Trial Outcomes & Findings for TRYHARD: Radiation Therapy Plus Cisplatin With or Without Lapatinib in Treating Patients With Head and Neck Cancer. (NCT NCT01711658)

NCT ID: NCT01711658

Last Updated: 2023-10-17

Results Overview

An event for progression-free survival is local, regional, or distant disease progression or death due to any cause. Progression-free survival time is defined as time from randomization to the date of progression/death or last known follow-up (censored). Rates are estimated by the Kaplan-Meier method. The protocol specifies that the distributions of survival times be compared between the arms, which is reported in the statistical analysis results. Five-year rates are provided. Analysis occurred after 67 progressions or deaths were reported.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

142 participants

Primary outcome timeframe

From randomization to last follow-up. Maximum follow-up at time of analysis was 7.1 years.

Results posted on

2023-10-17

Participant Flow

After first step registration and prior to randomization, patients with oropharyngeal cancer were tested for p16. Only patients with p16-negative tumors continued to randomization. Patients with larynx or hypopharynx cancer did not require p16 testing. In total, 142 patients were enrolled and 127 were randomized.

Participant milestones

Participant milestones
Measure
IMRT + Cisplatin + Placebo
Intensity Modulated Radiation Therapy (IMRT), 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Placebo: 1500 mg placebo daily by mouth or by feeding tube starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
IMRT + Cisplatin + Lapatinib
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Lapatinib: 1500 mg lapatinib by mouth or by feeding tube daily starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
Overall Study
STARTED
64
63
Overall Study
Participants Who Started Protocol Treatment
59
60
Overall Study
COMPLETED
64
63
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Two patients are missing smoking history data.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
IMRT + Cisplatin + Placebo
n=64 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Placebo: 1500 mg placebo daily by mouth or by feeding tube starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
IMRT + Cisplatin + Lapatinib
n=63 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Lapatinib: 1500 mg lapatinib by mouth or by feeding tube daily starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
Total
n=127 Participants
Total of all reporting groups
Age, Continuous
58 years
n=64 Participants
57 years
n=63 Participants
58 years
n=127 Participants
Age, Customized
<=65
54 Participants
n=64 Participants
56 Participants
n=63 Participants
110 Participants
n=127 Participants
Age, Customized
>65
10 Participants
n=64 Participants
7 Participants
n=63 Participants
17 Participants
n=127 Participants
Sex: Female, Male
Female
13 Participants
n=64 Participants
16 Participants
n=63 Participants
29 Participants
n=127 Participants
Sex: Female, Male
Male
51 Participants
n=64 Participants
47 Participants
n=63 Participants
98 Participants
n=127 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=64 Participants
1 Participants
n=63 Participants
4 Participants
n=127 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
60 Participants
n=64 Participants
61 Participants
n=63 Participants
121 Participants
n=127 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=64 Participants
1 Participants
n=63 Participants
2 Participants
n=127 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=64 Participants
1 Participants
n=63 Participants
2 Participants
n=127 Participants
Race (NIH/OMB)
Asian
2 Participants
n=64 Participants
0 Participants
n=63 Participants
2 Participants
n=127 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=64 Participants
0 Participants
n=63 Participants
2 Participants
n=127 Participants
Race (NIH/OMB)
Black or African American
9 Participants
n=64 Participants
10 Participants
n=63 Participants
19 Participants
n=127 Participants
Race (NIH/OMB)
White
49 Participants
n=64 Participants
50 Participants
n=63 Participants
99 Participants
n=127 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=64 Participants
1 Participants
n=63 Participants
1 Participants
n=127 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=64 Participants
1 Participants
n=63 Participants
2 Participants
n=127 Participants
Zubrod performance status
0
33 Participants
n=64 Participants
27 Participants
n=63 Participants
60 Participants
n=127 Participants
Zubrod performance status
1
31 Participants
n=64 Participants
36 Participants
n=63 Participants
67 Participants
n=127 Participants
Smoking history: pack-years
38 pack-years
n=63 Participants • Two patients are missing smoking history data.
29.5 pack-years
n=62 Participants • Two patients are missing smoking history data.
30 pack-years
n=125 Participants • Two patients are missing smoking history data.
Smoking history: pack-years
<=10
13 Participants
n=63 Participants • Two patients are missing smoking history data.
17 Participants
n=62 Participants • Two patients are missing smoking history data.
30 Participants
n=125 Participants • Two patients are missing smoking history data.
Smoking history: pack-years
>10
50 Participants
n=63 Participants • Two patients are missing smoking history data.
45 Participants
n=62 Participants • Two patients are missing smoking history data.
95 Participants
n=125 Participants • Two patients are missing smoking history data.
Primary site
Oropharynx, p16-negative (central review)
15 Participants
n=64 Participants
16 Participants
n=63 Participants
31 Participants
n=127 Participants
Primary site
Oropharynx, unknown p16 (central review)
0 Participants
n=64 Participants
1 Participants
n=63 Participants
1 Participants
n=127 Participants
Primary site
Hypopharynx
16 Participants
n=64 Participants
7 Participants
n=63 Participants
23 Participants
n=127 Participants
Primary site
Larynx
33 Participants
n=64 Participants
39 Participants
n=63 Participants
72 Participants
n=127 Participants
T stage (stratification factor)
T1
2 Participants
n=64 Participants
0 Participants
n=63 Participants
2 Participants
n=127 Participants
T stage (stratification factor)
T2
9 Participants
n=64 Participants
7 Participants
n=63 Participants
16 Participants
n=127 Participants
T stage (stratification factor)
T3
35 Participants
n=64 Participants
38 Participants
n=63 Participants
73 Participants
n=127 Participants
T stage (stratification factor)
T4
18 Participants
n=64 Participants
18 Participants
n=63 Participants
36 Participants
n=127 Participants
N stage (stratification factor)
N0
18 Participants
n=64 Participants
20 Participants
n=63 Participants
38 Participants
n=127 Participants
N stage (stratification factor)
N1
7 Participants
n=64 Participants
8 Participants
n=63 Participants
15 Participants
n=127 Participants
N stage (stratification factor)
N2a
3 Participants
n=64 Participants
2 Participants
n=63 Participants
5 Participants
n=127 Participants
N stage (stratification factor)
N2b
19 Participants
n=64 Participants
19 Participants
n=63 Participants
38 Participants
n=127 Participants
N stage (stratification factor)
N2c
15 Participants
n=64 Participants
13 Participants
n=63 Participants
28 Participants
n=127 Participants
N stage (stratification factor)
N3
2 Participants
n=64 Participants
1 Participants
n=63 Participants
3 Participants
n=127 Participants
Overall stage
II
1 Participants
n=64 Participants
0 Participants
n=63 Participants
1 Participants
n=127 Participants
Overall stage
III
18 Participants
n=64 Participants
20 Participants
n=63 Participants
38 Participants
n=127 Participants
Overall stage
IV
45 Participants
n=64 Participants
43 Participants
n=63 Participants
88 Participants
n=127 Participants

