- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05494190
The Management of Metastatic Neck Nodes in N2/3 Hypopharyngeal Squamous Cell Carcinoma
The Management of Metastatic Neck Nodes in N2/3 Hypopharyngeal Squamous Cell Carcinoma: A Multi-center Randomized Controlled Prospective Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Feiran Li
- Phone Number: 8621-64377151
- Email: lifr214@163.com
Study Locations
-
-
Heilongjiang
-
Harbin, Heilongjiang, China, 150000
- Not yet recruiting
- Harbin Medical University Cancer Hospital
-
Contact:
- Susheng Miao, PhD
- Email: 38898546@qq.com
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-
Shandong
-
Jinan, Shandong, China, 250012
- Not yet recruiting
- Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University
-
Contact:
- Zhenghua Lv, PhD
- Email: entlvzhenghua@163.com
-
-
Shanghai
-
Shanghai, Shanghai, China, 200031
- Recruiting
- Eye & ENT Hospital, Fudan University
-
Contact:
- Ming Zhang, PhD
- Phone Number: 8621-64377151
- Email: ent_zhm@126.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Able to understand and willing to sign a written informed consent document.
- Age ≥ 18 and ≤ 75 years.
- Male or female.
- Karnofsky physical status (KPS): ≥ 80
- Hepatic function, renal function and normal blood test. Hepatic function: Alanine aminotransferase (ALT) ≤ 2.5 upper limit of normal, Aspartate aminotransferase (AST) ≤ 2.5 upper limit of normal. Serum total bilirubin ≤ 1.5 upper limit of normal. Kidney function: Serum creatinine < upper limit of normal value and creatinine clearance rate > 60 ml/(min*1.73m2) (Cockcroft-Gault formula). Blood test: neutrophil (Neu) ≥ 1.5×109/L, platelet (PLT) ≥ 100×109/L, hemoglobin (HGB) ≥ 90 g/L.
- Pathologically diagnosed with squamous cell carcinoma of the hypopharynx.
- After clinical and radiographic evaluations, clinically classified as T1/2 N2/3 M0 stage according to American Joint Committee on Cancer (AJCC, eighth edition).
- Resectable regional metastatic lesion (incompletely tumor- wrapped carotid vascular).
- Assessable tumor lesions according to Response Evaluation Criteria in Solid Tumors (RECIST, Version 1.1).
- Radical treatment intent.
- Male patients with fertility and female patients with fertility and pregnancy risk must agree to use contraceptive methods throughout the study period, and continued until at least 6 months after the last dose of cisplatin. Female patients who do not have fertility (ie meet at least one of the following criteria): Have undergone hysterectomy and/or bilateral oophorectomy with archival records, medically confirmed ovarian function decline; In postmenopausal state. It is defined as: At least 12 months of continuous menstruation without other pathological or physiological reasons, and the status confirmed by serum follicle stimulating hormone (FSH) levels is consistent with postmenopausal status.
- Good compliance.
Exclusion Criteria:
- Distant metastatic disease
- Have a history of other cancers or coinstantaneous second primary tumor
- Previous treatment for the primary tumor, including radiotherapy, surgery except biopsy operation, chemotherapy, immunotherapy and biological targeted therapy.
- Patients who have participated in other clinical trials within 1 month before the test.
- Patients estimated to have poor tolerance to induction chemotherapy.
- The investigator believes that it is inappropriate for individuals to participate in the trial: having, for example, severe acute or chronic medical conditions (including immune colitis, inflammatory bowel disease, non-infectious pneumonia, pulmonary fibrosis) or mental illness (including recent time [within the past year] or active suicidal ideation or behavior).
- Palliative treatment intent.
- Pregnant or lactating women.
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 |
---|---|
Experimental: Induction chemotherapy group
Patients initially receive induction chemotherapy consisting of docetaxel, cisplatin and capecitabine (TPC), q3w, 2-3 cycles in total. Patients with regional response of complete reaction (CR)/partial reaction (PR)≥50% after induction chemotherapy then receive concomitant chemoradiotherapy for both the primary and regional sites. Patients with regional response of PR<50%/stable disease (SD)/progressive disease (PD) after induction chemotherapy then receive surgery for both the primary and regional sites and postoperative concomitant chemoradiotherapy. |
60 mg/m2 i.v. day 1
60 mg/m2 i.v. day 1-3
750 mg/m2 po bid day 1-14
Radiotherapy: using intensity-modulated radiation therapy (IMRT) Gross tumor volume (GTV) for primary tumor: 66-70 Gy in total, 2.0~2.2 Gy per day, 5 days per week Clinical target volume (CTV) for lesions closely related to the primary lesion and metastatic lymph nodes: 65~70 Gy in total, 1.7~2.0 Gy per day, 5 days per week Prophylactic irradiation for sites of suspected subclinical spread: 50~60 Gy in total, 1.7~2.0 Gy per day, 5 days per week Concurrent chemotherapy: cisplatin 80 mg/m2 on days 1-3 every 3 weeks.
Neck dissection and primary tumor resection
|
Active Comparator: Surgery group
Patients initially receive surgery for both the primary and regional sites and postoperative concomitant chemoradiotherapy.
|
Radiotherapy: using intensity-modulated radiation therapy (IMRT) Gross tumor volume (GTV) for primary tumor: 66-70 Gy in total, 2.0~2.2 Gy per day, 5 days per week Clinical target volume (CTV) for lesions closely related to the primary lesion and metastatic lymph nodes: 65~70 Gy in total, 1.7~2.0 Gy per day, 5 days per week Prophylactic irradiation for sites of suspected subclinical spread: 50~60 Gy in total, 1.7~2.0 Gy per day, 5 days per week Concurrent chemotherapy: cisplatin 80 mg/m2 on days 1-3 every 3 weeks.
Neck dissection and primary tumor resection
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression-free survival rate
Time Frame: 3 years
|
The proportion of patients with disease progress or death due to any reasons.
|
3 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall survival rate
Time Frame: 3 years
|
The proportion of dead patients due to any reasons.
|
3 years
|
Local control
Time Frame: 3 years
|
The proportion of patients with local recurrence.
|
3 years
|
Regional control
Time Frame: 3 years
|
The proportion of patients with regional recurrence.
|
3 years
|
Metastasis-free survival
Time Frame: 3 years
|
The proportion of patients with distant metastasis.
|
3 years
|
Quality of life (UW-QOL V4.0)
Time Frame: 3 years
|
Evaluated by University of Washington Quality of Life Questionnaire (UW-QOL) V4.0.
|
3 years
|
Adverse events
Time Frame: 3 years
|
Evaluated by the NCI Common Terminology Criteria for Adverse Events (NCI-CTCAE) V5.0.
|
3 years
|
Collaborators and Investigators
Investigators
- Principal Investigator: Ming Zhang, PhD, Eye & ENT Hospital, Fudan University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
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 by Histologic Type
- Neoplasms
- Neoplasms by Site
- Neoplasms, Glandular and Epithelial
- Head and Neck Neoplasms
- Neoplasms, Squamous Cell
- Carcinoma
- Carcinoma, Squamous Cell
- Squamous Cell Carcinoma of Head and Neck
- Molecular Mechanisms of Pharmacological Action
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Docetaxel
- Capecitabine
Other Study ID Numbers
- EENTHN0706
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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