Trial Outcomes & Findings for Stereotactic Radiosurgery in Treating Patients With Locally Advanced or Recurrent Head and Neck Cancer (NCT NCT00851253)

NCT ID: NCT00851253

Last Updated: 2018-01-17

Results Overview

Median time to local failure based on regional or distant metastatic disease

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

12 participants

Primary outcome timeframe

1 year

Results posted on

2018-01-17

Participant Flow

Participants were recruited from within the investigators clinic practice between February 2009 and August 2013

One subject that was enrolled onto the Boost Arm was withdrawn prior to undergoing cyberknife therapy due to disease progression.

Participant milestones

Participant milestones
Measure
Group 1 (CK SRS Boost Therapy)
Radiation: CyberKnife Stereotactic Radiosurgery boost (2 fractionated doses) beginning 4-8 weeks after completion of standard therapy. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Group 2 (CK SRS Salvage Therapy)
Radiation : CyberKnife® stereotactic radiosurgery salvage therapy (5 fractions) 3 times weekly. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Overall Study
STARTED
2
10
Overall Study
COMPLETED
1
10
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Group 1 (CK SRS Boost Therapy)
Radiation: CyberKnife Stereotactic Radiosurgery boost (2 fractionated doses) beginning 4-8 weeks after completion of standard therapy. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Group 2 (CK SRS Salvage Therapy)
Radiation : CyberKnife® stereotactic radiosurgery salvage therapy (5 fractions) 3 times weekly. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Overall Study
Disease Progression
1
0

Baseline Characteristics

Stereotactic Radiosurgery in Treating Patients With Locally Advanced or Recurrent Head and Neck Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1 (CK SRS Boost Therapy)
n=2 Participants
Radiation: CyberKnife Stereotactic Radiosurgery boost (2 fractionated doses) beginning 4-8 weeks after completion of standard therapy. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Group 2 (CK SRS Salvage Therapy)
n=10 Participants
Radiation : CyberKnife® stereotactic radiosurgery salvage therapy (5 fractions) 3 times weekly. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Total
n=12 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
5 Participants
n=7 Participants
5 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
7 Participants
n=7 Participants
7 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 year

Population: Boost subjects were not evaluable.

Median time to local failure based on regional or distant metastatic disease

Outcome measures

Outcome measures
Measure
Group 1 (CK SRS Boost Therapy)
Radiation: CyberKnife Stereotactic Radiosurgery boost (2 fractionated doses) beginning 4-8 weeks after completion of standard therapy. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Group 2 (CK SRS Salvage Therapy)
n=10 Participants
Radiation : CyberKnife® stereotactic radiosurgery salvage therapy (5 fractions) 3 times weekly. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Duration of Local Control
4.6 number of months to local failure
Standard Deviation 1.6

SECONDARY outcome

Timeframe: 1 year

Population: One subject in the Boost Arm was withdrawn prior to Cyberknife therapy due to disease progression and was therefore not analyzed.

Number of patients with serious adverse events possibly related, probably related or definitely related to the study treatment

Outcome measures

Outcome measures
Measure
Group 1 (CK SRS Boost Therapy)
n=1 Participants
Radiation: CyberKnife Stereotactic Radiosurgery boost (2 fractionated doses) beginning 4-8 weeks after completion of standard therapy. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Group 2 (CK SRS Salvage Therapy)
n=10 Participants
Radiation : CyberKnife® stereotactic radiosurgery salvage therapy (5 fractions) 3 times weekly. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Rates of Adverse Events Associated With Treatment
1 Participants
0 Participants

Adverse Events

Group 1 (CK SRS Boost Therapy)

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Group 2 (CK SRS Salvage Therapy)

