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Cisplatin Chemoradiation With or Without Cetuximab for Locoregionally Advanced Squamous Cell Carcinomas (SCC) of the Head and Neck

16. maj 2011 opdateret af: Theagenio Cancer Hospital

Phase II Safety and Toxicity Study of Cisplatin With or Without Cetuximab and Concomitant Radiotherapy for Locoregionally Advanced Squamous Cell Carcinomas of the Head and Neck (SCCHN)

To examine the safety and toxicity of concurrent radiotherapy with cisplatin with the further addition of cetuximab experimental treatment

Studieoversigt

Status

Ukendt

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Conventional radiotherapy (65-70 Gy, 1.8 Gy per day) concurrently with weekly cisplatin (40mg/m2) (group A, n=25) or with weekly cisplatin (40mg/m2) and weekly cetuximab 250mg/m2, after initial dose of 400mg/m2) (group B, n=25) is applied (in a 1:1 randomization ratio). Groups will be matched age, sex, PS, and disease site.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

80

Fase

  • Fase 2

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Grækenland
      • Thessaloniki, Grækenland, 54007
        • Theagenio Cancer Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • histologically confirmed HNSCC of oral cavity, larynx, oropharynx or
  • hypopharynx; age of 18 years or more
  • adequate liver (SGOT, SGPT, ALP ≤ 3x normal)
  • kidneys (creatinine clearance ≥ 60ml/min
  • heart (no arrythmias, no heart failure) and
  • bone marrow (WBC ≥ 4,000/μL, granulocytes ≥ 1,500/μL, Hb ≥ 10g/dL, platelets ≥ 100,000/μL) function
  • ECOG performance status 0 or 1 and
  • stage III or IVa to b with measurable lesions
  • written informed consent

Exclusion Criteria:

  • prior radiotherapy
  • chemotherapy
  • concurrent active malignancies
  • pregnancy
  • breast-feeding

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Radiotherapy/Cisplatin(GroupA)
Radiotherapy 65-70 Gy (1.8 Gy fractionation) Chemotherapy delivered weekly (cisplatin; 40mg/m2)
Andet: Chemoradiation
Radiotherapy 65-70 Gy (1.8 Gy fractionation) Chemotherapy delivered weekly (cisplatin; 40mg/m2
Andre navne:
  • Platinol
Eksperimentel: Radiotherapy/Cisplatin/Cetuximab(GroupB)
Radiotherapy 65-70 Gy (1.8 Gy fractionation) Chemotherapy delivered weekly (cisplatin; 40mg/m2)concurrently with weekly cetuximab 250mg/m2 (following initial loading dose of 400mg/m2 a week before radiotherapy initiation)
Andet: Chemoradiation plus Cetuximab
Radiotherapy 65-70 Gy (1.8 Gy fractionation) Chemotherapy delivered weekly (cisplatin; 40mg/m2)concurrently with weekly cetuximab 250mg/m2 (following initial loading dose of 400mg/m2 a week before radiotherapy initiation)
Andre navne:
  • Platinol
  • Erbitux

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Determine safety and toxicity of combination
Tidsramme: Time from first administration of trial treatment to death or last date known to be alive, anticipated average time frame 24 months
Toxicity is graded according to National Cancer Institute Common Toxicity Criteria for Adverse Events version 1 system.
Time from first administration of trial treatment to death or last date known to be alive, anticipated average time frame 24 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Overall survival time
Tidsramme: Time from first administration of trial treatment to death or last date known to be alive, anticipated average time frame 24 months
Time from first administration of trial treatment to death. Patients without event are censored at the last date known to be alive or at the clinical cut-off date, whatever is earlier.
Time from first administration of trial treatment to death or last date known to be alive, anticipated average time frame 24 months
Progression-free survival time
Tidsramme: Time from first administration of trial treatment to disease progression, death or last tumor assessment, anticipated average time frame 12 months
Duration from first administration of trial treatment until progression (radiological or clinical, if radiological progression is not available) or death due to any cause. Patients without event are censored on the date of last tumor assessment.
Time from first administration of trial treatment to disease progression, death or last tumor assessment, anticipated average time frame 12 months
Response
Tidsramme: Time from first administration of trial treatment to disease progression, death or last tumor assessment, anticipated average time frame 12 months
Complete response (CR) is defined as the total disappearance of radiographic evidence of tumour. Partial response (PR) is defined as the ≥50% reduction in the product of the maximal bidimensional tumour diameters. Stable disease defined any change between +25% and -50% in tumour size, and progressive disease included any increase >25% from baseline or the appearance of any new lesion. We record tumour shrinkage and time to the development of disease progression according to the revised RECIST criteria, v.1.1.
Time from first administration of trial treatment to disease progression, death or last tumor assessment, anticipated average time frame 12 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Theagenio Cancer Hospital

Efterforskere

  • Ledende efterforsker: Charalambos Andreadis, MD, Theagenio Cancer Hospital

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. marts 2008

Primær færdiggørelse (Faktiske)

1. april 2011

Studieafslutning (Forventet)

1. juni 2011

Datoer for studieregistrering

Først indsendt

22. februar 2011

Først indsendt, der opfyldte QC-kriterier

22. februar 2011

Først opslået (Skøn)

23. februar 2011

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

17. maj 2011

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

16. maj 2011

Sidst verificeret

1. april 2011

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • EEEK2008RCT2

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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