- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT00005087
Paclitaxel, Cisplatin, and Filgrastim Combined With Radiation Therapy in Treating Patients With Locally Recurrent Head and Neck Cancer
Phase II Study of Paclitaxel and Cisplatin in Combination With Split Course Concomitant Hyperfractionated Re-Irradiation in Patients With Recurrent Squamous Cell Cancer of the Head and Neck
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Colony-stimulating factors such as filgrastim may increase the number of immune cells found in bone marrow or peripheral blood and may help a person's immune system recover from the side effects of chemotherapy. Radiation therapy uses high-energy x-rays to damage tumor cells.
PURPOSE: Phase II trial to study the effectiveness of paclitaxel, cisplatin, and filgrastim combined with radiation therapy in treating patients who have locally recurrent head and neck cancer and have received previous treatment with radiation therapy.
Przegląd badań
Status
Warunki
Szczegółowy opis
OBJECTIVES:
- Determine the median, one-year, and long-term (defined as two-year) disease-free survival and overall survival in patients with previously irradiated locally recurrent squamous cell cancer of the head and neck treated with paclitaxel, cisplatin, and filgrastim (G-CSF) combined with radiotherapy.
- Determine the rates of acute and late toxic effects of this regimen in these patients.
- Determine the pattern of disease progression in patients treated with this regimen.
OUTLINE: Patients undergo radiotherapy twice daily (4-6 hours apart) on days 1-5. Patients receive paclitaxel IV over 1 hour beginning immediately after completion of the first fraction of radiotherapy and completing less than 3 hours before starting the second fraction of radiotherapy on days 1-5. Patients receive cisplatin IV over 30 minutes beginning immediately after completion of paclitaxel infusion on days 1-5 and filgrastim (G-CSF) subcutaneously on days 6-13. Treatment repeats every 2 weeks for 4 courses in the absence of disease progression or unacceptable toxicity. Patients who initially respond to therapy but develop a recurrence with a resectable lesion (inside or outside the retreatment field) may undergo surgical resection.
Patients are followed at 4 weeks after completion of radiotherapy, every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter.
PROJECTED ACCRUAL: A total of 100 patients will be accrued for this study within 34 months.
Typ studiów
Zapisy (Rzeczywisty)
Faza
- Faza 2
Kontakty i lokalizacje
Lokalizacje studiów
-
-
Alberta
-
Calgary, Alberta, Kanada, T2N 4N2
- Tom Baker Cancer Center - Calgary
-
Edmonton, Alberta, Kanada, T6G 1Z2
- Cross Cancer Institute
-
-
New Brunswick
-
Saint John, New Brunswick, Kanada, E2L 4L2
- Saint John Regional Hospital
-
-
Newfoundland and Labrador
-
St. Johns, Newfoundland and Labrador, Kanada, A1B 3V6
- Newfoundland Cancer Treatment and Research Foundation
-
-
Nova Scotia
-
Halifax, Nova Scotia, Kanada, B3H 1V7
- Nova Scotia Cancer Centre
-
-
Ontario
-
Hamilton, Ontario, Kanada, L8V 5C2
- Cancer Care Ontario-Hamilton Regional Cancer Centre
-
Kingston, Ontario, Kanada, K7L 5P9
- Kingston Regional Cancer Centre
-
London, Ontario, Kanada, N6A 4L6
- Cancer Care Ontario-London Regional Cancer Centre
-
Ottawa, Ontario, Kanada, K1H 1C4
- Ottawa Regional Cancer Centre
-
Sudbury, Ontario, Kanada, P3E 5J1
- Northeastern Ontario Regional Cancer Centre, Sudbury
-
Thunder Bay, Ontario, Kanada, P7A 7T1
- Northwestern Ontario Regional Cancer Centre, Thunder Bay
-
Toronto, Ontario, Kanada, M4N 3M5
- Toronto Sunnybrook Regional Cancer Centre
-
Toronto, Ontario, Kanada, M5G 2M9
- Princess Margaret Hospital
-
-
Quebec
-
Fleurimont, Quebec, Kanada, J1H 5N4