Serious events: 9 serious events
Other events: 10 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Group 1 (CK SRS Boost Therapy)
n=1 participants at risk
Radiation: CyberKnife Stereotactic Radiosurgery boost (2 fractionated doses) beginning 4-8 weeks after completion of standard therapy. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Group 2 (CK SRS Salvage Therapy)
n=10 participants at risk
Radiation : CyberKnife® stereotactic radiosurgery salvage therapy (5 fractions) 3 times weekly. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Musculoskeletal and connective tissue disorders
Trismus
100.0%
1/1 • Number of events 1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
General disorders
pain
100.0%
1/1 • Number of events 1 • 1 year
20.0%
2/10 • Number of events 2 • 1 year
Gastrointestinal disorders
dehydration
100.0%
1/1 • Number of events 1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
Gastrointestinal disorders
dysphagia
0.00%
0/1 • 1 year
20.0%
2/10 • Number of events 2 • 1 year
Respiratory, thoracic and mediastinal disorders
dyspnea
0.00%
0/1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
General disorders
ulceration
0.00%
0/1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
Blood and lymphatic system disorders
hemorrhage
0.00%
0/1 • 1 year
30.0%
3/10 • Number of events 3 • 1 year
Blood and lymphatic system disorders
neutropenia
0.00%
0/1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
Blood and lymphatic system disorders
hemoglobinemia
0.00%
0/1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
General disorders
fatigue
0.00%
0/1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
Musculoskeletal and connective tissue disorders
osteonecrosis
0.00%
0/1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
Ear and labyrinth disorders
osteomyelitis
0.00%
0/1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year

Other adverse events

Other adverse events
Measure
Group 1 (CK SRS Boost Therapy)
n=1 participants at risk
Radiation: CyberKnife Stereotactic Radiosurgery boost (2 fractionated doses) beginning 4-8 weeks after completion of standard therapy. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
Group 2 (CK SRS Salvage Therapy)
n=10 participants at risk
Radiation : CyberKnife® stereotactic radiosurgery salvage therapy (5 fractions) 3 times weekly. stereotactic radiosurgery: Given in 2 fractionated doses or 5 fractionated doses
General disorders
pain
0.00%
0/1 • 1 year
40.0%
4/10 • Number of events 4 • 1 year
Gastrointestinal disorders
anorexia
100.0%
1/1 • Number of events 1 • 1 year
0.00%
0/10 • 1 year
Gastrointestinal disorders
constipation
100.0%
1/1 • Number of events 1 • 1 year
20.0%
2/10 • Number of events 3 • 1 year
Gastrointestinal disorders
dysphagia
100.0%
1/1 • Number of events 1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
Psychiatric disorders
insomnia
100.0%
1/1 • Number of events 1 • 1 year
20.0%
2/10 • Number of events 2 • 1 year
General disorders
edema - head and neck
100.0%
1/1 • Number of events 1 • 1 year
30.0%
3/10 • Number of events 3 • 1 year
Nervous system disorders
dizziness
100.0%
1/1 • Number of events 1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
General disorders
fatigue
100.0%
1/1 • Number of events 1 • 1 year
20.0%
2/10 • Number of events 2 • 1 year
Gastrointestinal disorders
gait disturbance
100.0%
1/1 • Number of events 1 • 1 year
0.00%
0/10 • 1 year
Musculoskeletal and connective tissue disorders
muscle weakness
100.0%
1/1 • Number of events 1 • 1 year
0.00%
0/10 • 1 year
Blood and lymphatic system disorders
lypmphatics disorder - other
0.00%
0/1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
Gastrointestinal disorders
nausea
0.00%
0/1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
Gastrointestinal disorders
taste alteration
0.00%
0/1 • 1 year
20.0%
2/10 • Number of events 2 • 1 year
Nervous system disorders
neurology - other
0.00%
0/1 • 1 year
10.0%
1/10 • Number of events 2 • 1 year
Skin and subcutaneous tissue disorders
dermatitis
0.00%
0/1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year
Investigations
weight loss
0.00%
0/1 • 1 year
30.0%
3/10 • Number of events 3 • 1 year
Respiratory, thoracic and mediastinal disorders
voice alteration
0.00%
0/1 • 1 year
20.0%
2/10 • Number of events 2 • 1 year
Gastrointestinal disorders
mucositis
0.00%
0/1 • 1 year
20.0%
2/10 • Number of events 2 • 1 year
Gastrointestinal disorders
dry mouth
0.00%
0/1 • 1 year
20.0%
2/10 • Number of events 2 • 1 year
Respiratory, thoracic and mediastinal disorders
cough
0.00%
0/1 • 1 year
10.0%
1/10 • Number of events 1 • 1 year

Additional Information

Dr. Minh Tam Truong

Boston Medical Center

Phone: 617-638-7070

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place