Study of Unilateral Neck Irradiation in Patients With SCC of the Head and Neck

NCT ID: NCT00206752

Last Updated: 2015-03-30

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

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-08-31

Study Completion Date

2015-02-28

Brief Summary

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The purpose of this study is to assess the feasibility of avoiding opposite side neck radiation therapy in patients with clearly one side squamous cell cancer of the head and neck. We aim to assess the reduction in treatment volume (amount of radiation therapy required), and the resultant xerostomia and mucositis, with the delivery of unilateral neck radiation therapy.

Detailed Description

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Patients will be treated with definitive external beam radiation plus/minus chemotherapy plus/minus neck dissection in the ipsilateral neck (post radiation). The primary site will be treated with definitive radiation therapy, or definitive surgery plus post-operative radiation therapy. Primary endpoints are loco-regional control, as well as quality of life, xerostomia, mucositis, and neck fibrosis.

Salivary evaluations shall be performed prior to the initiation of radiation therapy, during the second week of EBRT, and at the completion of radiation. Evaluations will also be conducted at 3, 6, and 12 months after the completion of EBRT.

Oral mucositis will be assessed prior to the initiation of EBRT and weekly during EBRT. Evaluations will also be conducted at 3 and 6 months after the completion of EBRT. Two standardized mucositis scales will be used: the RTOG scale and the WHO scale.

Clinical response will be evaluated by physical exam and PET/CT. PET/CT scans will be done at 3, 6, 12, 18, and 24 months, and then when clinically indicated during follow-up.

Conditions

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Squamous Cell Carcinoma of the Head and Neck

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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unilateral radiation therapy

definitive external beam radiation in the ipsilateral neck.

Group Type EXPERIMENTAL

Radiation therapy

Intervention Type RADIATION

definitive external beam radiation in the ipsilateral neck.

definitive external beam radiation in the ipsilateral neck

Intervention Type RADIATION

definitive external beam radiation in the ipsilateral neck

Interventions

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Radiation therapy

definitive external beam radiation in the ipsilateral neck.

Intervention Type RADIATION

definitive external beam radiation in the ipsilateral neck

definitive external beam radiation in the ipsilateral neck

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Squamous cell carcinoma of the oral cavity or oropharynx, with the primary lesion \>1 cm from the midline.
* Patient has no clinical or radiologic evidence of contralateral neck node metastases.
* No evidence of distant metastasis.
* No previous history of radiation therapy or chemotherapy
* performance status 0-2
* Age \>= 18
* Signed informed consent
* Patients must be accessible for treatment and follow-up

Exclusion Criteria

* HIV positive patients
* Pregnancy or any patients not practicing contraception
* Active tobacco or alcohol addiction (as assessed by medical caregiver)
* Serious comorbid disease which prevents delivery of full treatment including psychiatric disorders, cardiopulmonary disease, etc.
* Concomitant use of any trial anticancer therapeutic within 30 days of entry
* Uncontrolled hypertension
* Known hypersensitivity to mammalian cell-derived products
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beth Israel Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kenneth Hu, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Radiation Oncology at Beth Israel Medical Center

Locations

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Beth Israel Medical Center

New York, New York, United States

Site Status

Countries

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United States

Other Identifiers

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ETH136-03D

Identifier Type: -

Identifier Source: secondary_id

186-03

Identifier Type: -

Identifier Source: org_study_id

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