Phase II Study of Whole or Partial Parotid Sparing Intensity Modulated Radiotherapy in Patients With Head and Neck Cancers

NCT ID: NCT02068313

Last Updated: 2014-02-21

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

UNKNOWN

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-03-31

Brief Summary

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Phase II and III studies have demonstrated IMRT to be safe and standard practice for head and neck cancers treated with radiotherapy. This study will be an extension to an earlier, in-house, trial to allow continued recording of toxicities and outcomes in patients receiving IMRT for head and neck cancers. This study will allow us to examine radiobiological modelling for normal tissue complication probability and in particular, determining the dose threshold for parotid glands. Our primary objective is to assess the potential effectiveness of intensity-modulated radiotherapy (IMRT) in reducing xerostomia in head and neck cancer patients and determining threshold dose for whole parotid gland and superficial lobes of parotid glands

Detailed Description

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Conditions

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Head and Neck Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Single cohort

Toxicity and outcome measures of IMRT

Intervention Type RADIATION

Interventions

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Toxicity and outcome measures of IMRT

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed squamous cell cancer or undifferentiated cancer of nasopharynx, oropharynx, larynx and hypopharynx and squamous cell carcinoma unknown primary.
* TNM Stage: T1-4, N0-3 M0
* Patients requiring primary or postoperative radiotherapy to the primary site and bilateral neck irradiation requiring IMRT
* Parotid sparing IMRT feasible (parotids clear of malignant disease)
* WHO Performance status 0-1 (Karnofsky \>80)
* Aged 18 or older
* Induction chemotherapy and concomitant platinum based chemotherapy is permitted
* Concomitant cetuximab is permitted where platinum chemotherapy is contraindicated
* All patients must be suitable to attend regular follow-up and salivary flow measurements and be available for long term follow up.
* All patients must be able to complete self-assessed quality of life questionnaire
* Be able to provide written informed consent

Exclusion Criteria

* Previous radiotherapy to the parotid gland/s
* Pre-existing salivary gland pathology interfering with saliva production
* Previous or concurrent illness which in the investigator's opinion which will interfere with either completion of therapy or follow up
* Brachytherapy is not allowed as part of the treatment
* Presence of lymphadenopathy adjacent to or involving both parotid glands making whole parotid sparing or superficial parotid sparing impossible
* Prophylactic use of amifostine or pilocarpine is not allowed
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Royal Marsden NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christopher Nutting, PhD, MD, FRCR, MRCP, MB BS

Role: PRINCIPAL_INVESTIGATOR

Royal Marsden NHS Foundation Trust

Locations

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The Royal Marsden Hospital

Sutton, Surrey, United Kingdom

Site Status RECRUITING

The Royal Marsden Hospital

London, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Rachel Starkings, MSc

Role: CONTACT

0207 811 8311

Other Identifiers

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CCR 3301

Identifier Type: -

Identifier Source: org_study_id

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