PRIMARY outcome

Timeframe: From randomization to last follow-up. Maximum follow-up at time of analysis was 7.1 years.

Population: All randomized participants

An event for progression-free survival is local, regional, or distant disease progression or death due to any cause. Progression-free survival time is defined as time from randomization to the date of progression/death or last known follow-up (censored). Rates are estimated by the Kaplan-Meier method. The protocol specifies that the distributions of survival times be compared between the arms, which is reported in the statistical analysis results. Five-year rates are provided. Analysis occurred after 67 progressions or deaths were reported.

Outcome measures

Outcome measures
Measure
IMRT + Cisplatin + Placebo
n=64 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Placebo: 1500 mg placebo daily by mouth or by feeding tube starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
IMRT + Cisplatin + Lapatinib
n=63 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Lapatinib: 1500 mg lapatinib by mouth or by feeding tube daily starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
Percentage of Participants Alive Without Progression (Progression-free Survival)
34.6 percentage of participants
Interval 21.2 to 48.0
43.1 percentage of participants
Interval 30.1 to 56.1

SECONDARY outcome

Timeframe: From randomization to last follow-up. Maximum follow-up at time of analysis was 7.1 years.

Population: All randomized participants

An event for overall survival is death due to any cause. Overall survival time is defined as time from randomization to the date of death or last known follow-up (censored). Rates are estimated by the Kaplan-Meier method. The protocol specifies that the distributions of survival times be compared between the arms, which is reported in the statistical analysis results. Five-year rates are provided.

