Docetaxel and S-1 Followed By Radiation Therapy and Low-Dose Cisplatin in Treating Patients With Stage III or Stage IV Head and Neck Cancer
A Phase ll Trial of Induction Docetaxel and S-1 Followed by Concomitant Radiotherapy With Low-dose Daily Cisplatin in Locally Advanced Head and Neck Cancer
RATIONALE: Drugs used in chemotherapy, such as docetaxel, S-1, and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Radiation therapy uses high-energy x-rays to kill tumor cells. Giving more than one drug (combination chemotherapy) together with radiation therapy may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving docetaxel and S-1 together with radiation therapy and low-dose cisplatin works in treating patients with stage III or stage IV head and neck cancer.
研究概览
详细说明
OBJECTIVES:
Primary
- To assess the response rate in patients with stage III or IV head and neck cancer treated with induction therapy comprising docetaxel and S-1 followed by radiotherapy and low-dose cisplatin.
Secondary
- To assess the effect of this regimen on survival and locoregional and systemic control rates in these patients.
OUTLINE:
- Induction chemotherapy: Patients receive oral S-1 twice daily on days 1-14 and docetaxel IV over 1 hour on day 1. Treatment repeats every 21 days for 2 courses in the absence of disease progression or unacceptable toxicity.
- Chemoradiotherapy: Patients receive low-dose cisplatin IV once daily and undergo radiotherapy 5 days a week for 7 weeks in the absence of disease progression or unacceptable toxicity.
After completion of study therapy, patients are followed periodically for 18 months.
研究类型
注册 (预期的)
阶段
- 阶段2
联系人和位置
学习地点
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Seoul、大韩民国、120-752
- 招聘中
- Yonsei Cancer Center at Yonsei University Medical Center
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接触：
- Joo-Hang Kim, MD
- 电话号码：82-2-2228-8131
- 邮箱：kjhang@yuhs.ac
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
DISEASE CHARACTERISTICS:
Pathologically confirmed head and neck cancer arising from the oral cavity, oropharynx, hypopharynx, or nasopharynx, including any of the following subtypes:
- Squamous cell carcinoma
- Poorly differentiated carcinoma
- Lymphoepithelioma
- Locally advanced disease (stage III or IV [M0] disease)
- At least 1 unidimensionally measurable index lesion
PATIENT CHARACTERISTICS:
- ECOG performance status 0-2
- ANC ≥ 1,500/mm³
- Platelet count ≥ 100,000/mm³
- Hemoglobin ≥ 9 g/dL
- Bilirubin ≤ 1.5 times the upper limit of normal (ULN)
- Alkaline phosphatase ≤ 3.0 times ULN
- AST and ALT ≤ 3.0 times ULN
- Creatinine ≤ 1.5 times ULN
- No concurrent serious systemic disorder that, in the opinion of investigator, would compromise the patient's ability to complete the study
No serious cardiac condition, including any of the following:
- Myocardial infarction within the past 6 months
- Angina
- NYHA class III-IV heart disease
- No active infection requiring IV antibiotics, including active tuberculosis or HIV
- No other malignancy within the past 5 years except basal cell carcinoma of the skin or pre-invasive carcinoma of the cervix
- Able to comply with protocol or study procedures
PRIOR CONCURRENT THERAPY:
- No prior radiotherapy or chemotherapy
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 屏蔽：无（打开标签）
研究衡量的是什么？
主要结果指标
结果测量 |
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Objective response rate (complete or partial response) as assessed by RECIST criteria
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次要结果测量
结果测量 |
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无进展生存期
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总生存期
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Toxicity as assessed by NCI CTCAE v3.0 criteria
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合作者和调查者
研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
关键字
其他研究编号
- CDR0000582621
- YONSEI-4-2006-021-0
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