- CHUS-Hopital Fleurimont
-
Montreal, Quebec, Kanada, H2W 1S6
- McGill University
-
Montreal, Quebec, Kanada, H2L 4MI
- Centre Hospitalier de l'Université de Montréal
-
Quebec City, Quebec, Kanada, G1R 2J6
- Centre Hospitalier Universitaire de Quebec
-
-
Saskatchewan
-
Regina, Saskatchewan, Kanada, S4T 7T1
- Allan Blair Cancer Centre
-
Saskatoon, Saskatchewan, Kanada, S7N 4H4
- Saskatoon Cancer Centre
-
-
-
-
Alabama
-
Birmingham, Alabama, Stany Zjednoczone, 35294-3300
- University of Alabama at Birmingham Comprehensive Cancer Center
-
Huntsville, Alabama, Stany Zjednoczone, 35801
- Comprehensive Cancer Institute of Huntsville
-
Huntsville, Alabama, Stany Zjednoczone, 35807
- Huntsville Hospital System
-
Mobile, Alabama, Stany Zjednoczone, 36688
- MBCCOP - Gulf Coast
-
Montgomery, Alabama, Stany Zjednoczone, 36106-3657
- Alabama Oncology, LLC
-
Tuscaloosa, Alabama, Stany Zjednoczone, 35401
- DCH Cancer Treatment Center
-
-
Arizona
-
Phoenix, Arizona, Stany Zjednoczone, 85013
- Foundation for Cancer Research and Education
-
-
California
-
Concord, California, Stany Zjednoczone, 94524-4110
- Mount Diablo Medical Center
-
Duarte, California, Stany Zjednoczone, 91010-3000
- City of Hope Comprehensive Cancer Center
-
Fresno, California, Stany Zjednoczone, 93720
- Saint Agnes Cancer Center
-
Fresno, California, Stany Zjednoczone, 93729-5100
- California Cancer Center
-
Greenbrae, California, Stany Zjednoczone, 94904
- Sutter Health West Cancer Research Group
-
Loma Linda, California, Stany Zjednoczone, 92354
- Loma Linda University Medical Center
-
Long Beach, California, Stany Zjednoczone, 90822
- Veterans Affairs Medical Center - Long Beach
-
Los Angeles, California, Stany Zjednoczone, 90033-0804
- USC/Norris Comprehensive Cancer Center and Hospital
-
Los Angeles, California, Stany Zjednoczone, 90025-1781
- Jonsson Comprehensive Cancer Center, UCLA
-
Oakland, California, Stany Zjednoczone, 94609-3305
- CCOP - Bay Area Tumor Institute
-
Pasadena, California, Stany Zjednoczone, 91105
- Huntington Cancer Center
-
Pomona, California, Stany Zjednoczone, 91767
- Robert and Beverly Lewis Family Cancer Care Center
-
Sacramento, California, Stany Zjednoczone, 95816
- Radiation Oncology Center - Sacramento
-
San Diego, California, Stany Zjednoczone, 92101
- Radiation Medical Group, Inc.
-
San Francisco, California, Stany Zjednoczone, 94143-0128
- UCSF Comprehensive Cancer Center
-
San Jose, California, Stany Zjednoczone, 95128
- O'Connor Hospital
-
Santa Rosa, California, Stany Zjednoczone, 95403
- CCOP - Santa Rosa Memorial Hospital
-
Travis Air Force Base, California, Stany Zjednoczone, 94535
- David Grant Medical Center
-
-
Colorado
-
Colorado Springs, Colorado, Stany Zjednoczone, 80909
- Memorial Hospital Cancer Center
-
Denver, Colorado, Stany Zjednoczone, 80010
- University of Colorado Cancer Center
-
Grand Junction, Colorado, Stany Zjednoczone, 81502-1628
- Saint Mary's Hospital and Medical Center
-
-
Connecticut
-
New Haven, Connecticut, Stany Zjednoczone, 06511
- Hospital of St. Raphael
-
-
Delaware
-
Wilmington, Delaware, Stany Zjednoczone, 19899
- CCOP - Christiana Care Health Services
-
-
Florida
-
Gainesville, Florida, Stany Zjednoczone, 32610-0385
- University of Florida Health Science Center
-
Jacksonville, Florida, Stany Zjednoczone, 32207
- Florida Radiation Oncology Group
-
Melbourne, Florida, Stany Zjednoczone, 32901-3276
- Health First Holmes Regional Medical Center
-
Miami, Florida, Stany Zjednoczone, 33136
- Sylvester Cancer Center, University of Miami
-
Miami, Florida, Stany Zjednoczone, 33125
- Veterans Affairs Medical Center - Miami
-
Miami, Florida, Stany Zjednoczone, 33256-2110
- Baptist Hospital of Miami
-
Miami Beach, Florida, Stany Zjednoczone, 33140
- CCOP - Mount Sinai Medical Center