Outcome measures

Outcome measures
Measure
IMRT + Cisplatin + Placebo
n=64 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Placebo: 1500 mg placebo daily by mouth or by feeding tube starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
IMRT + Cisplatin + Lapatinib
n=63 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Lapatinib: 1500 mg lapatinib by mouth or by feeding tube daily starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
Percentage of Participants Alive (Overall Survival)
55.1 percentage of participants
Interval 40.6 to 69.5
49.9 percentage of participants
Interval 35.5 to 64.3

SECONDARY outcome

Timeframe: From randomization to last follow-up. Maximum follow-up at time of analysis was 7.1 years.

Population: All randomized participants

Failure for distant metastasis endpoint was defined as distant progression; local-regional failure and death due to any cause were considered competing risks. Distant metastasis time is defined as time from randomization to the date of progression/death or last known follow-up (censored). Rates are estimated by the cumulative incidence method. The protocol specifies that the distributions of failure times be compared between the arms, which is reported in the statistical analysis results. Five-year rates are provided.

Outcome measures

Outcome measures
Measure
IMRT + Cisplatin + Placebo
n=64 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Placebo: 1500 mg placebo daily by mouth or by feeding tube starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
IMRT + Cisplatin + Lapatinib
n=63 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Lapatinib: 1500 mg lapatinib by mouth or by feeding tube daily starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
Percentage of Participants With Distant Metastases
19.9 percentage of participants
Interval 10.1 to 32.2
12.4 percentage of participants
Interval 5.4 to 22.5

SECONDARY outcome

Timeframe: From start of treatment to last follow-up. Maximum follow-up at time of analysis was 7.1 years.

Population: Participants Who Started Protocol Treatment

Adverse events (AE) were graded using the Common Terminology Criteria for Adverse Events (CTCAE) v4.0. Grade refers to the severity of the AE. The CTCAE v4.0 assigns Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1 Mild, Grade 2 Moderate, Grade 3 Severe, Grade 4 Life-threatening or disabling, Grade 5 Death related to adverse event. "Treatment-related" is defined definitely, probably, or possibly related to treatment.

Outcome measures

Outcome measures
Measure
IMRT + Cisplatin + Placebo
n=59 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Placebo: 1500 mg placebo daily by mouth or by feeding tube starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
IMRT + Cisplatin + Lapatinib
n=60 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Lapatinib: 1500 mg lapatinib by mouth or by feeding tube daily starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
Percentage of Participants With Treatment-related Grade 3 or Higher Adverse Events
84.7 percentage of participants
Interval 73.0 to 92.8
86.7 percentage of participants
Interval 75.4 to 94.1

SECONDARY outcome

Timeframe: From start of treatment to end of treatment (approximately 5 months from randomization).

Population: All randomized participants

Compliance with protocol treatment is defined as "per protocol" or "acceptable variation" per study chair review for IMRT, cisplatin, pre-IMRT lapatinib/placebo, concurrent lapatinib/placebo, and maintenance lapatinib/placebo. Rates of treatment compliance were compared between groups by a 2-sided Fisher's exact test.

Outcome measures

Outcome measures
Measure
IMRT + Cisplatin + Placebo
n=64 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Placebo: 1500 mg placebo daily by mouth or by feeding tube starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
IMRT + Cisplatin + Lapatinib
n=63 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Lapatinib: 1500 mg lapatinib by mouth or by feeding tube daily starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
Percentage of Participants Who Complied With Protocol Treatment
IMRT
76.6 percentage of participants
Interval 66.2 to 86.9
84.1 percentage of participants
Interval 75.1 to 93.2
Percentage of Participants Who Complied With Protocol Treatment
Cisplatin
90.6 percentage of participants
Interval 83.5 to 97.8
88.9 percentage of participants
Interval 81.1 to 96.6
Percentage of Participants Who Complied With Protocol Treatment
Pre-IMRT lapatinib/placebo
84.4 percentage of participants
Interval 75.5 to 93.3
87.3 percentage of participants
Interval 79.1 to 95.5
Percentage of Participants Who Complied With Protocol Treatment
Concurrent lapatinib/placebo
79.7 percentage of participants
Interval 69.8 to 89.5
84.1 percentage of participants
Interval 75.1 to 93.2
Percentage of Participants Who Complied With Protocol Treatment
Maintenance lapatinib/placebo
56.3 percentage of participants
Interval 44.1 to 68.4
49.2 percentage of participants
Interval 36.9 to 61.6

SECONDARY outcome

Timeframe: From randomization to last follow-up. Maximum follow-up at time of analysis was 7.1 years.

