Effect of Iressa With/Without Concurrent Chemoradiotherapy on Tumor Gene Expression Profiles in Patients With Advanced Non-Nasopharyngeal Head and Neck Carcinoma

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

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-06-30

Study Completion Date

2005-12-31

Brief Summary

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Two different patient populations will be targeted for this study. The first population (SP1) will include patients with recurrent/metastatic head and neck cancers, excluding salivary gland carcinomas. The second population (SP2) will include treatment-naïve patients with locally advanced squamous cell head and neck cancer (SCHNC).

SP1 will be treated with palliative intent and the patients can be treatment-naïve or have received prior chemotherapy. Study treatment will consist of Iressa (gefitinib) alone.

SP2 will be treated with radical intent. The patients must be treatment-naïve and study treatment will consist of induction Iressa for 3 weeks followed by a combination of Iressa plus cisplatin and concurrent irradiation.

Detailed Description

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Conditions

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Head and Neck Cancer

Keywords

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advanced non-nasopharyngeal head and neck carcinoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Gefitinib

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed carcinoma of the head and neck (excluding salivary gland and nasopharyngeal carcinoma), namely squamous cell or undifferentiated carcinoma
* Recurrent/metastatic disease that is not amenable to cure
* Accessible tumour site for repeat tumour samplings
* Patients must be agreeable to repeated tumour samplings.
* Measurable disease sites by computed tomography (CT) imaging is preferred but not mandatory.
* Adequate performance status of ECOG 0 - 2
* Life expectancy of at least 3 months
* Written informed consent to participate in the study

* Histologically confirmed carcinoma of the head and neck (excluding salivary gland and nasopharyngeal carcinoma), namely squamous cell carcinoma or undifferentiated carcinoma
* Locally advanced disease (stage III/IV) without distant metastases, not amenable to curative resection, or patient refusal for surgery
* Accessible primary site for repeat tumour samplings
* Patients agreeable to repeated tumour samplings
* Evaluable and/or measurable disease sites on CT scans
* Adequate performance status of ECOG 0 - 1
* Written informed consent to participate in the study

Exclusion Criteria

* Prior treatment with tyrosine kinase inhibitor or anti-epidermal growth factor receptor (EGFR) therapy
* Refusal for repeated tumour samplings
* Tumour site deemed unsafe for repeated samplings due to risk of bleeding
* In the opinion of the investigator, any evidence of severe or uncontrolled systemic disease (eg. unstable or uncompensated respiratory disorder, cardiac failure, hepatic decompensation, renal failure, uncontrolled metabolic disorders such as diabetes mellitus, or uncontrolled significant infections)
* Any bleeding disorders
* Pregnancy or breast-feeding (women of child-bearing potential)
* Other co-existing malignancies or malignancies diagnosed within the last 5 years with the exception of basal cell carcinoma or cervical carcinoma-in-situ

* Presence of distant metastases
* Prior treatment with EGFR-targeted therapy, or chemotherapy or radiotherapy to head and neck region
* Refusal for repeated tumour samplings
* Tumour site deemed unsafe for repeated samplings due to risk of bleeding
* Common toxicity criteria (CTC) grade 2 or greater pre-existing motor or sensory neuropathy
* In the opinion of the investigator, any evidence of severe or uncontrolled systemic disease (eg. unstable or uncompensated respiratory disorder, cardiac failure, hepatic decompensation, renal failure, uncontrolled metabolic disorders such as diabetes mellitus, or uncontrolled significant infections)
* Any bleeding disorders
* Absolute neutrophil count of less than 1000/mm3, and platelet count of less than 100,000/mm3
* Serum bilirubin greater than 2 times the upper limit of normal range (ULNR)
* Serum alanine aminotransferase (ALT) and serum aspartate amino transferase (AST) greater than 2.5 times ULNR
* Serum creatinine greater than 143 umol/litre
* Pregnancy or breast-feeding (women of child-bearing potential)
* Other co-existing malignancies or malignancies diagnosed within the last 5 years with the exception of basal cell carcinoma or cervical carcinoma-in-situ

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Principal Investigators

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AstraZeneca Medical Department

Role: STUDY_DIRECTOR

AstraZeneca

Locations

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Hong Kong, , Hong Kong

Site Status

Singapore, , Singapore