-
Orlando, Florida, Stany Zjednoczone, 32806-2134
- MD Anderson Cancer Center Orlando
-
Panama City, Florida, Stany Zjednoczone, 32405-4587
- Gulf Coast Cancer Treatment Center
-
Panama City, Florida, Stany Zjednoczone, 32401
- Bay Medical Center
-
Sarasota, Florida, Stany Zjednoczone, 34233
- Sarasota Radiation and Medical Oncology Center
-
Tallahassee, Florida, Stany Zjednoczone, 32308
- Tallahassee Memorial HealthCare
-
Tampa, Florida, Stany Zjednoczone, 33612-9497
- H. Lee Moffitt Cancer Center and Research Institute
-
-
Georgia
-
Atlanta, Georgia, Stany Zjednoczone, 30322
- Emory University Hospital - Atlanta
-
Atlanta, Georgia, Stany Zjednoczone, 30342-1701
- CCOP - Atlanta Regional
-
Columbus, Georgia, Stany Zjednoczone, 31901
- Medical Center/John B. Amos Community Cancer Center
-
Rome, Georgia, Stany Zjednoczone, 30165
- Regional Radiation Oncology Center at Rome
-
-
Hawaii
-
Honolulu, Hawaii, Stany Zjednoczone, 96813
- MBCCOP - Hawaii
-
-
Illinois
-
Arlington Heights, Illinois, Stany Zjednoczone, 60005
- Northwest Community Hospital
-
Chicago, Illinois, Stany Zjednoczone, 60611
- Northwestern Memorial Hospital
-
Decatur, Illinois, Stany Zjednoczone, 62526
- CCOP - Central Illinois
-
Harvey, Illinois, Stany Zjednoczone, 60426
- Ingalls Memorial Hospital
-
Maywood, Illinois, Stany Zjednoczone, 60153
- Loyola University Medical Center
-
Park Ridge, Illinois, Stany Zjednoczone, 60068
- Lutheran General Cancer Care Center
-
Peoria, Illinois, Stany Zjednoczone, 61636
- Methodist Medical Center of Illinois
-
-
Indiana
-
Anderson, Indiana, Stany Zjednoczone, 46016
- St. John's Medical Center
-
Bloomington, Indiana, Stany Zjednoczone, 47402
- Bloomington Hospital
-
Indianapolis, Indiana, Stany Zjednoczone, 46202
- Veterans Affairs Medical Center - Indianapolis (Roudebush)
-
Indianapolis, Indiana, Stany Zjednoczone, 46206-1367
- Clarian Health Partners Inc.
-
Indianapolis, Indiana, Stany Zjednoczone, 46219
- Regional Cancer Center
-
Muncie, Indiana, Stany Zjednoczone, 47303-3499
- Ball Memorial Hospital
-
South Bend, Indiana, Stany Zjednoczone, 46601
- CCOP - Northern Indiana CR Consortium
-
-
Iowa
-
Dubuque, Iowa, Stany Zjednoczone, 52001
- Wendt Regional Cancer Center of Finley Hospital
-
-
Kentucky
-
Lexington, Kentucky, Stany Zjednoczone, 40536-0084
- Albert B. Chandler Medical Center, University of Kentucky
-
Lexington, Kentucky, Stany Zjednoczone, 40503
- Central Baptist Hospital
-
Louisville, Kentucky, Stany Zjednoczone, 40202
- James Graham Brown Cancer Center
-
Louisville, Kentucky, Stany Zjednoczone, 40215
- Louisville Radiation Oncology
-
Madisonville, Kentucky, Stany Zjednoczone, 42431
- Merle M. Mahr Cancer Center
-
-
Louisiana
-
Baton Rouge, Louisiana, Stany Zjednoczone, 70809
- Mary Bird Perkins Cancer Center
-
New Orleans, Louisiana, Stany Zjednoczone, 70112
- MBCCOP - LSU Medical Center
-
New Orleans, Louisiana, Stany Zjednoczone, 70121
- CCOP - Ochsner
-
New Orleans, Louisiana, Stany Zjednoczone, 70112-2699
- Tulane University School of Medicine
-
-
Maine
-
Portland, Maine, Stany Zjednoczone, 04102
- Maine Medical Center
-
-
Maryland
-
Annapolis, Maryland, Stany Zjednoczone, 21401
- Anne Arundel Oncology Center
-
Baltimore, Maryland, Stany Zjednoczone, 21231-2410
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
-
Baltimore, Maryland, Stany Zjednoczone, 21215
- Sinai Hospital of Baltimore
-
Baltimore, Maryland, Stany Zjednoczone, 21201
- Marlene and Stewart Greenebaum Cancer Center, University of Maryland
-
Baltimore, Maryland, Stany Zjednoczone, 21204
- Greater Baltimore Medical Center and Cancer Center
-
Baltimore, Maryland, Stany Zjednoczone, 21215-1290
- Harbor Hospital Center
-
Salisbury, Maryland, Stany Zjednoczone, 21801
- Peninsula Regional Medical Center
