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Study of Cetuximab With Concomitant-boost Radiotherapy in Patients With Newly Diagnosed Locally Advanced Squamous Cell Carcinoma of the Head and Neck (SCCHN)

10 febbraio 2014 aggiornato da: Merck KGaA, Darmstadt, Germany

Open-label, Non-randomized, Non-controlled, Multicenter Phase II Study Investigating Cetuximab in Combination With Concomitant-boost Radiotherapy as First-line Treatment for Japanese Patients With Newly Diagnosed Locally Advanced SCCHN.

This study is conducted in Japanese newly diagnosed locally advanced SCCHN patients in order to assess tolerability and feasibility of Cetuximab plus concomitant boost radiotherapy (RT) regimen (the study treatment) and its safety profile (i.e. AEs: adverse events). In addition, efficacy (i.e. anti-tumor effect) of the study treatment is also evaluated.

Panoramica dello studio

Stato

Completato

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Effettivo)

27

Fase

  • Fase 2

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

      • Aichi, Giappone
        • Research Site
      • Chiba, Giappone
        • Research Site
      • Shizuoka, Giappone
        • Research Site
      • Tokyo, Giappone
        • Research Site

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

20 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  1. The patient has pathologically proven squamous cell carcinoma arising in the oropharynx, hypopharynx, or larynx.
  2. The patient has been confirmed Epidermal Growth Factor Receptor expressing in tumor specimen by immunohistochemistry.
  3. The patient has stage III or IV disease (Unio Internationalis Contra Cancrum / International Union against Cancer Tumor-Lymph Nodes-Metastases classification) with an expected survival of ≥ 12 months.
  4. The patient has at least bi-dimensionally measurable disease.
  5. The patient is medically suitable to withstand a course of the definitive radiation therapy.
  6. The patient aged ≥ 20 years old at informed consent
  7. The patient's Karnofsky performance status is ≥ 60
  8. Hemoglobin ≥ 9g/dL
  9. Neutrophil ≥ 1500/mm^3
  10. Platelet ≥ 100,000/mm^3
  11. Total Bilirubin ≤ 1.5 mg/dL
  12. Aspartate Aminotransferase ≤ 2 x the upper limit of normal
  13. Alanine Aminotransferase ≤ 2 x the upper limit of normal
  14. Serum creatinine ≤ 1.5 mg/dL
  15. Serum calcium concentration: within normality
  16. The patient is eligible if disease free from a previously treated malignancy for greater than three years.
  17. The patient agrees to use effective contraception if procreative potential exists.
  18. The patient has given signed informed consent
  19. The patient who is a Japanese with Japanese citizenship

Exclusion Criteria:

  1. The patient has evidence of distant metastatic disease. The patient who has any metastatic disease documented by Magnetic Resonance Imaging for the head and neck, and Computed Tomography for the chest and abdomen should be excluded.
  2. The patient has squamous cell carcinoma arising in the nasopharynx or oral cavity.
  3. The patient has received prior systemic chemotherapy within the last three years.
  4. The patient has undergone previous surgery for the tumor under study other than biopsy.
  5. The patient has received prior radiation therapy to the head and neck.
  6. The patient's radiation therapy is considered to be a part of a postoperative regimen following primary surgical resection.
  7. The patient is pregnant or breast feeding.
  8. The patient has received prior Cetuximab or murine monoclonal antibody (including chimeric antibody) therapy or a history of severe hypersensitivity to any component of Cetuximab solution for Injection.
  9. The patient has a medical or psychological condition that would not permit the patient to complete the study or sign informed consent (including drug abuse).
  10. The patient has uncontrolled diabetes mellitus, malignant hypertension, or liver failure.
  11. The patient has or has suffered from a pulmonary fibrosis, acute pulmonary disorder, or interstitial pneumonia.
  12. The patient has an active infection (infection requiring intravenous anti-bacterial, anti-fungus, or anti-viral agent), or known and declared Human Immunodeficiency Virus infection.
  13. The patient has a clinically relevant coronary artery disease or history of myocardial infarction in the last 12 months or high risk of uncontrolled arrhythmia or uncontrolled cardiac insufficiency
  14. The patient has a dental disease which requires incision and drainage.
  15. The patient has active multiple cancers (excluding skin cancer except for melanoma, and carcinoma in situ of the cervix or the digestive tract) in the last 3 years.
  16. The patient has been received some investigational medication within 30 days before study entry.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: N / A
  • Modello interventistico: Assegnazione di gruppo singolo
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Cetuximab With Radiotherapy
Patients receive Cetuximab at an initial dose of 400 mg/m^2 of Cetuximab to be infused 6 or 7 days before starting radiotherapy, followed by subsequent weekly infusions at a dose of 250 mg/m^2 of Cetuximab and RT (72.0 Gy total in 42 fractions) for the next 6 weeks of the treatment course. Subjects will receive Cetuximab until radiographically documented progressive disease or unacceptable toxicity occurs or consent is withdrawn. If RT is delayed, administration of Cetuximab every 7 days is continued. If RT is discontinued for any reason, treatment with Cetuximab monotherapy every 7 days is continued.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Completion Rate
Lasso di tempo: time from first administration of cetuximab to last administration of cetuximab or RT (whichever is later), ≤ 9 weeks
Number of subjects who complete ≥70% of Cetuximab planned dose administration in terms of relative dose intensity of Cetuximab and full dose of RT ≤2 weeks over planned schedule in terms of RT duration ≤8 weeks, divided by the the number of subjects in the ITT/Safety population
time from first administration of cetuximab to last administration of cetuximab or RT (whichever is later), ≤ 9 weeks

