Accelerated Radiotherapy and Concomitant Chemo-radiotherapy in HNSCC

NCT ID: NCT00158652

Last Updated: 2011-11-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

840 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-03-31

Study Completion Date

2011-03-31

Brief Summary

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This is a multicentric randomized phase III trial comparing conventional radiotherapy with concomitant chemotherapy versus accelerated radiotherapy with concomitant chemotherapy versus very accelerated radiotherapy in patients with stage III-IV head and neck squamous cell carcinoma. The main end point is the event free survival.

Detailed Description

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This is a multicentric randomized phase III trial comparing conventional radiotherapy with concomitant chemotherapy (arm A) versus middle accelerated radiotherapy with concomitant chemotherapy (arm B) versus very accelerated radiotherapy alone (arm C) in patients with stage III-IV head and neck squamous cell carcinoma (HNSCC). The main end point is the event free survival.

The treatments are

Bras A : Conventional radiotherapy given once daily, delivering 70 Gy in 7 weeks (5 fractions of 2 Gy per week) and chemotherapy: 5FU : 600 mg/m²/d, Paraplatin : 70 mg/m²/d, D1-4 and D22-25 and D43-46

Bras B: middle accelerated radiotherapy delivering 70 Gy in 6 weeks and chemotherapy: 5FU : 600 mg/m²/d, Paraplatin : 70 mg/m²/d, D1-5 and D29-33

* first part : radiotherapy given once daily delivering 40 Gy in 4 weeks and 20 fractions of 2 Gy
* second part : radiotherapy given twice daily with "concomitant boost" delivering 30 Gy in 20 fractions in 2 weeks (1,5 Gy x 2 / day)

Bras C: very accelerated radiotherapy given twice daily delivering 64.8 Gy in 3.5 weeks in 36 fractions of 1.8 Gy

Conditions

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Oral Cancer Oropharynx Cancer Hypopharynx Cancer Larynx Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Group Type ACTIVE_COMPARATOR

Conventional radiotherapy 70 Gy in 7 weeks

Intervention Type PROCEDURE

2 gy per fraction, 1 fraction per day, 5 fractions per week

5FU, Paraplatin

Intervention Type DRUG

5FU 600mg/m²/D, Paraplatin 70mg/m²/D In arm 1: D1-4, 3 cycles during Rth (D1, D22, D43) In arm 2: D1-5, 2 cycles during Rth (D1, D29)

2

Group Type EXPERIMENTAL

middle accelerated radiotherapy 70 Gy in 6 weeks

Intervention Type PROCEDURE

5 x 2gy/week until 40 Gy in 20 fractions and 4 weeks, then 2 fractions of 1.5Gy per day for 30 additional Gy in 2 weeks

5FU, Paraplatin

Intervention Type DRUG

5FU 600mg/m²/D, Paraplatin 70mg/m²/D In arm 1: D1-4, 3 cycles during Rth (D1, D22, D43) In arm 2: D1-5, 2 cycles during Rth (D1, D29)

3

Group Type EXPERIMENTAL

very accelerated radiotherapy 64.8 Gy in 3.5 weeks

Intervention Type PROCEDURE

2 fractions of 1.8 Gy per day for 64.8 Gy in 3.5 weeks

Interventions

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Conventional radiotherapy 70 Gy in 7 weeks

2 gy per fraction, 1 fraction per day, 5 fractions per week

Intervention Type PROCEDURE

middle accelerated radiotherapy 70 Gy in 6 weeks

5 x 2gy/week until 40 Gy in 20 fractions and 4 weeks, then 2 fractions of 1.5Gy per day for 30 additional Gy in 2 weeks

Intervention Type PROCEDURE

very accelerated radiotherapy 64.8 Gy in 3.5 weeks

2 fractions of 1.8 Gy per day for 64.8 Gy in 3.5 weeks

Intervention Type PROCEDURE

5FU, Paraplatin

5FU 600mg/m²/D, Paraplatin 70mg/m²/D In arm 1: D1-4, 3 cycles during Rth (D1, D22, D43) In arm 2: D1-5, 2 cycles during Rth (D1, D29)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Squamous cell carcinoma of oral cavity, oropharynx, hypopharynx or larynx
* Stage III-IV (UICC 1997): T2, T3 or T4 with N0-N3 or T0 with N2-N3
* Not resectable
* Karnofsky PS \>= 70
* Renal/liver/cardiac functions and blood counts compatible with the use of paraplatin and 5-FU
* Informed consent signed

Exclusion Criteria

* Distant metastasis
* Contra-indication to concomitant chemotherapy
* History of cancer
* History of head and neck radiotherapy
Minimum Eligible Age

20 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Groupe Oncologie Radiotherapie Tete et Cou

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean Bourhis, PhD

Role: PRINCIPAL_INVESTIGATOR

Gustave Roussy, Cancer Campus, Grand Paris

Gilles Calais

Role: PRINCIPAL_INVESTIGATOR

CHU Tours

Locations

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CHU de Tours

Tours, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Countries

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France

Other Identifiers

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GORTEC 99-02

Identifier Type: -

Identifier Source: org_study_id