-
-
Massachusetts
-
Boston, Massachusetts, Stany Zjednoczone, 02115
- Dana-Farber Cancer Institute
-
Hyannis, Massachusetts, Stany Zjednoczone, 02601
- Cape Cod Hospital
-
Jamaica Plain, Massachusetts, Stany Zjednoczone, 02130
- Veterans Affairs Medical Center - Boston (Jamaica Plain)
-
-
Michigan
-
Ann Arbor, Michigan, Stany Zjednoczone, 48109-0752
- University of Michigan Comprehensive Cancer Center
-
Ann Arbor, Michigan, Stany Zjednoczone, 48106
- CCOP - Ann Arbor Regional
-
Detroit, Michigan, Stany Zjednoczone, 48202
- Henry Ford Hospital
-
Detroit, Michigan, Stany Zjednoczone, 48201-1379
- Barbara Ann Karmanos Cancer Institute
-
Flint, Michigan, Stany Zjednoczone, 48503
- Hurley Medical Center
-
Flint, Michigan, Stany Zjednoczone, 48532-3685
- McLaren Regional Cancer Center
-
Kalamazoo, Michigan, Stany Zjednoczone, 49007-3731
- CCOP - Kalamazoo
-
Marquette, Michigan, Stany Zjednoczone, 49855
- Marquette General Hospital
-
Midland, Michigan, Stany Zjednoczone, 48670
- MidMichigan Medical Center - Midland
-
Royal Oak, Michigan, Stany Zjednoczone, 48073-6769
- CCOP - Beaumont
-
Royal Oak, Michigan, Stany Zjednoczone, 48073
- William Beaumont Hospital
-
Troy, Michigan, Stany Zjednoczone, 48098
- William Beaumont Hospital - Troy
-
-
Minnesota
-
Rochester, Minnesota, Stany Zjednoczone, 55905
- Mayo Clinic Cancer Center
-
Saint Louis Park, Minnesota, Stany Zjednoczone, 55416
- CCOP - Metro-Minnesota
-
-
Missouri
-
Columbia, Missouri, Stany Zjednoczone, 65203
- Ellis Fischel Cancer Center - Columbia
-
Kansas City, Missouri, Stany Zjednoczone, 64131
- CCOP - Kansas City
-
Saint Louis, Missouri, Stany Zjednoczone, 63110-0250
- St. Louis University Health Sciences Center
-
Saint Louis, Missouri, Stany Zjednoczone, 63108
- Mallinckrodt Institute of Radiology
-
Springfield, Missouri, Stany Zjednoczone, 65807
- CCOP - Cancer Research for the Ozarks
-
Springfield, Missouri, Stany Zjednoczone, 65807
- Cancer Research for the Ozarks
-
-
Montana
-
Billings, Montana, Stany Zjednoczone, 59101
- CCOP - Montana Cancer Consortium
-
-
Nebraska
-
Omaha, Nebraska, Stany Zjednoczone, 68106
- CCOP - Missouri Valley Cancer Consortium
-
Omaha, Nebraska, Stany Zjednoczone, 68114
- Methodist Hospital Cancer Center - Omaha
-
Omaha, Nebraska, Stany Zjednoczone, 68198-7460
- Nebraska Health System
-
-
Nevada
-
Las Vegas, Nevada, Stany Zjednoczone, 89106
- CCOP - Southern Nevada Cancer Research Foundation
-
-
New Hampshire
-
Lebanon, New Hampshire, Stany Zjednoczone, 03756-0002
- Norris Cotton Cancer Center
-
Manchester, New Hampshire, Stany Zjednoczone, 03103
- Elliot Regional Cancer Center
-
-
New Jersey
-
East Orange, New Jersey, Stany Zjednoczone, 07019
- Veterans Affairs Medical Center - East Orange
-
Edison, New Jersey, Stany Zjednoczone, 08818
- John F. Kennedy Medical Center
-
Elizabeth, New Jersey, Stany Zjednoczone, 07201
- Trinitas Hospital - Jersey Street Campus
-
Long Branch, New Jersey, Stany Zjednoczone, 07740-6395
- Monmouth Medical Center
-
Millville, New Jersey, Stany Zjednoczone, 08332
- South Jersey Regional Cancer Center
-
Mount Holly, New Jersey, Stany Zjednoczone, 08060
- Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital
-
New Brunswick, New Jersey, Stany Zjednoczone, 38103-2807
- Cancer Institute Of New Jersey
-
Newark, New Jersey, Stany Zjednoczone, 07112
- Newark Beth Israel Medical Center
-
Pomona, New Jersey, Stany Zjednoczone, 08240
- Atlantic City Medical Center
-
Ridgewood, New Jersey, Stany Zjednoczone, 07450
- Valley Hospital
-
Toms River, New Jersey, Stany Zjednoczone, 08755
- Community Medical Center
-
Trenton, New Jersey, Stany Zjednoczone, 08629
- St. Francis Medical Center
-
Warren, New Jersey, Stany Zjednoczone, 07059
- Associated Radiologists, P.A.