Population: All randomized participants

Failure for local-regional control endpoint was defined as local or regional progression, salvage surgery of the primary tumor with tumor present/unknown, salvage neck dissection with tumor present/unknown \> 20 weeks after the end of radiation therapy, death due to study cancer without documented progression, or death due to unknown causes without documented progression; distant metastasis and death due to other causes were considered competing risks. Local-regional failure time is defined as time from randomization to the date of progression/death or last known follow-up (censored). Failure rates are estimated by the cumulative incidence method. The protocol specifies that the distributions of failure times be compared between the arms, which is reported in the statistical analysis results. Five-year rates are provided.

Outcome measures

Outcome measures
Measure
IMRT + Cisplatin + Placebo
n=64 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Placebo: 1500 mg placebo daily by mouth or by feeding tube starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
IMRT + Cisplatin + Lapatinib
n=63 Participants
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Lapatinib: 1500 mg lapatinib by mouth or by feeding tube daily starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
Percentage of Participants With Local-regional Progression
33.7 percentage of participants
Interval 21.2 to 46.7
37.7 percentage of participants
Interval 25.0 to 50.4

SECONDARY outcome

Timeframe: 3 months, 1 year, and 2 years

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 3 months, 1 year, and 2 years.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 3 months, 1 year, and 2 years.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: End of Study

Population: No assays were performed, and no data were collected for this outcome measure. Specimen use will require funding separate from this trial.

Outcome measures

Outcome data not reported

Adverse Events

IMRT + Cisplatin + Placebo

Serious events: 26 serious events
Other events: 59 other events
Deaths: 23 deaths

IMRT + Cisplatin + Lapatinib

Serious events: 31 serious events
Other events: 60 other events
Deaths: 26 deaths

Serious adverse events

Serious adverse events
Measure
IMRT + Cisplatin + Placebo
n=59 participants at risk
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Placebo: 1500 mg placebo daily by mouth or by feeding tube starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
IMRT + Cisplatin + Lapatinib
n=60 participants at risk
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Lapatinib: 1500 mg lapatinib by mouth or by feeding tube daily starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
Blood and lymphatic system disorders
Anemia
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
3.3%
2/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Blood and lymphatic system disorders
Febrile neutropenia
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Blood and lymphatic system disorders
Leukocytosis
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Cardiac disorders
Atrial fibrillation
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Cardiac disorders
Cardiac arrest
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Cardiac disorders
Sinus tachycardia
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Abdominal pain
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
3.3%
2/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Colitis
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Diarrhea
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Dysphagia
10.2%
6/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Esophagitis
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Gastrointestinal disorders - Other
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Ileus
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Mucositis oral
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Nausea
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
11.7%
7/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Oral hemorrhage
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Oral pain
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Vomiting
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
10.0%
6/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Death NOS
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Edema limbs
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Fatigue
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Fever
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
3.3%
2/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Pain
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Sudden death NOS
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Infections and infestations
Bronchial infection
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Infections and infestations
Infections and infestations - Other
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Infections and infestations
Lung infection
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Infections and infestations
Sepsis
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Infections and infestations
Soft tissue infection
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Injury, poisoning and procedural complications
Dermatitis radiation
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Injury, poisoning and procedural complications
Fall
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Injury, poisoning and procedural complications
Injury to carotid artery
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Injury, poisoning and procedural complications
Tracheal hemorrhage
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Creatinine increased
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
3.3%
2/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Ejection fraction decreased
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Lymphocyte count decreased
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Neutrophil count decreased
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
3.3%
2/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Weight loss
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
White blood cell decreased
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Anorexia
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
8.3%
5/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Dehydration
13.6%
8/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
11.7%
7/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hyperglycemia
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hyperuricemia
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hypocalcemia
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hypokalemia
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hyponatremia
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Musculoskeletal and connective tissue disorders
Chest wall pain
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Nervous system disorders
Cognitive disturbance
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Nervous system disorders
Depressed level of consciousness
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Nervous system disorders
Dizziness
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Nervous system disorders
Stroke
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Psychiatric disorders
Depression
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Psychiatric disorders
Suicidal ideation
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Renal and urinary disorders
Acute kidney injury
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
13.3%
8/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Aspiration
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
3.3%
2/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Dyspnea
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Laryngeal edema
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Laryngeal mucositis
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Laryngeal stenosis
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Pleural effusion
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Sore throat
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Stridor
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Tracheal mucositis
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Skin and subcutaneous tissue disorders
Rash acneiform
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Surgical and medical procedures
Surgical and medical procedures - Other
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Vascular disorders
Hypertension
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Vascular disorders
Hypotension
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Vascular disorders
Thromboembolic event
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment

Other adverse events

Other adverse events
Measure
IMRT + Cisplatin + Placebo
n=59 participants at risk
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Placebo: 1500 mg placebo daily by mouth or by feeding tube starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
IMRT + Cisplatin + Lapatinib
n=60 participants at risk
IMRT: IMRT, 35 fractions over 6 weeks, 6 fractions per week for 5 weeks and 5 fractions per week for 1 week, 2 Gy per fraction to total dose of 70 Gy Cisplatin: 100 mg/m\^2 administered intravenously on days 8 and 29 Lapatinib: 1500 mg lapatinib by mouth or by feeding tube daily starting 7 days before IMRT for 7 weeks prior to and during IMRT and 3 months after completion of IMRT
Blood and lymphatic system disorders
Anemia
64.4%
38/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
60.0%
36/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other
11.9%
7/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
8.3%
5/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Cardiac disorders
Sinus tachycardia
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Ear and labyrinth disorders
Ear pain
23.7%
14/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
20.0%
12/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Ear and labyrinth disorders
Hearing impaired
30.5%
18/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
25.0%
15/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Ear and labyrinth disorders
Tinnitus
39.0%
23/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
23.3%
14/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Endocrine disorders
Hyperthyroidism
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Endocrine disorders
Hypothyroidism
28.8%
17/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
26.7%
16/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Abdominal pain
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Constipation
54.2%
32/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
28.3%
17/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Dental caries
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Diarrhea
13.6%
8/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
40.0%
24/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Dry mouth
79.7%
47/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
76.7%
46/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Dyspepsia
13.6%
8/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
13.3%
8/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Dysphagia
89.8%
53/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
91.7%
55/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Esophageal pain
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
3.3%
2/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Esophageal stenosis
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Esophagitis
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Gastroesophageal reflux disease
13.6%
8/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
8.3%
5/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Gastrointestinal disorders - Other
20.3%
12/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
30.0%
18/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Mucositis oral
76.3%
45/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
80.0%
48/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Nausea
54.2%
32/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
58.3%
35/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Oral pain
16.9%
10/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
21.7%
13/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Salivary duct inflammation
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
10.0%
6/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Gastrointestinal disorders
Vomiting
33.9%
20/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
41.7%
25/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Chills
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Edema face
10.2%
6/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
10.0%
6/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Edema limbs
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
8.3%
5/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Fatigue
83.1%
49/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
81.7%
49/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Fever
13.6%
8/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
General disorders and administration site conditions - Other
11.9%
7/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
8.3%
5/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Localized edema
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
13.3%
8/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Neck edema
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
11.7%
7/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Non-cardiac chest pain
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
10.0%
6/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
General disorders
Pain
37.3%
22/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
23.3%
14/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Infections and infestations
Infections and infestations - Other
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Infections and infestations
Laryngitis
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Infections and infestations
Lung infection
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Infections and infestations
Mucosal infection
15.3%
9/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
8.3%
5/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Infections and infestations
Skin infection
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Infections and infestations
Upper respiratory infection
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Infections and infestations
Urinary tract infection
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
3.3%
2/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Injury, poisoning and procedural complications
Dermatitis radiation
66.1%
39/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
58.3%
35/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Injury, poisoning and procedural complications
Fall
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Alanine aminotransferase increased
20.3%
12/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
23.3%
14/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Alkaline phosphatase increased
15.3%
9/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Aspartate aminotransferase increased
10.2%
6/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
11.7%
7/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Blood bilirubin increased
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
16.7%
10/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
CD4 lymphocytes decreased
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Creatinine increased
30.5%
18/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
31.7%
19/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Investigations - Other
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Lymphocyte count decreased
37.3%
22/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
43.3%
26/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Neutrophil count decreased
37.3%
22/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
21.7%
13/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Platelet count decreased
27.1%
16/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
23.3%
14/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
Weight loss
52.5%
31/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
68.3%
41/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Investigations
White blood cell decreased
42.4%
25/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
40.0%
24/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Anorexia
54.2%
32/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
56.7%
34/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Dehydration
25.4%
15/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
23.3%
14/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hypercalcemia
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
8.3%
5/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hyperglycemia
27.1%
16/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
30.0%
18/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hyperkalemia
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hypermagnesemia
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hypernatremia
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
