- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT03637335
Comparing Palliative Radiotherapy With or Without Carboplatin (METAXIOM)
Phase-3 Study, Randomized, Controlled, Multi-center, Double Blind, Comparing Palliative Radiotherapy With or Without Carboplatin
The study population has locally advanced or metastatic bronchial or head and neck cancer.
This study assesses the value of concomitant chemo/radiotherapy with carboplatin daily during metastatic radiotherapy versus radiotherapy alone.
The realization of a systemic treatment during the radiotherapy could make it possible to obtain a benefit on the control of the evolution of the metastases and thus of the pains generated, as well as on the quality of life of the patients. In addition, a benefit in overall survival is possible.
Studieoversikt
Status
Intervensjon / Behandling
Detaljert beskrivelse
The study population has locally advanced or metastatic bronchial or head and neck cancer.
Patients receive 10 injections of carboplatin (validated chemo-sensitizing molecule) or placebo (glucose) before 10 radiation sessions.
The overall duration is 14 days.
Studietype
Registrering (Faktiske)
Fase
- Fase 3
Kontakter og plasseringer
Studiesteder
-
-
-
Le Mans, Frankrike, 72000
- Fabrice Denis
-
Nantes, Frankrike
- Institut de Cancérologie de l'Ouest
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Beskrivelse
Inclusion Criteria:
- Patients with locally advanced or metastatic bronchial or head and neck cancer
- Patient require palliative radiotherapy
- Age ≥ 18 years
- PS ≤ 2
- Obtaining the signed written consent of the patient
- Patient affiliated to a social security scheme
Exclusion Criteria:
- Other chemotherapy or targeted therapy
- Prior radiation
- Patients with thrombopenia < 100 000
- Patients with neutropenia < 2000
- Patients with renal clearance < 20 mL/min
- Known hypersensitivity to platinum salt
- Treatment with phenytoin or fosphenytoin
- In previous three months, a vaccination against yellow fever, live vaccin or live attenuated vaccine
- Unchecked diabetes
- hemorrhagic tumor
- Refusal of participation or inability to issue informed consent
- Person deprived of liberty or adult under guardianship
- Minor patients, pregnant or lactating women
- Participation in other interventional study
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Trippel
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: irradiation + carboplatin
Radiotherapy in 30 Gy en 10 fractions de 3 Gy.
The overall duration to irradiation is 2 weeks Carboplatin.
:10 injections 1h prior irradiation
|
30 Gy en 10 fractions de 3 Gy + 10 injections of carboplatin
|
|
Placebo komparator: irradiation + placebo
Radiotherapy in 30 Gy en 10 fractions de 3 Gy.
The overall duration to irradiation is 2 weeks Placebo :10 injections 1h prior irradiation
|
30 Gy en 10 fractions de 3 Gy + 10 injections of placebo
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Local progression-free survival of chemo radiotherapy compared with placebo-associated radiotherapy
Tidsramme: 36 months
|
= delay between the start date of treatment and the date of the first event related to the treated location
|
36 months
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Impact in quality of life
Tidsramme: 25 months
|
Evaluate with questionnaire QLQ-C30 at inclusion, at the end of treatment and during the following
|
25 months
|
|
evolution of dose of pain medication
Tidsramme: 25 months
|
variation of dosage of pain medication between inclusion and the end of radiotherapy (mg, number of caps, ...)
|
25 months
|
|
toxicity due to radiotherapy
Tidsramme: 25 months
|
Toxicity 4 weeks after radiotherapy with NCI-CTC-AE v4
|
25 months
|
|
overall survey
Tidsramme: 36 months
|
Time between inclusion and death
|
36 months
|
|
To evaluate free progression survival
Tidsramme: 36 months
|
Time between inclusion and first progression
|
36 months
|
|
Variation in intensity of pain
Tidsramme: 25 months
|
Analogical visual scale (EVA) from O (no pain) to 10 (worst pain)
|
25 months
|
Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Hovedetterforsker: FABRICE DENIS, MD, Centre Jean Bernard
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Patologiske prosesser
- Neoplasmer etter nettsted
- Neoplasmer
- Sykdommer i luftveiene
- Lungesykdommer
- Neoplasmer i luftveiene
- Thoracale neoplasmer
- Neoplastiske prosesser
- Patologiske tilstander, tegn og symptomer
- Lungeneoplasmer
- Neoplasma Metastase
- Neoplasmer i hode og nakke
- Organiske kjemikalier
- Fysiske fenomener
- Koordinasjonskomplekser
- Karboplatin
- Stråling
Andre studie-ID-numre
- ICO-A-2014-11
Plan for individuelle deltakerdata (IPD)
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