-
-
New Mexico
-
Albuquerque, New Mexico, Stany Zjednoczone, 87109
- Radiation Oncology Associates of Albuquerque
-
-
New York
-
Albany, New York, Stany Zjednoczone, 12208
- Cancer Center of Albany Medical Center
-
Brooklyn, New York, Stany Zjednoczone, 11203
- State University of New York Health Science Center at Brooklyn
-
Brooklyn, New York, Stany Zjednoczone, 11215
- New York Methodist Hospital
-
Buffalo, New York, Stany Zjednoczone, 14263-0001
- Roswell Park Cancer Institute
-
Clifton Springs, New York, Stany Zjednoczone, 14432
- Finger Lakes Radiation Oncology Center
-
Manhasset, New York, Stany Zjednoczone, 11030
- CCOP - North Shore University Hospital
-
New York, New York, Stany Zjednoczone, 10032
- Herbert Irving Comprehensive Cancer Center
-
Plattsburgh, New York, Stany Zjednoczone, 12901
- Champlain Valley Physicians Hospital Medical Center
-
Poughkeepsie, New York, Stany Zjednoczone, 12601
- Vassar Brothers Medical Center
-
Rochester, New York, Stany Zjednoczone, 14642
- James P. Wilmot Cancer Center
-
Syracuse, New York, Stany Zjednoczone, 13217
- CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
-
Yonkers, New York, Stany Zjednoczone, 10701
- Riverhill Radiation Oncology
-
-
North Carolina
-
Chapel Hill, North Carolina, Stany Zjednoczone, 27599-7295
- Lineberger Comprehensive Cancer Center, UNC
-
Concord, North Carolina, Stany Zjednoczone, 28025
- Northeast Medical Center
-
Greenville, North Carolina, Stany Zjednoczone, 27858-4354
- East Carolina University School of Medicine
-
Winston-Salem, North Carolina, Stany Zjednoczone, 27104-4241
- CCOP - Southeast Cancer Control Consortium
-
Winston-Salem, North Carolina, Stany Zjednoczone, 27157-1082
- Comprehensive Cancer Center at Wake Forest University
-
-
North Dakota
-
Minot, North Dakota, Stany Zjednoczone, 58701
- Trinity Cancer Care Center
-
-
Ohio
-
Akron, Ohio, Stany Zjednoczone, 44302
- Akron General Medical Center
-
Akron, Ohio, Stany Zjednoczone, 44304
- Akron City Hospital
-
Cincinnati, Ohio, Stany Zjednoczone, 45219
- Christ Hospital
-
Cincinnati, Ohio, Stany Zjednoczone, 45267-0502
- Barrett Cancer Center
-
Cleveland, Ohio, Stany Zjednoczone, 44195
- Cleveland Clinic Taussig Cancer Center
-
Cleveland, Ohio, Stany Zjednoczone, 44106
- University Hospitals of Cleveland
-
Cleveland, Ohio, Stany Zjednoczone, 44106-5065
- Ireland Cancer Center
-
Columbus, Ohio, Stany Zjednoczone, 43210-1240
- Arthur G. James Cancer Hospital - Ohio State University
-
Columbus, Ohio, Stany Zjednoczone, 43206
- CCOP - Columbus
-
Dayton, Ohio, Stany Zjednoczone, 45429
- CCOP - Dayton
-
Toledo, Ohio, Stany Zjednoczone, 43623-3456
- CCOP - Toledo Community Hospital
-
-
Oklahoma
-
Oklahoma City, Oklahoma, Stany Zjednoczone, 73104
- University of Oklahoma Health Sciences Center
-
Oklahoma City, Oklahoma, Stany Zjednoczone, 73101
- St. Anthony Hospital
-
Tulsa, Oklahoma, Stany Zjednoczone, 74136
- CCOP - Oklahoma
-
Tulsa, Oklahoma, Stany Zjednoczone, 74104
- St. John Health System
-
-
Oregon
-
Portland, Oregon, Stany Zjednoczone, 97225
- CCOP - Columbia River Program
-
-
Pennsylvania
-
Allentown, Pennsylvania, Stany Zjednoczone, 18105
- Lehigh Valley Hospital
-
Bethlehem, Pennsylvania, Stany Zjednoczone, 18015
- St. Luke's Hospital Cancer Center
-
Danville, Pennsylvania, Stany Zjednoczone, 17822-2001
- Geisinger Medical Center
-
Darby, Pennsylvania, Stany Zjednoczone, 19023
- Mercy Fitzgerald Hospital
-
Drexel Hill, Pennsylvania, Stany Zjednoczone, 19026
- Delaware County Memorial Hospital
-
East Stroudsburg, Pennsylvania, Stany Zjednoczone, 18301
- Pocono Cancer Center
-
