- Known hypersensitivity to docetaxel, cisplatin 5FU or one of their excipients.
- Intended concomitant use of phenytoin, carbamazepine, barbiturates or rifampicin
- Presence, upon selection, of psychological, family, social or geographic factors likely to influence the patient's compliance with the study and monitoring protocol.
- Pregnant or lactating woman
- Patient (male or female) of reproductive age who is unable or unwilling to take adequate contraceptive measures during treatment and up to 6 months after the last treatment is administered.
- Persons deprived of their liberty, under guardianship or curatorship
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: TPF (docetaxel, cisplatine, 5-FU)
Docetaxel, cisplatine, 5-FU administered, every 3 weeks for a total of 3 cycles
|
Docetaxel 75 mg/m² administered at D1 of each cure, every 3 weeks by intravenous infusion in 1 hour
cisplatine 75 mg/m² administered at D1 of each cure, every 3 weeks by intravenous infusion in 1 hour
750 mg/m²/j administered continuously at D1 to D5 of each cure, every 3 weeks by intravenous infusion ( so 120 hours)
|
Experimental: TPFm (docetaxel, cisplatine, 5-FU) modifié
Docetaxel, cisplatine, 5-FU administered, every 2 weeks for a total of 6 cycles
|
Docetaxel 75 mg/m² administered at D1 of each cure, every 3 weeks by intravenous infusion in 1 hour
cisplatine 75 mg/m² administered at D1 of each cure, every 3 weeks by intravenous infusion in 1 hour
750 mg/m²/j administered continuously at D1 to D5 of each cure, every 3 weeks by intravenous infusion ( so 120 hours)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Efficacity of combination of TPFm
Time Frame: 8 weeks after the end of treatment
|
Success rate of patients at 8 weeks
|
8 weeks after the end of treatment
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall survival
Time Frame: 3 months after the end of treatment
|
The time from date of randomization to date of death due to any cause
|
3 months after the end of treatment
|
Progression free survival
Time Frame: 3 months after the end of treatment
|
The time from date randomization to date of first evidence of progression
|
3 months after the end of treatment
|
incidence of local and/or locorégional failure
Time Frame: 3 months after the end of treatment
|
3 months after the end of treatment
|
|
Laryngeal preservation
Time Frame: 3 months after the end of treatment
|
3 months after the end of treatment
|
|
incidence of distant metastatic failure
Time Frame: 3 months after the end of treatment
|
The time from the date of randomization and the date of first evidence of metastatic progression, or the date of death, whatever the cause
|
3 months after the end of treatment
|
Toxicities of complementary treatment to induction tretatment
Time Frame: 3 months after the end of treatment
|
Rate of patients who received the whole of complementary treatment
|
3 months after the end of treatment
|
QLQ-C30 questionnaires
Time Frame: 8 weeks, 6 months (3 months after the end of treatment) and 24 months after the end of treatment
|
These questionnaires assess the impact of the desease and treatment on tthe patient's life
|
8 weeks, 6 months (3 months after the end of treatment) and 24 months after the end of treatment
|
QLQ-H&N35 questionnaires
Time Frame: 8 weeks, 6 months (3 months after the end of treatment) and 24 months after the end of treatment
|
These questionnaires assess the impact of the desease and treatment on tthe patient's life
|
8 weeks, 6 months (3 months after the end of treatment) and 24 months after the end of treatment
|
Collaborators and Investigators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Additional Relevant MeSH Terms
- Neoplasms
- Neoplasms by Site
- Head and Neck Neoplasms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Docetaxel
- Fluorouracil
Other Study ID Numbers
- GORTEC 2019-01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.
Clinical Trials on Cancer of Head and Neck
-
Robert FerrisAmgenCompletedHead and Neck Cancer | Cancer of Head and Neck | Head Cancer | Neck Cancer | Neoplasms, Head and Neck | Cancer of the Head and Neck | Cancer of Neck | Upper Aerodigestive Tract Neoplasms | Neck Neoplasms | Cancer of the Head | Cancer of the Neck | UADT Neoplasms | Cancer of Head | Head Neoplasms | Head, Neck Neoplasms | Neoplasms, Head and other conditionsUnited States
-
Assiut UniversityRecruitingHead and Neck Cancer | Head and Neck Neoplasms | Cancer of Head and Neck | Neoplasms, Head and Neck | Cancer of the Head and NeckEgypt
-
Bristol-Myers SquibbOno Pharma USA IncCompletedCancer of Head and Neck | Cancer of the Head | Cancer of the NeckJapan
-
AstraZenecaCompletedCancer of Head and NeckSpain
-
Washington University School of MedicineCelgene CorporationActive, not recruitingHead and Neck Cancer | Squamous Cell Carcinoma of the Head and Neck | Cancer of Head and Neck | Neoplasms, Head and Neck | Cancer of the Head and Neck | Carcinoma, Squamous Cell of the Head and NeckUnited States
-
University of Alabama at BirminghamAventis PharmaceuticalsCompletedHead and Neck Cancer | Cancer of Head and Neck | Head Cancer | Neck Cancer | Neck NeoplasmsUnited States
-
Bristol-Myers SquibbActive, not recruitingSquamous Cell Carcinoma of the Head and Neck; Head and Neck Cancer; Head and Neck Carcinoma; Cancer of the Head and NeckFrance
-
Washington University School of MedicineTerminatedHead and Neck Cancer | Cancer of the Head and NeckUnited States
-
Royal Marsden NHS Foundation TrustRecruitingHead and Neck CancerUnited Kingdom
-
University of ChicagoCompletedHead and Neck CancerUnited States
Clinical Trials on Docetaxel
-
Nereus Pharmaceuticals, Inc.CompletedCancerUnited States, Australia, India, Chile, Brazil, Argentina
-
Tianjin Medical University Cancer Institute and...Recruiting
-
National Cancer Center, KoreaSeoul National University Bundang Hospital; Gachon University Gil Medical Center and other collaboratorsUnknownGastric CancerKorea, Republic of
-
Zhuhai Beihai Biotech Co., LtdCompletedSolid Tumours | Bioequivalence | DocetaxelIndia
-
Jiangsu HengRui Medicine Co., Ltd.Shanghai Pulmonary Hospital, Shanghai, ChinaCompletedNon-Small Cell Lung Cancer (NSCLC)China
-
Optimal Health ResearchCompletedBreast Cancer | Lung Cancer | Prostate CancerUnited States
-
Arog Pharmaceuticals, Inc.WithdrawnCarcinoma, Non-Small-Cell Lung
-
Boehringer IngelheimCompletedCarcinoma, Non-Small-Cell LungJapan
-
SanofiCompleted
-
SanofiCompletedLung NeoplasmsFrance, Netherlands, Spain, Turkey, Belgium, Finland, Italy, United Kingdom