Chemotherapy Plus Radiation Therapy in Treating Patients With Squamous Cell Cancer of the Head and Neck

NCT ID: NCT00003200

Last Updated: 2017-01-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1
• Total Enrollment: 22 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 1995-10-31
• Study Completion Date: 2008-06-30

Brief Summary

The purpose of this research study is to develop a new chemo radiotherapy regimen for the treatment of cancer of the head and neck for patients who have received induction chemotherapy; and to determine the highest dose of Taxotere which can be safely given together with radiotherapy.

Detailed Description

In this investigational research study investigators are attempting to develop a new chemo radiotherapy regimen in which radiotherapy and Taxotere will be combined after having received induction chemotherapy. Taxotere has never been given together with radiotherapy, the highest dose of Taxotere that can be safely used in this setting in unknown. Taxotere will be added to radiotherapy gradually as each subsequent group of 3-5 patients gets a larger dose. Taxotere doses will be increased until certain toxicities occur. This will help investigators determine the best way to combine Taxotere with radiotherapy and to use that knowledge to treat other patients with tumors like yours.

Conditions

Head and Neck Cancer

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Taxotere

After the screening procedures confirm participation in the research study:

• Taxotere-Administered weekly for 1 hour (6 doses)
• Radiation Therapy (XRT) -5 days a week for 6 weeks
• Exam under anesthesia
• Neck Dissection (if indicated)

Group Type: EXPERIMENTAL

Taxotere

Intervention Type: DRUG

Radiation therapy

Intervention Type: RADIATION

Interventions

Taxotere

Intervention Type: DRUG

Radiation therapy

Intervention Type: RADIATION

Other Intervention Names

Docetaxel

Eligibility Criteria

Inclusion Criteria

• Other Malignancies:

• Patients with previous head and neck cancer are ineligible, except patients who were treated with surgery as the sole modality 2 years prior to study entry.
• Patients with concurrent malignancy of any site, except limited basal cell carcinoma or squamous cell carcinoma of the skin or carcinoma in situ of the cervix are ineligible.
• Patient with any non-SCCHN malignancy within 5 years of study entry, except curatively treated basal cell carcinoma or squamous cell carcinoma of the skin or carcinoma in situ of the cervix are ineligible.
• Other Prior Therapy: Patients who were previously treated with radiotherapy for SCCHN are not eligible. Patients treated with any form of prior chemotherapy , other than induction therapy described in section 3.21 within the last 5 years are not eligible. Hormonally treated patients are eligible.
• Performance: Patients must meet the following performance criteria:

• Performance status: 2 ECOG. Complete recovery from previous diagnostic or therapeutic procedures is required.
• Nutritional status: Adequate and nutritionally balances enteral intake (1,800 kcal/day). Patients requiring intravenous alimentation as primary source of calories are excluded from this study. Patients who experiences a weight loss of more than 20% of their body weight in the three months preceding presentation are ineligible. Patients with persistent diarrhea are ineligible.
• Life Expectancy: Longer than 3 Months
• Women of child bearing potential must not be pregnant by history or lactating at the time of entry on this protocol and men and women of child bearing potential must be requested to use an accepted and effective method of birth control during therapy.
• Organ Function: Biochemical and hematological parameters (obtained within 2 weeks of study entry) as follows:

• Hepatic: SGOT < 1.5 x ULN and Alkaline Phosphatase < 2.5x ULN for entry. Total Bilirubin and SGOT must be ≤ 2 x ULN as an isolated value. Alkaline phosphatase must be ≤ 2.5 x ULN as an isolated value.
• Hematologic: WBC 4,000/mm3 or a normal absolute neutrophil count (ANC); Platelet count 100,000/mm3, Hemoglobin 10 gm/dl (transfusion to bring the hemoglobin to or above this level is permitted if clinically indicated, however, transfusions should not be used solely in order to eligibility criteria)
• Neurologic: Peripheral neuropathy of any etiology must not exceed grade 1.
• Cardiovascular/Pulmonary: No acute cardiac dysrhythmias or unstable cardiac condition such as angina
• Other: Lack of other serious illness or medical condition
• Allergies: Patients with prior allergy to polysorbate 80 (see appendix) are ineligible
• Informed Consent: Patients must give written informed consent
• Follow-up: All patients must be available for monthly evaluation and restaging by the head and neck cancer clinic on therapy

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Cancer Institute (NCI)

NIH

Sponsor Role: collaborator

Dana-Farber Cancer Institute

OTHER

Sponsor Role: lead

Responsible Party

Robert I. Haddad, MD

Haddad, Robert MD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Marshall R. Posner, MD

Role: PRINCIPAL_INVESTIGATOR

Dana-Farber Cancer Institute

Locations

Brigham and Women's Hospital

Boston, Massachusetts, United States

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Harvard Community Health Plan

Boston, Massachusetts, United States

Countries

United States

Other Identifiers

P30CA006516

Identifier Type: NIH

Identifier Source: secondary_id

View Link

NCI-G98-1382

Identifier Type: -

Identifier Source: secondary_id

95-041

Identifier Type: -

Identifier Source: org_study_id