Hershey, Pennsylvania, Stany Zjednoczone, 17033-0850
- Milton S. Hershey Medical Center
-
Philadelphia, Pennsylvania, Stany Zjednoczone, 19111
- Fox Chase Cancer Center
-
Philadelphia, Pennsylvania, Stany Zjednoczone, 19104
- Veterans Affairs Medical Center - Philadelphia
-
Philadelphia, Pennsylvania, Stany Zjednoczone, 19104-4283
- University of Pennsylvania Cancer Center
-
Philadelphia, Pennsylvania, Stany Zjednoczone, 19107-5541
- Kimmel Cancer Center of Thomas Jefferson University - Philadelphia
-
Philadelphia, Pennsylvania, Stany Zjednoczone, 19141-3098
- Albert Einstein Cancer Center
-
Pittsburgh, Pennsylvania, Stany Zjednoczone, 15224
- Western Pennsylvania Hospital
-
Pittsburgh, Pennsylvania, Stany Zjednoczone, 15213-3489
- University of Pittsburgh Cancer Institute
-
Pittsburgh, Pennsylvania, Stany Zjednoczone, 15219
- Mercy Hospital of Pittsburgh
-
Reading, Pennsylvania, Stany Zjednoczone, 19612-6052
- Reading Hospital and Medical Center
-
Scranton, Pennsylvania, Stany Zjednoczone, 18501
- Mercy Hospital Cancer Center - Scranton
-
Wilkes-Barre, Pennsylvania, Stany Zjednoczone, 18764
- Wilkes Barre General Hospital
-
York, Pennsylvania, Stany Zjednoczone, 17403
- York Cancer Center
-
-
Rhode Island
-
Providence, Rhode Island, Stany Zjednoczone, 02908-4735
- Roger Williams Medical Center/BUSM
-
-
South Carolina
-
Greenville, South Carolina, Stany Zjednoczone, 29615
- CCOP - Greenville
-
Spartanburg, South Carolina, Stany Zjednoczone, 29303
- CCOP - Upstate Carolina
-
-
South Dakota
-
Rapid City, South Dakota, Stany Zjednoczone, 57709
- Rapid City Regional Hospital
-
-
Tennessee
-
Jackson, Tennessee, Stany Zjednoczone, 38301-3956
- Jackson-Madison County General Hospital
-
Memphis, Tennessee, Stany Zjednoczone, 38103
- University of Tennessee Cancer Institute
-
Nashville, Tennessee, Stany Zjednoczone, 37232-5671
- Vanderbilt-Ingram Cancer Center
-
-
Texas
-
Amarillo, Texas, Stany Zjednoczone, 79106
- Harrington Cancer Center
-
Galveston, Texas, Stany Zjednoczone, 77555-0209
- University of Texas Medical Branch
-
Houston, Texas, Stany Zjednoczone, 77030-4009
- University of Texas - MD Anderson Cancer Center
-
Lackland Air Force Base, Texas, Stany Zjednoczone, 78236-5300
- Wilford Hall Medical Center
-
Lubbock, Texas, Stany Zjednoczone, 79410-1894
- Joe Arrington Cancer Research and Treatment Center
-
Pasadena, Texas, Stany Zjednoczone, 77504
- Bayshore Medical Center
-
-
Utah
-
Saint George, Utah, Stany Zjednoczone, 84770
- Dixie Regional Medical Center
-
Salt Lake City, Utah, Stany Zjednoczone, 84132
- University of Utah Health Sciences Center
-
Salt Lake City, Utah, Stany Zjednoczone, 84143
- Latter Day Saints Hospital
-
-
Vermont
-
Burlington, Vermont, Stany Zjednoczone, 05405-0075
- Vermont Cancer Center
-
-
Virginia
-
Charlottesville, Virginia, Stany Zjednoczone, 22908
- Cancer Center at the University of Virginia
-
Harrisonburg, Virginia, Stany Zjednoczone, 22801
- RMH Regional Cancer Center
-
Portsmouth, Virginia, Stany Zjednoczone, 23708-2197
- Naval Medical Center, Portsmouth
-
Richmond, Virginia, Stany Zjednoczone, 23226
- Bon Secours - St. Mary's Hospital
-
Richmond, Virginia, Stany Zjednoczone, 23298-0058
- Massey Cancer Center
-
-
Washington
-
Seattle, Washington, Stany Zjednoczone, 98111
- Virginia Mason Medical Center
-
Spokane, Washington, Stany Zjednoczone, 99204
- Deaconess Medical Center
-
Yakima, Washington, Stany Zjednoczone, 98902
- Yakima Valley Memorial Hospital
-
-
West Virginia
-
Wheeling, West Virginia, Stany Zjednoczone, 26003
- Schiffler Cancer Center
-
-
Wisconsin
-
Green Bay, Wisconsin, Stany Zjednoczone, 54301
