NIMRAD (A Randomised Placebo-controlled Trial of Synchronous NIMorazole Versus RADiotherapy Alone in Patients With Locally Advanced Head and Neck Squamous Cell Carcinoma Not Suitable for Synchronous Chemotherapy or Cetuximab)

NCT ID: NCT01950689

Last Updated: 2021-10-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

338 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-11

Study Completion Date

2021-01-07

Brief Summary

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The purpose of this study is to see whether adding Nimorazole to standard radiotherapy benefits patients with locally advanced head and neck squamous cell carcinoma.

Detailed Description

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Conditions

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Head and Neck Squamous Cell Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo

Placebo given in parallel with radiotherapy for 6 weeks.

Group Type PLACEBO_COMPARATOR

Radiotherapy

Intervention Type RADIATION

Nimorazole

Nimorazole given in parallel with radiotherapy for 6 weeks

Group Type EXPERIMENTAL

Nimorazole

Intervention Type DRUG

Radiotherapy

Intervention Type RADIATION

Interventions

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Nimorazole

Intervention Type DRUG

Radiotherapy

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed (newly diagnosed/ not recurrent) head and neck squamous cell carcinoma; all primary subsites EXCEPT nasal cavity, oral cavity, nasopharynx and paranasal sinus (i.e. oropharynx, hypopharynx, larynx are allowed)
* Stage T3/T4 N0; any node +ve case including T1 node +ve; T2N0 base of tongue/hypopharynx
* Patients suitable for definitive radiotherapy. Block dissections may be performed pre-RT for N2/N3 disease
* WHO status 0-2
* Patient fit and able to undergo RT with nimorazole and be expected to complete treatment
* Absence of another disease or previous malignancy which is likely to interfere with the treatment or assessment of response
* No evidence of distant metastases (M0)
* Unable to tolerate/unlikely to benefit from platinum chemotherapy or monoclonal antibody therapy
* Women must be postmenopausal (no menstrual period for a minimum of 1 year) or have a negative serum pregnancy test on entry in the study (even if surgically sterilised) and be using an adequate contraception method. This must be continued for 1 week after completion of nimorazole, unless child bearing potential has been terminated by surgery/radical radiotherapy
* Men must be willing to use an adequate method of contraception during treatment and until 1 week after nimorazole
* Greater than 18 years of age; no upper age limit
* Available for follow up within the United Kingdom
* Adequate renal and liver function - absolute neutrophil count \>=1.5 x 109/L, creatinine \<=2x ULN, platelets \> 100x109/L, total bilirubin \<=2 x ULN, AST or ALT \<3 x ULN
* The capacity to understand the patient information sheet and the ability to provide written informed consent
* Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests and other study procedures

Exclusion Criteria

* Patients with T1N0 tumours or those within the nasopharynx, nasal cavity or sinus, oral cavity; T2No larynx and tonsil; unknown primary cancer.
* Any prior chemotherapy in the last 6 months or RT within the planned radiation field
* Presence of any life threatening illness such as unstable angina or severe chronic obstructive pulmonary disease
* Mental disability or patient otherwise unable to give informed consent and/or complete patient questionnaires
* Hb \<100 g/l (patients with anaemia may be transfused to bring Hb levels to \>100 g/l within 1 week of treatment start. Please repeat Hb following transfusion to confirm now eligible)
* Peripheral neurophathy as assessed clinically (CTCAE \>=2)
* Use of any investigational drug within 30 days prior to screening
* Severe and/or uncontrolled medical disease
* Any malabsorption syndrome (i.e. partial gastrectomy, small bowel resection, Crohn's disease or ulcerative colitis)
* Use of Lithium or Phenobarbitone during the study
* Patients who are breastfeeding or pregnant
* Previous malignancy within 5 years (except BCC, in-situ Ca e.g. of the cervix)
* Previous definitive surgery to primary site
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Christie NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Yamina Ainaoui

Clinical Trials Manager

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David Thomson

Role: PRINCIPAL_INVESTIGATOR

The Christie NHS Foundation Trust

Locations

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Cheltenham General Hospital

Cheltenham, Gloucestershire, United Kingdom

Site Status

Clatterbridge Centre for Oncology

Bebington, Merseyside, United Kingdom

Site Status

St James' Hospital

Leeds, West Yorkshire, United Kingdom

Site Status

Belfast City Hospital

Belfast, , United Kingdom

Site Status

Queen Elizabeth Hospital

Birmingham, , United Kingdom

Site Status

Bradford Teaching Hospitals NHS Foundation Trust

Bradford, , United Kingdom

Site Status

Bristol Haematology and Oncology centre

Bristol, , United Kingdom

Site Status

Addenbrookes Hospital

Cambridge, , United Kingdom

Site Status

Velindre Cancer Centre

Cardiff, , United Kingdom

Site Status

University Hospitals Coventry and Warwickshire

Coventry, , United Kingdom

Site Status

The Beatson West of Scotland Cancer Centre

Glasgow, , United Kingdom

Site Status

The Royal Surrey County Hospital

Guildford, , United Kingdom

Site Status

Leicester Royal Infirmary

Leicester, , United Kingdom

Site Status

University College London Hospital

London, , United Kingdom

Site Status

The Royal Marsden

London, , United Kingdom

Site Status

The Christie NHS Foundation Trust

Manchester, , United Kingdom

Site Status

The James Cook University Hospital

Middlesbrough, , United Kingdom

Site Status

Nottingham University Hospitals

Nottingham, , United Kingdom

Site Status

Weston Park Hospital

Sheffield, , United Kingdom

Site Status

Singleton Hospital

Swansea, , United Kingdom

Site Status

York Hospital

York, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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CFTSp032, 11_DOG08_53

Identifier Type: -

Identifier Source: org_study_id