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Best Response Rate
Lasso di tempo: best response was determined at week 8 post radiotherapy, for subjects with complete or partial response a confirmation in week 12 post radiotherapy was required
Number of subjects experiencing a Complete Response (complete disappearance of measurable and evaluable disease without new lesions) or Partial Response (>=50% decrease of the sum of the product diameters of measurable disease, evaluable disease not worsening or progressing, no new lesions) at 8 weeks post radiotherapy (confirmed by repeat assessment at week 12) based on imaging according to modified World Health Organisation criteria as assessed independently by the Efficacy and Safety Evaluation Committee, divided by the number of subjects in the ITT/safety population
best response was determined at week 8 post radiotherapy, for subjects with complete or partial response a confirmation in week 12 post radiotherapy was required
Safety - Number of Patients Experiencing Any Adverse Event
Lasso di tempo: time from first dose up to 60 days after last dose of study treatment, ≤18 weeks
Please refer to Adverse Events section for further details
time from first dose up to 60 days after last dose of study treatment, ≤18 weeks
Safety - Number of Patients Experiencing Any Grade 4 Adverse Event
Lasso di tempo: time from first dose up to 60 days after last dose of study treatment, ≤18 weeks
Severity was assessed according to the toxicity criteria defined in the National Cancer Institute - Common Terminology Criteria for Adverse Event (NCI-CTCAE), Version 3.0, where grade 1 denoted mild, grade 2 moderate, grade 3 severe, and grade 4 lifethreatening or disabling. In the case of adverse events not contained within the NCI-CTCAE, the investigator was responsible for assessing the severity of the AE (grades 1 to 4) based on the jeopardy to the subject's health and well-being, and the ability of the subject to function during the event.
time from first dose up to 60 days after last dose of study treatment, ≤18 weeks
Safety - Number of Patients Experiencing Any Grade 3 or 4 Skin Reaction
Lasso di tempo: time from first dose up to 60 days after last dose of study treatment, ≤18 weeks
Skin reactions were considered as adverse events of special interest and were evaluated in a special AE category composed of specific MedDRA preferred terms. Severity was assessed according to criteria defined in the NCI-CTCAE, Version 3.0, where grade 1 is mild, grade 2 moderate, grade 3 severe, and grade 4 lifethreatening or disabling.
time from first dose up to 60 days after last dose of study treatment, ≤18 weeks
Safety - Number of Patients Experiencing Any Grade 3 or 4 Infusion Related Reaction
Lasso di tempo: time from first dose up to 60 days after last dose of study treatment, ≤18 weeks
Infusion related reactions were considered as adverse events of special interest and were evaluated in a special AE category composed of specific MedDRA preferred terms. Severity was assessed according to criteria defined in the NCI-CTCAE, Version 3.0, where grade 1 is mild, grade 2 moderate, grade 3 severe, and grade 4 lifethreatening or disabling.
time from first dose up to 60 days after last dose of study treatment, ≤18 weeks

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Investigatori

  • Direttore dello studio: Masataka Ota, MD, Merck Serono Co.,Ltd, an Affilate of Merck Serono, Darmstadt, Germany

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio

1 marzo 2009

Completamento primario (Effettivo)

1 giugno 2010

Completamento dello studio (Effettivo)

1 giugno 2010

Date di iscrizione allo studio

Primo inviato

18 marzo 2009

Primo inviato che soddisfa i criteri di controllo qualità

18 marzo 2009

Primo Inserito (Stima)

19 marzo 2009

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Stima)

12 marzo 2014

Ultimo aggiornamento inviato che soddisfa i criteri QC

10 febbraio 2014

Ultimo verificato

1 febbraio 2014

Maggiori informazioni

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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