3.3%
2/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hyperuricemia
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hypoalbuminemia
30.5%
18/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
33.3%
20/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hypocalcemia
25.4%
15/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
26.7%
16/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hypoglycemia
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hypokalemia
28.8%
17/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
38.3%
23/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hypomagnesemia
27.1%
16/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
38.3%
23/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hyponatremia
44.1%
26/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
48.3%
29/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Hypophosphatemia
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other
11.9%
7/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
18.3%
11/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Musculoskeletal and connective tissue disorders
Arthralgia
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Musculoskeletal and connective tissue disorders
Back pain
11.9%
7/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
8.3%
5/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Musculoskeletal and connective tissue disorders
Bone pain
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Musculoskeletal and connective tissue disorders
Fibrosis deep connective tissue
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
10.0%
6/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other
13.6%
8/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
18.3%
11/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Musculoskeletal and connective tissue disorders
Neck pain
20.3%
12/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
28.3%
17/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Musculoskeletal and connective tissue disorders
Neck soft tissue necrosis
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
3.3%
2/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Musculoskeletal and connective tissue disorders
Superficial soft tissue fibrosis
15.3%
9/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
10.0%
6/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Musculoskeletal and connective tissue disorders
Trismus
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Nervous system disorders
Dizziness
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
13.3%
8/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Nervous system disorders
Dysgeusia
61.0%
36/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
63.3%
38/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Nervous system disorders
Headache
22.0%
13/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
20.0%
12/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Nervous system disorders
Nervous system disorders - Other
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
8.3%
5/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Nervous system disorders
Neuralgia
0.00%
0/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Nervous system disorders
Peripheral sensory neuropathy
18.6%
11/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
18.3%
11/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Nervous system disorders
Tremor
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Psychiatric disorders
Anxiety
27.1%
16/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
23.3%
14/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Psychiatric disorders
Confusion
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Psychiatric disorders
Depression
16.9%
10/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
18.3%
11/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Psychiatric disorders
Insomnia
22.0%
13/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
33.3%
20/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Psychiatric disorders
Psychiatric disorders - Other
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Renal and urinary disorders
Acute kidney injury
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
10.0%
6/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Renal and urinary disorders
Hematuria
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Renal and urinary disorders
Proteinuria
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Renal and urinary disorders
Urinary retention
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Aspiration
13.6%
8/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Cough
37.3%
22/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
33.3%
20/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Dyspnea
35.6%
21/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
26.7%
16/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Hoarseness
49.2%
29/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
48.3%
29/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Laryngeal edema
20.3%
12/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
20.0%
12/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Laryngeal inflammation
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
3.3%
2/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Pharyngeal fistula
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
5.0%
3/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Pharyngeal mucositis
23.7%
14/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
18.3%
11/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Pneumonitis
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Productive cough
13.6%
8/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
8.3%
5/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other
16.9%
10/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
16.7%
10/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Sore throat
35.6%
21/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
41.7%
25/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Respiratory, thoracic and mediastinal disorders
Voice alteration
20.3%
12/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
16.7%
10/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Skin and subcutaneous tissue disorders
Alopecia
1.7%
1/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
11.7%
7/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Skin and subcutaneous tissue disorders
Dry skin
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Skin and subcutaneous tissue disorders
Pruritus
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
1.7%
1/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Skin and subcutaneous tissue disorders
Rash acneiform
6.8%
4/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
11.7%
7/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Skin and subcutaneous tissue disorders
Rash maculo-papular
3.4%
2/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
8.3%
5/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other
11.9%
7/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
15.0%
9/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
8.5%
5/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
11.7%
7/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Skin and subcutaneous tissue disorders
Telangiectasia
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Vascular disorders
Hot flashes
5.1%
3/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
0.00%
0/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Vascular disorders
Hypertension
13.6%
8/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
18.3%
11/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Vascular disorders
Hypotension
18.6%
11/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
6.7%
4/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
Vascular disorders
Lymphedema
10.2%
6/59 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment
10.0%
6/60 • Weekly during radiation therapy, then every 3 months for years 1 and 2, every 6 months for years 3-5, then annually
All-cause mortality was assessed in all randomized participants. Adverse events were assessed in participants who started protocol treatment

Additional Information

Wendy Seiferheld

NRG Oncology

Phone: 215-574-3208

Results disclosure agreements

  • Principal investigator is a sponsor employee PI's are required to abide by the sponsor's publication guidelines which require review by coauthors and subsequent review and approval by the sponsor.
  • Publication restrictions are in place

Restriction type: OTHER