Induction Chemotherapy Followed by Chemoradiation With Cetuximab in Head and Neck Cancer
Induction Chemotherapy Followed by Chemoradiation With Cetuximab and Cisplatin for Inoperable Squamous Cell Carcinoma of the Head and Neck
研究概览
详细说明
The treatment results with radiotherapy in inoperable squamous cell carcinoma of the head and neck are poor.
In this proposed single-institution non-randomized, one-arm, open label phase II study, the authors will test the efficacy and toxicity of docetaxel/cisplatin/5-fluorouracil induction chemotherapy (4 cycles) followed by concomitant chemoradiation with cetuximab and weekly cisplatin in patients with inoperable squamous cell carcinoma of the head and neck.
Chemotherapy doses will be as follows: docetaxel 75 mg/m2 I.V. day 1, cisplatin 75 mg/m2 I.V. day 1, 5-fluorouracil 750 mg/m2 I.V. continuous infusion days 1-5 repeated every 21 days for 4 cycles followed by cetuximab 400 mg/m2 I.V. week 13, cetuximab 250 mg/m2 I.V. weeks 14-20, cisplatin 30 mg/m2 I.V. weeks 14-20. Three-dimensional conformal radiotherapy planning and delivery (35x2 Gy/day over 7 weeks {weeks 14 - 20}) will be used.
The planned number of patients to be included is 30 and anticipated enrolment period is 12 months.
The primary objective of the study is to determine locoregional control at 2 years post-therapy, whereas secondary objectives are to determine feasibility (toxicity profile) of the proposed regimen, to determine complete response rate after induction ChT as well as 14-16 weeks after the therapy, completion of ChRT to determine disease free survival at 2 years, overall survival at 2 years and late toxicity including thyroid function.
Given the preliminary nature of the study, no stopping rule is prospectively planned outside of observed toxicity, which will be assessed and graded according to Common Terminology Criteria for Adverse Events version 3.0.
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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Ljubljana、斯洛文尼亚、SI-1000
- Institute of Oncology Ljubljana
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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
Inclusion Criteria:
- Squamous cell carcinoma, histologically proven
- Tumour site: oral cavity, oropharynx, hypopharynx or larynx.
- Locally and/or regionally inoperable tumors (UICC TNM stages IVa or IVb) - - without distant metastases (M0-stage)
- Male or female ≥18 years of age
- Expected survival >6 months
- Presence of at least one bidimensionally measurable index lesion
- Effective contraception for both male and female subjects if risk of conception exists
- WHO performance status 0-2
- Laboratory parameters:
hemoglobin ≥100 g/L leukocyte count > 3.5x109/L, absolute neutrophil count ≥ 1.5x109/L platelet count > 100x109/L total bilirubin < 1.25x upper normal limit transaminases (ALT, AST) < 5x upper normal limit creatinine clearance ≥ 55 mls/minute
- Signed written informed consent
Exclusion Criteria:
- Metastatic disease
- Squamous cell carcinoma of the nasopharynx and nasal cavity and paranasal sinuses
- ChT or XRT ineligibility:
Unstable cardiac disease or any other medical condition likely to compromise the safe delivery of ChT or XRT; Clinically evident hearing impairment; Pre-existing motor or sensory neurotoxicity grade ≥ 2 according to the CTCAE v3.0;
- Any kind of previous therapy for SCCHN (excluding diagnostic biopsy)
- Previous administration of EGFR pathway-targeting therapy
- Concurrent chronic systemic immune therapy, chemotherapy, or hormone therapy which is not part of the study protocol
- Participation in another clinical trial within 30 days prior to study entry
- Pregnancy or breast feeding
- History of severe acute pulmonary disease
- Any investigational agent within past 30 days
- Other previous malignancy within 5 years, with exception of a history of a previously adequately treated basal cell carcinoma of the skin or pre- invasive carcinoma of the cervix
- Known drug abuse / severe alcohol abuse
- Legal incapacity or limited legal capacity
- Medical or psychological condition which in the opinion of the investigator would not permit the subject to complete the study or sign meaningful informed consent
- Active, uncontrolled infection
- Other medical condition or other therapy that in the opinion of the investigator precludes the safe administration of the planned ChT and XRT
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:不适用
- 介入模型:单组作业
- 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 |
大体时间 |
---|---|
locoregional control
大体时间:at 2 years post-therapy
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at 2 years post-therapy
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次要结果测量
结果测量 |
大体时间 |
---|---|
feasibility (toxicity profile) of the proposed regimen
大体时间:during therapy
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during therapy
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complete response rate
大体时间:after induction ChT and 14-16 weeks after the therapy
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after induction ChT and 14-16 weeks after the therapy
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disease free survival
大体时间:at 2 years post-therapy
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at 2 years post-therapy
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overall survival
大体时间:at 2 years post-therapy
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at 2 years post-therapy
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late toxicity including thyroid function
大体时间:up to 2 years post-therapy
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up to 2 years post-therapy
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合作者和调查者
调查人员
- 首席研究员:Primož Strojan, MD、Dept. of Radiation Oncology, Institute of Oncology Ljubljana, Slovenia
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
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
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