- CCOP - St. Vincent Hospital Cancer Center, Green Bay
-
Green Bay, Wisconsin, Stany Zjednoczone, 54307-3508
- St. Vincent Hospital
-
La Crosse, Wisconsin, Stany Zjednoczone, 54601
- Gundersen Lutheran Medical Foundation
-
Madison, Wisconsin, Stany Zjednoczone, 53792
- University of Wisconsin Comprehensive Cancer Center
-
Madison, Wisconsin, Stany Zjednoczone, 53713
- Southern Wisconsin Radiotherapy Center
-
Marshfield, Wisconsin, Stany Zjednoczone, 54449
- Marshfield Clinic
-
Menomonee Falls, Wisconsin, Stany Zjednoczone, 53051
- Community Memorial Hospital
-
Milwaukee, Wisconsin, Stany Zjednoczone, 53226
- Medical College of Wisconsin
-
Milwaukee, Wisconsin, Stany Zjednoczone, 53211
- Columbia Hospital
-
Milwaukee, Wisconsin, Stany Zjednoczone, 53215
- St. Luke's Medical Center
-
Milwaukee, Wisconsin, Stany Zjednoczone, 53295
- Veterans Affairs Medical Center - Milwaukee (Zablocki)
-
Racine, Wisconsin, Stany Zjednoczone, 53405
- All Saints Cancer Center
-
Waukesha, Wisconsin, Stany Zjednoczone, 53188
- Waukesha Memorial Hospital
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
DISEASE CHARACTERISTICS:
Histologically proven locally recurrent primary squamous cell cancer (SCC) of the head and neck or second primary SCC of the head and neck
- More than 1 prior recurrence allowed if the first recurrence occurred at least 6 months after completion of prior radiotherapy
- Disease must be confined to the head and neck (above the clavicles)
- No primary SCC of the nasopharynx or salivary gland
- Prior irradiation of 45-75 Gy to the majority (75% or greater) of tumor volume
Entire tumor volume must be included in a treatment field that limits the total spinal cord dose (prior and anticipated) to 50 Gy
- Prior radiotherapy records, including simulation and portal films, available in order to assure that cord tolerance is not exceeded
- Measurable disease
- Ineligible for complete surgical resection
- No distant metastases
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- Zubrod 0 or 1
Life expectancy:
- No other concurrent illness that would limit survival
Hematopoietic:
- Granulocyte count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
Hepatic:
- Bilirubin no greater than 1.5 mg/dL
- Serum glutamate oxaloacetate transaminase (SGOT) and serum glutamate pyruvate transaminase (SGPT) no greater than 2 times normal*
- Alkaline phosphatase no greater than 2 times normal*
- * Greater than 2 times normal allowed if no metastases by liver ultrasound or CT scan
Renal:
- Creatinine no greater than 1.5 mg/dL
Other:
- No other invasive malignancy within the past 2 years except in situ malignancies (e.g., carcinoma in situ of the cervix, carcinoma in situ of the breast, or nonmelanoma skin cancer)
- No other concurrent illness that would impair tolerance to therapy
- No grade 2 or worse pre-existing peripheral sensory neuropathy
- No hypersensitivity to E. coli derived products
- Not pregnant or nursing
- Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- Prior chemotherapy allowed as a component of the primary treatment
- No prior chemotherapy for recurrent disease
- At least 6 months since prior chemotherapy
Endocrine therapy:
- Not specified
Radiotherapy:
- See Disease Characteristics
- At least 6 months since prior radiotherapy
Surgery:
- See Disease Characteristics
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Nie dotyczy
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
|
Eksperymentalny: Radiation (BID) and chemotherapy
Radiation (BID), cisplatin and paclitaxel given on days 1-5 (Monday-Friday) in weeks 1, 3, 5 and 7. G-CSF given on days 6-13.
