Very Intense Radiotherapy-Chemotherapy Regimen in Advanced HNSCC

NCT ID: NCT00162708

Last Updated: 2005-09-13

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

PHASE2/PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

1996-07-31

Brief Summary

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Altered fractionated radiotherapy and concomitant radio-chemotherapy have been shown to be two possibilities for improving efficacy of radiotherapy in locally advanced head and neck carcinomas. In this multicentric study, we tested the hypothesis that accelerated radiotherapy could be delivered concomitantly with conventional high doses of CDDP-5FU, aiming to improve both local control and on distant metastases as compared to very accelerated radiotherapy.

Detailed Description

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Patients with a palpable N2b-c or N3 HNSCC strictly unresectable were randomized to receive either accelerated RT-CT delivering to the primary tumor 62-64 Gy / 5 weeks in 31-32 fractions of 2 Gy BID or very accelerated RT delivering 62-64 Gy in 31-32 fractions of 2 Gy BID and 22-23 days. In the accelerated RT-CT arm, 3 cycles of CDDP 100 mg/m2 were delivered at day 1, 16, 32 and 2 cycles of 5 Fu 1000 mg/m2 day 1 to 5 and 31 to 35. One month after completion of the concomitant RT-CT, 2 additional cycles of CDDP-5FU were given in patients responding (\> 50%) to the initial course of RT-CT. The end points were event free survival and survival.

Conditions

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Oropharynx Cancer Oral Cancer Hypopharynx Cancer Larynx Cancer

Keywords

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Head and neck squamous cell carcinoma Radiotherapy Chemotherapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Radiotherapy 62-64 Gy in 5 W (31-32 f. of 2 Gy BID)

Intervention Type PROCEDURE

Radiotherapy 62-64 Gy in 22-23 D (31-32 f of 2 Gy BID)

Intervention Type PROCEDURE

CDDP, 5 Fu

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* palpable N2b-c or N3 (UICC 1997) squamous cell carcinoma of the head and neck (oropharynx, oral cavity, hypopharynx or larynx)
* primary tumor and / or nodal extension strictly inoperable due to the extension of the disease
* performance status of 0 to 2 (WHO scoring system)
* renal/liver/cardiac functions and blood counts compatible with the use of CDDP and 5-FU
* signed inform consent

Exclusion Criteria

* distant metastasis
* previous history of cancer
* previous radiotherapy or chemotherapy
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gustave Roussy, Cancer Campus, Grand Paris

OTHER

Sponsor Role lead

Principal Investigators

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Jean Bourhis

Role: PRINCIPAL_INVESTIGATOR

Gustave Roussy, Cancer Campus, Grand Paris

Michel Lapeyre

Role: PRINCIPAL_INVESTIGATOR

Centre Alexis Vautrin

Jacques Tortochaux

Role: PRINCIPAL_INVESTIGATOR

Centre Jean Perrin

Locations

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Centre Jean Perrin

Clermont-Ferrand, , France

Site Status

Centre Alexis Vautrin

Nancy, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Countries

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France

Other Identifiers

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GORTEC

Identifier Type: -

Identifier Source: secondary_id

VADN3

Identifier Type: -

Identifier Source: org_study_id