|
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Ramy czasowe |
|---|---|
|
Overall Survival
Ramy czasowe: From registration to 1 year
|
From registration to 1 year
|
Miary wyników drugorzędnych
Miara wyniku |
Ramy czasowe |
|---|---|
|
Disease-free Survival
Ramy czasowe: From registration to 1 year
|
From registration to 1 year
|
|
Grade 4-5 toxicity
Ramy czasowe: From one year after the start of radiation therapy to last follow-up.
|
From one year after the start of radiation therapy to last follow-up.
|
|
Pattern of failure (local-regional, distant, new primary, death)
Ramy czasowe: From registration to last follow-up.
|
From registration to last follow-up.
|
Współpracownicy i badacze
Sponsor
Współpracownicy
Śledczy
- Krzesło do nauki: Corey J. Langer, MD, Fox Chase Cancer Center
Publikacje i pomocne linki
Publikacje ogólne
- Langer CJ, Harris J, Horwitz EM, Nicolaou N, Kies M, Curran W, Wong S, Ang K. Phase II study of low-dose paclitaxel and cisplatin in combination with split-course concomitant twice-daily reirradiation in recurrent squamous cell carcinoma of the head and neck: results of Radiation Therapy Oncology Group Protocol 9911. J Clin Oncol. 2007 Oct 20;25(30):4800-5. doi: 10.1200/JCO.2006.07.9194.
- Horwitz EM, Harris J, Langer CJ, et al.: Concurrent split course hyperfractionated radiotherapy (Hfx RT), cisplatin (DDP) and paclitaxel (P) in patients with recurrent, previously irradiated squamous cell carcinoma of the head and neck (SCCHN): update of RTOG 9911 . [Abstract] J Clin Oncol 23 (Suppl 16): A-5577, 519s, 2005.
- Horwitz EM, Harris J, Langer CJ, et al.: Phase II study of paclitaxel and cisplatin in combination with split course concomitant hyperfractioned re-irradiation in patients with recurrent squamous cell cancer of the head and neck : results of RTOG 99-11. [Abstract] Int J Radiat Oncol Biol Phys 63 (2 Suppl 1): A-119, S72, 2005.
- Langer CJ, Harris J, Horwitz E, et al.: Phase II trial of concurrent split course hyperfractionated radiotherapy (Hfx RT), cisplatin (DDP) and paclitaxel (P) in patients with recurrent, previously irradiated squamous cell carcinoma of the head and neck (SCCHN): results of RTOG 9911. [Abstract] J Clin Oncol 22 (Suppl 14): A-5509, 490s, 2004.
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów
Zakończenie podstawowe (Rzeczywisty)
Ukończenie studiów (Rzeczywisty)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Oszacować)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Oszacować)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
- nawrotowy rak płaskonabłonkowy z przerzutami z utajonym pierwotnym rakiem
- przerzutowy rak płaskonabłonkowy szyi z utajonym pierwotnym rakiem płaskonabłonkowym
- Rak płaskonabłonkowy wargi i jamy ustnej w III stopniu zaawansowania
- nawracający rak płaskonabłonkowy wargi i jamy ustnej
- rak płaskonabłonkowy jamy ustnej i gardła w III stopniu zaawansowania
- nawracający rak płaskonabłonkowy jamy ustnej i gardła
- rak płaskonabłonkowy gardła III stopnia
- nawracający rak płaskonabłonkowy gardła dolnego
- rak płaskonabłonkowy krtani w III stopniu zaawansowania
- nawracający rak płaskonabłonkowy krtani
- rak płaskonabłonkowy zatoki przynosowej i jamy nosowej w III stopniu zaawansowania
- nawracający rak płaskonabłonkowy zatoki przynosowej i jamy nosowej
- Rak płaskonabłonkowy wargi i jamy ustnej I stopnia
- rak płaskonabłonkowy wargi i jamy ustnej II stopnia
- Rak płaskonabłonkowy zatoki przynosowej i jamy nosowej w I stopniu zaawansowania
- Rak płaskonabłonkowy zatoki przynosowej i jamy nosowej w II stopniu zaawansowania
- stadium I raka płaskonabłonkowego gardła dolnego
- rak płaskonabłonkowy krtani w I stopniu zaawansowania
- stadium I raka płaskonabłonkowego jamy ustnej i gardła
- rak płaskonabłonkowy gardła II stopnia
- rak płaskonabłonkowy krtani II stopnia
- rak płaskonabłonkowy jamy ustnej i gardła w II stopniu zaawansowania
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
- RTOG-9911
- CDR0000067705
Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .